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Latest News August-6-2010

August 2010
US Airforce SNIM Contract Announcement
We are happy to announce a recent award on which Global CI is a named team mate on the SNIM vehicle. "This is another wonderful opportunity for Global CI to continue to grow our cyber-security group and contribute with our SMEs in Enterprise Architecture, SOA, Database Warehousing, Informatics, Infrastructure, Embedded Systems and Applications development." said Mike Ziman, Global CI's CEO.

Global CI as part of the team led by Battlelle has been chosen as one of a select number of teams given the chance to bid on computer software, network, information, modeling and simulation programs for the federal government under the SNIM contract.

Battelle’s selection by the Defense Technical Information Center (DTIC) means we will be allowed to bid on up to $2 billion worth of task order contracts over the next five years covering cyber-security, networks, software design and other information-related programs in support of the departments of Defense, Homeland Security and other government agencies.  Jeanette Miller, Global CI's lead Business Developer said "Our proprietary TOR (Task Order Review System), HCMT (Human Capital Management Tool) and Business Development style are made to order for this type of contract.  We look forward to meeting the challenge everyday." 


AFCEA Health IT Day

Right on the heels of HIMSS, Global CI is off to another Health IT event!  Please join us at AFCEA Bethesda Chapter Health IT Day on April 6.  More information can be found here -à http://guest.cvent.com/EVENTS/Info/Summary.aspx?e=b1f75097-7adf-4da0-91b7-1f037ada28ab


March 2010

HIMSS 2010

Change is everywhere...Opportunity is here!

Transforming healthcare through IT.

Global CI is participating in the HIMSS conference again in 2010! We will be at booth 1162  to learn what is new and hot in Health ITand to continue to lead the way in developing the best applications of technology to solve the complexities of partnering government and industry for our clients and the benefit of all people.

Key Global CI consultants will also be speaking at the Interoperability Showcase representing SSA.

Please call us to arrange an on site visit at the conference...

Global CI...Your Partner for Building a Better Future!

For more info... http://www.himssconference.org




 


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Jeanette Miller
Joshua Ziman

In this Issue
The Journey
Thoughts for the New Year
Celebrating the Small Wins: Respite From a Feast of Grand Visions
IT Employment Posts Modest Decline in Novembe
The Journey
- Mary Oliver

One day you finally knew
what you had to do, and began,
though the voices around you
kept shouting
their bad advice-
though the whole house
began to tremble
and you felt the old tug
at your ankles.
"Mend my life!"
each voice cried.
But you didn't stop.
You knew what you had to do,
though the wind pried
with its stiff fingers
at the very foundations,
though their melancholy
was terrible.
It was already late
enough, and a wild night,
and the road full of fallen branches and stones.
But little by little,
as you left their voices behind,
the stars began to burn
through the sheets of clouds,
and there was a new voice
which you slowly
recognized as your own,
that kept you company
as you strode deeper and deeper
into the world,
determined to do
the only thing you could do-
determined to save
the only life you could save
.


Thoughts for the New Year

Edith Lovejoy Pierce

We will open the book. Its pages are blank. We are going to put words on them ourselves. The book is called "Opportunity" and its first chapter is New Year's Day.


Sydney Smith

Resolve to make at least one person happy every day, and then in ten years you may have made three thousand, six hundred and fifty persons happy, or brightened a small town by your contribution to the fund


Aisha Elderwyn

Every new year people make resolutions to change aspects of themselves they believe are negative. A majority of people revert back to how they were before and feel like failures. This year I challenge you to a new resolution. I challenge you to just be yourself.


Walter Scott

Each age has deemed the new born year
The fittest time for festal cheer Benjamin Franklin
Be always at war with your vices, at peace with your neighbors, and let each New Year find you a better man.


William Arthur Ward

This bright new year is given me
To live each day with zest
To daily grow and try to be
My highest and my best!


Charles Lamb

Of all sound of all bells, the most solemn and touching is the peal which rings out the Old Year
.

Celebrating the Small Wins: Respite From a Feast of Grand Visions
-Thomas H. Lee M.D., iHealth Beat
 
As the turkey makes its way into sandwiches, casseroles and tetrazzini, and as the family slowly revives itself from food coma, it's perhaps a good time to digest and reflect upon the year.

And what a year it has been.  Economic crisis.  Multi-billion dollar stimulus for health IT.  The contentious battle over health care reform.  And the persistent rhetoric proclaiming that health IT will save the day.

Lost among the grand and hopeful visions for health care reform and health IT subsidies, however, have also been the small victories that occur daily on the ground.  Accomplishments unheralded.  Challenges overcome.

As we digest on a feast of grand visions, let's take a look back at a few notable milestones and data points from the year and appreciate the fact that actual progress is being made.

National Exchange Goes Live

In February of this year, MedVirginia became the first regional health information organization to go live with the Nationwide Health Information Network. Using the NHIN CONNECT Gateway, the labor-intensive process of determining Social Security disability benefits was reduced from 84 days to 25 days.

Though it's still relatively early, preliminary results suggest that a substantial percent of requests (333 of 421 cases in one sample) include clinical information used for determining eligibility. "That percentage is very high as compared to what we would expect from the general population of medical providers from whom we request medical information. It's a very good response rate," said Jim Borland, special advisor for health IT at the Social Security Administration.

Marty Prahl [Global Commerce & Information*]-- IT architect for Lockheed Martin, a partner of SSA -- added "The medical information coming back in the form of a Continuity of Care document has provided tremendous value to disability examiners who review the information for disability claims."

Though much work remains to develop a vibrant national information exchange network, RHIOs continue to gain traction locally with 57 of the 150 qualifying exchanges categorized as operational, up 40% from last year -- certainly something to be proud of.

Adherence Text Messaging

Encouraging patients to regularly take their medications for chronic illnesses is no small task. Imagine how much more difficult it is to accomplish in teenagers who may either perceive themselves as without illness or react unpredictably to authority figures.

That's why the results published in Pediatrics this November were so promising.  In the small prospective study, 41 pediatric liver transplant patients with a median age of 15 were sent pre-programmed text message reminders to take their immunosuppressant medications. Over the 13 month study period, not only did patients take their medication more regularly, but only two patients experienced rejection episodes as opposed to 12 the prior year.

In the study, a text messaging adherence program from CareSpeak was used. Clinicians first enter medication and dosing schedules, and patients then modify the timing of the alerts to fit their lifestyle. As described by lead author Tamir Miloh, "Teenagers can have very busy or obscure lifestyles, so we thought it was important that they choose whatever time they wanted to get their reminders."

Importantly, after patients take the prescribed medication, they're able to respond to the message and confirm receipt and compliance -- providing a full feedback loop with data that can be readily aggregated and studied.  Though we're still in the early stages of understanding how simple technologies can modify behavior, studies such as this are sure to foster further innovation and work in this important space.

E-Prescribing Adoption Curve

After many tough years of developing and promoting an electronic prescription infrastructure, it appears that the adoption of e-prescribing applications is beginning to take hold. A recent press release by SureScripts suggests that as many as 140,000 providers are now using an application with electronic prescription capabilities. That's up from about 74,000 providers last year. Part of that growth may also be reflected in the now over 200 certified systems with e-prescribing functionality.

Since 2001, Surescripts and RxHub have been working diligently to promote a secure, electronic infrastructure. By the end of 2005, the number of providers using e-prescribing was an anemic 10,000. Over the last few years, however, that number has been steadily growing -- to 35,000 at the end of 2007, 74,000 at the end of 2008 and now over 140,000.  And the incentives to adopt such systems are only increasing.

Not all is roses just yet however. Missing from the press release was the actual number of electronic prescriptions being written. In 2007, the number was estimated to be about 30 million electronic prescriptions written annually, or just 0.8% of the 3.65 billion retail prescription total. How the actual transaction volume improves over the upcoming years remains to be seen.

Internet Pervasiveness

Over the last 10 years, we've seen a noticeable shift in the perceptions about the Internet. Though concerns about security and privacy remain, patients and physicians are using the Internet now for an increasingly wide range of health care functions.  A couple reports from this year highlight that trend.

In a survey of 4,560 Kaiser Permanente seniors, 87% of Medicare beneficiaries who were registered for Kaiser's personal health record expressed being either satisfied or very satisfied with the application.

"The extraordinarily high satisfaction rate of the survey respondents -- all 65 and older -- reinforces what we are learning among the general population:  When a PHR like My Health Manager is thoughtfully designed for an easy and convenient user experience, individuals will engage more fully in managing their own health," said Jan Oldenburg of Kaiser.

At the Connected Health Symposium, Mark Bard of Manhattan Research reported that physicians have doubled their online use over the last five years.  Once a novelty, the Internet has become a necessity, according to 90% of the physician respondents, 75% of who go online daily for work-related functions. Given the growing functionality of the Web, this number is likely to go up.

A Diet for Long-Lasting Success

Though most headlines focus attention on the big dollars and launch of key initiatives, it's helpful to remember that every day, many individuals are working hard to make the system a little better. Progress, though often slow and variable, is being made. Thanks to those who continue to make those accomplishments possible and have a happy holiday season.

IT Employment Posts Modest Decline in November
as Longer Term Trend Stabilizes

-TechServe

Alexandria, VA, December 7, 2009 - After experiencing consistent IT job losses earlier in the
year, IT employment appears to have stabilized in recent months, according to TechServe
Alliance, a collaboration of IT services firms, clients, consultants and suppliers.

IT employment was 3,814,800 in November 2009, which was a decline of 0.3 percent from
October. IT jobs reached their peak in November 2008 almost a year after the recession officially started and are down 6 percent from that time.

index comp



"IT job metrics vary on a month-to-month basis, as with employment numbers across all
industries. However, we have clearly seen a trend over the past quarter suggesting IT
employment has stabilized," Roberts said. "This is further validated by the results of TechServe Alliance's recent Pulse Survey tracking performance of IT staffing and solutions firms which points to growth in client demand for the services of these companies. We see this as a positive harbinger for the overall IT employment picture, and a strong indicator that we will see growth in overall IT employment in the foreseeable future."

IT jobs are found in virtually every sector and industry in varying degrees. The following table presents information about the total number of jobs in certain sectors that provide a significant amount of employment for IT professionals as well as to the number of all jobs.


index comp
*Global Commerce & Information has been a named teammate with Lockheed Martin on consecutive SSA contracts since 1993
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