Wednesday, December 29, 2010

This Week in Document Imaging 12/29/10

- According to EHR study conducted by RAND Corp, regarding adoption of EHR systems in hospitals:


o Number of hospitals using either basic or advanced EHR up from 24% to 38%

o Largest increase in quality of care was for patients treated for heart failure for hospitals with EHR versus those without


- Results of EHR study conducted by University of California-Davis finds:

o Initial implementation of EHR results in a 25-33% drop in physician productivity

o Internal medicine units adjusted to the new technology and experienced increase in productivity

o Pediatricians and family practice doctors did not return to original productivity levels



- Dell announced it is buying InSiteOne Inc. of Wallingford, CT, and provides medical diagnostic image archiving services.



- According to Black Book Rankings about EHR adoption:

o 90% of healthcare providers that purchased EHR systems are off track to meet meaningful use implementation goals

o Only 10% foresee achieving requirements for stimulus funding this spring

o Over 400 EHR system developers have emerged in past year

o Top five reasons why will not meet requirements:

 93% say lack of support from their EHR vendor

 89% say delay caused by cost of additional support by EHR vendor

 82% caused by rushed selection of EHR vendor

 77% lack staff to implement

 69% are underfunded to rectify difficult EHR system interfaces



- The State of Wisconsin is still pursuing a lawsuit it filed against McKesson for $150 million, for allegedly overcharging Medicare and Medicaid programs.


- Allscripts announced that its EHR can not be integrated with WellDoc DiabetesManager solution. WellDoc allows physicians to have real-time patient self-care data, including; blood glucose data, mediation use, lifestyle info and other diabetes related info.


- Premier Inc., one of the 6 large healthcare group purchasing organizations (GPOs) in the U.S. announced that over the past year, 1,220 hospitals participating in its group buy program have identified $81 million in savings. Savings under the program vary between 5% and 15%.


- HIPAA breach. Dean Health System of Wisconsin notified 2,000 surgery patients that their personal information was exposed when the laptop computer belonging to a doctor was stolen.


- Centra Health System of Virginia notified 14,000 patients that their personal info was exposed when an employee’s laptop computer was stolen from her rental car.


- EHR vendor, eClinicalWorks of Massachusetts reports:

o CEO if Girish Kumar Navani

o Will be hiring up to 200 in 2011 due to growth

o Currently has more than 1,300 employees

o Will build new headquarters for $18 million

o Will finish the year with $150 million in revenue

o 5 year goal is to have 100,000 providers and 100 million patients on its HER


- Results of healthcare survey conducted by PriceWatersCoopers (PwC):

o 86% of patients do not access their medical records electronically

o What consumers would use web-access to health info for:

 58% lab reports

 56% prescription orders

 53% immunization records

 52% upcoming appointments

 48% physician visit notes

 33% suggested preventive health screening

o 72% would trade employer-based insurance for higher pay

-=Greetings from Sandy Hook=-

Wednesday, December 15, 2010

This Week in Document Imaging 12/13/2010

- Kofax, maker of document capture middleware software, announced it won large $400,000 install at Rohm and Haas, a large global manufacturer of chemical products with 50 locations.
- According to “GreenOrder”, a sustainable business strategy firm:

o Copier sales in US are worth $24 billion annually

o Older copiers use up to 60% more energy than new models

o Average office worker creates 1.5 pounds of paper waste each day

o Recycled paper uses 44% less energy and produces 48% less waste

o More than 100 million cartridges end up in trash each year in US

o Cartridges take up to 450 years to decompose

o Toner remanufacturing employs 35,000 in the US

o Reconditioning cartridges saves 264 gallons of oil and 845 lbs. of solid waste each month

o Fewer than 10% of all electronics discarded are recycled each year in US

o Electronics contribute 50 million tons of trash each year to landfills

- Hyland, maker of OnBase document management software, which has a large market share in the healthcare vertical, announced version 10.0 adding:

o Intelligent automated indexing

o Business process and notation modeler

o Site provisioning for MS SharePoint

o Comprehensive full-text search with Autonomy IDOL integration

o Integration for MS Outlook 2010

- EHR usage survey. Survey conducted by Centers for Disease Control and Prevention reveals:

o More than half of physicians surveyed are using at least a partial EHR system in their practices

o Nearly a quarter have a system in place that meets criteria for basic EHR system

o 10% have fully functional EHR in place

- McKesson, maker of EHR systems, announced that Professional Data Services Inc. won its “Value Added Reseller of the Year” award for its sales of McKesson Practice Partner EHR during last year.

- According to survey of EHR usage in pediatric hospitals conducted by Archives of Pediatric & Adolescent Medicine:

o 2.8% have a comprehensive EHR system

o 17.9% have a basic EHR system

o 15.7% exchange health info electronically

o 34.3% have CPOE (computerized physician order entry) systems

- According to survey from College of Healthcare Information Management Executives (CHIME):

o 15% of hospital CIOs are confident that they will have EHR installed by April, 2011

o 5% expect to meet meaningful use targets in first 6 months
- Allscripts, maker of EHR systems, announced it won a contract from Berkshire Health Systems of Berkshire County, Mass.

- Pediatric Cardiology Associates in Syracuse, N.Y., implemented Allscripts EHR.

- Cerner announced it won an EHR contract from WellSpan Health of Pennsylvania.

- Epic won an EHR contract from University of Colorado Hospital.

- Medsphere won an EHR contract from Lutheran Medical Center of New York.
- Auxilio, a managed print services provider that focus on the healthcare vertical, announced it won contracts in California from:

o Santa Rosa Memorial Hospital

o Petaluma Valley Hospital

o Queen of the Valley Hospital
- Worldox, a document management program for the legal vertical, won the “Gold” award from Legal Technology News for 2010 based on customer satisfaction.
- Ricoh announced it has chosen to offer IPRO Tech software for its legal vertical market customers, including the eCapture, Allegro and Eclipse eDiscovery products.

-=Greetings from the Highlands=-

Monday, November 29, 2010

This Week in Document Imaging 11/28/2010

- Microsoft’s Peter Neupert stated that the company is abandoning efforts to make HealthVault (cloud based storage of PHI info) profitable because of the complexity of the U.S. health system. Now the benefit of continuing to offer the product was “simply to increase brand relationship” by raising Microsoft’s image with customers as “important, critical and trusted”.

- McKesson announced it won an EHR contract from North Sunflower Medical Center of Mississippi.

- The Ohio Regional Health Information Partnership (OHIP), a state regional extension center (REC) has selected eClinicalWorks as the ambulatory EHR vendor of choice.

- Details from survey from the Agency for Health Research and Quality:
o based on data from 10,567 staff from 470 medical offices in 33 states
o More than 50% have encountered problems when exchanging information
o 69% reported that patient was unable to get appointment within 48 hours for serious problem
o 85% reported that a wrong chart/medical record was used for a patient
o 63% reported that a chart/medical record was not available when needed
o 70% reported scanning a patient record into the wrong patient folder
o 22% reported that pharmacy contacted office to clarify prescription
o 44% reported that patient’s medication list was not updated during their visit
o 39% reported that lab results were not available when needed
o 79% reported that an abnormal result from a test was not followed up within one business day
o 55% reported problems communicating with labs/imaging centers
o 50% reported problems communicating with other physicians
o 52% reported problems communicating with pharmacies
o 58% reported problem communicating with hospitals
o 82% had electronic appointment scheduling
o 59% have electronic access to test/lab/imaging results
o 51% have EHR systems
o 41% have electronic medication ordering
o 37% have electronic ordering of tests

- The California Department of Public Health fined 7 hospitals for HIPAA breaches:
o Kern Medical Center fined $250,000 for theft of 596 patient records from unlocked locker
 Also fined $60,000 regarding unauthorized access to emergency room patient by two employees
o Pacific Hospital of Long Beach fined $225,000 for employee gaining unauthorized access to 9 patient records
o Kawaeah Manor Convalescent Hospital in Visalia fined $125,000 for employee gaining unauthorized access to 5 patient records
o Delano Regional Medical Center fined $60,000 for employee gaining unauthorized access to medical record of relative
o Childrens Hospital of Orange fined $25,000 for employee gaining unauthorized access to patient record of coworker’s child
o Oroville Hospital fine $42,500 for employee discussing patient record on cell phone with others and posting on MySpace
o Biggs Gridley Memorial Hospital of Gridley fined $5000 for two employees gaining unauthorized access to medical record of coworker

-=Greetings from Sandy Hook=-
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Monday, November 22, 2010

This Week in Document Imaging 11/21/10


- Survey shows hospitals with EHR systems are ready to meet some components of the “Meaningful Use” rules set forth by federal government to access HITECH stimulus dollars:


o Conducted by HIMSS (health information management systems society)

o 22% have capability to achieve 10 or more of the required core measures in Stage 1 of meaningful use

o 34% can achieve between 5 and 9 of the core measures

o 40.47% can achieve 5 or more of the menu items

o 9.61% can achieve 12 core measures

- Most common benefits of installing an EHR(electronic health records system) according to New England Journal of Medicine:

o No more filing, pulling, re-filing or creating paper charts

o No lost charts

o Less time filing

o Universal chart access

o Easier compliance with chart requests

o Improve external communication

o Fewer call backs from pharmacies

o Higher quality documentation

o Spend less time charting

o More efficient chart signing

o Built-in health maintenance protocols and reminders

o Improved medication management

o Improved customer service

o Free up valuable office space

o Eliminate transcription costs (average physician spends $12K to $25K/year)

o Eliminate chart creation costs (average of $5 per chart for supplies and labor)

o No more paying staff to pull and refile charts (average of $0.40 per transaction)

o No more cost to find lost charts (average of $2500 per year)

o Eliminate paper faxes for prescription renewals (average of $36K/year for supplies and labor)

o Reduce undercoding, where physicians are not getting paid for everything they do (average of $25K/year)

- Study by Medical Economics magazine shows that annual cost for an average physician practice to manage paper charts is: (instead of using EHR)

o $12K/year for transcriptions

o $2400/year for paper chart supplies

o $41.6K/year in labor to pull and refile charts

o $2.5K/year in labor to find misplaced charts

o $36K/year for inbound faxes

o $21.875K/year for outbound faxes

o $25K/year for money lost in downcoding (not claiming enough)

o TOTAL = $141,375/year

- According to the Kansas City Business Journal, due to wildlife environmental concerns, EHR vendor Cerner is reconsidering the location of its future 600,000 square foot office in Wyandotte County.

- Cerner wins contract from DeLand Hospital of Florida and North York General Hospital of Toronto.

- Cerner announced it will sponsor the USA Bid Committee to help bring the FIFA World Cup soccer championship to the U.S. in 2022.

- McAfee and Cisco have released their detailed cybersecurity reports for the third quarter:

o 60,000 new pieces of malware were identified per day, quadruple the 2007 rate

o In third quarter, McAfree identified 14 million unique pieces of malware, up 1 million

o The Zeus botnet malware let business to lose $70 million to Ukranian organized crime

o The Cutwail botnet malware used denial of service attacks against 300 websites

o 60% of Google search terms delivered customers to malicious sites in first 100 results

o 10% of malware was encountered via search engines

o 7% of malware was referred by Google

o 7% of all encounters targeted Java

o 1% targeted Adobe Acrobat Reader

o Pharmaceutical vertical was the most targeted

- Survey of large healthcare organizations conducted by Ponemon Institute reveals the following about data security:

o 85% feel they comply with HIPAA

o 72% enforce policies with includes termination of employees who pose threat

o 71% provide training to users

o 66% have business associate agreements

o 65% ensure minimal system downtime

o 53% perform timely system updates with patches

o 47% secure patient data in motion

o 47% know where patient info if physically located

o 45% conduct independent audits

o 39% prevent cyber attacks

o 32% identify major data breaches

o 31% prevent major data breaches

o 30% determine root cause of data breach

o 29% protect patient info used by business associates

o 23% limit access to data storage devices

o 10% protect patient info used by outsourcers, including cloud computing vendors

- According to the Department of Health and Human Services (DHHS), the most common cause of data breaches impacting more than 500 people is the theft of laptop computers.

o Of the 189 data breaches recorded this year that involved more than 500 people, 52% were result of theft

o 20% were from unauthorized access

o 18% were from loss

o 24% involved laptop computer

o 22% involved paper records

o 16% involved desktop computers

o 14% involved portable devices like smartphones

- Holy Cross Hospital if Florida had to notify 40,000 of its patients that a former employee may have stolen their personal information and sold info to a third party. 4 of the 5 people involved have been arrested, including the former hospital emergency room worker. The info was used to illegally obtain credit cards, effectively stealing their identities.

- McKesson Corp, an EHR vendor, announced it is cutting its lobbying spending by 61%, from $110,000 in third quarter, versus $281,000 a year ago. It lobbied Congress, DHHS, CNS and FDA.

- McKesson announced it won an EHR contract from HealthPoint of Tampa, FL with its Practice Partner product that will cover 110 physicians.

- Greenway Corp. & Sage Corp. announced that their EHR products were endorsed by PA REACH East and PA REACH West, the Pennsylvania regional extension centers (RECs)

- Most companies do not erase sensitive data from hard drives according to study conducted by Kroll Ontrack:

o Only 49% stated that their businesses deployed a data eraser method

o Among that group, 75% do not delete data securely

o Average business suffers at least one data breach per year

o Data breaches cost U.S. companies an average of $6.75 million

o Only 19% deploy data eraser software

o 6Z% use a degausser to erase media

o 33% do not know how to ensure data has been erased

o 22% say they reboot the drive to see if data is still there

o 60% of all old business computers are fully intact with proprietary business data in the second hand computer marketplace

o 40% say their companies gave away their used hard drive to another individual

o 22% don’t know what happened to their old computers

o 16% rely on a product or service report to confirm all of their data had been wiped

- The Department of Veterans Affairs (VA) reported its data breaches in October of 2010:

o Notified 2,574 veterans that there personal info may be compromised

o Two stolen desktop computers

o Lost 22 Blackberry devices

o 79 internal unencrypted email incidents

o 79 mishandling incidents (i.e. mixing up prescriptions)

o 10 mis-mailed medications

- AvMed Health Plans had a class action lawsuit filed against the company by the law firm of Edelson McGuire:

o Two unencrypted laptop computers were stolen on 12/11/2009 in Gainesville, FL, with possibly 1.22 million customers having their personal information compromised.

o Info stolen included Social Security numbers

- According to Dan Vesset, analyst at IDC, the Healthcare business intelligence market was $600 million in 2009, and will grow faster than any other vertical market in the next 5 years. Growth driven by:

o Increased focus on financial performance management

o Labor productivity

o Cost control

o Analysis of billing

o Analysis of payments

o Bed occupancy rates

o Patient treatment

- St. Joseph Health System, with locations in western U.S., announced it chose Microsoft’s Amalga Unified Intelligence System for data storage. It will load data from its Allscripts, GE and Meditech EHR systems.

- Allscripts, maker of EHR systems, announced that it will allow outside developers to write programs. So far, 200 software developers have expressed an interest with 45 already signing on.

- Allscripts has partnered with the Illinois Technology Association to support and promote the ITA Fall Challenge, to identify students who are future technology leaders. Partnership led by Celia Harper-Guerra, Senior VP of Talent Acquisition and Development for Allscripts.

- Allscripts announced it won an EHR contract from SA Health, the public health system of Australia that covers 80 hospitals. Also have install at West Penn Allegheny Health System.

- The Ohio Health Information Partnership, a regional extension center serving parts of the state, announced it selected 5 preferred HER vendor:

o Allscripts

o eClinicalWorks

o eMDs

o NextGen

o Sage
- Geisinger Health System of Pennsylvania was featured recently in Bloombery Businessweek as having spent $35 million to install Epic EHR, and then spent another 4@ million to get the system to work with its pharmacy database.
- Epic won EHR contract from Wake Forest University Baptist Medical Center.
- Dell reported that its sales to healthcare vertical are responsible for its recent financial performance. The company reported that its profits more than doubled, and its revenue was up 19%. Examples of contracts won:

o Methodist Hospital in Houston, TX

o Western Maryland Health Systems in Cumberland, ND

o Songjiang Hospital in Shanghai, China
- Dr. Robert Wheatley of Florissant, MO reported that his laptop computer was stolen from a locked vehicle which contained information on 1,400 patients.


- Vangent of Arlington, VA won a $3.3 million EHR contract from Indian Health Services for locations in:

o Aberdeen

o Albuquerque

o Bemidji

o Billings

o California

o Nashville

o Navajo

o Oklahoma City

o Phoenix

o Portland

o Tucson
- Athenahealth announced its EHR product was selected as preferred choice by Tri-State Regional Extension Center (REC) which covers Ohio, Kentucky & Indiana.
- Meditech wins EHR contract from Memorial Hospital of Illinois. The company also has system in place at Chandler Regional Medical Center of Arizona.
- NextGen won contract to provide its EHR to physicians of Baptist Health Care of Florida and Alabama.
- C3 Partners LLC announced it is offering a on-line software package to assist physicians make sure they are meeting Meaningful Use requirements for fed stimulus funding. www.hitechanswers.net

- According to Office for Civil Rights, over 5 million people have been affected by healthcare data breaches since September, 2009.

Tuesday, November 9, 2010

This Week in Document Imaging 117/10

- According to the Department of Health & Human Services, more than 5 million Americans have been affected by HIPAA data breaches since, 9/2009.
- According to The Ponemon Institute, hospitals spent $6 billion annually because of patient data breaches, and Federal regulations (i.e. HIPAA) have not improved the safety of patient records. Research showed:
o hospitals are not protecting patient data
o hospitals admit to being vulnerable to data breaches
o breaches are occurring frequently and often go unreported
o only a small percentage of healthcare organizations rely on security technology

- ScImage Inc. of Los Altos, CA announced that it has developed software to integrate EMR software systems with Konica Minolta ImagePilot digital radiography systems, using HL7 communications and web-viewing technologies.

- Former employee, Cam Giang, pled guilty to stealing personal information (name, date of birth and Social Security numbers) from 218 coworkers while at University of California San Francisco Medical Center. Mr. Giang was sentenced to 12 months and one day in prison.

- A skin printer? The Wake Forest Institute for Regenerative Medicine and the Armed Forces Institute for Regenerative Medicine announced they have developed an inkjet printer that deposits skin cells directly onto a wound to help it heal faster.

- Results of survey conducted by CompTIA:
o 34% of healthcare providers report using EHR system
o 16% report using a partial EHR system
o 29% are evaluating their options
o 20% have not yet started research

- More reason why healthcare firms should use biometric finger vein reader options:
o 100 times more accurate than finger print scans
o Nearly impossible to hack
o Scanner converts subcutaneous vein pattern into thousands of zeroes and ones
o All data encrypted and hidden behind firewall
o Encrypted to AES 128 bit
o You can not leave your vein pattern at a crime scene
o Prevents medical records overlays and merging
o Prevents identity theft
o Prevents lack of ID for unconscious patients

- Allscripts announced it won an EHR system contracts from:
o United Hospital Systems of Kenosha, Wisconsin.
o Our Lady of Lourdes Hospital of New York
o Martin Memorial Health Systems of Florida

- Allscripts CEO, Glenn Tullman stated that the federal government will spend as much as $27.4 billion between 2011 and 2021 to encourage health professionals to install EHR systems.

- Epic wins more EHR contracts:
o $56 million from New Hanover Regional Medical Center (which is receiving $13.7 million in federal incentive money)
o $450 million system at the 28 hospital Sisters of Mercy Health System in Arkansas
o Fairview Northland Medical Center in Minnesota
o Fairview Lakes Medical Center in Minnesota
o Pen Bay Healthcare of Maine

- According to survey conducted by KLAS, the most popular EHR providers for community hospitals:
o For small hospitals of 1 to 150 beds = Meditech
o 151 to 300 beds is Cerner
o 300+ beds is Epic

- Meditech reported that its last quarter’s revenues were up 23%.

- Meditech announced it has certified Canon & Kyocera MFPs as printers for its system.

- Sage Intergy wins contract for 90 radiation therapy centers in 16 states for 21st Century Oncology, headquartered in Florida.

- NextGen announced:
o wins EHR system contract from ACT Health Management Services of North Carolina with 400 locations and 70 clinicians
o wins HER system contract from Methodist Hospital of Texas (5 hospitals and 289 physicians)
o reported that its revenue was up 14% to $81.5 million during last quarter.

- Athenahealth wins a EHR system contract from Holy Cross Hospital of New Mexico.

- EHR federal government timeline:
o Fall of 2010 = certified EHR technology available and listed on ONC website
o January, 2011 = Registration for EHR incentives begin
o January, 2011 = State Medicaid providers may launch the programs
o April, 2011 = Attestation for EHR incentive programs begins
o May, 2011 = incentive payments begin
o November 30th, 2011 = last day for hospitals to register and attest to receive incentive payment for FY2011
o February 29, 2012 = last day for physicians to register and attest to receive incentive payments for CY2011
o 2014 = Last year to initiate participation in program
o 2015 = Medicare payments are reduced for those that have not installed EHR system and shown meaningful use
o 2016 = last year to receive incentive payments and last year to initiate participation
o 2021 = last year to receive incentive payment

- Microsoft reported that only 150 hospitals worldwide are connected to its HealthVault personal health platform.

- McKesson, provider of EHR systems, announced it is buying US Oncology for $2.16 billion. US Oncology of The Woodlands, Texas, makes EHR systems for 1,300 community-based oncologists.

- Cerner wins contract for EHR system at Regional Medical Center in South Carolina. Also has install at Eastern Maine Medical Center.

- After originally not being selected, Missouri healthcare officials are giving Cerner a second change after the Kansas City based company failed to make a two-state list of preferred EHR vendors.

- eClinicalWorks announced it won an EHR systems contract from the San Francisco Department of Public Health, for its 800 doctors.

- A survey of hospital medical records departments conducted by CapSite found:
o 3M Health Information Systems has 30% marketshare
o Meditech has 22% marketshare
o 41% plan to invest in new applications during next 24 months

- The 2010 HIMSS (health information management systems society) Security Solutions Survey found:
o 50% spent 3% or less of their IT budgets on security
o 14% of hospitals have yet to conduct a risk analysis
o 33% of clinics have yet to conduct a risk analysis
o 31% have encrypted data on laptop computers
o 16% have not encrypted any laptop computers
o 69% have plan in place to respond to a data breach
o 33% of hospitals have fulltime chief security officer
o 8% of clinics have fulltime chief security officer
o 38% have designated a staffer to handle security responsibiities

- Surescripts Inc., which operates a nationwide e-prescribing network, announced that it will now support and enable the electronic exchange of all types of clinical information.

- Indiana Attorney General Greg Zoeller has sued health insurer WellPoint Inc. for $300,000, alleging the firm took too long to notify Indiana residents affected by a HIPAA data breach, affecting 32,000 people. The breach was related to a website that inadvertently exposed personal financial info and SS#’s.

- FormFast Software announced it won contract for electronic forms software from Capital Region Medical Center of Jefferson City, MO.

- Scientists from the University of Oxford have shown that they can improve a person’ math abilities for up to 6 months by applying an electrical current to the human brain.

- A document management survey conducted by Version One revealed:
o 86% of senior IT professionals are still reliant on paper records
o 51% stated that they are “very reliant” on paper based records
o 1% stated that they “hardly ever” rely on paper
o 13% stated that they are “occasionally reliant” on paper
o 32% would switch to document management system (DMS) to improve customer service
o 20% said that assurance that electronic documents are legally admissible would be key driver for eliminating paper
o 48% want to be assured that DMS would provide enough security

- WorkflowOne announced it won a document management solutions contract from the Albert Einstein Healthcare Network in Dayton, Ohio.

- Survey results from Medical Group Management Association (MGMA):
o Hospitals with EHR systems reported $49,916 greater total medical revenue after operating cost per physician than practices using paper
o After 5 years of use, practices reported an operating margin 10.1% greater than practices in their first year of EHR


-=Greetings from Sandy Hook=-

Tuesday, November 2, 2010

This Week in Document Imaging "Industry Notes" 10/31/10


OpenText of Canada, maker of fax servers (FaxPress & Rightfax) and DMS (Hummingbird) announced it has purchased StreamServe Inc., for $71 million, which makes electronic forms software.
- Keane Inc., a company which specializes in offering managed IT services to healthcare industry, announced it was acquired by Nippon Telegraph and Telephone Corporation (NTT) of Japan for $1.2 billion.

- Allscripts, a vendor of EHR, announced that last quarter’s revenue was $192.5 million compared to previous quarter’s revenue of $190.3 million

- McKesson, EHR vendor, announced it won contract from Cowherd Family Medical Center of Heber, Arkansas.

- Federal authorities arrested 4 people in connection with $200 million fraudulent Medicare claims in Miami. The companies involved were American Therapeutic Corp. and Medilink Professional Management Group, and had to do with bogus mental health therapy sessions.

- Auxilio, a company that specializes in offering managed print services to the healthcare industry, announced it won another bid in New York, with a $3.5 million, 3 year contract from New York Hospital Queens.

- Surescripts Inc. announced it is expanding its nationwide e-prescribing network with a new service that will allow for exchange of clinical health information. It includes:
o Up to date summaries of patient’s recent visits
o Secure messaging tools
o Net2Net Connect for sending and receiving clinical info outside their network
o Message Stream for electronic exchange of clinical info
o Clinical Message Portal for those without EHR that wish to send and receive info


- Results from healthcare survey conducted by SK&A:
o Survey of 213,500 medical offices
o EHR adoption at hospital-owned offices grew from 44.1% to 54.9% (10.8% increase)
o EHR Adoption at health-system owned offices grew from 50.2% to 61.2% (11% increase)
o Overall, medical office EHR adoption has grown from 36.1% to 38.7% (3% increase)
o Most commonly used EHR functions are:
 28.4% use electronic patient notes
 27.3% use electronic labs/x-rays
 25.9% use electronic prescribing
o Physician offices with more exam rooms, more physicians on staff, and higher daily patient volumes have highest EHR adoption rates
o Physician specialties with highest adoption rates
 Radiology = 59.9%
 Pathology = 59.8%
 Aerospace medicine = 59.5%
 Dialysis = 59.3%
 Emergency medicine = 57.6%
o Which states use EHR more?
 Northern states = 40.9%
 Southern states = 40.1%
 Minnesota = 62.6%
 Utah = 55.4%
 Wisconsin = 52.3%

- Survey data released by during the recent Medical Group Management Association (MGMA):
o Practices with EHR systems that were not owned by hospitals or integrated delivery systems (IDNs) reported $49,916 greater total medical revenue as compared with those with paper medical records
 These practices also reported greater expenses per physician ($105,591), but had greater median revenue per physician ($178,907) than those with paper medical records systems
 After 5 years of EHR use, had operating margin that was 10.1% greater than practices using EHR for 1 year
o Practices with HER system that were owned by hospitals or IDNs had operating margin that was $42,042 higher than those with paper records
o Medical records staff per physician decreased by 44.12% after install of EHR
o 62% of medical practices will limit the number of new Medicare patients they accept if scheduled reimbursement cuts, totaling more than 30%, go into effect
o Almost 50% stated that they will stop seeing new Medicare patients altogether
o 75% said they planned on delaying purchase of new equipment or facilities
o 50% are planning on reducing staff
o 45% may put off purchasing EHR

- Cerner, maker of EHRs, which recently announced it will build a new office in Kansas, is now asking Kansas City for $50 million in industrial revenue bonds to pay for new computers and other equipment in the new facility. If approved, the city would own the equipment and lease it back to Cerner.

- Siemens, maker of EHR, won contract from Charleston Area Medical Center of West Virginia.

- iSalus Healthcare, maker of EHR systems, announced that the CEO it recently fired, Mark Day, is now suing the company. Mr. Day claims he was fired after reporting that he was suspicious that employees were stealing software.
- Epic, maker of EHR systems, won a contracts from:
o Rush University Medical Center of Illinois.
o New Hanover Regional Medical Center of North Carolina for $56 million to replace McKesson Horizon system

- The Kansas Foundation for Medical Care Inc. and University of Missouri Board of Curators published a list of preferred medical software providers, including GE Healthcare and McKesson. Noticeably absent is Kansas City-based Cerner Corp.

- CapSite announced that its survey reveals that 41% of hospitals will invest in new health information management (HIM) solutions in 2011.

- The Centers for Medicare and Medicaid Services (CMS) announced it will implement auditing procedures to check healthcare providers that are claiming funds for install of EHR systems.

-=Greetings from Sandy Hook=-

Tuesday, October 26, 2010

This Week in Document Imaging "Industry Notes"


- The Ottawa Hospital of Canada announced it awarded a contract to Telus Inc. for software system to run 3,000 Apple iPads on a wireless network, with access to its database.

- According to Steven Waldren, director of AAFP’s Center for Health IT, the fed government payments for EHR installs is taxable.

- Cerner wins customer award. Ovum, a division of DataMonitor, announced that based on a survey of the ambulatory healthcare market (not hospitals, which are acute care), that Cerner’s EHR software is number one. More details:
o “Cerner is the most versatile and multi-faceted”
o eClinicalWorks in second place
o GE Healthcare in third place

- Cerner announced it will build a new 600,000 square foot office at Village West in Kansas City, Kansas that will employ 4,000 personnel. Total investment of $16.5 million.

- The Hospital Corporation of American (HCA), headquartered in Nashville, TN, with locations across the U.S. , is apparently testing Cerner’s EHR. This is significant as its current system is from Meditech.

- Siemens, maker of EHR system and other technologies, announced it will layoff 17,000 people worldwide due to slow sales.

- Epic, maker of EHR systems, won more hospital contracts:
o Yuma Regional Medical Center of Arizona, which has 333 beds, and contract is worth $73 million.

o Moses Cone Healthcare, which has facilities in North Carolina and employs 7,400 people. Total contract value up to $120 million.

o Mount Sinai Medical Center in New York

- Katina Candrick was sentenced to 10 years in prison, and a $163,000 fine for stealing information on 1,200 patients while working for MedAssets.

- Athennhealth, maker of EHR systems, announced that its revenue has grown 33% this past quarter to $63.1 million

- Allscripts, maker of EHR systems, announced it won contract from the Bronx-Lebanon Hospital Center of New York.

- HIPAA data security breach. Keystone Mercy Health Plan and AmeriHealth Mercy Health Plan, insurance providers in Pennsylvania, reported the loss of an unencrypted portal flash drive that contained patient data for 280,000 members.

- GE Healthcare announced EHR installs at:
o Capital Region Healthcare in Concord, NH
o Decatur Memorial Hospital in Decatur, IL

- McKesson, maker of EHR systems, announced it won a contract from Greater Florida Anesthesiologists.

- McKesson agreed to pay the state of Connecticut a $15 million fine to settle charges of illegally inflating drug costs.

- Cause of data theft named after Greek god. The Zeus malware program is being blamed for many thefts of customer information. The computer virus first appeared in Europe in the mid-90s. and the makers continue to modify it to circumvent whatever security measure are put in place. It is a keylogger software, meaning it affects a PC, and then tracks keystrokes, making it ideal for tracking bank account information.

-=Greetings from Sandy Hook"

Monday, October 25, 2010

Getting into already-tied-up accounts by selling solutions


I had the chance to meet Yusuf when he joined the Print4Pay Hotel forums and then emailed me a short note about the solutions that Dipritec provides for the MPS and MFP industry.  Since I had not heard of Dipritec and their solutions I asked him to be a quest blogger for us. Enjoy!!

Getting into already-tied-up accounts by selling solutions

There is one customer objection that every sales person cringes upon hearing: “We have signed a 3-year contract with another company and can’t buy printers until that contract goes out”.

Now I am not a printer salesman, and I won’t claim expertise in the area. But one thing I do have under my belt is that we have many resellers selling our print management solution, and they claim to have found a great way to overcome this objection.

Simply tell the customer that you are not interested in selling them printers, so the exclusivity agreement doesn’t matter. Instead, tell them that you are interested in how they manage those printers that your competitor has sold to them.

Very commonly, they are aware that they do not have a good strategy for managing their printers. For example, it can be difficult to track and reduce costs of printing, or they may lack functions such as print and pull. I have written another article about how a pull and print solution can help companies reduce costs and improve security.

If the organization is big and has multiple offices, a problem that is very often persistent and difficult to solve is how those printers are networked efficiently from an IT standpoint. For example, are there print servers in each office and how does that affect energy usage and maintenance costs? How are printer drivers kept track of and updated centrally? And how much time does the IT support spend on printer related issues?

By first going in with a standalone software solution instead of machines, many of our resellers’ account managers have established long-term relationships with their competitors’ customers, even when those customers have been tied up in long-term contracts. Learn the basics about a great print management software, and use this strategy next time you get the above objection!
Yusuf Hasanogullari
Tel: +353 (0) 876 74 04 22
yusuf@dipritec.com
---
Dipritec - Take control of your printers
www.dipritec.co.uk

-=Greetings from Sandy Hook=-

Tuesday, October 19, 2010

Sharp MX-B402 "Spec Review"


Sharp launched a new A4 b/w laser MFP, the MX-B402 featuring:

o Base MSRP of $4795
o 40ppm top speed
o Will replace the MX-B401
o 50 second warmup time and 8 second first copy out time
o Has 25% lower cost per page to the dealer
o 20,000 page yield for black toner (based on 5% coverage per page)
o 7” color touchscreen LCD display with thumbnail preview
o 600x600dpi
o Optional fax board with PC fax
o Handles up to 110lb. index paper weight
o Comes standard with 100 sheet stack bypass and one 500 sheet paper drawer, and can up to 3 more drawers to make unit floor standing
o Auto duplex & 50 sheet document feeder standard with 35opm scan speed
o Card shot standard
o Built-in print controller:
 Actual maker unknown (most likely Zoran)
 IPv6
 10/100/1000BaseT& USB ports in rear
 USB port in front for print from thumb drive
 Optional card readers
 800MHz processor from Freescale
 512MB RAM (separate 1GB RAM for copier features)
 80GB hard drive
• Optional hard drive data security kit
 PCL & PostScript print drivers standard
• Optional XPS print driver which requires purchase of 1GB RAM option
 imageSEND scans documents to 7 destinations
• USB/network/email
• Scans in color
 Internet fax
 OSA technology for optional embedded applications
o Optional internal 30 sheet stapling finisher

-=Greets from Sandy Hook=-

Tuesday, September 7, 2010

Weekend Document Imaging Notes


- TIFF format works better with OCR than PDF? According to Sam Schrage, president of AnyDoc, maker of document capture software, “It’s really about applying the least common denominator. With TIFF files, you have a better idea of what you are getting. The only variation is going to be the layout. With electronic files, you have to worry about different formats, versions of formats, and even things like macros.”

- Another healthcare data breach. The University of Kentucky is notifying 2,207 people that their personal information including Social Security numbers was on a laptop computer that was stolen.

- Federal regulators now estimate that nearly 4.8 million individuals have potentially had their personal information exposed due to the 138 breaches reported so far.

- A study by Frost & Sullivan predicts that revenue for the U.S. ambulatory electronic health record (EHR) market will double from $1.3 billion in 2009 to an estimated $.26 billion in 2012.

- The Drummond Group announced that it has received approval by the feds to offer certification services to healthcare customers for their EHR systems. Pricing starts at:
o Remote testing of EHR = $19,500
o Onsite testing = $23,500 plus travel
o (the other firm who is allowed to certify is CCHIT)

- Epic announced it won an EHR contract from Maine Medical Center, to replace their Eclipsys system.

- Cerner announced it won an EHR contract from Naples Community Hospital.

- The Detroit Medical Center claims that its new EHR system from Cerner will save the hospital $5 million per year. The system cost the hospital $50 million to implement.

- The CFO of Danbury Health System of Connecticut was arrested and charged with cutting checks totaling $140,000 to an EHR software company he ran out of his house.

- Aon Consulting is notifying 22,000 State of Delaware retirees that it inadvertently included their Social Security numbers in a request for proposal that it prepared to the state.

- Survey results from Imprivata about healthcare customers readiness for HIPAA rules:
o 76% claim a data security breach is their greatest security concern
o 38% report that they can not track inappropriate document access
o 76% report that top budget priority is buying an EHR system
o What type of authentication will you deploy to meet HIPAA?
 83% = passwords
 37% = biometrics
 35% = proximity ID cards
o 90% believe that use of passwords slows down patient care from doctors
o 48% are still not sure if their existing EHR qualifies for fed gov reimbursements (under ARRA/HITECH act)
o 46% believe the biggest challenge for complying with fed rules is educating employees
o 47% are not sure if they are subject to any state laws regarding data security
o 97% state that new fed rules drive their purchasing decisions

-=Greetings from Sandy Hook=-

Canon imageCLASS MF9280Cdn and MF9220Cdn "Spec Review"


Canon launched two new A4 desktop color laser MFPs, the imageCLASS MF9280Cdn and MF9220Cdn featuring:
o Copy/scan/fax/print standard
o Auto duplex standard
o 50 sheet document feeder
o Comes standard with 250 sheet paper drawer and 100 sheet stack bypass
o Optional 500 sheet paper drawer
o 22ppm color or b/w top speed
o 4 tandem OPC drum design
o 3.5” full color LCD display (not touch screen)
 Easy Scroll Wheel to help select features on the display
o Built-in print controller
 Actual maker unknown
 USB port
 Can print from or scan to a USB thumb drive
 Scan to email with LDAP
 MF9220 offers PCL print driver only
 MF9280 has PCL and PostScript print drivers
 Apparently no XPS print driver available

Need to lease or buy a new multifunctional copier? Call a P4P solutions expert at p4pcafe http://www.p4pcafe.homestead.com/

-=Greetings from Sandy Hook=-

Sunday, August 22, 2010

Weekend Document Imaging Notes 8/22/10


- Legal vertical workload increases. According to Cowen Group, litigation support departments at law firms are experiencing double digit growth in workload during 2010. Data includes:
o work hours are up
o increases in eDiscovery workloads
o increase in litigation support
o many plan to add staff
o increases in budget for technology purchases

- IBM announced it will offer healthcare IT in the cloud working with Aetna Insurance through its ActiveHealth unit. It will compete with similar offerings from Practice Fusion, AthenaHealth and eClinicalWorks.

- Prompted by the CBS report in April on copier data security, a newspaper in Europe, called News of the World, did its own investigation of copier hard drives. The newspaper purchased a number of trade-in copiers and found:
o NATO briefing notes
o Details of a bank account belonging to BAE systems (a large defense contractor)
o The information was found on the hard drive of a Canon imageRUNNER

- Fujitsu launched a free service that lets individuals use their mobile phones to keep personal health records. The cell phones have sensors to record weight, body fat and blood pressure.

- Fujitsu and the University of Tokyo announced that they have jointly built a supercomputer system that can development drugs to treat cancer and metastasis.

- The Forrester Group reported that its survey of healthcare IT professionals revealed that 75% had their systems go down over the last year. 61% stated it took more than 1 hour to recover from the crash.

- Epson announced a new print driver, called ESC/P-R, that will allow some of its color inkjet printers to print from Royal Phillips ultrasound equipment in the healthcare industry

- Recent data on healthcare reveals:
o currently there are roughly 750,000 healthcare establishments in the U.S.
 6,013 hospitals
 918,000 physicians
• 67% affiliated with hospital
• 60% have no HER
• Less than 25% of doctors prescribe drugs electronically
o In addition to medical records and forms, the most common paper documents per department are:
 Customer Records include contracts, forms, authorizations, contact reports and email
 Human Resources include resumes, contracts, expense reports, vacation requests and reviews
 Legal includes contracts, e-discovery and auditing
 Purchasing includes purchase orders, receiving slips, invoices and confirmations
 Product management includes designs, drawings, data sheets and contacts
o The most common reasons why they will invest in technology:
 81.5% want to increase productivity
 67.7% want to lower costs
 60% want to address security requirements
o Only 40% of those surveyed had some type of document management system

- Recent AMA survey shows that it is not uncommon for medical practices to report a gross collection rate of only 60% or less. This means that for every $1.00 of medical services billed, the physician may only receive 60 cents. Other findings:
o gross charges denied by payers has grown to 14-18%
o denied, rejected, resubmitted and underpaid claims can costs as much as $100,000 per month
o practice can lose as much as $75,000 per year in denied claims that are never resubmitted
o many practices do not resubmit up to 50% of their claims
o underpayment of claims is as much as 35% lower than contracted amount

- In a recent healthcare industry trade magazine, in section titled “The Healthcare IT Guy”, recent reminders were given for doctors to qualify for federal funds for implementation of an electronic health records (EHR) system: (of which MFPs, scanners, document management and middleware can play a role)
o If starting implementation in 2012, will be eligible for full payments from Medicare ($44K over 5 years)
o Can start as late as 201 to get full payments from Medicaid ($63K+ over 6 years)
o For hospitals, payments include a base amount of $2 million, plus $200 per patient, starting with the hospital’s 1,150th patient discharged and ending with No. 23,000, beginning in 2011 fiscal year.
 Both doctors and hospitals that cannot “demonstrate meaningful use of EHR” by beginning of the 2015 fiscal year will be penalized



- As the healthcare industry “digitizes”, one of the concerns is the amount of data storage that will be required. In a recent article in “Healthcare Technology”, the data collected by medical imaging (radiology) equipment was detailed:
o “Prior to the mid-90s, most of the scanning was only two slices. Now 3D visualization is a must-have application and a primary diagnostic tool. This has had a significant impact on the medical imaging industry. For example, if you took a head and neck scan in 1994, it was about 21 slices. Today, a single head and neck scan is 240 slices.”
o Formats/acronyms used in radiology are; PACS (picture archiving and communication system) and DICOM (digital imaging and communications in medicine)

- Four different insurance companies announced that they will offer financial incentives to physicians and hospitals for meeting federal EHR meaningful use rules:
o Aetna
o Highmark
o UnitedHealth
o WellPoint

- EHR provider, Epic, announced contracts with:
o Tucson Medical Center
o Kaiser

- Two senators attempt to expand who can get the HITECH subsidies from Medicare and Medicaid:
o Sheldon Whitehouse & Jack Reed of Rhode Island introduced bill
o Want monies to be available for EHR implementation by mental health, behavioral health and substance abuse treatment professionals
o Currently, psychiatrists are eligible, but not psych hospitals, clinical social workers and substance abuse programs

- Another healthcare data security issue. Someone broke into a Texas allergy clinic and stole four PCs containing personal health information (PHI). It cost the clinic $15,000 to send the mandatory breach notifications letters to its 25,000 patients, far more than the cost of replacing the computers.

- And another. Four Massachusetts community hospitals are investigating how thousands of patient records ended up in a pile at a local dump site that was 20 feet wide and 20 feet long. A newspaper photographer discovered the records when he was dumping his own trash, and notified the 4 hospitals; Milford, Holyoke, Carney and Milton.

- The Department of Health & Human Services announced that in 2007, Medicare overpaid physicians by $13.8 million for incorrectly coded claims.

- Eclipsys (which was just acquired by Allscripts) announced it won an EHR contract from Isabel Healthcare of Falls Church, VA.

- Allscripts, maker of EHR software, announced it has hired former U.S. Attorney, Ken Alexander, as its new Executive VP and General Counsel. It also announced it won a contract from the Iowa Health System.

- According to an Institute of Medicine study, 1.5 million Americans are injured each year and 7,000 die from preventable medication errors.


-=Greetings from the Highlands=-

Wednesday, August 18, 2010

Sharp MX-M623 and MX-M753 "Spec Review"


Gathered from Print4Pay Hotel Members from around the world and a few moles in very good places!

- Sharp gave out more details on its new digital b/w A3 copiers, the MX-M623 and MX-M753:
o Replace the M620 and M700
o Base MSRPs of $19,500 and $23,900
o 62ppm and 75ppm top speeds respectively
o Unlike competitive models in this speed ranges, these models have the “hole-in-the-middle” design, so do not look like true “console” designs that customer prefer in this speed range due to copy volumes
o Code name for this engine is the Sharp “Dragon” engine, which was originally launched in 2004
o Models have the textured light gray plastic design of slower speed Sharp models
o 8.5” full color LCD touch screen control panel
o Uses second generation “microfine” pulverized toner
o Optional retractable keyboard
o Optional common access card (CAC) reader
o OPC drum and developer have yield of 300,000
o Toner yield of 83,000 pages based on 5% per page coverage
o 300K/month maximum duty cycle
o 1200x1200dpi print output, 600x600dpi copier output & 600x600dpi scan resolution
o Comes standard with 3,100 sheet paper supply
 Maximum paper capacity with options of 6,600 sheets
 Letter size LCT for $1425, Tabloid size LCT for $2900
o Document feeder can:
 Hold up to 150 originals with top scan speed of 75opm
 Can scan both sides of original at same time
o Finishing options include:
 $3450 for 50 sheet staple or $6550 for 100 sheet staple
 $5000 for 50 sheet staple and 80 sheet booklet maker
 $715 for punch kit
 $2275 for cover inserter
o Built-in print controller features:
 Actual maker unknown (most likely Zoran)
 Uses 800MHz processor from Freescale (not Intel)
 1GB RAM (can be increased to 2GB)
 80GB hard drive
 $399 for hard drive security kit
 Comes standard only with USB port for “host” based printing, meaning that the customers computer has to do the processing of the print jobs
 Optional onboard processing (included on the “N” models)
 $3400 for PCL print driver
• $745 for PostScript print driver
• $595 for barcode printing
• $625 for XPS print driver (for Microsoft Windows 7)
• All require extra 1GB RAM for $500
 $1095 for network scanning
• color scanning
• scan to email/desktop/FTP/SMB/USB (no scan to WebDAV)
• $1230 for compressed PDFs
 Can scan to or print from a USB thumb drive
 Open Systems Architecture (OSA) allows for optional embedded applications but requires $349 Application Integration Module
o $1295 for analog fax board and $545 for Internet fax
- Canon claims that it new imageRUNNER ADVANCE MFP models are environmentally friendly. That it emits 20% less CO2 when compared to previous models. The machine’s plastic exteriors also are made partly by plant-based materials. (company did not explain why it has not switched to dark plastic instead of off-white plastic which requires bleaching)

-=Greetings from Sandy Hook=-

Tuesday, August 17, 2010

Kyocera FS-3140MFP "Spec Review"


- Kyocera (aka Kyoto Ceramic Company), announced two new A4 b/w MFPs, called the FS-3040MFP and FS-3140MFP offering:
o Actually made by Kyocera
o 42ppm top speed
o Base MSRPs of $2649 and $2979
 Models are identical, except 3140 includes analog fax
o RADF holds up to 50 sheets and has top speed of 42opm b/w and 25opm for color
o Toner yield of 15,000 pages based on 5% coverage per page and sells for $81
o $268 for maintenance kit with yield of 300,000 pages
o ASi (amorphous silicon or ceramic drum)
o 200K/month maximum duty cycle
o 22 second warmup time
 7 second first copy out time
o 100 sheet bypass and 500 sheet drawer standard
 Can add up to three more 500 sheet drawers for $249 each
 Optional envelope feeder
o Auto duplex
o Built-in print controller:
 Made by Peerless
 667MHz IBM PowerPC processor
 256MB RAM (can upgrade to 768MB)
 No hard drive
 10/100BaseT & USB ports
 PCL, PostScript & XPS print drivers standard
 Scan to PC/network/FTP/email (no LDAP)
 No secure print or accounting


P4P Notes: Based on a monthly volume of 5,000 pages per month over 36 months, this device will cost you $2,268 for consumables! Note, that this does NOT include service or parts.  The cost per page is 0.0126, thus if you were to use the maximum duty cycle of 200,000 pages in one month, your cost would be $2,520 for that month!

Do you need a quote from a qualified, experienced representative for a multifunctional copier? If so read our mantra P4PCafe

-=Greetings from Sandy Hook=-

Friday, August 13, 2010

Xerox Phaser 6125 "What's the Total Cost of Operation"


In 31 years of selling laser printers to commercial accounts, well...I've pretty much seen it all. Over those years I've had many clients who did not purchase a laser printer from me, because they thought my printer was too expensive!

What peeves me the most is when I'm trying to communicate (help) the cost per page of a device or the total cost of ownership of the device. Many accounts will opt for the small inexpensive printers where the manufacturer states "with a maximum duty cycle of 40,000 pages per month" (Duty cycle: the maximum possible number of pages that can be printed per month) I ask you, what the heck does Duty Cycle really mean? Does it mean, I can print 40,000 pages each and every month on this device that only cost me $349 for the printer?

Let me show you what happens if you would print 40,000 pages per month on that device. The first printer device we'll look at is the Xerox Phaser 6125 (whoa, a Phaser, I'll need one of these to fight off the Romulans when Kirk and Spock pick me up later tonight).

I have this neat software package that can actually give the cost per page of most printers and multifunctional products and why shouldn't I. I'm the darn expert. Some software programs may vary in the price per page.

So, this really hot (phaser) Xerox Phaser 6125 sells for $349. While it has a neat print speed of 12 pages per minute for color and 18 pages per minute for black. The black toner cartridge cost for this device is $63.36 with a yield of 2,000 pages. Mind you that the 1,600 pages is based on probably 5% coverage of the page. There are three color cartridges, Cyan, and Yellow are $54.63 each and Magenta is $55.31 each. The estimated yield for the color cartridges is 1,000 pages based on 20% coverage.

Now, you may ask what is 20% color coverage of the page, pretty much if you condensed all of the color print area to one area, it means it can't cover more than 20% of the page. Take a trip here to see color page coverage examples

Back to the color cost per page (we're just gonna focus on the color cost per page), divide the cost of all four cartridges by the yield, and then add em up and you have a color cost per page of .1926. Ok, I gonna print me my  maximum volume of 40,000 pages, so, how much is that gonna cost me? It's gonna cost you $7,704 each and every month, and if you maintain that volume for 36 months, you'll be out a whopping $282,529! WHOA, NOW THAT'S A REALLY BIG NUMBER!

How about if you print all your docs with 40% coverage (go back to the page coverage link for an example). Get a load of this number, simple math it's twice the cost. $565,345 for the total cost of operation and that's about .39 cents per page. YIKES, THAT WILL ALMOST GET ME A RIDE INTO SPACE VIA THE RUSSIANS!

Wanna see more? At 100% coverage the Total Cost of Operation runs up to $1,413,217 and a cost per page for just under ONE DOLLAR. DAM, 1.4 MILLION DOLLARS THAT'S ENOUGH TO GET ME ON THE SPACE SHUTTLE FOR A WEEK!

Hey, I understand that most users don't print all their pages at 40%, and I understand (because I'm in the business) that this printer will might choke a few times before it prints 40,000 pages in one month, however how does the end user know this? There's no disclaimers, well maybe it can do 40,000 pages per month, but at 12 pages per minute that would take almost 55 hours to complete. Point is there should be some type of real measuring stick for these types of devices. Like there's no way on Earth or Romulus that this system will print 40,000 color pages per month every month and I don't like this "Print volume uniformly distributed over 30 days" it's in the fine print of the brochure!

In closing, if you're thinking about doing on 40,000 color pages per month, with 20% coverage on the page, opt for the SAVING MONEY, and call a Print4Pay Hotel member to save you some real cash. Here's a neat link (P4P Cafe) to get a quote on a Really Nice MFP so you can get that Really Expensive Ride to Romulus!!

-=Good Selling=-




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Wednesday, July 28, 2010

Ricoh's New 430DN Color Printer "What's the Real Cost"

As budgets increase, more attention is paid to the "Total Cost of Ownership" (TCO).

What's the Total Cost of Ownership?

It's the combination of price paid for the printer along with the estimated cost for consumables and service.

Calculating the Cost of the Ricoh 430DN

Black Toner $84 with an expected yield of 24,000 pages = .0035
Cyan Toner $220 with an expected yield of 21,000 pages = .0105
Magenta Toner $220 with an expected yield of 21,000 pages = .0105
Yellow Toner $220 with an expected yield of 21,000 pages = .0105

Total Cost Per Page for the first 50,000 Pages = .035 cents for color and .005 cents for black (monochrome).

Now, you may be wondering why I mentioned the first 50,000 pages. The reason, is that after the first 50,000 pages other consumable items will be needed. These are listed below:

Color Photoconductor (Drums, 3 included)cost of $470 and a yield of 50K = .0094 per page
Black Photoconductor (Drum, 1 included) cost of $157 and a yield of 50K = .0031 per page
Waste Toner Bottle with a cost of $24 and a yield of 50K = .0005 per page
Transfer Unit with a cost of $143 and a yield of 100K = .00143 per page
Fuser/Maintenance Kit with a cost of $227 and a yield of 120K = .0019 per page.

So, after the first 50,000 pages you'll have a cost per page of .0513 for color and .0104 for monochrome. The cost per page does not include service or labor. While I'm on the service and labor kick, I've seen customers buy color lasers printers and then dump them when they reach the first time they have to invest in consumables other than toner, they'll then go out and get another new system to keep the low cost per page, plus they don't incur any additional service costs.

Cost for 150,000 color pages (with cost of printer) without service/labor is $8,079. I would throw in another $550 or so for service/labor and you'll have a cost of $8,629 and then we divide by the pages printed for the Total Cost of Ownership. The cost..... do we get a drum roll? Ta Da! .0575 per page for color. This is a very good cost per page!

These figure are based on a 20% page coverage, if you need samples of page coverage, take a trip here.

In a couple of days we'll look at the "Sweet" features of the Ricoh 430DN Printer. BTW the "D" stand s for Duplex and the "N" stands for Network>

-=Greets from the Highlands=-
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Saturday, July 24, 2010

New Ricoh 430DN Color Cost Per Page @ .038?


Take a look at this new Color Printer from Ricoh.  Printer Showcase is stating a cost per page of .038 per page!  Strange the numbers I have from Ricoh is .0513 per page for 20% coverage.  All in all .0513 is very inexpensive also, just would like to know how they figured their cost per page?



-=Greetings from the Highlands=-

Tuesday, April 27, 2010

Paradigm Imaging Group Reveals New Rocket Scanner Controller


PARADIGM IMAGING GROUP
1590 METRO DRIVE #116
COSTA MESA, CA 92626

FOR IMMEDIATE RELEASE

Contact: Jane Napolitano
Email: jane@paradigmimaging.com
Web site: http://www.SCANtopia.com

Paradigm Imaging Group Reveals New Rocket Scanner Controller®

Costa Mesa, CA – April 27, 2010 – Paradigm Imaging Group, a leading distributor of large-format scanning and printing solutions, reveals new upgrades to their Rocket Scanner Controller®

Paradigm’s exclusive Rocket Scanner Controller®, a key component of their popular line of multifunction scan-print-copy systems, has been upgraded and improved. The new Rocket® boasts a faster CPU, better graphics controller and a new, sleek design. The 2GB memory can now be upgraded to 8GB, up from 4GB in the previous version.

Specifications:

Operating System: Microsoft® Windows® XP Professional
RIP Processor: Intel Core™ 2 Quad Q8400 (4M Cache, 2.66Hz,1333 MHz FSB)
Memory: 2 GB DDR PC2-5300 expandable up to 8GB
Onboard Graphic: Integrated Intel X4500, DirectX 10 Support, DVI resolution 2048 x 1526
Hard Drive: 250GB SATA IDE (7200 rpm), 8MB Cache
CD-ROM: CD/DVD R±RW Combo Drive
Ports and Connectors: Front Panel:
2 USB 2.0 ports, 1 Microphone-In, 1 Earphone-Out, Power-On button, Power LED, HDD LED

Back Panel: 1 PCI-E x16 slot, 1 PCI slot, 1 RJ45 Gigabit LAN port, 1 D-sub VGA port, 1 DVI-D VGA port, 4 USB 2.0 ports, 1 PS/2 keyboard port, 1 PS/2 mouse port, 1 Line in port, 1 Line out port, 1 MIC in port, 1 Clear CMOS button
Networking: 100Base-T 100Mb/s and 1Gb/s operation with Support Wake-On-LAN function
Keyboard: Mini 101 PS/2 keyboard w/touch pad or standard 105 PS/2 Keyboard
Monitor: 15" Touch Panel (1024x768) or 17" LCD (1280x1024)
Dimensions: Chassis 9” (w) x 8” (h) x 13” (d) (not including monitor & keyboard)
Said Randy Geesman, President of Paradigm Imaging Group, “The Rocket® is a vital differentiator in our popular line of multifunction solutions, enabling us to provide a powerful controller in a unique, compact design. This is another example of our ongoing quest to enhance and expand our product offering, providing our customers with current, viable, intelligent large format solutions.”

About Paradigm Imaging Group
Paradigm Imaging Group is a large format solutions provider whose expertise extends from scanning and printing products to imaging systems integration, software development and product distribution. Paradigm counts among its clients companies in reprographics, architecture, engineering, construction and manufacturing, as well as numerous public agencies at all levels of government. Since 1989, Paradigm has grown to become a leading provider of large format scanning and printing solutions.

-=Greets from Sandy Hook=-

Saturday, March 13, 2010

How to scan2word and scan2excel from Ricoh & NSI


Here's a really cool solution for NSI Autostore and Ricoh java enabled device that allows you to scan2word or scan2excel plus a few other excellent time saving workflows!


Tuesday, March 9, 2010

Buy a Multifunctional Copier Printer Scanner? The Time is NOW!

This thread was posted today by a Print4Pay Hotel member. If you're in the market for an Multifunctional Copier, Printer or Scanner, the time to buy or lease is NOW before prices increase again!!

I have noticed there have been a lot of changes in the Value of International Currency vs the USD.

Samsung a year ago was getting a huge currency advantage with the South Korean WON at 1453 vs $1.00. It has now fallen to 1125 as the USD continues to weaken.

The Canadian $1.00 is now slightly above the USD.

$1.00 USD has fallen from 98 Yen to 90 Yen over the last year.

Some MFP vendors will soon be forced to soon raise prices simply because of current unfavorable currency valuations. It is not uncommon for National Copier Manufacturers to strike a deal with their foreign HQ twice a year to fix currency rates for the next six months. That negotiation usually occurs around now with a weak USD and again in Sept.

Here's another:

The Chinese YUAN has only marginally changed in the last 12 months compared to the USD.

I have read on CNBC that this could be as much a result of Chinese Govt manipulating their currency on the world market to be undervalued to encourage exports.


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-=Cheers from Sandy Hook=-

Saturday, February 27, 2010

Weekend Document Imaging Notes 2/26/10



- According to Modern Healthcare magazine, here are the most popular Electronic Health Records (EHR) software systems for acute care facilities:
- Meditech of Westwood, MA, has 26.6% of market
- McKesson of Alpharetta, GA has 14.1% of market
- Cerner of Kansas City, MO has 12.6% of market
- Siemens of Malvern, PA (HQ in Germany) has 9.5% of market
- CPSI of Mobile, AL has 7.9% of market
- Epic Systems of Verona (Madison), WI has 6% of market
- Eclipsys of Boca Raton, FL has 5.5% of market
- Healthcare Management Systems of Nashville, TN has 5.3% of market
- Healthland of Glenwood, MN has 3.8% of market
- 8% of hospitals surveyed have developed their own proprietary systems

- At the upcoming Healthcare Information & Management Systems Society (HIMSS) show on 2/1-4/2010 in Atlanta, GA, the following companies will have trade show booths:

- AthenaHealth, who offers physician billing, practice management and EHR
- Liberty Solutions Inc., a dealer for Cerner, Allscripts, Siemens, Epic, Eclipsys, Meditech & McKesson
- Ambir Technology, maker of card scanners
- Axolotl, maker of Elysium Exchange solutions
- Computer Discount Warehouse (CDW) Healthcare division
- ClearWave Inc., authentication kiosk manufacturer
- Emdeon, payment cycle solutions provider
- InterSystems, maker of Cache’ database software and DeepSee business intelligence software
- NextGen Healthcare, provider of EHR
- Sage Inc., provider of EHR
- SSI Group, provider of claims processing solutions
- Sunquest Information Systems, provider of diagnostic information technology solutions
- Wellsoft, provider of EDIS patient tracking and clinical documentation solutions

- According to HIMSS, about 23% of all data security breaches of healthcare institutions are caused by an employee.

- Joy Pritts, a lawyer from Georgetown University, was named the Chief Privacy Officer for the Health & Human Services (HHS) Office of the National Coordinator for Health Information Technology, as part of the American Recovery & Reinvestment Act (ARRA). Under the new law/stimulus bill, she will advise on the data security of healthcare agencies using Electronic Health Records (EHR) systems.

- When implementing Electronic Health Records (EHR) systems, requirements that must be addressed include:
- Capturing admission forms, ID and insurance cards
- Scanning patient records
- Transmitting lab instructions
- Filing insurance claim forms (CMS-1500 & UB-04)
- Processing EOB forms
- Processing supplier invoices
- Meeting FDA and other regulatory obligations
- Complying with record retention policies and privacy regulations (HIPAA laws)
- Allowing doctors and administrators simultaneous access to patient clinical records while controlling varying levels of security
- Incorporating Xrays, EKGs, MRIs, test results and supplemental documents with patient records
- Providing access to patient records from remote locations to prescribe treatment

- According to Khaled El Emam, a professor at University of Ottawa, up to 15% of healthcare insurance claims in the U.S. are fraudulent. In New York, alone up there is up to $4 billion in Medicare/Medicaid fraud.

- In the ARRA act, the current rules for healthcare providers to get stimulus funds, includes three requirements as part of the “meaningful use” rules, labeled as “core measures”:
- requirement to record whether a patient uses tobacco
- requirement to record blood pressure
- requirement to record the percentage of elderly patients who receive either one or two prescription drugs deemed to be of “high risk” to the elderly

- Customer confused to difference between EMR (electronic medical records) and EHR (electronic health records)?
- EMR is an umbrella, includes EHR, and encompasses electronically born records as well as paper records
- EHR is roughly 60-75% of patient information, born electronically

- The Justice Department has requested a $2 million budget increase so it can hire 12 attorneys for electronic discovery support.

- Data from recent survey of businesses that use third party managed IT services (MSP) conducted by Ziff Davis:
- Ability of MSPs to exceed customer expectations
- Mean Time Between Failure = 25%
- Systems Uptime = 25%
- Overall Quality = 20%
- Contribution to Meeting Company Business Goals = 16%
- PC Maintenance Expenses = 14%
- Most Common MSP Task Performed:
- AntiVirus = 91%
- Data Backup = 89%
- Help Desk = 72%
- MS Windows patches = 71%
- Remote Admin = 71%
- Systems Monitoring = 68%
- PC Audits = 38%
- PC Discovery = 21%
- Number one reason why MSP fails to sign up a client is when MSP sales rep calls on IT Mgr. instead of CFO, as the IT Mgr. views the MSP as a threat to their job

- THINKstrategies research published results of survey regarding usage of MSPs (managed IT service provider):
- 30% of companies with revenues of $50 million or less are using MSPs
- 55% of companies with revenues over $50 million are using MSPs
- 52% of SMBs (small to medium sized businesses) are NOT considering using MSPs

- Lenovo, which is headquartered in China, and purchased the personal computer division of IBM, announced that it will launch a managed IT services division in 2010.


-=Cheers from Sandy Hook=-

Thursday, February 25, 2010

Sharp MX-2301N "Spec Review"


- Sharp launched a new A3 color MFP overseas that it may also launch in U.S. The new MX-2301N features:
- 23ppm top speed b/w or color
- 4 tandem OPC drum design
- Based on the Pastel platform, same as existing MX-2600N and others
- 8.1” color LCD touch screen display
- Does NOT have retractable keyboard like other models
- Optional OSA embedded software
- Built-in print/scan controller (most likely made by Zoran)
- Does NOT offer XPS print driver
- Does NOT offer hard disk overwrite/erase
- Does NOT offer Internet fax
- Optional fax board
- 100 sheet document feeder, with top speed of 50opm (does NOT scan both sides of original at same time)
- Comes standard with two 500 sheet drawers and 100 sheet stack bypass
- Auto duplex standard
- Can two more 500 sheet drawers
- Optional internal stapling finisher only

-=Cheers from Sandy Hook=-

Wednesday, February 24, 2010

Kyocera TASKalfa 552ci "Spec Review"


- Kyocera now shipping the new TASKalfa 552ci color laser MFP featuring:
- Base MSRP of $20,168
- 55ppm b/w and 50ppm full color top speeds
- 4 tandem amorphous silicon drum design, with life of only 300,000 pages
- 8.5” tilting color touch screen LCD display
- 58 second warmup time
- 4.6 second first b/w copy out time, 6.1 seconds for color
- 225K/month max duty cycle
- Black toner yield of 25,000 pages based on 5% coverage per page
- Color toners yield 18,000 pages
- 600x600dpi
- Advertised as offering 8 bit color depth (but does not specify if it offers 8 bits per pixel)
- Built-in print controller
- 2GB RAM standard
- Two 160GB hard drives standard (print and copy)
- Hard drive data security kit $580
- Copy data security kit $1155
- 800MHz processor
- PCL, PostScript & XPS print drivers standard
- Peerless technology
- 10/100BaseT & USB ports standard
- No optional 1000BaseT port
- Scan to email/LDAP/SMB/FTP/USB/TWAIN standard
- No EFI Fiery option
- Two document feeder choices:
- DP-750 100 sheet feeder that does NOT scan both sides of original at same time
- top speed of 75opm for $1360
- DP-760 100 sheet feeder that DOES scan both sides at same time
- top speed of 50opm for duplex scan or 100ipm for $1800
- Optional fax board with PC fax for $1155
- Requires $200 memory board
- Up to 400dpi only
- Can add second fax line
- Internet fax option for $300
- Comes standard with two 500 sheet paper drawers supports up to 90lb. index only
- Standard 100 sheet stack bypass supports up to 120lb. index only
- Does not support 10pt. card stock
- Can add two more 500 sheet paper drawers for $1286
- Can add 3,000 sheet letter only paper drawer for $1380
- Auto duplex standard and supports up to 90lb. index only
- A3 and supports up to 11”x17” paper sizes
- Finishing options include:
- 30 sheet corner stapling finisher for $1540
- 50 sheet multi-position stapling finisher for $2617
- Booklet making option is $1500
- Hole punch kit is $680
- Mailbox unit is $1000
- A print only version, the FS-C8500DN has base MSRP of $5973

-=Cheers from Sandy Hook=-