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HIMSS Weekly Insider
In This Issue — September 25, 2013

Final days of the HIMSS Books Fall Sale •Join the new Provider-Payer Community •Take the HIMSS Compensation Survey

Have a question, comment, or idea? Please send them to Matt Schlossberg.

What’s New

Save 20% at the HIMSS Books Fall Sale Final Days — All Print Books, eBooks and Reports
Through September 30, HIMSS Books is offering a 20 percent discount on all print books, eBooks and reports. Choose from dozens of titles on the hottest health IT topics, including mobile health, clinical & business intelligence, privacy, security, and more. Each of these books was written by and for leading-edge health IT professionals as purpose-driven resources to help you and your organization improve workflow, achieve stakeholder buy-in, and better implement complex, cutting edge solutions from Day 1 to Go-Live. Click the link above to learn more.

U.S. Senate Passes Resolution Establishing National Health Information Technology Week
On Sept. 19, the Senate adopted a resolution by unanimous consent designating the week of Sept. 16-20, 2013, as National Health Information Technology Week to recognize the value of health information technology in transforming and improving the healthcare system for all people in the United States. Sens. Debbie Stabenow (D-MI) and John Thune (R-SD) co-sponsored the resolution, S.Res. 247.

Agenda, Speakers Announced for the HIMSS Nursing Informatics Institute
The agenda and speakers have been announced for the HIMSS Nursing Informatics Institute, hosted by Boston Children’s Hospital in collaboration with the New England Nursing Informatics Consortium and the Organization of Nurse Leaders, MA-RI. The event is scheduled for Nov. 1 at Simmons College, School of Health & Sciences Conference Center, in Boston. Click the link above to register, check the agenda and view the speakers.

HIMSS Analytics Releases Report Assessing Meaningful Use Stage 2 Readiness
According to data collected through June 2013 in the HIMSS Analytics® Database, 68 percent of eligable hospitals had purchased software from a vendor that has been certified through the 2014 Edition certification criteria. The report from HIMSS Analytics, Hospital Readiness to Meet Meaningful Use Stage 2, assesses the preparedness of eligible hospitals to meet the technological and clinical requirements for Meaningful Use of the Electronic Health Records (EHRs) that are used to document all patient care. Click the link above to learn more. Be sure to also take advantage of a 20 percent discount on HIMSS Books’ best-seller 2013 Annual Report of the U.S. Hospital IT Market (print/eBook) through Sept. 30.

Venture+ Forum Launches at mHealth Summit and HIMSS14!
HIMSS Media announces the launch of the Venture+ Forum at two of the industry's hottest events—the mHealth Summit and HIMSS14. Venture+ is the premier showcase platform for exploring the latest mobile health, health IT and hottest trends in healthcare investment. Join hundreds of entrepreneurs, venture capitalists, technology experts, healthcare industry leaders for networking, and live presentations of mobile health and health IT products, services, solutions, and applications. Qualcomm Ventures Jack Young will Deliver the Opening Keynote at the mHealth Summit Venture+ Forum in December.  Young serves as the Director of the Qualcomm Life Fund at Qualcomm Ventures. For more information, click the link above. Be sure to also take advantage of a 20 percent discount on HIMSS Books’ best-seller mHealth: From Smartphone to Smart Systems (print/eBook) through Sept. 30.

Apply to Participate in the mHealth Summit Innovation Zone Startup 'Mobile' Health Pavilion
The Startup 'Mobile' Health Pavilion, hosted by StartUp Health, returns to the 2013 mHealth Summit as part of the Innovation Zone. Apply to participate in this showcase of today's most innovative early stage startups that are impacting mobile health. If you are an entrepreneur interested in demoing your startup's mHealth product, service or application to over 5,000 attendees, including providers, payers, healthcare professionals, pharma, and investors, apply to be a part of this year's Innovation Zone. The deadline for participation is Sept. 27.For more information, click the link above. Be sure to also take advantage of a 20 percent discount on HIMSS Books’ best-seller mHealth: From Smartphone to Smart Systems (print/eBook) through Sept. 30.

American Bar Association to Host Pre-Conference mHealth Law Track at mHealth Summit
Learn how well-settled legal principles apply to the use of mobile devices in a health care organization.  Presented by the ABA Section of Science and Technology Law, the mHealth Law Track is intended to provide a practical and understandable – but fast-paced – identification of key health law statutes and regulations that need to be addressed by health care executives and practitioners, CIOs and technology experts, as well as private sector policy-makers. The mHealth Law Track is a co-located event at the mHealth Summit and will be taking place on Sunday, Dec. 8. For more information and registration, click the link above. Be sure to also take advantage of a 20 percent discount on HIMSS Books’ best-seller mHealth: From Smartphone to Smart Systems (print/eBook) through Sept. 30.

IHE NA Connectathon Registration Open Now
Take part in the largest interoperability testing event in North America—the IHE NA Connectathon 2014, Jan. 27-31, 2014, at The Hyatt Regency Chicago. Prepare for registration, open thru Oct. 18. Click the link above to learn more.

Tools & Resources

NEW! HIMSS Analytics: Paper-Based Strategies Critical to Information Exchange
HIMSS Analytics released a new report, sponsored by ASG, on the barriers, challenges, and opportunities of healthcare information exchange (HIE). The report examines the current state of information exchange among U.S. hospitals and explores the opportunities for improving the collection and exchange of patient data. To attend the Oct. 14 webcast about the report, click the link in the headline.

NEW! Good Informatics Practices (GIP) Guidance: Six Modules Available as eBooks
Fueling the Life Sciences Innovation Engine, Good Informatics Practices (GIP) Guidance is an implementable IT system and process guidance for life sciences executives, technology practitioners and auditors designed to optimize and build a trusted IT ecosystem. Six of these modules, are available as eBooks. The GIP Guidance is a comprehensive online body of GIP modules, each topically oriented and containing a rich body of resources and aggregated information arranged into modules. Harness the transformational value of IT within your organization with GIP modules available at the HIMSS eBookstore.

NEW! HIMSS Provider-Patient Engagement Resource
Most consumers’ use of personal health IT is done outside of health systems, offices and information systems. Learn how activated, engaged consumers are already working to improve their health outcomes, and providers’ clinical success.

Share Your Feedback on Innovation
Find out what healthcare leaders are doing to build new technology-enabled care delivery models by taking a few minutes to complete the HIMSS innovation survey. All respondents will receive a detailed report, approximately eight weeks after the survey close date, outlining the results for specific provider segments. Individual responses are confidential and will not be reported.

Learn More about Proposed Changes to 2013 HIMSS Bylaws
HIMSS members will vote on bylaws changes and new board candidates from Oct. 15-Nov. 15. Now, with time before the election opens, spend some time to learn more about the proposed bylaws revisions. Sign in at the HIMSS Member Center at the link above to access information on the proposed changes. Contact with questions about the proposed changes to the 2013 HIMSS Bylaws. Be ready to cast your vote when the election begins in mid-October.

Take Part in the 2013 HIMSS Compensation Survey
The HIMSS Compensation Survey is the definitive resource for health IT professionals to compare compensation packages. The survey, conducted biennially by HIMSS, provides overall statistics for trends in the industry, while offering demographic information by facility budget, facility type, geographic region, gender, length of service and professional level. HIMSS members have exclusive access to an on-line salary calculator. This calculator provides powerful benchmarking information; simply enter characteristics (such as job title, gender or geographic region) into the calculator for an average salary for other individuals who hold similar positions. Individuals who are not HIMSS members may also access a summary of the data, or join HIMSS to make full use of the tool. For more information about this study, contact Maggy Tieché, Manager, Research, HIMSS Analytics, at on the link above to take the survey.

HIMSS and SANS Collaboration Offers Discounted Training to Members
HIMSS is proud to announce its collaboration with the SANS Institute. As a result of this collaboration, SANS is offering significantly discounted training to HIMSS members. HIMSS members will be able to access world-class security training to help better equip themselves and their organizations. Training offered includes “Securing the Human End User” security-awareness training and other on-demand technical courses at deeply discounted rates. This discounted training is available through HIMSS through Oct. 31. Click the link above to learn more.

Purchase HIMSS eBooks Subscriptions for Your Entire Organization at One Low Price
Access a library of knowledge for your entire organization in the palm of your hand—Introducing the HIMSS eBook Subscription Program. Purchase a subscription to our entire eBook library or customized packages for your company, community or organization. The Subscription Program allows for concurrent knowledge delivery—allowing you and your staff to learn, grow and apply as a team. To learn more about the program and our competitive rates, click the e-mail link above.

NEW! Corporate Member White Paper: Accountable Care Analytics—Developing a Trusted 360 Degree View of the Patient
In the traditional fee-for-service reimbursement system, health information is rarely shared across the continuum of care or between disparate healthcare settings. Data that is shared can be lost, late, incomplete, or inaccurate, resulting in an imperfect picture of a patient’s condition, medical history, and prior treatment. As a result, providers may deliver inappropriate care, order redundant tests, prescribe contraindicative medications, or give the patient contrasting follow-up care recommendations. These types of medical errors can drain a health provider’s resources, have an adverse impact on patient experience, or cause serious harm to the patient.  This white paper from Informatica explores the need for comprehensive enterprise information management and analytic capabilities to support these initiatives in reducing costs and improving the quality of care.

NEW! Corporate Member White Paper: Finding Balance in Medical Workstations
In the quest to find technological solutions that lead to better efficiency of care, hospitals often find themselves weighing the differences between types of workstations, specifically mobile carts /workstations on wheels (WOWs), and wall mounted cabinets and arms. While mobile carts traditionally dominated the point of care workspace with 87 percent of facilities supplying clinicians with mobile carts to provide support care latest trends may suggest a shifting away from carts and toward wall mounted workstations.

NEW! Corporate Member White Paper: Coordinated Care—Assembling Patient Information that Matters
Delivering coordinated care will require a more comprehensive view of what’s happening with each patient than is available in the local Electronic Health Record (EHR). To aid in strategy and planning to tap additional, external sources of information, this white paper looks at the likely sources, the information they can contribute, and the ease with which the information can be put to work.

NEW! Corporate Member White Paper: The Role of IT in Effectively Managing Population Health
Population health management (PHM) has become the focus of patient-centered medical homes, accountable care organizations (ACOs), and healthcare systems that are concerned about impending changes in reimbursement. Because PHM entails continuous care of the entire patient population, it requires health IT solutions that automate routine tasks, facilitate communications, and maximize the effectiveness of care teams.

Sponsored Content

EMR Voice Overlay Technology vs. Dictation : Understanding the Difference
For decades when the healthcare industry thought of speech recognition, it meant only one thing - dictation. Now voice and speech recognition technologies are taking a more active role on the front lines of patient care to boost clinician efficiency and patient satisfaction.

Voice Enable Your Clinical Workflows & EMR
For the first time ever, clinicians can have “a conversation with their EMR” while being completely mobile and free to focus first on patient care.  Read how voice overlay on EMRs from VoiceFirst boosts clinical workflow efficiency, clinician morale, and patient satisfaction.

Is It Time for Healthcare to "Cut the Cord" on Keyboards?
Smart, hands-free, mobile, voice solutions have arrived in the healthcare industry and progressive CIOs are taking the power of voice to the front lines of patient care.   Surveys show that greater than 97% of patient-facing clinicians, nurses and doctors want to step away from the keyboard and leverage intelligent voice solutions to capture patient data in real time, at the point of care.  Is your IT team ready to respond to the call for voice? Here are 5 healthcare metrics that may help you decide.

Calling All Members

NEW! HIMSS Volunteer Opportunities: ICD-10
With the October 2014 ICD-10 deadline just one year away, there are many opportunities for HIMSS members to share their knowledge and expertise in any of the areas listed below. If you are interested in becoming involved or contributing content on ICD-10, please contact Joanne Bartley, Manager, Business Centered Systems, via e-mail or 312-915-9251. Volunteer opportunities include adding content to the HIMSS ICD-10 PlayBook and two ICD-10 work groups.

NEW! HIMSS Launches Provider-Payer Community
After four year of bringing providers, payers, and health IT solutions together through the HIMSS Patient-Centered Payer Roundtable to explore payer-provider-IT collaborations and solutions that improve health and value, and foster collaboration and trust, HIMSS is expanding its efforts by launching the Provider-Payer Community. The community is set to launch this fall. Share your knowledge, ideas, and thoughts through monthly interactive webinars, two-minute drills to the community, and social media engagement. Join the Community and let your voice be heard. For more information, contact Nancy Devlin. If you are interested in helping to determine the topics and speakers for the upcoming year, take a minute to complete the following short survey to indicate your areas of interest and how HIMSS can best help you on your journey to patient e-engagement.

NEW! Nominate a Colleague for a HIMSS Award
HIMSS is now accepting nominations for awards that recognize significant professional contributions to the field of health IT. Each year, HIMSS gives 15 awards in four categories: industry service, HIMSS service, publications and chapters. Recipients are volunteers and leaders in the field who have contributed to the improvement of healthcare through the use of information systems and management. Nominate a colleague by clicking the link above. Nominations will be accepted through Oct. 15. Winners will be honored at the Awards Banquet at HIMSS14.

NEW! Scholarships Available for Students in Health IT
HIMSS is pleased to announce that 12 scholarships will be made in 2014 to student members studying in a program related to health IT. Applications will be accepted through Oct. 15. Each winner will receive a $5,000 scholarship and an expense-paid trip to HIMSS14 in Orlando. Seven HIMSS Chapters have sponsored scholarships this year to support the academic aspirations of their members. The New England, South Florida, Central and Northern Florida, Georgia, Virginia, and North California chapters will each be offering one scholarship, while the New York Chapter will provide two scholarships. The HIMSS foundation will award four scholarships. Scholarship applicants must be Members of HIMSS National and of their regional chapter, as appropriate. Undergraduate applicants should be junior level or above. Graduate and PhD candidates are encouraged to apply as well. More information and the online application form can be found at the link above. Scholarship winners will be honored at the Awards Banquet on Feb. 25 at HIMSS14.

Volunteer for the IHE NA Connectathon 2014
IHE USA is seeking volunteers for the IHE NA Connectathon 2014 Monitor Team. Monitors use their skills and expertise to review and verify interoperability tests performed by participating organizations at the North American Connectathon: Jan. 27-31, 2014, in downtown Chicago. Learn more about IHE USA’s Monitor team and requirements for application at the link above.

Interoperability Challenges? Submit New Work for 2013-2014 IHE Publication Cycle
Demand for interoperable systems is gaining national attention. Is your organization pressured to find an effective solution? IHE International has been developing interoperable based standards, IHE Profiles, for the HIT industry since 1998. Today, IHE is looking for your organization to speak up. Submit your challenges to IHE and become a part of the solution. IHE International’s call for new work items closes Sept. 29. Click the link above to learn more.

HIMSS Clinical & Business Intelligence (C&BI) Community
Clinical & Business Intelligence (C&BI) has the power to help you positively impact patient care, delivery, health outcomes, and business operation. The HIMSS C&BI Community supports activities that promote peer-to-peer networking, problem solving, solution sharing and education. Through membership, you will obtain practical knowledge and guidance to help you effectively manage and use data. The Community holds monthly Virtual Events on the fourth Thursday from 1-2 p.m. (ET). Join the Community for our next meeting on Sept. 26. Guest speaker Monica Horvath, PhD, Duke University will present “An Analytics Framework for Evaluating the Return on Health for Deployment of an Enterprise EHR”. Many health systems are deploying certified EHR technology in order to address the changing regulatory and reimbursement landscape. Duke Medicine has created an analytics team dedicated to evaluating the benefits and unintended consequences of an enterprise EHR deployment across 2 community hospitals, several hundred clinics, and an academic medical center. You will learn how to create strategic objectives for benefits realization, align a benefits realization workgroup to other organizational analytic activities, and understand the challenges in scoping projects while managing a small analytics team. Join the Community today. For more information and to review and listen to past events, visit the C&BI Community web site.

HIMSS C&BI Data and Analytics Task Force Seeks Members
HIMSS Clinical & Business Intelligence (C&BI) efforts empower members with practical guidance and unbiased information about how to harness the power of healthcare data. The HIMSS C&BI Data and Analytics Task Force is accepting members to help create the tools and resources providers and provider organizations need to manage, integrate and aggregate the necessary information to support robust data and analysis that will facilitate effective reporting by translating data into meaningful knowledge, resulting in improved quality, clinical and financial outcomes. Monthly meetings are held on the third Tuesday, 1-2 p.m. (ET). Our next meeting will be Oct. 15. To sign up for the Task Force, and to help us get to know each other’s background, skill set and interest, please take a moment to fill out this brief survey. Contact Nancy Devlin for further information.

HIMSS C&BI Population Health Task Force Seeks Members
HIMSS Clinical & Business Intelligence (C&BI) efforts empower members with practical guidance and unbiased information about how to harness the power of healthcare data. The new HIMSS C&BI Population Health Task Force is accepting members to help create the tools and resources – including tactical C&BI strategies around data and analytics, and strategies for organizational planning and patient engagement – to help healthcare organizations use C&BI to execute population health management initiatives. The meetings are held on the second Tuesday of the month, 2-3 p.m. (ET). Our first meeting will be Oct. 8. To sign up for the Task Force, and to help us get to know each other’s background, skill set and interest, please take a moment to fill out this brief survey. Contact Nancy Devlin for further information.

HIMSS Accountable Care Task Force Seeks Members
The Accountable Care Task Force is accepting members to help create tools and resources providers, hospitals, integrated delivery networks, health plans and other stakeholders need to achieve the industry transition from volume to value based healthcare through Accountable Care Organizations. The meetings are held on the 2nd Wednesday of the month. Our next meeting will be on Oct. 9, from 2-3 p.m. (ET). To sign up for the Task Force, and to help us get to know each other’s background, skill set and interest, please take a moment to fill out this brief survey. Contact Nancy Devlin, for further information.

Share Your Career Story
HIMSS is looking for health IT leaders who are willing to share their “pearls of wisdom” and advice with our Emerging Professionals group via a monthly webinar series. To facilitate the adoption of the meaningful use of health IT, projections by the U. S. Department of Labor estimates that over 50,000 new professionals will be added to the already existing complement of health IT professionals. HIMSS has placed great emphasis on the HIT Emerging Professional, those with five years or less work experience in health IT, by creating the HIMSS Emerging Professionals group. We will host a series of monthly, informational webinars that meet on the second Friday of the month at 12 p.m.-1 p.m. (CT). If interested in presenting, send your contact information and a short description (30-50 words) of your presentation to the e-mail link above. To view recordings of past webinars, click here.

Chapter Advocacy Roundtable Seeks Members
HIMSS mobilizes its members to engage in various advocacy activities. State chapters are encouraged to designate one or more of their members to act as a “lead” for advocacy events, campaigns and outreach initiatives. Generally given the title “Chapter Advocate”, these leaders are also often identified as Advocacy Chairs, Advocacy Co-Chairs or Advocacy Liaison. Chapter Advocates across the United States connect with one another through the Chapter Advocacy Roundtable (CAR). Once a year, Chapter Advocates have an opportunity to visit Washington, D.C. to attend an off-site training seminar and participate in HIMSS Public Policy Summit. This year’s annual Chapter Advocacy Roundtable training will take place on Sept. 18, at the Hyatt Regency on Capitol Hill in Washington, D.C. Please click the link above to register for the Policy Summit. Contact Julie Brown, Technology Solutions Coordinator at for further information.

Patient Engagement Technologies Task Force
Do you always have the latest gadgets and apps? Do you know the difference a telehome and telehealth? Join us as we help providers learn how to leverage emerging patient engagement technologies to improve the health and overall wellbeing of their patients. The task force will meet on the third Monday of the month at noon eastern. All current HIMSS members may participate. For more information, contact Valerie Knoke at the e-mail link above.

The Value of Patient Engagement Through Health IT Task Force
Bring your passion for improving patient health and strengthening the partnership between providers and their patients to this new HIMSS task force. Help build tools, resources and provide industry leadership while focusing on the four "pillars" of successful patient engagement: Wellness and prevention; behavioral and social health; home health; and financial health. The task meets on the second Tuesday of the month from 3-4 p.m. ET. All current HIMSS members may participate. For more information, contact Valerie Knoke at the e-mail link above.

Patient Engagement/Social Media Task Force
Be heard! Write blogs, participate in online discussions and social media events through the Social Media Task Force. Work with your peers to develop strategies to help inform and encourage providers to e-engage with patients and caregivers through social media platforms and help promote HIMSS' patient engagement efforts. This task force meets on the first Thursday of the month at noon eastern. All current HIMSS members may participate. For more information, contact Valerie Knoke at the e-mail link above.

Continuity of Care Task Force
It's of the upmost importance that clinicians use electronic health records and HIT to coordinate care in the ambulatory healthcare setting. The Continuity of Care Task Force will create resources and tools that promote and utilize IT to coordinate care amongst healthcare providers to provide better patient outcomes. This group will examine the role of HIT in the primary care setting as it relates to coordinating care with acute setting, Accountable Care Organizations and within Patient-Centered Medical Homes. The task force meets on the second Monday of the month at 2 pm ET. All current HIMSS members may participate. For more information, contact Valerie Knoke at the e-mail link above.

The Value of HIT and Meaningful Use Task Force
Help practices look beyond EHR implementation to the realization of the potential benefits of health IT. This work group will create and collect a library of success stories that show the full value that small medical practices and eligible providers can realize by using health information technologies. This task force meets on the fourth Tuesday of the month at 1 pm ET. For more information, contact Valerie Knoke at the e-mail link above.

Ambulatory Advocacy & Public Comment Work Group
Help solicit and provide feedback on legislation and public comments on regulations impacting HIT in the ambulatory care setting. This work group meets via e-mail and communicates through email as-needed in response to calls for feedback. All current HIMSS members may participate. For more information, contact Valerie Knoke at the e-mail link above.

Members In Action

Learn more about this week's featured member

Dwan Thomas Flowers, MBA, RHIA, CCSDwan Thomas Flowers, MBA, RHIA, CCS, senior health information management consultant, is a speaker for the HIMSS virtual event, “ICD-10: One Year Out,” which will take place on Wednesday, Oct. 2. Registration for this event is free of charge.

She is an independent consultant, and AHIMA-approved ICD-10-CM/PCS trainer, working with a large firm to assist with large payer transitions to ICD-10. Formerly, she served as a manager of special projects across the revenue cycle, a director of health information management (HIM), a performance improvement specialist and in several other coding, educational and leadership roles. She is involved in several healthcare professional associations, including the American Health Information Management Association (AHIMA), the Florida Health Information Management Association (FHIMA), and HIMSS, where she is the former chair of the ICD-10 Task Force.

Read More

December 8-11, 2013. Washington DC Area. The Gaylord National Resort and Convention Center. Healthcare At Your Fingertips. Register Now.

Chapter Events

Sept. 26
8th Annual Georgia Healthcare Trade Faire & Regional Conference

Oct. 8
HHS HIPAA Final Rule Compliance & Cyber Attacks: Are you Prepared?

Oct. 11
Midwest Gateway
Social Media and Healthcare

Nov. 9
LA HIMSS 2012 Louisiana State Conference

Upcoming Events & Deadlines

Nov. 1
HIMSS Nursing Informatics Institute, Hosted by Boston Children’s Hospital

Dec. 9-11
mHealth Summit

Corporate Members of the Week

HIMSS thanks its Corporate Members.

Read the Latest News from HIMSS Corporate Members

Get the latest updates from our HIMSS Corporate Members. New press releases and news announcements are updated daily on the HIMSS Web site.

Renew Your HIMSS Membership?
Login to the Member Center today to renew online or email if you need an invoice sent via email. Renew at the Regular Membership level ($160) for the opportunity to invite a colleague to join HIMSS complimentary for one year (colleague must be new to HIMSS). For more details click here.

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Corporate Member Spotlight

SAS is the industry leader in health analytics software and services, delivering solutions for improving medical care and strengthening financial performance. ARIA® oncology information system supports the unique processes of oncology and helps manage the patients' journey from diagnosis through survivorship.

Adobe is changing healthcare through digital experiences. We proudly help power federal, state & private health insurance exchanges in over 30 states.

Visit SAS online

Visit Varian Medical Systems online

Visit Adobe online

Equifax offers industry-leading solutions for identity management and fraud mitigation, providing the support you need to ensure that the users accessing your systems are who they say they are. CenTrak® is The Smarter Real-Time Location System (RTLS) the leading provider of precise, versatile, and cost-effective location solutions for healthcare. CenTrak'€™s Clinical-Grade RTLS offers unmatched accuracy, speed, performance and power-efficiency making it a smarter investment. Explorys is the leading secure, cloud-based analytics platform that leverages big data to transform healthcare.

Visit Equifax online

Visit CenTrak online

Visit Explorys online

© 2013 Healthcare Information and Management Systems Society
The inclusion of an organization name, product or service in this publication should not be construed
as a HIMSS endorsement of such organization, product or service, nor is the failure to include an
organization name, product or service to be construed as disapproval.

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