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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 Rising Sun Armchair
Privacy gets strict
Interoperability after ARRA
IT Employment Declines in May
The Rising Sun Armchair

     George Washington used this chair for nearly three months of the Federal Convention's continuous sessions. James Madison reported Benjamin Franklin saying, "I have often looked at that behind the president without beinGCI Logog able to tell whether it was rising or setting. But now I... know that it is a rising...sun."

      As we are upon Independence Day I once again recall this story.  What this short version fails to mention is that Ben Franklin believed it to be a rising sun because of the struggle he saw all around him.  That even though many of the representatives had personal and constituent causes that were in conflict with one another, they found middle ground in order to establish the grounds for a new experiment, so that the experiment can go forth.  For example George Mason ultimately refused to sign this document on the grounds that the antislavery clause was removed.  Nonetheless, they forged ahead agreeing to disagree in hopes that one day this experiment would right any wrongs and misdeeds done on its behalf.  Abraham Lincoln nearly 80 years later recalled and reminded us that this is an experiment during his Gettysburg address... "...testing whether that nation or any other nation so conceived can long endure".  We will never know if we have ultimately succeeded but we will know if we ultimately fail in our lifetime.  The success or failure is up to each of us because we refuse to surrender our independence, our ability to influence that outcome.  Each day that sun is in the balance - will it rise or set a little today?  As with every generation before us we face difficult times.  Economic, social, and political events often make us feel as though we are standing on a surfboard on the ocean, trying to maintain our balance even as the waves of events seek to submerge us.  The fact is we are always in a fluid situation as change is inevitable.  One sign of success is that, even in the midst of our current turmoil, more people want to come here then want to leave.  Opportunity still abounds in America.  One of the opportunities is the right to work for change, as long as no one gets harmed.  So, once again this July 4th I will rise to do what I can to make the world a better place and know that should I succeed even one iota it will give rise to that metaphorical sun.  Everyone, please have a happy and safe Independence Day.GCI Logo
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The Global CI Broadcast
Focusing on the industry's most valuable assets
Privacy gets strict
 -Government Health IT, a HIMSS Publication

While Congress worked this winter to pass a law to ensure the security and privacy of electronic health information, Intermountain Healthcare crunched the numbers.


The Salt Lake City-based healthcare system determined that in a "worst-case scenario," complying with one version of the bill would cost $250 million over three years, including $78 million for data-storage, $68 million for programming and $106 million for personnel and other maintenance costs. Much of the projected outlay would go toward complying with new accounting requirements to track, among other things, routine disclosures of information used to treat patients, billing for services and conducting operations.

"It's a very large number," said Joe Hales, one of Intermountain's regional directors of information systems. "Even if we're off by an order of magnitude, $25 million over three years" would swamp Intermountain's department of health information management, which spends about $12 million annually.

"This blows their budget," Hales said.

Enlarging the privacy umbrella also means that "vendors will have to consider new costs for them to comply [that] may change the nature of the relationship [between covered entities and business associates]," said Hales. "There will be new costs that we bear because of compliance."

Slow down, said Deven McGraw, director of the Center for Democracy & Technology's Health Privacy Project, an advocate for robust privacy protections.

"It is early for folks to be out there saying this will cost millions of dollars to implement when so many of the provisions that will be costly don't take effect right away," said McGraw. She noted that the actual financial burden the law imposes won't be known until the Department of Health and Human Services issues guidelines that will take into account the cost of compliance. That clarification won't be ready for months.

The American Recovery and Reinvestment Act of 2009, signed into law on Jan. 17, includes the most significant changes to privacy and security rules in the Health Information Portability and Accountability Act (HIPAA) since its enactment in 1996. Its tough new standards require more fastidious accounting of health data and demand greater accountability from individuals and organizations that handle, use or transmit electronically stored personal health information.

The intent of the new law is to instill public confidence in the security and privacy of health IT. Yet among some providers, payers and players in the health information delivery system, the law has generated some angst.

"We're all struggling to deal with all the complexities of privacy," said Jim Murray, chief information officer at the University of California's Irvine Medical Center, which is already subject to California's breach notification law, a model for the federal legislation. "They keep making things more complex. We are concerned about how we will move forward and how this will impact systems."

California could be the canary in the coal mine. It already has some of the country's toughest privacy and security laws, including significant fines for breaches of medical records. When the state's regional health information networks began to emerge a few years ago, healthcare organizations struggled to abide by regulations that cover a broad range of institutions, including health records of prisoners and residents of state psychiatric hospitals.

"This is something that we all are going to live with," said Dr. Eugene Spiritus, the Irvine center's chief medical officer. "It's hard to believe it will get more complex."

Privacy advocates concede that complying with stricter privacy and security provisions might bear some higher business costs. But that's simply the price of an advanced national health information system, they contend.

"It will require some changes in the way they do business," McGraw said of the affected organizations. "But if that is what it takes to build patients' trust and to move forward with a health information network, then that should be part of the equation."


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Interoperability after ARRA
-Government Health IT, a HIMSS Publication

The goal of interoperability is improved health and patient care.  In healthcare patients put their trust in us, and we in the informatics community should feel compelled to provide our patients with the best informatics methods and solutions.  

Our national goal in spending the funds from the American Recovery and reinvestment Act (ARRA) should be first to ensure that there is ubiquitous availability of electronic records for care purposes.  This should be true whenever a patient is cared for and regardless of where they obtain their usual care. 

The other major objective that must be made possible by the financial incentives included in the ARRA stimulus package is to ensure that the electronic health record (EHR) sent between healthcare organizations be capable of driving clinical decision support systems in order to support the care of the patient at the receiving healthcare organization.

That should be a priority regardless of the EHR vendor used by each organization to create and store and use their electronic health record data. 

The problem is that a significant proportion of patients receive their care from multiple healthcare organizations and often travel great distances to obtain the care they desire.  In order for there to be continuity of care, the records from their medical home - indeed any of their encounters with the healthcare system - should be available to other clinicians caring for that patient. 

Today records are often still transferred as paper records.  These records are often not available in the evenings and weekends.  They are commonly faxed with loss of readability. 

Once paper EHRs are transferred we rely on the receiving institution to manually copy the data into their electronic health record (for institutions that have an electronic health record). This conversion process has an error rate. It also requires considerable effort to ensure that timely decision support based on this data will be communicated to the receiving institution's clinical staff or patient.

In order to improve the level of care provided in healthcare and to protect patient safety, we need to ensure for every healthcare encounter and for every American that personal health data is used under a set of minimum conditions:

First, that their health record is available for care purposes 24 hours a day and seven days a week.
 
Read the Complete Article
IT Employment Declines in May; Other Data Hints Employment Picture May be Stabilizing
-Released by TechServe


Alexandria, VA, June 22, 2009 - IT employment continued to decline in May shedding 34,800 jobs or .9%, according to TechServe Alliance, formerly NACCB, which tracks monthly IT employment.
 
After peaking in November 2008 with over 4 million jobs and dropping the subsequent six months, IT employment stood at 3,849,100 last month. On a year-over-year basis, IT employment declined 3.51% since May 2008.
 
"Given that improvement in employment typically lags other economic indicators, the continued decline in IT employment was expected," observed Mark Roberts, CEO of TechServe Alliance. "Despite the generally gloomy IT jobs report, surve
june indexy data and anecdotal reports from our member companies appear to suggest that there is some stabilization in the IT employment picture," commented Roberts.

Technical note: TechServe Alliance's IT Employment Index is the first specific measurement of IT employment. This unique measurement of total IT employment is created monthly by studying the ongoing staffing patterns of a dozen IT and computer related occupations in 16 industries and industry sectors employing significant numbers of IT workers including the manufacturing, wholesale and retail trade, financial, information services, business and professional services, and education and health industries. The monthly IT Employment Index is based on U.S. Bureau of Labor Statistics (BLS) data, which is subject to monthly revisions, and therefore, the Index is revised accordingly. The IT Employment Index is also subject to annual revisions and was benchmarked in February 2009 with the publication of the BLS January 2009 employment report, which included revisions to several years of employment data.

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