Free Hospital EMR and EHR Newsletter Want to receive the latest news on EMR, Meaningful Use, ARRA and Healthcare IT sent straight to your email? Join thousands of healthcare pros who subscribe to Hospital EMR and EHR for FREE!

Cloud – Biggest Health IT Myths

Posted on June 7, 2017 I Written By

David Chou is the Vice President / Chief Information & Digital Officer for Children’s Mercy Kansas City. Children’s Mercy is the only free-standing children's hospital between St. Louis and Denver and provide comprehensive care for patients from birth to 21. They are consistently ranked among the leading children's hospitals in the nation and were the first hospital in Missouri or Kansas to earn the prestigious Magnet designation for excellence in patient care from the American Nurses Credentialing Center Prior to Children’s Mercy David held the CIO position at University of Mississippi Medical Center, the state’s only academic health science center. David also served as senior director of IT operations at Cleveland Clinic Abu Dhabi and CIO at AHMC Healthcare in California. His work has been recognized by several publications, and he has been interviewed by a number of media outlets. David is also one of the most mentioned CIOs on social media, and is an active member of both CHIME and HIMSS. Subscribe to David's latest CXO Scene posts here and follow me at Twitter Facebook.

If you like CXO scene, you can subscribe to future Health Care CXO Scene posts here or read through the CXO Scene archive.

So many companies are now embracing the reduced costs and agility that come with moving their data to the cloud. However, there are still so many contradictory opinions regarding which is a safer way of storing company data – on-premise storage or cloud storage? In view of this, we are going to start by dispelling the biggest IT myths that are making their rounds on the internet.

By moving your data to the cloud, you will have zero control over your technology

The fact is that by moving your data to the cloud, you can meaningfully reduce the pains and resources spent to continually upgrade software and maintain hardware. Your IT personnel can now focus on the primary business by improving operations instead of focusing on ‘Mr. Fix it’ services. Instead of a company spending a bigger chunk of its budget on expensive servers for workload and email storage, adopting the cloud can help them focus on their business strategy and support their core business in a more flexible and dynamic fashion that allows for quick responses to situations.

Storing data on premise is way safer than cloud storage

Security is principal for any business. A security breach could not only sell your trading secrets to your competitors, but it could potentially bring down your entire site and cause you to lose a lot of revenue and customer trust. It’s therefore a no brainer that the security of your business is one of the greatest concerns, especially when considering cloud storage.

With technology evolving every passing day, security has transformed into a full-time job that requires a full team of security professionals who often command handsome salaries that many businesses can’t afford. By working with a reputable cloud-based company, you get to gain first class access to one of the best security any money can buy for your business.

Cloud storage offers security against both digital and physical attacks. Additionally, most of today’s tech providers have moved to the cloud meaning we are going to see more and more innovations happening in the cloud, and you don’t want your business left out.

One thing that most people who are so against the cloud don’t consider is the fact people are the greatest security weakness of all. Every security breach is instigated by a person, and the good thing about the cloud is that it uses the latest technological developments to eliminate the need for people to man the security system.

You won’t be able to monitor your data’s sovereignty once you move to the cloud

Legally speaking, the physical location of your company can command where your business data is going to be held. For example, all public companies in Europe are required by law to store their corporate data in the European Union. This is not something that you need to worry about concerning the cloud. Most cloud providers today offer a vast range of data locations meaning you can always access one no matter where your company is located. Though sovereignty shouldn’t be any problem for you, you need to do your due diligence to ensure you remain on the right side of the law.

Moving to the cloud means you are going to have to move everything which could be very disruptive

When you start seriously considering moving vast amounts of your company’s data to the cloud, it’s easy to see why you could see it as a challenge. However, as with any change you are ever going to make in your company, you should take it slow to ensure you understand how the cloud truly works. Additionally, you and your employees will still feel like you are in control especially if you are so used to network based storage.

Now that we’ve got the myths dispelled, it’s time to seriously consider moving to the cloud. While on-premise storage is still a common phenomenon in most business, it’s not easy to ignore the fact that it is labor intensive, costly, uses a lot of energy and there’ still a chance that an insider can breach your security.

Cloud storage spells out so many more benefits aside from security. Time for you to keep up with the trend and move to the cloud.  I love it when I hear the traditional IT leader defend the position on why they want to build infrastructure and a data center, I guess the key phrase for them is Career Is Over (AKA CIO).

If you’d like to receive future health care C-Level executive posts by David in your inbox, you can subscribe to future Health Care CXO Scene posts here.

Key Big Data Challenges Providers Must Face

Posted on July 17, 2015 I Written By

Anne Zieger is veteran healthcare editor and analyst with 25 years of industry experience. Zieger formerly served as editor-in-chief of and her commentaries have appeared in dozens of international business publications, including Forbes, Business Week and Information Week. She has also contributed content to hundreds of healthcare and health IT organizations, including several Fortune 500 companies. She can be reached at @ziegerhealth or

Everybody likes to talk about the promise of big data, but managing it is another story. Taming big data will take new strategies and new IT skills, neither of which are a no-brainer, according to new research by the BPI Network.

While BPI Network has identified seven big data pain points, I’d argue that they boil down to just a few key issues:

* Data storage and management:  While providers may prefer to host their massive data stores in-house, this approach is beginning to wear out, at least as the only strategy in town. Over time, hospitals have begun moving to cloud-based solutions, at least in hybrid models offloading some of their data. As they cautiously explore outsourcing some of their data management and storage, meanwhile, they have to make sure that they have security locked down well enough to comply with HIPAA and repel hackers.

Staffing:  Health IT leaders may need to look for a new breed of IT hire, as the skills associated with running datacenters have shifted to the application level rather than data transmission and security levels. And this has changed hiring patterns in many IT shops. When BPI queried IT leaders, 41% said they’d be looking for application development pros, compared with 24% seeking security skills. Ultimately, health IT departments will need staffers with a different mindset than those who maintained datasets over the long term, as these days providers need IT teams that solve emerging problems.

Data and application availability: Health IT execs may finally be comfortable moving at least some of their data into the cloud, probably because they’ve come to believe that their cloud vendor offers good enough security to meet regulatory requirements. But that’s only a part of what they need to consider. Whether their data is based in the cloud or in a data center, health IT departments need to be sure they can offer high data availability, even if a datacenter is destroyed. What’s more, they also need to offer very high availability to EMRs and other clinical data-wrangling apps, something that gets even more complicated if the app is hosted in the cloud.

Now, the reality is that these problems aren’t big issues for every provider just yet. In fact, according to an analysis by KPMG, only 10% of providers are currently using big data to its fullest potential. The 271 healthcare professionals surveyed by KPMG said that there were several major barriers to leveraging big data in their organization, including having unstandardized data in silos (37%), lacking the right technology infrastructure (17%) and failing to have data and analytics experts on board (15%).  Perhaps due to these roadblocks, a full 21% of healthcare respondents had no data analytics initiatives in place yet, though they were at the planning stages.

Still, it’s good to look at the obstacles health IT departments will face when they do take on more advanced data management and analytics efforts. After all, while ensuring high data and app availability, stocking the IT department with the right skillsets and implementing a wise data management strategy aren’t trivial, they’re doable for CIOs that plan ahead. And it’s not as if health leaders have a choice. Going from maintaining an enterprise data warehouse to leveraging health data analytics may be challenging, but it’s critical to make it happen.

Over-hyped and Under-Delivered Tech According to Hospital CIOs

Posted on March 10, 2014 I Written By

John Lynn is the Founder of the blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of and John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

This is an interesting list:

When you think about the future of health IT, all of these except for Google Glass are guaranteed to be a major role in health IT. The use of data in healthcare is not going anywhere. EHRs will be the foundation of health IT for a long time to come. The move to cloud computing is happening everywhere in healthcare. ACOs are heading are way and I see nothing that will do anything to stop them. Google glass is the only thing on the list that might fizzle, but what Google glass represents (always on, always connected computing) won’t go anywhere.

Does health IT have a PR image issue?

Technologies Hospital Leaders Should Watch

Posted on March 29, 2013 I Written By

Anne Zieger is veteran healthcare editor and analyst with 25 years of industry experience. Zieger formerly served as editor-in-chief of and her commentaries have appeared in dozens of international business publications, including Forbes, Business Week and Information Week. She has also contributed content to hundreds of healthcare and health IT organizations, including several Fortune 500 companies. She can be reached at @ziegerhealth or

Courtesy of non-profit research house the ECRI Institute, here’s some of technologies that they believe hospital C-suite execs should be watching this year. This list was generated by ECRI’s in-house analysts, reports HealthLeaders. Not all of these are directly related to EMR/EHR technology, but we’ve included a few that might be of interest on the broader HIT level.

* Electronic Health Records: This is so obvious it hardly bears mentioning, but yes, EHRs are number one on the list. ECRI notes that execs should beware of possible patient harm in the effort to achieve Meaningful Use, as some HIT-related errors are emerging that can lead to serious care issues.

mHealth:  Mobile applications are becoming an increasingly commonplace part of health IT infrastructure, but managing them effectively isn’t as simple as download-install-use.  This is likely to be the year hospitals need to get it right.

Alarm Integration Technology:  Alarm fatigue has been and continues to be a major issue for clinicians, with some critical care docs experiencing 350 alarms  per patient per day.  Increasingly, alarm integration systems are being implemented which send alerts to phones or pages, leading to more controllable alerts and quieter environments.

Imaging and Surgery:  ORs are increasingly hosting full-scale angiography systems to help guide high-risk minimally invasive surgery, as well as guiding combined open and minimally invasive surgery and verifying successful surgical completion. These hybrid ORs are expensive but have arguably improved results.

* PET/MR:  The PET/MR scanner is beginning to emerge as a new mainstay in oncology, improving on the results delivered for years by the hybrid PET/CR. The PET/MR offers greater detail, helping physicians detect cancers and tumors.

I would have expected to see something on the data analytics technology front to appear this year, but it was absent from the list. I might also have expected to see cloud solutions turn up, but again, not this year.  What technologies would you add to this list?

Healthcare Cloud Spending Slated For Major Growth

Posted on October 30, 2012 I Written By

Anne Zieger is veteran healthcare editor and analyst with 25 years of industry experience. Zieger formerly served as editor-in-chief of and her commentaries have appeared in dozens of international business publications, including Forbes, Business Week and Information Week. She has also contributed content to hundreds of healthcare and health IT organizations, including several Fortune 500 companies. She can be reached at @ziegerhealth or

Hospitals may still be ambivalent about using the cloud for clinical data transport, but attitudes are likely to undergo a major change over the next few years, according to research firm MarketsandMarkets. The firm projects that the healthcare cloud market will expand by about 20.5 percent per year over the next five years, hitting $5.4 billion by 2017.

Right now, healthcare cloud spending has hit roughly $1.8 billion, which represents penetration of four percent, MarketsandMarkets found.  That’s just a drop in the bucket, particularly given the big competitors who are aiming their guns at the healthcare cloud market today. (Other estimates put healthcare cloud penetration at 16.5 percent of the marketplace, still a small number though meaningfully larger than MarketsandMarkets’ number.)

As our sister site previously noted, Verizon’s Enterprise Solutions division is offering five “healthcare-enabled” services, including colocation, managed hosting, enterprise cloud, an “enterprise cloud express edition” and enterprise cloud private edition. Verizon hopes to capture healthcare IT managers who are worried not only about HIPAA-secure clinical data transport, but also HIPAA-appropriate data protection on site, as it’s training hosting workers to be HIPAA-ready.

Another set of deep pocketed healthcare cloud vendors are AT&T and IBM, who are partnering to capture what they deem to be a $14 billion healthcare cloud market.  Under the terms of an agreement announced in early October, IBM will provide data storage facilities and services, while AT&T will provide the network.

What could possibly hold back the advance of such giants?  Well, a number of issues, MarketsandMarkets notes. While vendors large and small may promise to be compliant with healthcare regs, healthcare data is challenging to manage, given that it requires special security, confidentiality, availability to authorized users, traceability of access, reversibility of data and long-term preservation.

My guess is that hospitals will respond to the efforts of vendors to attract cloud business, but that the market for public cloud services in particular won’t shoot upward as MarketsandMarkets predicts, as there’s just too many things that worry CIOs.  How about you, readers?