Let's not forget that a large part of this is driven by the government with their Meaningful Use incentives which by 2016 become penalties. I read that a couple of hospitals in KY were the first and got somewhere around $2m each. Just recently there was a 2 doctor provider practice that just got around $44,000. At one of our clinics, they are going to hire someone for a few months to put all their paper records into the EMR. We've had an EMR since around 1997 when we went with Meditech c\s. One of the IT headaches with working in a hospital is it's a 24 hour shop. Downtime is frowned upon even if accepted. We recently had an ED doc get very upset because we brought the system down even though we had sent out downtime warnings twice that day. I believe that EHR's and EMR's along with health exchanges are going to become more prevalent and are a definite plus to the delivery of healthcare.
From: [email protected] To: [email protected] Date: Tue, 11 Jan 2011 11:13:11 -0500 Subject: RE: domain controller in the cloud??? “It's a concern I continue to have, even as I advocate the technology for its technical merits.” I know that feeling, that’s for sure. I’ve just converted a 70 doc medical practice to an all electronic system, of which I was and still am a strong advocate. Paper charts here are, for all intents and purposes, a thing of the past. It’s great, access to information (potentially lifesaving) is almost instantaneous from anywhere in the world as long as you’ve got a decent internet connection and can run a Citrix plugin. It’s great – as long as it is accessible. However, I have this sinking feeling that one day, something cataclysmic will happen and nothing (electronic) will work. Maybe in the next few years, maybe not. Either for a prolonged period of time, or even indefinitely. Perhaps it will be a localized event that will take our data center down, or maybe something on a larger scale – conspiracy theories abound about end of days type stuff. Just because it has never happened in our recorded history, does that make it really so far fetched? No, I’m not off the deep end (at least not yet anyway), but us making ourselves more and more dependent on technology (not to mention the government) can and does have its drawbacks… Kinda funny how we can paint ourselves into a corner, isn’t it? Jonathan L. Raper, A+, MCSA, MCSE Technology Coordinator Eagle Physicians & Associates, PA [email protected] www.eaglemds.com From: Andrew S. Baker [mailto:[email protected]] Sent: Tuesday, January 11, 2011 10:55 AM To: NT System Admin Issues Subject: Re: domain controller in the cloud??? Indeed... It's a concern I continue to have, even as I advocate the technology for its technical merits. ASB (My Bio via About.Me) Exploiting Technology for Business Advantage... On Tue, Jan 11, 2011 at 10:47 AM, Raper, Jonathan - Eagle <[email protected]> wrote: Thought provoking, if nothing else. Thanks for sharing, Angus. Jonathan L. Raper, A+, MCSA, MCSE Technology Coordinator Eagle Physicians & Associates, PA [email protected] www.eaglemds.com -----Original Message----- From: Angus Scott-Fleming [mailto:[email protected]] Sent: Tuesday, January 11, 2011 10:44 AM To: NT System Admin Issues Subject: Re: domain controller in the cloud??? On 10 Jan 2011 at 11:43, techconnect wrote: > We are a private k-8 school and we have a board member who is telling us > that we should not buy any new servers to replace the current ones, he says > everything is moving to the cloud and so should our stuff(user folders, > authenication AD win 2003 R2 and Exchange 2003 is what we're using, they > want to move to gmail but there's no central management there I know of,and > offsite backups only.) We have about 350-400 students and faculty and they > want to be on the bandwagon to the cloud I think without understanding > everything about it(I'm not entirely clear either) and was looking for > thoughts and opinions or resources. Interesting take on this idea here: ============= Included Stuff Follows ============= Why I´m Having Second Thoughts About The Wisdom Of The Cloud "...It used to be that if the US government wanted access to documents or letters in my possession they´d have to subpoena me directly. As a foreign citizen there are all sorts of ways I could fight the request - and it was at least my choice whether to do so. As someone living in the US I also had the whole weight of the 4th Amendment on my side. Now, with everything in the cloud, the decision whether to hand over my personal information is almost entirely out of my hands. And unless, as happened with Twitter, the company storing my data decides to fight for openness on my behalf, there´s every possibility that I won´t even hear about the request until it´s too late. That´s just not how things should work in a free society. "Of course, it remains statistically unlikely that I´m going to be the subject of a subpoena any time soon. I´m hardly an enemy of the state. But then again, until recently, neither were many of the supporters of Wikileaks. Who´s to say that an innocuous organisation I give support to today won´t suddenly become highly controversial tomorrow? "For that reason, I´m giving serious thought to the idea of taking my communications back out of the cloud: switching back to a traditional email client and storing my documents on my encrypted hard-drive." ============= Included Stuff Ends ============= Seen here: http://techcrunch.com/2011/01/10/why-im-having-second-thoughts-about-the-wisdom-of-the-cloud/ -- Angus Scott-Fleming GeoApps, Tucson, Arizona 1-520-290-5038 Security Blog: http://geoapps.com/ ~ Finally, powerful endpoint security that ISN'T a resource hog! ~ ~ <http://www.sunbeltsoftware.com/Business/VIPRE-Enterprise/> ~ --- To manage subscriptions click here: http://lyris.sunbelt-software.com/read/my_forums/ or send an email to [email protected] with the body: unsubscribe ntsysadmin Any medical information contained in this electronic message is CONFIDENTIAL and privileged. It is unlawful for unauthorized persons to view, copy, disclose, or disseminate CONFIDENTIAL information. 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