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Healthcare IT Blog

Articles by Jim Fitzgerald

Opinion: Too Big to Succeed?

Published on 03/14/2017 by Jim Fitzgerald
Category: Blog, Healthcare IT

I got into Orlando late the Saturday evening before HIMSS17 just in time to attend the CHIME CIO Forum on Sunday. This year’s HIMSS attendance was advertised at over 40,000 people, all looking for innovation and solutions in a very technical collision of business, IT, internet fueled instrumentation, and healthcare. I started to think about the size of that attendance. According to the AHA, there are 5.564 registered hospitals in the USA. Now I realize that ...

What The Future Looked Like a Week Ago – Hopey, Feary, Changey Edition

Published on 08/25/2016 by Jim Fitzgerald
Category: Blog, Cloud Computing, Security

I have to confess; I went back to sifting through my own SPAM folder a little while ago. Not that I am a big fan of the electronic equivalent of dumpster-diving, and the algorithms behind the SPAM filters on Office 365 have gotten so good that there is rarely anything I want in there, but there is an occasional gem buried in the murk that I like to pluck out. Some of the “stuff” beckoning me to click ...

(Healthcare) IT Evolution Revisited

Published on 09/28/2015 by Jim Fitzgerald
Category: Blog, Healthcare IT, MEDITECH

I recently was fortunate to participate in the 6.x Peer-to-Peer Information Exchange at MEDITECH’s beautiful new Joanne Wood Conference Center in Foxboro, Massachusetts. There were many interesting discussion threads, both public and private, among the representatives of over 65 MEDITECH customers but the ones that “perked up my ears” like my cat, Mindy’s1, were Trending Towards Cloud, High Availability, and IT Focus Shifting Away From Physicians. It is one of those sunny and cool fall ...

What is Your Cloud Strategy? (Part 1)

Published on 02/11/2015 by Jim Fitzgerald
Category: Blog, Healthcare IT, Cloud Computing

If you made it through the end of 2014 without being asked by a miscellaneous c-suite denizen “What is our Cloud Strategy?” then congratulations. If you did not, I hope it went well. If you need one but haven’t created one yet, please bear with me while I suggest a simple framework.  If the very notion of cloud gets you inexplicably exasperated, navigate to the authors list and click on Joe Kelly. His blog entries ...

Heroic Intervention Not Required

Published on 08/13/2014 by Jim Fitzgerald
Category: Healthcare IT

This is my first blog after a long absence. My reticence has been mainly self-inflicted. I like to find the humor in how seriously the technology industry takes itself, and how ironically that often plays out in the world of healthcare information systems, and then insert hot skewers in the appropriate soft spots. The problem of late is that the HCIS space isn’t generating a lot of funny material. Here in the USA, our entire industry has been ...

Pondering the Computing Client

Published on 09/17/2013 by Jim Fitzgerald
Category: Healthcare IT, Networks

Having streamed last week’s Apple announcements on iPhone and iOS 7 during my morning commute, I found myself wondering again about the true future of the “desktop”.  It is a dangerous realm in which to speculate, in the sense that almost every pundit who has prophesied the downfall or revolution of a mainstream technology has done so too late or too early.  That being said, the area bears some discussion.The vast majority of our ...

While You Were Out Pursuing ARRA Money...

Published on 07/12/2013 by Jim Fitzgerald
Category: Healthcare IT

Summer brings the magic of longer days, gentler weather, smoking grills….and, for some, a break from the ARRA rat race. You deserve it! So when that last sip of lemonade has been taken, and that last vacation day has melted into a fabulous yellow, red, pink, and orange sunset, here are some things the ghosts in your machines might be whispering to you:VMware got a LOT better……if you are still running 4.X.Something, best upgrade ...

MUSE-ings through the looking glass....

Published on 06/10/2013 by Jim Fitzgerald
Category: Blog

I am writing this on the way home from International MUSE 2013, where Park Place International served as a Premier Sponsor. Out of respect for the user community, we have ramped up our support of MUSE considerably, spending almost 1/3 of our marketing budget on sponsorship, exhibits, and related promotion. We also bear the considerable expense of travel and registration for 15 members of our staff. Our technology team created four engaging, purely educational sessions on topics ranging from ...

Virtualization: We've Only Scratched the Surface.

Published on 05/16/2013 by Jim Fitzgerald
Category: Virtualization

In my role at Park Place International, I am fortunate to visit frequently with customers to discuss real-world healthcare IT problems. We try to help customers create sometimes simple, sometimes not-so-simple phased technology migration/adoption plans or roadmaps.When members of the Park Place team attend partner technical conferences for technology updates, training, and certifications, we usually get a heavy dose of the partner technology vision or roadmap. One of the useful things that I think we do here at ...

HIMSS, Symbol Tables, and Societal ADD

Published on 03/14/2013 by Jim Fitzgerald
Category: Healthcare IT

In the credit crisis that shook the US Economy from late 2007 well through 2011, we heard this phrase oft-repeated as a shallow excuse for government to intervene in our allegedly free-market economy: “too big to fail.” The real truth is in a more directed transposition of the phrase, to wit, “too big to succeed.” Texts analyzing the rise and fall of businesses, governments, and even venerable educational institutions often lead to a simple insight: ...

Architecture vs. Marketecture

Published on 01/29/2013 by Jim Fitzgerald
Category: Healthcare IT

One of the most common problems our consultants and engineers face when remediating a troubled technology infrastructure is DRG code 666.7890 Koolaidius Vendoratum Overdosensis.  It’s a fairly common diagnosis.  Hardware Vendor has cool new system.  Customer staff member likes cool new system. Customer staff member wants QZX-15 certification on cool new system to improve their negotiating position at the next review.  Customer staff member attends “lunch and learn.” Customer staff member ...

Hardware Wars: The Return of the Mainframe

Published on 12/13/2012 by Jim Fitzgerald
Category: Virtualization

The mainframe created virtualization. Now virtualization is recreating the mainframe. Please humor me as we trace the path.  In the beginning, there was the mainframe. The mainframe was big, heavy, and drank power like a zit-laden teenager swilling 44 oz. Cokes. You had to pass a test to work directly with it in any way. You had to learn some level of programming even to be a data entry person. To work in the data center you had ...

Content vs. Technology

Published on 12/03/2012 by Jim Fitzgerald
Category: Healthcare IT

In reflecting on the purchase of most of the assets of LucasFilm, Ltd. including the beloved Star Wars space opera by The Walt Disney Company, (http://www.rollingstone.com/movies/news/disney-buys-stars-wars-plans-new-film-20121031) I find myself pondering the conundrum between content and technology. Content is what made us fall in love with the original Star Wars Trilogy:  Episode IV: A New Hope; Episode V: The Empire Strikes Back; and Episode VI: The Return of the Jedi. Sure there were, for the time, dazzling ...

Erosion

Published on 11/01/2012 by Jim Fitzgerald
Category: Healthcare IT

One of the biggest threats we see on an ongoing basis to the overall integrity of a Healthcare Information System is erosion of the initial technology specification or design. Erosion is fresh in my mind having accidentally scheduled a brief hiatus in the Caribbean just prior to the arrival of the hurricane, superstorm, and media event also known as “Sandy”.  I had the dubious honor of enjoying her side effects in the southeastern Caribbean as well as ...

What I Learned at VMworld 2012

Published on 10/18/2012 by Jim Fitzgerald
Category: Virtualization

At the end of August, I was fortunate to attend VMworld. A record crowd of around 20,000 flooded the Moscone Center in San Francisco. Park Place partners extensively with VMware across all our service lines so we were well represented from all our disciplines – technology consulting, cloud services, and technology integration. At a macro level I was struck by the impact this company and their technology have made on the industry. Several years ago at VMworld 2008, ...

Welcome to Sustaining Healthcare IT.

Published on 10/16/2012 by Jim Fitzgerald
Category: Healthcare IT

I write this having recently used my alleged charm, wits, and experience to help an IT Director stare down a CFO who thought that it would be a good idea to buy an almost obsolete SAN to run their MEDITECH upgrade and then depreciate it over 7 years. Customer and staff will remain nameless for obvious reasons, but in their defense, this scenario happens every day. Non-technical administrators who grew up in the lands of myth and magic think ...

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