Leadership

This is in response to Dave Shaver’s (President of Corepoint Health) comment on my blog.

Hi David,

Thanks for weighing in.  Your comment reminds me of one of the earliest conversations we had where you made much the same point: That it’s not the best technology that wins, but the best marketed one.  It was an argument that made a lot of sense at the time – Microsoft seemed almighty and it looked like Windows was going to be dominant forever.

Back in the early 2000′s the winners in the technology space were the guys that accepted less than perfection in their products and sold the heck out of them.  Unfortunately, in healthcare IT this model continues to be executed all too often. The end is result is a lot of enterprise health IT systems that just don’t deliver the value that they ought to.

I think that an inordinate amount of interoperability problems originate from the lack of high quality products used throughout the healthcare industry.

As leaders of technology organizations in North America, we need to set the bar much higher. If we don’t show that type of leadership, and we create weak organizations that do not have first class products, we open our collective economic eco-system to weakness and fragility. Those weakness lead directly to the misery and distress that ordinary people face in cities like Detroit, Michigan.

We need to show greater social responsibility by being uncompromising in the pursuit of excellence.

Fortunately, we live in a time when we do have role models for leaders that have shown that if you focus on excellence and the customer experience that you can be very successful. One of the role models I aspire to is Steve Jobs. He was a very divisive figure – but no one can deny that he had a profound impact how we see computing today.

Steve Jobs was way ahead of curve in understanding just what a pile of technical debt Adobe Flash was.  His competitors made a big noise about it and how much better their platforms were for supporting Flash. But at the end of day Steve Jobs showed he got it.  He wasn’t someone that was afraid to put his stake in the ground and say what he believed in. He wasn’t a ‘me too’ leader.

At the end of day – he was right.

Steve Jobs killed Flash on the mobile platform.

We need more leaders like Steve Jobs.

I am comfortable with having a different focus.  I do not feel the need to wrap myself in the flag of standards. Nor do I need to wax lyrical about consensus. I want to do what is right for healthcare and do my part to deliver value and help fix the big problems we see.  I will do what I feel needs to done and am not afraid to take unconventional paths to get there.

Having said all that – thanks for the beer on Tuesday night – it was great (although I did feel it the next morning – ugh!)

I’m off to Europe tomorrow for two and half weeks holiday so don’t expect to hear much from me – enjoy the summer, it looks like it’s going to be a great one.

Au revoir!

Atlanta Working Group Meeting – May 4th 2013

So I am headed to the Atlanta Working Group meeting along with Rolim, on Saturday May 4th and coming back on Thursday morning on May 9th.

If you’re going and you’d like to sit down for a beer, coffee or distilled water – I am not fussy, feel free to reach out. Face to face communication is always the best.  There are a lot smart people contributing to HL7 and good things are happening.

I am looking forward to it – thanks to my family for making it possible for me to travel so much in the coming month. It’s going to be a nice opportunity for me to catch up with a lot of people I haven’t seen for a while. The HL7 organization has become a pretty buzzing place now thanks to FHIR.  I can really sense it – just in terms of looking at the level of interest my blogs on the topic have been getting. I have some constructive contributions I would like to make.

Another really important thing is James Agnew pushing hard for HL7 over HTTPS.  I’ll be there to give my perspective on why I think the time is right for this standard. Have you ever considered how easy it is to intercept normal unencrypted HL7 with the Minimal Lower Layer ProtocolMLLP and you – making life easy for bio-terrorists since 1991! Fortunately most HL7 interfaces are contained within secure data centers but if you get one piece of malware in, then you have open season on selectively changing the medication of any politician or celebrity you like – not a pleasant thought.

That provides a strong use case for requiring HTTPS as a protocol for handling HL7 within hospital networks – let along the joy that can be had if you you accidentally manage to point an HL7 feed at the wrong port…

I thought I would give my entry for an innovative tool to process the MIF format – something along the lines of :

cat mif.xml > /dev/null

But I am probably not going to win and a lot of people won’t appreciate my humour.  Oh well.

Other events coming up are the Apps for Health event at Mohawk College on May 16th.  If you are not already in the know, Mohawk College is a local powerhouse in the healthcare IT scene. It has built a reputation for itself within the eHealth community in Canada and in the US. Under the leadership of Duane Bender the college has built strong industry links and is at the forefront of what is happening with healthcare IT.

If you are in Ontario or New York State it’s a great event to attend to learn about a lot of activity that is going on in eHealth, particularly in the Canadian market. Last year there were over 200 professionals in attendance from a wide range of organizations like Ontario eHealth, Infoway, EMR companies, Ontario hospitals and many other organizations. It’s a very good place to network.

This year I think FHIR is going to be hot topic (I’m sorry that pun had to come).  I’ll be going with a couple of people from my team.  If you are going and you would like meet up and talk about integration etc. I’ll do my best to maintain a semi-coherent conversation. Thanks to Thomas Lukasik for finding this short You Tube video on the event - yours truly is at the end of the video beating the integration drum…

And of course, last but definitely not least is our first ever Iguana User Group Conference! We’re hosting it in our brand new over 7000 sq foot Toronto office space on the 19th and 20th of September. We just formally announced the conference yesterday and people have already started signing up. You don’t have to be a customer to come along – the event is free and it’s going to be catered (there will be beer!). I am really excited about it – there are so many interesting things that people are doing with Iguana right now that it’s going to be fun to see what people have to share.

We Are Back from HIMSS13!

Integrator_Cafe_small.jpgNow that we’re back from HIMSS and life is returning to normal, I wanted to take a moment to thank everyone who stopped by our booth.  Whether you were there to explore IGUANA, share your story or just enjoy a cup of coffee with “The Integrator” and us, I really enjoyed meeting all of you. We’re in the process of following up with everyone personally, but I wanted to send a thank you to our new and old friends for making HIMSS such a wonderful and exciting experience.

At HIMSS itself, FHIR, HIEs and Patient Engagement were among the hot topics, but after a debrief with my team it appears that replacing a legacy integration engine was once again a primary focus for many of our visitors. It’s great to see so many organizations planning for the future and looking to upgrade to a modern integration engine that can help them reduce their overall costs, reduce their implementation times and help them prepare to integrate with the world outside of their own firewall. As any of our customers will tell you: these are all things IGUANA excels at. It also happens to be great timing since we’re hosting a webinar on this topic on March 26! If it’s as important to you as it was to many at HIMSS, I invite you to register for the webinar and learn “everything you need to know before replacing your interface engine”.

Until next time: Happy Integrations!

EMuirSignature.png

Eliot Muir,
President and CEO, iNTERFACEWARE™

Webcast: “Everything You Need to Know BEFORE You Replace Your Interface Engine”

Randall Baldie and Laurie Johnson from the Xerox Consultant Company outline best practices and key considerations that are critical to successfully upgrading your organization’s interface engine.

View the webcast to learn:

  • How to prepare your organization for an interface engine replacement
  • How to identify the right interface engine for your organization
  • How to build an accurate budget for an interface engine migration
  • How to develop a plan to effectively migrate your interfaces
  • How to reduce the overall costs associated with integration

 

Conversations from HIMSS – Rush Memorial

One of the interesting conversations I had at HIMSS this year was when I caught up with Brad Smith and Jim Boyer the CEO and CIO of Rush Memorial hospital for breakfast.  Rush Memorial is one of a growing number of hospitals that have chosen to use IGUANA as their enterprise integration engine.  We have well over 40 direct hospital sites now – over  25 new sites since last year.

In an environment where many small independent hospitals are struggling with reduced Medicare and Medicaid payments, Rush Memorial is thriving. It comes down to having a sound strategy of structuring their organization to deliver top quality patient care.  Rush Memorial pays its doctors to spend the time needed with a patient (quality) versus patients by numbers. There is a strong encouragement for physicians to take their time with each patient and look at all of their ailments in one visit rather than with multiple visits.

Patient care quality is very high as a result.  Rush Memorial is serving its community well and attracts a lot of patients through excellent word of mouth.

The hospital shows a lot of Information System innovation under the vision of Jim Boyer.

For example, Elvin Vivares – a member of Jim’s team whom I had the pleasure of meeting when he attended one of our training sessions – has been using IGUANA to do all sorts of non-traditional integration.  These integrations go well beyond what one would typically even dream of using a conventional HL7 engine for.

Elvin built a system with IGUANA that does this:

  1. When a patient has an emergency visit in the hospital.
  2. IGUANA uses SQL queries to pull their relevant demographics from the HIS system as well as a TIFF file of the patient’s scanned chart.
  3. Then this information is formatted and sent via SFTP to the separate billing company the hospital uses for ER – using this module.

Other creative ideas both Jim and Elvin are working on using IGUANA include:

  1. Using IGUANA to create internal executive dashboards by abstracting hospital financial and clinical data, warehousing the data to a SQL database, and then reporting the results via their intranet.
  2. Using IGUANA to provide physicians a full report of a patient as soon as they are discharged from the Hospital or clinic. It is often time consuming for physicians to review multiple systems in follow-up of a patient’s discharge, thus pulling all the data from disparate systems and delivering a report via secure email allows a doctor to have one source that is quick and efficient.

That really is ahead of the curve.  I wish hospitals in Canada could do this with our family doctor.  Most hospitals can only dream of having this type of capacity and they usually would have had to spend a lot of time and money to achieve it.

Rush Memorial has a healthy belief in giving their people the opportunity to be creative. It makes Rush Memorial a much better place to work. Encouraging creativity, setting a good vision and making good technology choices all work together to create an atmosphere that results in great things being achieved for the organization.

It’s eye opening when you see just how much value can be created in healthcare when integration technology is easy to use and cost effective.  

I think we are well overdue to have a user conference that makes it easier to see and share all the amazing and useful things that can be done to improve healthcare.  I am looking forward to seeing what other things Rush Memorial can do with IGUANA.

 

Talk at the Lua Workshop In Reston

Last year after RSNA, I had the opportunity to go to a very different conference.

The Lua community held a small workshop in Reston, Virginia on the 29th-30th of November. A whole group of people from many different industries came together to discuss how they were using Lua.

While I tried to dress appropriately, I ended up overdressing for the first day. I switched to jeans and sneakers for the next day. Too much time spent going to healthcare IT conferences!

There were a lot of interesting talks.  Wikipedia is apparently planning on using Lua as an alternative to wiki markup.  I thought that was interesting – since I personally have found most template languages/systems do seem to end up being half-baked languages.  Why not just use a nice clean scripting language like JavaScript or Lua in the first place?

There was a neat home automation system, a robot called Crazy Ivan, a project to make something like node.js for Lua.  VeriSign apparently does some dynamic DNS work with Lua because it is so fast.

I was surprised to learn that I was one of the few people to have actually seen Mike Pall, the elusive genius behind the LuaJIT engine.  This is an open source project that we proudly sponsor.

I gave a talk at the conference about the Iguana translator IDE and various design decisions that went into it.  It was very well received.  The talk was recorded and I more or less forgot about it. Last week, Joanna on Art’s team found it on YouTube, and reminded me of it.

So I am sharing it here.  I think it is helpful in explaining some of the thinking behind the translator.  I touched on a of couple themes I see often in healthcare integration which may resonate with what other people observe.

 

Kick-Start Your Year with iNTERFACEWARE

I know I’m a bit late sending out a New Year’s greeting this year, however I do hope everyone had a great holiday season and is refreshed for a new start.

2012 was a very busy but productive year at iNTERFACEWARE. We opened a new development office, welcomed a new management team, and saw a remarkable increase in sales. But enough reflection, let’s look forward.

I love hearing about the successes of our customers and encourage my team to discover new ways of helping you win. With that in mind, I wanted to share a few exciting ways that iNTERFACEWARE can help you kick-start your 2013!

First, I’m pleased to announce that have expanded our face-to-face training efforts by offering sessions across multiple cities. These sessions are the single best way to ensure that you and your staff are as productive and effective as possible when using IGUANA.

Check out our training schedule and register online today!

As you know I’ve always enjoyed directly interacting with our users and have been kicking around the idea of hosting our own user forum for some time now. After successfully experimenting with our own LinkedIn forum I’m happy to announce that we are officially opening our own forum system on our website. This will further help our community of IGUANA users and promote creativity in solving real-world integration problems. I hope to see many of you there.

Register for the forum here: community.interfaceware.com.

One last piece of news I am pleased to share with you is that IGUANA has received Modular EHR certification. Not only is this a great validation for IGUANA as a product but also it’s great news for all of you who had Meaningful Use certfication at the top of your New Year’s resolution lists.

Finally, I want to wish everyone a very prosperous and healthy 2013.

Cheers!

Eliot Muir Signature

Eliot Muir

President and CEO, iNTERFACEWARE™

Do Not Let Toni Steal Your iPad!

While I should probably tell you about IGUANA 5.5 or that we’ll be at booth #8944 at RSNA, you’re probably more interested in knowing, “who is Toni and why is he trying to steal my iPad?” About 5 months ago, Toni Skokovic joined the iNTERFACEWARE team as our new VP of Sales. I could fill this entire email with praise of Toni’s experience and industry knowledge but to be honest, I’m furious with him because as you now know, he’s trying to steal your iPad!
An artist's rendering of Toni
Here’s the deal. My marketing team created an online project grader to help ensure the success of integration projects.

You can check it out for yourself here: What’s the health of your project?

In addition to some great tips and reminders on how to run a successful integration project, we decided to sweeten the deal by giving away an iPad via a Twitter contest. It’s pretty simple: take the quiz, review your results and follow the twitter contest instructions.

Before we even had a chance to announce the contest (and draft the rules preventing our staff from entering), Toni had found out about it and entered the draw. We’ve contacted our lawyer and our hands are tied; we can’t remove his entry. The iPad giveaway was intended for you. So now we need your help to stop Toni from stealing your iPad!

Just visit www.interfaceware.com/project-health/ and complete the project grader. You have a great chance of winning a new iPad and just as important, ensuring Toni doesn’t!

Now, I wouldn’t be doing my job (and I wouldn’t hear the end of it from my marketing team) if I didn’t inform you of what’s happening around the iNTERFACEWARE offices because there’s plenty going on.

  • IGUANA 5.5 is almost here. Faster & more intuitive than ever!
    Great improvements include: new built-in help system and a revamped sample message interface.
  • RSNA is right around the corner. Visit us at booth #8944!
    Book an appointment or just stop by our booth for a quick chat about your current and future projects.
  • IGUANA training hits the road. Next stops, Chicago & Atlanta!
    We still have a few spots left for our upcoming IGUANA training sessions. To book your spot, visit our website.

Best of luck in the contest and if you will be attending RSNA this year, keep an eye out for Toni.

Cheers,

Art Harrison
Vice President, Marketing and Communications
iNTERFACEWARE Inc.

Back by popular demand: Iguana integration training!

TO BE HELD IN TORONTO, CHICAGO AND ATLANTA!

I wanted to personally invite you to the upcoming session of our IGUANA training course; being held in Toronto from September 24th to the 26th. This course offers 3 days of in-depth instruction on the creation, configuration, testing and administration of a variety of interfaces.

While Toronto isn’t always the easiest place for our many US customers to travel to, I highly recommend this session because the location (our hometown) ensures you’ll have access to many iNTERFACEWARE team members for both product insight and just to put faces to the names!

Plus, we’re going to be showing off some of the newest innovations going into IGUANA during this session, so everyone who attends will be learning the latest tips, tricks and enhancements our team has been hard at work adding to IGUANA.

Can’t make it to Toronto?  No problem!  We’re taking the show on the road to Chicago and Atlanta starting in October.  You can find out about those dates on our website. If you’d like to see an event near you, leave a comment  and I’ll do my best to make it happen.

I really hope you can make it!

Cheers,

Art Harrison
Vice President, Marketing and Communications
iNTERFACEWARE Inc.

Book your Iguana 5 training today

My team and I just published a small but important update to the iNTERFACEWARE website:  The ability to book and pay for your training sessions online!

I know, I know — it’s probably not the most exciting website update ever, but for the dozens and dozens of people who are signing up every month for our Toronto-based Iguana 5 training sessions, I know it’s going to be a real time saver.

The feedback from the trainings has been amazing.  We’ve even managed to get a few people on camera talking about their experience, so I’ll post those here in a week or two.  The great thing about the videos is that you get to hear first hand just how advantageous it is to come visit us, learn about Iguana and share ideas with the other participants.

Anyway, if you want to book your session – for both Iguana 5 Training and HL7 Training – just visit the link below.

http://www.interfaceware.com/training.html

Can’t wait to meet some of you in person!

–Art

Are you coming to HIMSS?

My team is so excited for HIMSS – which might have to do with the fact that it’s in Las Vegas – that they put together this very impressive and fun presentation.  Click the image below to see for yourself: it only takes a minute or two!

HIMSS12

As for the show, we’ve really pulled out all the stops this year: A bigger booth, a cappuccino machine and even an amazing touch-screen video kiosk where you can share your integration story (and win 1 of 4 iPads)!

I’ll be there for the duration of the conference, as will many of our key team members.  We’d love to have the chance to speak with you or someone from your organization while we’re there. So let us know who’s attending and we can setup a time for you to visit us at our booth - #1670 - or for us to come and visit you.

Hopefully we’ll see you in Las Vegas, but if you can’t make it, I still strongly recommend that you and your team take the time to explore Iguana 5.  As I say in this quick invitation video we shot during one of our Toronto training sessions:  It really is a profoundly better way to do integration work in healthcare.

Eliot invitation

Leave a comment or get in touch with one of our team members to let us know if you’ll be there,

Eliot Muir

Eliot Muir
CEO, iNTERFACEWARE™