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The realities of getting a job in healthcare IT

A few weeks ago I was interviewed by Diann Daniel for an article she recently posted about healthcare IT careers. It’s worth checking out if you’re looking to enter the health IT field. Here was my advice during the interview: Hiring managers are making a mistake if they aren’t looking outside of healthcare for filling IT roles. The only roles that can not be filled by outsiders are in clinical engineering and application-specific specialists.

Earlier this year the nice folks at O’Reilly Associates were kind enough to invite me to speak about how to use open source in safety-critical medical devices. The open source conference (“OSCon 2011”) was terrific and I met some old friends as well as made tons of new friends. Many of you have asked me to upload my presentation from the talk and I’m happy to oblige. As we know, FDA regulated medical devices are considered safety-critical systems due to their ability to affect patient lives.

Many people outside our country believe that we’re “behind the times” when it comes to healthcare IT. So, over the past few years I’ve traveled to several countries, usually at the request of embassies, to help evaluate various technical / IT companies to see how much applicability they have to the U.S. government or healthcare markets (both specialties of mine). I typically go out, speak at conferences, conduct my reviews, and end up coming back with only a few companies or pockets of interesting projects that might find some success selling to the U.

I’ve been invited back to speak at the Medical Device Connectivity Conference, one of the best practical and “get the job done” kind conferences that I attend all year. This year I am Chairing the “Manufacturers” track, participating in one panel, and giving two talks – my short talk is a presentation entitled “Best Practices for Embedded Medical Device and Gateway Software Applications” and the other is a longer workshop called “How to use Open Source Software and other Low-Cost Design Techniques To Build Safety-Critical Medical Device Platforms and Meaningful Use EHR Gateways”.

After the 4 thousandth time I’ve cursed Microsoft Outlook, Word, or Excel for “auto correcting” the acronym “EHR" to “HER” I finally took 30 seconds to fix this once and for all. I figured with 20 years of programming experience I should be able to figure it out 🙂 Here’s what you should do if you’re tired of having to change “HER” back to “EHR" in Microsoft Word, Excel, and other apps (I copied some of this from the Microsoft Help text):

I read with great interest a study posted on TheBij.com which talks about venture investment returns in the healthcare field: Life Sciences: The Rodney Dangerfield of Venture Capital. I’ve been in the general IT as well as the specific healthcare IT world for many years but the study results managed to surprise me, specifically the following: A widely held notion … is that Life Sciences/ Healthcare (LS) venture investing is too challenging and has underperformed IT and Internet (Tech) investing over the past decade and will only continue to do so.

I will be presenting at the O’Reilly Open Source Convention (OSCon) in Portland at the end of the month. As an avid reader of dozens of O’Reilly’s technical books over the years I was excited when they reached out to ask if I would talk about open source in the healthcare world. While open source isn’t a major force in the healthcare IT ecosystem right now, that will be changing over the coming years and should be able to change the medical world in the same way that open source has improved enterprise IT and made the consumer web possible.

A frequent question I am asked by startups and new product development teams (especially those building EMRs / EHRs) is “what’s the best way to sell my EHR to doctors and clinics?” My friend Steve Carbonara has been selling software to practices for years so I asked him to write a companion to his piece on selling to hospitals. Steve currently heads Sales Force Effectiveness at Bard Medical and runs his own consulting practice helping companies with their sales process.

_Last week I was invited to attend the second annual NIST forum for EHR Usability called “A Community-Building Workshop: Measuring, Evaluating and Improving the Usability of Electronic Health Records.” NIST, in collaboration with the ONC, unveiled its initial discussion points for what it might consider as the “Usability Criteria” in the upcoming Meaningful Use Stage 2 regulations. At the event I met with Dr. Melanie Rodney, Distinguished Researcher at Macadamian and a member of the HIMSS Usability task force; I was impressed by the work that she and her firm were doing in EHR usability space.

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