Health IT Summit & Expo

October 29, 2009

Health information technology (HIT) allows comprehensive management of medical information and its secure exchange between health care consumers and providers. Broad use of HIT has the potential to improve health care quality, prevent medical errors, increase the efficiency of care provision and reduce unnecessary health care costs, increase administrative efficiencies, decrease paperwork, expand access to affordable care, and improve population health.

What are the tools that will transform American health care? How is a secure, interoperable nationwide health information system being created?

http://www.njtc.org/events/ehealth/home.html


Killer Keyboards – From LifeSciTrends Q4 Issue

October 29, 2009

How Do Viral Infections Spread So Fast? The Answer Is Right Under Your Fingertips

While millions of us hope for the success of the H1N1 vaccine, we are also on the lookout for telltale sources of infection to avoid: people who sneeze, cough, have fever or just look sick. If ever there was a perfect time for becoming a profiler of the apparently ill, this is it.

And, while most of us have become more frequent hand-washers and are savvy enough to move swiftly away from a sneezing, coughing associate, experts have determined that a frightening array of stealth bacteria and viruses thrive and breed unnoticed, but right under our noses – on our computer keyboards.

Epidemic Intelligence Officer Dr. Shua Chai of the U.S. Centers for Disease Control, in 2008, first alerted the world to the fact that computer keyboards – and their accompanying “mice” – were the root cause of a 2007 outbreak of norovirus that closed a Washington D.C. elementary school. More than 100 children and staffers were infected. Viral germs spread incredibly fast; when computers are shared, he said, so are viruses.

Donald S. Hetzel, Ph.D., former head of R&D for several multinational pharmaceutical corporations, concurred noted that “shared computer keyboards serve as the perfect home and launching pad for a wide range of bacteria and viruses.”

“In a 2008 study in the U.K., researchers found keyboards to be laden with more germs than a public toilet. Even in a typical U.S. office setting, cultures from swabs from computer keyboards revealed salmonella, rotavirus, staph and MRSA. That’s nothing to sneeze it — especially when you consider that germs may live on inanimate object for hours and can jump to dozens of keyboard users in a day.”

The fact is: one germ can wind up infecting hundreds of users, especially if the users eat near their computers. Crumbs provide the food and fuel for bacteria to replicate and run rampant on the keys and in between.

“If this scares you, then I’ve succeeded,” Dr. Hetzel said. “Billions of dollars and millions of lost days from work and school are attributed to the spread of infectious disease every year. So much of this could be avoided if we used a few simple precautions.”

Even as early as 2002, medical investigators found that contaminated computer keyboards where students picked up their college email at Dartmouth, were the vectors through which more than 700 students contracted conjunctivitis in a matter of days. Hundreds were re-infected before the source was identified.

Just a few years ago, a study conducted by public health and safety organization NSF International, at an elementary school in Tennessee, found that computer keyboards harbored aerobic bacteria, yeast, mold and coliforms.

In environments where even more exotic and dangerous strains are found – i.e., hospitals — studies warn that computer keyboards in intensive care units can serve as reservoirs for microorganisms from which pathogens may be transferred via the hands of personnel to the patient — causing nosocomial infections. This is particularly problematic for patients with already compromised immune systems.

Many of the usual suspects on hospital keyboards and mobile diagnostic units include MRSA, norovirus, strep, staph, influenza A, coronavirus, Candida and gram-negative organisms. Faucet handles and computer keyboards in ICUs have shown particularly high colonization rates of MRSA in rooms with patients who tested positive for MRSA, suggesting cross-contamination.

While it would seem logical that today’s omnipresence of antibacterial sprays and wipes would keep most bugs in check, misuse of wipes and sprays works against the theory. “In our study,” reported Dr. Gareth Williams of Cardiff University at a 2008 American Society of Microbiologists scientific conference in Boston, “we saw there was a tendency to use one wipe on consecutive surfaces, such as bed rails, computer monitors and keyboards.” This pattern of use often transferred live bacteria to uncontaminated surfaces.

As they say, knowledge is power. In the case of illness, awareness may our best defense this season. When you realize the potential of your computer keyboard to function as a kind of Typhoid Mary, and understand the keyboard’s disease-spreading potential, you’ll be in the right mindset to start protecting yourself, your associates and your loved ones this flu season.
In fact, Many experts suggest that reducing the surface bacterial and viral count on your computer may ultimately be just as important as wearing a face mask, staying home when you’re sick or washing your hands 20 times a day.


NJTC Presents e-Health Summit: Future Shock What’s Next

April 17, 2009

 

An important ingredient in the stimulus package is reducing the cost of healthcare and electronic record keeping for hospitals and doctors. It is imperative that these new methods of collaboration between the IT, Communications and Life Sciences sectors be developed if these goals are to be achieved. Making electronic record keeping a reality for practitioners and hospitals, innovative R&D, and clinical decision support will be critical, and a tremendous opportunity for business growth. Join our panel of experts as we look at how the rules are changing.  Learn more and register at: http://www.njtc.org/events/indevt.asp?dbid={89F60162-086A-DD11-889F-0013725A113C}&svdate=N


2009 NJTC CIO Conference

March 2, 2009

We presented two panel discussions – one on Cloud Computing and one on Virtualization – the Moderators each took questions from the audience – below are some of those questions – please feel free to answer – comment…

 

Are you using virtualization to support you compliance requirements and if so, how?

Do you expect virtualization to benefit the desktops in the future?

With virtualization being so valuable why do you suppose MSFT would provide it for free? 

Neil,  how do you differentiate the two offerings (vmware and MSFT)?

Are there any standard applications  that you do not recommend putting on VM or results stating that application is not stable on VM?

We have had issues with certain vendors certifying their applications in a virtualized enviornment.  Is this primarily a technical or licencing issue?

How are the panel colleagues handling management of vmware.

Meaning, self provisioning of vm’s, chargeback, reporting, and slas are still being developed/learned by internal infrastructure teams and very haphazard at best.  Also, Many organizations are less than 25 percent virtualized.

What are the best practices or ideas on Jeff’s point about the hardest part is getting the team and organization aligned and motivated in going to cloud computing?

We’ve heard a lot about deployment considerations of cloud-based apps.
What new challenges and opportunities should I anticipate in
developing IT applications for the cloud?

How do you do datawarehousing and reporting in a multi sas / cloud environent?

Are we being too premature with clouds when virtualization has long ways to go.

Meaning, self provisioing of vm’s, chargeback, and slas are still being developed/learned by internal infrastructure teams. Many organizations are less than 25 percent virtualized.

And also clouds have limits due to S.E.C and fnancial regulations.

You talked about the applications that lend themselves to work well under the cloud computing environment. Are there applications that you would recommend not using this technology as a platform?

As an individual that manages about a dozen cloud relationships.  I have 2 questions.

1) What are your approaches to manage multiple SAAS relationships and interdependences from business process perspective

2) What skill_sets do you think are needed with managing SAAS relationships from an internal and provider perspective. Do you see this as a PM type of role or relationship management.


Welcome to the NJTC Blog

November 17, 2008

Watch this space for information about topics, issues and trends that drive the 100 events run each year by the NJTC.