Another crazy day. As I walked the quarter mile from my hotel to the HIMSS bus line, cold rain turned to snow!  Hats off to HIMSS logistics. Despite the poor traffic and the weather conditions, they managed to get everyone to the show fairly efficiently. (Can’t quite make out the snow in the photo)

In the news…

Dragon Medical Mobile Search

Nuance previews a suite of Dragon Medical Mobile technologies and solutions, including:

  • Dragon Medical Mobile Dictation – an app that allows clinicians to dictate patient notes, emails and text messages instead of typing them on a mobile device. The server-based app performs all of the speech recognition “in the cloud” using advanced real-time streaming capabilities.
  • Dragon Medical Mobile Search – the Search app will allow clinicians to simply speak a request to conduct fast and easy searches on various medical websites, including MedScape, MedLine, Epocrates and Google.
  • Dragon Medical Mobile Recorder – a voice-capture app that will allow clinicians to conduct on-the-go dictation on a smartphone. The voice file is then forwarded through Nuance’s background speech recognition technology and onto transcription where a draft document is created and then sent back to the clinician for review and sign-off.
  • Dragon Medical Mobile SDK – the software developer kit will be offered to third-party healthcare information technology companies and partners to allow them to incorporate Nuance’s Dragon Medical Mobile capabilities.


Eclipsys adds next generation of mobility applications to Sunrise Enterprise portfolio. I had the chance to meet with Kevin Whelan whose heading up the mobile development effort, and I have to say I really like Eclipsys’ approach. The Company’s mobile offering is still relatively early in development, but leveraging the Helios platform, they’ve been able to cover a lot of ground in a short period. Unlike previous attempts by large HIS vendors, Kevin’s team looks to be investing considerable effort into user-experience and leveraging the full native capabilities of the end device. I saw a demo of their app, including the embedded Nuance dictation functionality. It’s pretty darn slick. Furthermore, and I’m really interested to see how this plays-out, Eclipsys is committed to making Helios an open-platform to simplify integration and third party development.

eFilm Mobile

Merge Healthcare launches eFilm Mobile. The iPhone application provides users of eFilm Workstation v3.3 secure access to worklists and studies. I had a chance to meet with Merge and get a demo of the solution. There is no question that this is going to be a very successful application for radiologists who use the eFilm Workstation. The Company has put a lot of thought and effort into the design. More than showing radiological images, the application acts as a remote control to facilitate the movement of dicom file transfers across multiple eFilm Workstations.

Connexall announces partnership with Voalte.  The partnership will extend both companies’ capacity to integrate multiple communication devices and clinical equipment within hospitals. This announcement follows closely on the heels of Philips’ announcement that Voalte has integrated its technology with the Emergin interface adapter. At the risk of overly promoting a sponsor, I have to say Voalte brings a breathe of fresh air with their pink scrubs and boundless enthusiasm. Based on the activity at their booth, I’m not the only one to notice.

Clinical Pharmacology Mobile

Gold Standard/Elsevier launches Clinical Pharmacology Mobile. The mobile device-optimized web site offers users access to the features and functions of the drug information and medication management reference Clinical Pharmacology.

3M partners with PCTS to offer the Amelior 360 degree Hand Hygeine. Apparently I’m not the only one who thinks the PCTS solution looks promising. I’ll be checking out the solution at 3M’s booth tomorrow.

I don’t know if 2010 will prove to be a break-out year for unified communications (UC), but as I alluded to yesterday, there are a number of organizations, including previously mentioned Voalte, who are focused on converging multiple communication modes and multiple devices into a seamless solution. Some of the distinctions between the offerings are fairly nuanced (at least from my perspective) and often depend on existing infrastructure and legacy investments. In no specific order, companies showcasing UC solutions include: Aruba Networks and Motion Computing, Motorola, Polycom, Avaya, and Philips.

Ingenious Med announces support for Blackberry smartphones. The new IM Practice Manager for BlackBerry devices will further enable Ingenious Med’s 6,000 users to access the charge and data capture application virtually anywhere. The mobile solution also facilitates interoperability with Thomson Reuter’s Clinical Xpert Navigator which operates on a number of mobile platforms, including Blackberry. Both companies’ web-based applications have already been tightly integrated.

Nuvon extends its VEGA platform to bring true mobility to point of care. The San Francisco-based company announces the introduction of the IDM-MG 1000, an appliance that enables both patients and devices to be truly mobile while transmitting valuable biomedical device data in a fully secure environment wherever the patient or the clinician may be located. Nuvon is also on my schedule for Wednesday, so I should have more information on the solution.

Wolters Kluwer expands CDS offerings with launch of Medi-Span Clinical. The solution delivers a full slate of medication-related clinical decision support (CDS) features, including drug interactions, route contraindications and drug allergy alerts. It also provides links to supporting medical evidence, the ability to turn off individual interactions or allergic reactions and flexible screening capabilities. Medi-Span Clinical is comprised of a suite of Application Programming Interfaces (API) that support seamless 3rd party integration.  

PatientKeeper announces new solution for Computerized Physician Order Entry (CPOE).  PatientKeeper CPOE enables hospitals to deploy computerized order entry for their physicians without requiring them to install a new HIT system. Major features of the solution include: Personalized Order Sets, Order Routing, Mobile Platform Support, and Support for Hybrid Paper and Electronic Processes.

PatientKeeper also announces that Basset Healthcare Network has selected full suite of PatientKeeper applications. Bassett Healthcare Network, which delivers healthcare across eight counties, covering 5,000 square miles in upstate New York, selected PatientKeeper’s enterprise suite of applications to tie together its existing health information systems and provide physicians with a single software environment to automate daily workflow.


On the subject of PatientKeeper, I wanted to thank them for becoming the latest HIStalk Mobile Platinum Sponsor. I interviewed Paul Brient a couple of weeks ago, when he shared his thoughts on CPOE and, more specifically, PatientKeeper’s focus on providing a broad set of applications to support provider organizations in meeting Meaningful Use criteria. PatientKeeper provides a great alternative to organizations that are looking to meet the physician adoption and use related criteria without replacing legacy investments. If you’re at HIMSS, make sure to check them out today at booth #4808. Again, thank you Paul and everyone at PatientKeeper for the great support.

Epic Haiku

Though not quite news, I had the chance to swing by Epic’s booth to check out their Haiku iPhone app. I met Carl Dvorak at the HIStalk Afterparty and mentioned that I’d been wanting to see it. Sure enough, next morning one of Epic’s developers called me up to give me a demo. As with any core HIS or EMR vendor, you expect a much richer set of functionality on their mobile solution given their direct, bi-directional access to the underlying data. That said, Epic has done a very nice job of separating the mobile experience and use-case from the back-end system. It’s not overburdened with illogical features – a mistake often made by core system vendors. The challenge will be to maintain that discipline as the application evolves. As with Eclipsys, Epic has made tasteful look and feel decisions, and has done an excellent job incorporating some of the cool tools and tricks native to iPhone, such as a carousel coverflow sorter on the patient list when the device is held horizontally. At this juncture, the application does not store data on the device. As Haiku evolves, I wouldn’t be surprised to see that change. Haiku requires the latest version of Epic, so look for the user-base to grow substantially over the next few months.


Finally, just wanted to put in a quick word about VeriWave. I mentioned their Mobile Healthcare Test Suite a few days back. I had a chance to meet with Eran Karoly and Glen Chagnot from the company, and as I confessed to them, I was a bit apprehensive… WiFi network testing and performance optimization, while no doubt critical, is a fairly in-the-weeds technical problem. Without going into too many details, because they have a pretty big product release coming up in the April time-frame, they have the ability to monitor and visually display using heat maps WiFi coverage and data throughput. I think it’s an incredible way to demystify a lot of the uncertainty of WiFi management, and I suspect a lot of CIOs and IT staff will be interested come April.

I don’t have enough time to cover all the news today, so I will try to pick-up anything I missed tomorrow along with any feedback I have following meetings with a number of vendors.

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