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Wolters Kluwer Health Outlines Challenges, Offers Solutions to Mandated EHR Infobutton Implementations in Renowned Informatics Journal

JAMIA Article is Latest Demonstration of Company’s Proactive Efforts to Resolve Industry Challenges to CDS-EHR Integration
Minneapolis, Minn. — April 11, 2013— Wolters Kluwer Health, a leading global provider of information for healthcare professionals and students, announced today that key challenges to the use of Infobutton technology are addressed in a Journal of the American Medical Informatics Association (JAMIA) article by Howard Strasberg, M.D., Vice President of Medical Informatics. “Terminology Challenges Implementing the HL7 Context-Aware Knowledge Retrieval (Infobutton) Standard” singles out one of many challenges confronting healthcare providers with integration and use of clinical decision support (CDS) technology in electronic health records (EHRs).
Co-authored by Dr. Strasberg, Guilherme Del Fiol, MD, PhD, with the Department of Biomedical Informatics at the University of Utah, and James Cimino, M.D., of the Laboratory for Informatics Development with the National Institutes of Health Clinical Center, the article provides insight into the terminology challenges associated with retrieval of Infobutton content. The strengths and weaknesses associated with two primary retrieval methods—text search terms and standardized codes—are outlined, and the authors point to a hybrid approach of both methods as potentially delivering the most optimal outcome.
“Infobutton implementation is not as simple as indexing some content with a few standardized codes and assuming that retrieval of direct matches will provide optimal results. Instead, a variety of subtleties must be considered, including handling inexact matches and different term types and ranking results,” said Dr. Strasberg. “A variety of approaches can be used such as retrieving exact or related code matches and, through query expansion, leveraging the ranking capabilities of search engines. As such, we recommend implementers determine the best approach on a case-by-case basis to achieve the best possible outcomes.”
A key take-away from the review is the need for careful consideration of the complexities associated with integration of CDS technology into EHRs. Identified as a key element to successfully achieving the aggressive quality goals laid out in federal initiatives, the widespread use of CDS technology such as order sets, evidence-based reference content, care plans, medication alerting systems and surveillance technology, is most hindered by EHR integration challenges, according to leading industry research groups like KLAS and The Advisory Board.
Specifically, the use of the HL7 Infobutton standard for retrieval of relevant patient education content is a requirement under Stage 2 Meaningful Use rules for certified EHRs. The rules also require EHRs to provide linked referential CDS, optionally using this same standard.
Many initiatives are underway such as the Health eDecisions Project and various activities of the HL7 CDS working group to design CDS standards that promote interoperability and easier integration. Industry thought leaders and experts believe that the adoption of these standards by health IT vendors will increase momentum with the deployment and use of CDS technology.
Wolters Kluwer Health has taken a proactive approach to CDS standards development, working alongside national initiatives and utilizing standard terminologies such as ICD-9-CM, ICD-10-CM, SNOMED CT, LOINC and RxNorm across its comprehensive line of CDS applications. Dr. Strasberg currently serves as co-chair of the HL7 CDS working group.
“There is little dispute in the healthcare industry that the uptake and use of CDS technology is critical to achieving short- and long-term quality and cost expectations,” said Arvind Subramanian, President and CEO, Wolters Kluwer Health, Clinical Solutions. “Wolters Kluwer Health is actively engaged in helping the industry bridge the current integration gap that exists between EHRs and CDS to improve both patient care outcomes and the health IT landscape overall.”
About Wolters Kluwer Health
Wolters Kluwer Health (Philadelphia, PA) is a leading global provider of information, business intelligence and point-of-care solutions for the healthcare industry. Serving more than 150 countries and territories worldwide, Wolters Kluwer Health’s customers include professionals, institutions and students in medicine, nursing, allied health and pharmacy. Major brands include Lippincott Williams & Wilkins, Ovid®, Medknow, UpToDate®, Medi-Span®, Facts & Comparisons®, Pharmacy OneSource®, Lexicomp® and ProVation® Medical.
Wolters Kluwer Health is part of Wolters Kluwer, a market-leading global information services company. Wolters Kluwer had 2012 annual revenues of €3.6 billion ($4.6 billion), employs approximately 19,000 people worldwide, and maintains operations in over 40 countries across Europe, North America, Asia Pacific, and Latin America.

May 29, 2013 I Written By

John Lynn is the Founder of the blog network which currently consists of 5 blogs containing over 11,000 articles with John having written over 5500 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 18 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of and John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Physician’s Trust Selected by the Orange County Partnership Regional Health Information Organization to Provide HIE Support, Training Services for Physician Practices

Physician’s Trust to implement and support OCUnites HIE

IRVINE, Calif. – (Jan. 23, 2013) – Physician’s Trust, Inc. today announced that it has been selected to provide physician registration, training and support as well as outbound marketing services for OCUnites, the Orange County Partnership Regional Health Information Organization Inc’s (OCPRHIO, Inc) Health Information Exchange (HIE).

Based in Orange, Calif., OCPRHIO is a community health information organization that is working collaboratively with hospitals, physicians and other Orange County healthcare providers to enable secure and convenient access to patient health information when and where it is needed at the point of care. Participating hospitals include Chapman Medical Center, Coastal Communities Hospital, Mission Hospital, St. Joseph Hospital, St. Jude Medical Center, University of California–Irvine Healthcare, Western Medical Center–Anaheim and Western Medical Center–Santa Ana. Additional participants include Monarch HealthCare.

OCUnites seamlessly interfaces with EHRs to enable the secure exchange of patient information. In addition to secure messaging, providers can access lab and pathology results, Continuity of Care Documents (CCD), ADT information and public health events and notifications. They can also manage health event notification reporting and immunization registry updates and querying.

Under the agreement, Physician’s Trust will provide registration and comprehensive web-based training to OCUnites participants, including development of user manuals and other materials designed to support adoption of the HIE. It will also manage inbound Help Desk support calls and troubleshooting.

“Physician’s Trust has amassed an impressive track record of providing physicians with the technology and workflow tools, training and support they need to leverage their existing EHRs to take patient care to the next level,” said Paul Budilo, CEO, OCPRHIO. “That track record, combined with their reputation for excellent customer service, made Physician’s Trust the natural choice for supporting the HIE needs of our physicians.”

“HIE is an important step toward improving physician collaboration and quality of care, and for achieving Stage 2 Meaningful Use, which focuses on the adoption of analytics as a critical part of patient care,” said Stephen D. Rhodes, president, Physician’s Trust. “OCPRHIO understands that implementing an HIE can only be successful if the right support and outbound marketing programs are in place to ensure long-term adoption. That is what Physician’s Trust brings to the table.”

About Physician’s Trust, Inc.

Based in Irvine, Calif., Physician’s Trust provides physician-centric health IT services that enable hospitals, IPAs, ACOs and small and mid-sized practices to overcome the challenges of EHR adoption and utilization. It leverages industry best practices to accelerate EHR implementation and meaningful use, as well as a propriety application that captures practice analytics to guide deployment and manage the ongoing workflow modifications necessary for full clinical adoption. A top eClinicalWorks GOLD Partner and powered by Healthcare Technology Leaders, Physician’s Trust has implemented EHR solutions for over a 1000 providers. For more information contact Physician’s Trust at www.physicianstrust.netor 866‐493‐0952.

About Orange County Partnership Regional Health Information Organization, Inc (OCPRHIO, Inc)
OCPRHIO, headquartered in Orange, Calif., is a community collaboration of healthcare providers whose mission is dedicated to improving the quality, safety, and efficiency of health care in Orange County by enhancing the ability of the health care delivery system to capture and share health innovation, improve efficiency, and securely protect patient privacy. For more information about OCPRHIO, Inc visit


February 7, 2013 I Written By

John Lynn is the Founder of the blog network which currently consists of 5 blogs containing over 11,000 articles with John having written over 5500 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 18 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of and John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Coosa Valley Medical Center Selects Merge’s iConnect(R) Enterprise Clinical Platform

Also Upgrades to Merge PACS to Improve Workflow

CHICAGO, Nov. 6, 2012 (GLOBE NEWSWIRE) — Merge Healthcare Incorporated (Nasdaq:MRGE), a leading provider of clinical systems and innovations that seek to transform healthcare, today announced Coosa Valley Medical Center(CVMC), an independent, community, non-profit medical center that serves five counties in Alabama, has selected Merge PACSTM to upgrade their existing PACS, iConnect® Access to provide real-time access to images and iConnect® Enterprise Archive to further expand their enterprise imaging strategy.

“As a long-time Merge client, we were excited to move forward with the latest versions of both Merge PACS and iConnect Enterprise Archive,” explained Amy Price, COO, CVMC. “We not only upgraded to the latest releases of those two products, but also added iConnect Access to provide referring physicians with access to patients’ images anywhere, any time. We believe this approach to an enterprise-wide imaging strategy will deliver substantial workflow efficiencies for our physicians.”

“Additionally, by upgrading to Merge PACS, radiologists will now be able to access a full suite of mammography tools from one workstation,” noted Andy Gill, Director of Imaging and CV Services, CVMC. “This will allow us to consolidate workstations and ultimately allow for faster diagnoses.”

“With Stage 2 Meaningful Use requirements focusing heavily on the viewing of diagnostic images, health systems of every size need to look at how to image-enable their enterprise,” said Jeff Surges, CEO of Merge Healthcare. “By implementing an enterprise-wide imaging strategy, CVMC will be well-positioned to address information exchange, changing payment models and future regulatory requirements as they relate to the sharing of images.”

iConnect Enterprise Archive and iConnect Access are part of the iConnect® Enterprise Clinical Platform, Merge’s comprehensive offering for viewing, sharing and archiving any type of image, anywhere, any time. It also includes iConnect® Share, an internet-based gateway for image sharing between enterprises. With current trends in patient safety and healthcare reform as well as competition for referring physicians, the need for image sharing across the enterprise is more critical than ever.

A recent InMedica study reported iConnect Enterprise Archive as the world’s #1 market share vendor-neutral archive. As the industry’s first true standalone vendor-neutral archive, it has been successfully integrated with over seventy-five PACS vendors and specialty workstations at over 350 sites across the United States. In over half of the implementations, Merge’s customers have integrated third-party PACS systems with iConnect Enterprise Archive.

Merge PACS, a real-time picture archiving communication system, enhances clinical, operational and administrative functions with an approach that emphasizes workflow efficiency and customer satisfaction. Its modular design allows for easy integration with a broad range of third-party systems.

About Merge

Merge is a leading provider of clinical systems and innovations that seek to transform healthcare.  Merge’s enterprise and cloud-based solutions for image intensive specialties provide access to any image, anywhere, any time. Merge also provides health stations, clinical trials software and other health data and analytics solutions that engage consumers in their personal health. With solutions that are used by providers and consumers and include more than 20 years of innovation, Merge is helping to reduce costs and improve the quality of healthcare worldwide. For more information, visit

November 7, 2012 I Written By

Amphion Medical Solutions Launches Triton Health Document Cloud™

Innovative cloud-based solution provides hospitals with the flexibility needed to respond to evolving transcription needs

MADISON, Wis. – Aug. 28, 2012 – Amphion Medical Solutions, an innovative provider of transcription and coding technology and outsourcing services, announced today the launch of Triton Health Document Cloud™. The flexible cloud-based transcription solution helps hospitals maximize budgets and resources, in part by facilitating a seamless transition between in-house and outsourced services in response to evolving needs.

“Amphion understands the challenge hospitals face to continuously deliver superior transcription services despite rapidly changing dictation volumes,” said Mike Cavill, chairman and co-founder, Amphion Medical Solutions. “For years, Triton has been the platform across which Amphion delivered the transcription services that helped our clients achieve those quality outcomes. Now Triton is available to any hospital interested in leveraging the power of the cloud to reduce costs and better manage their in-house transcription resources.”

Triton Health Document Cloud integrates M*Modal’s advanced speech understanding and natural language processing (NLP) technologies to create the next generation of clinical documentation workflow. It improves productivity by providing organizations with multiple options: providing transcriptionists with highly accurate documents ready for editing or giving clinicians the option to dictate, review and electronically sign reports in one session or send partial dictations to the transcriptionist for completion.

Triton also provides hospitals with the flexibility to retain all transcription in-house or to seamlessly shift overflow or full services to Amphion’s experienced transcription team as needed. Further, Triton is based upon Amphion’s “right-sized” demand-based pricing model, which means hospitals pay only for the transcribed volumes produced. This reduces costs by aligning transcription expenses with actual utilization.

“The flexibility of the Triton platform streamlines our transcription processes, while the robust management console gives us the ability to easily track all transcription-related activities and quickly adjust to changes in volume,” said Nancy Cloutier, HIM director of Boston-based Hallmark Health System. “Triton has helped us accelerate turnaround times, increase efficiencies and save time and money. It is unlike anything we have ever experienced before.”

Its robust speech understanding capabilities mean Triton is positioned to help hospitals meet proposed Stage 2 Meaningful Use criteria by translating physician dictation into searchable, structured information. Narrative clinical data, including diagnostic, procedural, medication and allergy information, is indexed and encoded for download into the hospital’s electronic health record (EHR) system, while Triton’s NLP capabilities transform narrative dictation into standardized, structured and codified HL7-compliant CDA output.

The Triton platform integrates easily with admission-discharge-transfer (ADT) and EHR systems and can be deployed by department or enterprise-wide. Finally, because Triton is cloud-based, no upfront investment in hardware or software is required and ongoing maintenance costs are eliminated.

About Amphion Medical Solutions

Founded in 2001, Amphion Medical Solutions ( delivers complete outsourcing services and solutions to meet healthcare clients’ transcription, coding and technology needs. With extensive healthcare expertise and leading-edge technology, Amphion leverages the proven benefits of transcription and coding outsourcing and provides organizations with the technology they need to manage an in-house transcription team. Featured products include Triton, a voice-recognition transcription platform, and Themis, a remote coding solution.

September 24, 2012 I Written By

IHE USA and Health Story Advance Sharing of the Patient Story

Integrating the Healthcare Enterprise (IHE) North American Connectathon will include testing of the Health Story supported Consolidated CDA® during the largest health IT testing event in the United States.

CHICAGO – (July 25, 2012) – A patient’s clinical history offers detailed and valuable health information, data not always available in an accessible format in a digital medical record. To help simplify sharing that patient story with clinical data, IHE USA and the Health Story Project will offer testing of Consolidated Clinical Document Architecture, known as Consolidated CDA, at the annual IHE North American Connectathon 2013, where health IT systems test information exchange across organizational boundaries to demonstrate the capabilities and benefits of those systems.

The Health Story Project and IHE have collaborated closely since the project’s inception in 2008. This alliance leverages IHE integration profiles and the Consolidated CDA standard from Health Level Seven International (HL7) to offer a clear communication path and common language for health IT standards.

As the adoption of interoperable health IT systems continues to grow under the mandate of the HITECH Act, the Office of the National Coordinator (ONC) recently referenced use of Consolidated CDA as a proposed requirement for Stage 2 meaningful use of EHR systems. The potential ruling has accelerated efforts toward adoption of Consolidated CDA and the resulting need for testing to validate CDA content with IHE integration profiles at the IHE Connectathon.

The Connectathon offers a timely and efficient testing option, since the 2013 event will be held in Chicago from Jan. 28 – Feb. 2, 2013, at the Hyatt Regency Chicago, 151 E. Wacker Drive. In January 2012, the IHE North American Connectathon reached record-breaking participation, with over 120 participating organizations testing more than 150 systems advancing the health IT industry and patient safety.

“We produce over a billion clinical documents in the U.S. each year—it’s a tremendous source of clinical information that is underutilized in current computer-based record systems,” said Joy Kuhl, executive director, Health Story Project.  “Having information from clinical documents available in a CDA-structured format will make it easier for providers to participate in quality reporting, improvement, research and other activities.”

“Offering Consolidated CDA testing with Health Story at the 2013 Connectathon will help vendors prepare for upcoming meaningful use Stage 2 and certification testing,” said Joyce Sensmeier, president, IHE USA.  “We are pleased to collaborate with Health Story to bring this testing opportunity to the industry.”


IHE USA ( is a not-for-profit organization established in 2010 that operates as a deployment committee of IHE International®. The mission of IHE USA is to drive adoption of standards-based interoperability to improve patient care through innovation, standards profiling, testing, education and collaboration. IHE USA improves the efficiency and effectiveness of healthcare delivery by supporting the deployment of standards-based electronic health record systems, facilitating the exchange of health information among care providers, both within the enterprise and across care settings, and enabling local, regional and nationwide health information networks in the United States, all in a manner consistent with participation in IHE International, Inc.

About Health Story

The Health Story Project was founded four years ago by the Association for Healthcare Documentation Integrity (AHDI), the American Health Information Management Association (AHIMA), the Clinical Documentation Industry Association, Lantana Consulting Group, and M*Modal. It is now a collaborative of over two dozen healthcare vendors, providers and associations. Health Story accelerates development of HL7 Clinical Document Architecture (CDA) Implementation Guides for common types of clinical documents, brings them through the HL7 ballot process and promotes their adoption within the industry. Over the previous four years, the initiative produced the first set of national data standards for clinical documents – use of which supports requirements for Meaningful Use of EHRs. Health Story Promoter members include Fujitsu, Inofile, Lantana Consulting Group, M*Modal, Nuance, Optum and Verizon.  The Health Story vision is for complete patient stories to be available in electronic medical records.

August 15, 2012 I Written By