Jerry Fahrni

Tag: Cloud Computing

  • Cloud Computing in Health Care – Presentation

    Below is an embedded version of my recent presentation for Pharmacy OneSource. A PDF version of the slides can be found here.
    View more presentations from Jerry Fahrni.

  • Monday morning musings

    For some, weekends are a good time to sit around and relax. I tend to do that in the early morning hours of the weekends because the house is quiet and it doesn’t take away from any of the activities that happen during the “normal hours”. It gives me time to catch up on things that I like to do; surf the net and read articles.
    (more…)

  • What’d I miss? – Week of March 21, 2010

    As usual there were a lot of things that happened during the week, and not all of it was pharmacy or technology related. Here’s a quick look at some of the stuff I found interesting.
    (more…)

  • “What’d I miss?” – Week of March 7, 2010

    As usual there were a lot of things that happened during the week, and not all of it was pharmacy or technology related. Here’s a quick look at some of the stuff I found interesting.

    (more…)

  • Speaking of healthcare data, is Microsoft the elephant in the room?

    In a previous blog I discussed the need for a uniformed data structure in healthcare. The concept got me thinking about how to accomplish such a monumental task, and make no mistake, it would be a monumental task. There aren’t many “people” out there that could develop the hardware and software infrastructure solid enough to handle the needs of the complex data stream coming out of the healthcare industry.

    Then I noticed a trend at a lot of the web sites that I frequent: Microsoft has slowly, and quietly, been positioning itself to jump into the healthcare market.
    (more…)

  • What we need is a system-neutral data structure for healthcare

    During a web browsing session the other day I came across a very interesting blog post by Louis Gray titled “The Future: Operating System And Application-Neutral Data”. I enjoy reading Louis’ posts because I think he has a great vision for the future of personal computing, data, and “the cloud”

    The blog speaks specifically to the ownership of personal data versus allowing companies to sit on it and possibly hold it hostage secondary to a lack of compatibility with other systems. The information you throw onto the internet defines who and what you are, more now than ever before, and you need to be able to move it around anytime from anywhere.
    (more…)

  • Time for a new model of data storage and software distribution in pharmacy

    There was a time when I thought all a pharmacist needed to do his job was a pen and a calculator. It was just so cumbersome to carry anything else. If you wanted to have mobile drug information it meant carrying a drug reference book with you everywhere. Who can forget being in pharmacy school where every self respecting pharmacy student had a Drug Information Handbook stuffed in their lab coat pocket along with all the other stuff they carried like a homemade peripheral brain scribbled on the pages of a notebook or on those neat little 3×5 cards.
    (more…)

  • SaaS and speech recognition for EHRs

    CMIO: “In the past, major barriers to EHR adoption included high upfront costs and lack of IT resources to implement and maintain the technology,” the report stated. “A SaaS model solves both of these issues and Ovum believes it is the best approach for physician offices and small hospitals. With a predictable, monthly expense, a subscription-based SaaS EHR is a much easier cost for providers to swallow.” Speech recognition tools have helped increase EHR adoption among clinicians by increasing the accuracy of the patient health record—providers don’t need to make as many corrections. Speech recognition should feed directly into the PHR without the lag time of transcription, according to the report.” – It makes sense that Software-as-a-Service (SaaS) and speech recognition could be used to increase EHR adoption rates. Together they offer several potential benefits as well as creating a better user experience. In fact, I’m a fan of both and have blogged about how I think they could be used in pharmacy; here and here.  However, in regards to speech recognition, an educational session at the 95th Annual Meeting of the Radiological Society of North America (RSNA) reports that “a study by Zoltani and colleagues conducted at their facility found that 68 percent of more than 17,000 finalized reports contained errors, 15 percent of which could potentially change the meaning of the report. A radiologist’s experience, sex and caseload were not associated with significant differences in error rates.”

  • SaaS and pharmacy

    Software as a service (SaaS) has recently been popping up in healthcare related news, from Fujitsu’s SaaS solution for drug trials to the host of web-based applications from Pharmacy OnceSource.

    SaaS is different than the traditional enterprise software model because the provider of the software licenses it to the customer as an on-demand service. The vendor often times hosts the software on their own servers where data is manipulated and returned to the customer for viewing. It’s kind of like renting software.

    The beauty of SaaS applications like those from Pharmacy OneSource are that they can be viewed from any device with a web-enabled browser; Mac, PC, smartphone, etc. In addition, the application is owned, delivered, maintained and managed by the provider, limiting the burden on the customer. A by-product of this model is that delivery of the application over the web ensures that the software is always up to date.

    The SaaS model appears to be popular in the “business” world at present, but is increasing in popularity in healthcare secondary to its simplified deployment and reduced cost. With advances in cloud computing strategy, better data storage models and faster internet connections I think it’s only a matter of time before we start to see more SaaS solutions in pharmacy practice. And why shouldn’t we? By their very nature SaaS applications lend themselves to use on mobile devices like the tablet PC and iPad, which in turn offers greater flexibility for pharmacists practicing at the bedside. Just a thought.

  • The “cloud” gets a black eye

    InformationWeek: “Think of the one million T-Mobile Sidekick customers that may have lost important data last week. Think of the dozens of CIOs that anxiously waited for Workday to restore its SaaS service on Sept 24. Cloud computing has created a new era of accountability, and we must demand that tech vendors work harder than ever to prove their trustworthiness. In both of these instances, customers were completely dependent on their vendors to manage their data. And in both instances, technical failures are to blame. The growth of cloud computing is not going to let up—we’re not going to suddenly start moving away from the Internet and speedy networks and store more data on our home PCs and company servers—so it’s time that everyone, from consumers up to CIOs at the world’s biggest companies, start asking questions and demanding accountability from their vendors.” – Cloud computing has been taking a beating in the press lately. Everywhere I turn someone on the internet is talking about the Sidekick fiasco, and I have to agree that permanently losing your customers data is inexcusable. However, this type of failure happens in the “non-cloud” environment as well, you just don’t hear about it. Last year our facility had an email server fail. Some, but not all, data was lost and we were without email services for nearly two weeks. It was the most productive time of my life. The cloud model is relatively immature at this point in time and will suffer failures and setbacks as it continues to develop. Hopefully the Sidekick failure has provided us with a valuable lesson that will be used to further improve the cloud. Only time will tell.