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November 13, 2008
Economy's impact on healthcare facilities
Analysis of: Hospitals See Drop in Paying Patients | www.nytimes.com
Author: James Leonard, Chief Information Officer, The Regional Medical Center at Memphis
Significant decline scheduled procedures. Greater activity in Emergency Room combined with increase in uninsured and underinsured patients. A difficult outlook for Acute care facilities.
June 23, 2008
CMS Core Measures success is about documentation
Analysis of: Good is Never Enough for P4P | www.hhnmag.com
Author: James Leonard, Chief Information Officer, The Regional Medical Center at Memphis
P$P programs, like CMS Core Measures, while a valuable goal, are primarily about documentation. Documenting the proper activities occurred, within the accepted timeframes is what Core Measures is all about. Did you give the AMI patient aspirin soon enough to be effective, did the pneumonia patient get...
June 23, 2008
What is the likelihood of real Healthcare Reform?
Analysis of: Writing New Prescriptions for Change--Policymakers' Interest in Health Care Intensifies | www.washingtonpost.com
Author: James Leonard, Chief Information Officer, The Regional Medical Center at Memphis
What is the chance of real Healthcare reform in the US when major insurers turn huge profits and support a massive lobbyist effort in Washington? Hospitals and doctors are presented as the main cause for spiraling healthcare costs. As modality vendors release newer products like 256 slice scanners,...
June 20, 2008
A bit misdirected?
Analysis of: Billing System Needs Under Consumer Directed Health Plans | www.phoenixservice.net
Author: James Leonard, Chief Information Officer, The Regional Medical Center at Memphis
A small article that really doesn't do justice to the topic and makes a few misdirected comments.     
June 20, 2008
A need for cost effective ASP model EHR solution
Analysis of: Most Doctors Aren’t Using Electronic Health Records | www.nytimes.com
Author: James Leonard, Chief Information Officer, The Regional Medical Center at Memphis
Slow EHR adoption by small to medium sized Physician practices, those with fewer than 100 providers, clearly shows a market niche for a cost effective, Web-based delivery of these systems. This will remove the primary pain point in adoption by smaller practices and groups.
May 16, 2008
I lean toward "Bust"
Analysis of: Analyst: $850M opportunity for Allscripts with merger | www.forbes.com
Author: James Leonard, Chief Information Officer, The Regional Medical Center at Memphis
Difficulty in turning the potential opportunity into sales     
April 1, 2008
AllScripts - Misys Merger Investment analysis
Analysis of: Misys/AllScripts Merger - A bright future for a new company? | www.healthcarefinancenews.com
Author: James Leonard, Chief Information Officer, The Regional Medical Center at Memphis
Short term pain long term gain? In my opinion, only within the sphere of Misys existing clients. Neither Misys nor Allscripts have been very good at marketing to non-customers.
March 31, 2008
Diversion dilema will only continue
Analysis of: Code-red situation has local hospitals diverting patients | seattletimes.nwsource.com
Author: James Leonard, Chief Information Officer, The Regional Medical Center at Memphis
This is an early indication of a problem that will continue to present itself at hospitals around the country. Two main causes drive this phenomenon: As nursing homes continue to close, there are fewer long term care beds available, which means hospitals can't get their patients out of badly needed...
March 31, 2008
Belive it when you see it
Analysis of: Allscripts and Misys Healthcare to Create a Leader in Physician Solutions | www.smartbrief.com
Author: James Leonard, Chief Information Officer, The Regional Medical Center at Memphis
Allscripts was a darling while they could show growth of their EMR product over the past years, but a majority of this growth was likely due to their partnership with IDX. Misys has been struggling in the Healthcare marketplace for a number of years, showing no growth and an erosion of their Practice...
March 27, 2008
Misys replaces IDX
Analysis of: Allscripts, Misys announce merger | www.healthcareitnews.com
Author: James Leonard, Chief Information Officer, The Regional Medical Center at Memphis
This is an acknowledgement that a majority of AllScripts' EMR business was generated by their now defunct partnership with IDX. It is also an acknowledgement that AllScript's purchase of A4 did not fill the void caused by the departure of the IDX relationship after IDX was purchased by GE (who have...

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