MIPS

Earlier this quarter, CMS came out with a rule that establishes a new methodology for MIPS eligible providers and encourages eligible professionals to participate in APMs. Lantana supports several stages in the value-based purchasing information lifecycle, and we have a sharp interest in the success of these programs as a transformative agent for healthcare. Our…

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CDA in the Wild: Validation – XML Schema (Installment #3)

  During our last episode, we stumbled upon a wild CDA lying dead in the grass. Not wanting to pass up such an opportunity, we decided to dissect the beast to uncover the cause of death. The immediate cause turned out to be a malformed end tag that resulted in catastrophic system failure.   Further…

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CDA In The Wild: Basic XML Issues (Installment #2)

  Move in closer now…do you see that? It’s a wild CDA lying motionless in the grass. Surely it’s waiting for prey to…wait, it’s not moving – something’s wrong…   Ah, this one was dead when we got here.   A fair number of wild CDAs suffer from basic XML issues. This means they are…

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CDA in the Wild – Introduction

Shh…
…beyond the bushes ahead you will see the Wild CDA in its natural habitat…
Lantana Consulting Group presents the first installment of CDA in the Wild by Rick Geimer, a blog series that identifies top errors found in CDAs (and how to fix them).

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We go greenLantana

greenLantana is the name of our collective effort to measure, evaluate, and improve the corporate, social, and environmental impacts of our Lantana way of doing business. As the name suggests, our initiative emphasizes environmental responsibility and includes support for “corporate social responsibility”[1] and the “triple bottom line”.[2]

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What Does LTPAC Want – for Interoperability?

The Long-Term and Post-Acute Care (LTPAC) Health IT (HIT) Collaborative held its 10th Annual Summit in Baltimore at the end of June. HIT leaders, policy makers, providers, and vendors, convened to discuss industry initiatives and priorities from the Collaborative’s latest Roadmap for Health IT in LTPAC. We participated in and attended several sessions on continuity of care and quality reporting.

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The Lifecycle of a Template – Part 2: Template Characteristics and Lifecycle

HIT Stakeholders at all levels benefit from understanding the template lifecycle. System engineers and clinical analysts who design templates, implementers who use templates, and participants who govern templates need this knowledge to do their jobs. Understanding the lifecycle of a template requires you have the following: Appreciation the relationship between a template and its versions.…

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The Lifecycle of a Template – Part 1: Stability and Progress

A template’s inaugural design often doesn’t seem like a “version”. It is difficult for designers while working closely to solve a problem, to envision that someday, perhaps even in the not too distant future, the solution they are in the midst of creating will need to change. And so it is with templates.

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Wash, rinse, and repeat (Part 2)

My last blog post detailed some of the features of Trifolia that help make my life as an information analyst easier. In this post, I discuss the part of the workflow I use to develop an implementation guide (IG) and the templates contained in it. This part of the workflow starts after the analysis and…

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Trifolia, how do I love thee? Let Me Count the Ways (Part 1)

I’ve worked with various incarnations of HL7 Implementation Guides (IG) for roughly 8 years. My first exposure was in the UK with the NHS Connecting for Health’s Message Implementation Manual (MIM) for V3 messages. I wasn’t involved in building this specification, but I did use it for coding. Later, I was responsible for creating the Clinical Document Architecture (CDA) IGs for Australia’s national eHealth program. Back then, these were manually created Word documents that evolved into partially automated DocBook created PDF documents.

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What’s New in Trifolia 2.17

The most recent Trifolia update addresses requesting permissions, permissions notifications, default setting for exporting to MS Word and MS Word value set settings. Read our latest blog post for details of the full development log.

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What’s New in Trifolia 2.16?

Released on Thursday, Oct 23, 2014 Retired Template Status Trifolia now supports a “Retired” template status, representing a template that should no longer be used. The Retired status is only used on templates that have been versioned. The Retired status omits the template from the main body of the MS Word document and includes an…

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Free Text Sig

Discord is afoot. It has been for some time now. The cause is a little understood data element known as “Free Text Sig”.

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CDA Experts on FHIR

At Lantana, we are all pretty comfortable working with CDA. I think we are also pretty open to understanding its limitations. The current CDA, Release 2, was developed ten years ago. It was designed to meet a range of requirements from simple, transformed-from-dictation documents to fully coded, semantically interoperable reports. A key design consideration, a requirement for passing ballot within HL7 at that time, was full compatibility with Version 3 messaging and an explicit tie-in to the Reference Information Model (RIM).

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What’s new in Trifolia 2.14

Trifolia version 2.14 is now available. Several updates have been made to the user interface, template editor, template viewer and browsing functions to improve user experience.

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Proposed Delays to 2014 Meaningful Use Timeline & and Changes to Certified Electronic Health Care Technology (CEHRT). How will you be affected?

Today, CMS announced proposed changes to Medicare and Medicaid electronic health record incentive program timeline for 2014 and revisions to the CEHRT definition. As a courtesy, Lantana put this summary together outlining the changes and how they may affect vendors and care providers. The full fact sheet can be found here. Why the change? CMS…

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Brag Blog: HAIMS Nails it for Veterans

The great thing about a career in health IT is that we have so many problems to solve. The drag is that it occasionally feels as if we operate on a treadmill of ever-receding achievement. In this space, I want to recognize a solid achievement in health IT in which Lantana played a part. It…

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Lantana Annual Retreat: Full Speed Forward

Lantana’s company retreat started out with a review of the company vision statement, pared down to the following: “We want to see health information available across the spectrum of care, supporting safe, effective, affordable healthcare that improves well-being, public health, quality of care, and research.”

From there, we spent a day and a half reviewing our goals, strategy, and tactics to realize this vision. We found, to our satisfaction, that our long-time company motto[i], “have fun, make money, improve the industry” works just fine to articulate our goals.

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