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	<title>Comments on: The Marshfield Story</title>
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	<link>http://candidcio.com/2006/06/15/the-marshfield-story/</link>
	<description>This is the Blog of Will Weider, CIO of Ministry Health Care and Affinity Health System. This is the place where I share what I have learned through my mistakes and other crazy things in the life of a healthcare CIO.</description>
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		<title>By: danfield</title>
		<link>http://candidcio.com/2006/06/15/the-marshfield-story/#comment-7082</link>
		<dc:creator><![CDATA[danfield]]></dc:creator>
		<pubDate>Fri, 12 Oct 2007 22:56:55 +0000</pubDate>
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		<description><![CDATA[from Kaiser (mentioned above: Kaiser Permanente wrote-off hundreds of millions of dollars when they abandoned their internally developed EMR)- just for the record...we&#039;re still using that legacy system even as HealthConnect (EPIC) continues it&#039;s inexorable multi billion dollar march.]]></description>
		<content:encoded><![CDATA[<p>from Kaiser (mentioned above: Kaiser Permanente wrote-off hundreds of millions of dollars when they abandoned their internally developed EMR)- just for the record&#8230;we&#8217;re still using that legacy system even as HealthConnect (EPIC) continues it&#8217;s inexorable multi billion dollar march.</p>
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		<title>By: hospitalcio</title>
		<link>http://candidcio.com/2006/06/15/the-marshfield-story/#comment-7059</link>
		<dc:creator><![CDATA[hospitalcio]]></dc:creator>
		<pubDate>Thu, 11 Oct 2007 15:15:39 +0000</pubDate>
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		<description><![CDATA[Actually, the Marshfield Clinic does not own the hospital.  My organization does (Ministry Health Care).  They own the practices of 750 doctors across Wisconsin.  It is a large organization.]]></description>
		<content:encoded><![CDATA[<p>Actually, the Marshfield Clinic does not own the hospital.  My organization does (Ministry Health Care).  They own the practices of 750 doctors across Wisconsin.  It is a large organization.</p>
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		<title>By: Grizzled Veteran</title>
		<link>http://candidcio.com/2006/06/15/the-marshfield-story/#comment-7054</link>
		<dc:creator><![CDATA[Grizzled Veteran]]></dc:creator>
		<pubDate>Thu, 11 Oct 2007 12:26:04 +0000</pubDate>
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		<description><![CDATA[280 IT profssionals on staff? What a huge expense for a hospital with a census of 330? How is this a good thing again?]]></description>
		<content:encoded><![CDATA[<p>280 IT profssionals on staff? What a huge expense for a hospital with a census of 330? How is this a good thing again?</p>
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		<title>By: Will</title>
		<link>http://candidcio.com/2006/06/15/the-marshfield-story/#comment-104</link>
		<dc:creator><![CDATA[Will]]></dc:creator>
		<pubDate>Wed, 30 Aug 2006 12:53:06 +0000</pubDate>
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		<description><![CDATA[This description of the the clinic&#039;s system also accurately describes most vendors (a mix of old and new technology).  The comment of frequent updates is interesting.  I have to think about that a little bit more.  I am not sure if it is good or bad.&lt;br/&gt;&lt;br/&gt;Whichever direction we head, we have our work cut out for us.&lt;br/&gt;&lt;br/&gt;Thanks for posting.]]></description>
		<content:encoded><![CDATA[<p>This description of the the clinic&#8217;s system also accurately describes most vendors (a mix of old and new technology).  The comment of frequent updates is interesting.  I have to think about that a little bit more.  I am not sure if it is good or bad.</p>
<p>Whichever direction we head, we have our work cut out for us.</p>
<p>Thanks for posting.</p>
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		<title>By: Anonymous</title>
		<link>http://candidcio.com/2006/06/15/the-marshfield-story/#comment-102</link>
		<dc:creator><![CDATA[Anonymous]]></dc:creator>
		<pubDate>Tue, 29 Aug 2006 15:53:51 +0000</pubDate>
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		<description><![CDATA[The Marshfield Clinic EHR product is not able to be packaged and deliverd.  In fact they have weekly updates to the product which are all installed via script created by someone who does not even work for their organization.&lt;br/&gt;&lt;br/&gt;While they have a great product (yes I do have first hand use &amp; knowledge of it), it is a mesh of old and new technology dating back to the mid 80&#039;s.  They are currently in the process of re-coding many of the old portions of the program that are limiting them, but as anyone who has programmed knows that is a huge undertaking.  &lt;br/&gt;&lt;br/&gt;It will definately be interesting to see where Ministry/Affinity Health go with their EHR decision.  If they do go with the clinic&#039;s EHR they definately have their work cut out for them, both the Marshfield clinic, and Ministry/Affinity.]]></description>
		<content:encoded><![CDATA[<p>The Marshfield Clinic EHR product is not able to be packaged and deliverd.  In fact they have weekly updates to the product which are all installed via script created by someone who does not even work for their organization.</p>
<p>While they have a great product (yes I do have first hand use &#038; knowledge of it), it is a mesh of old and new technology dating back to the mid 80&#8242;s.  They are currently in the process of re-coding many of the old portions of the program that are limiting them, but as anyone who has programmed knows that is a huge undertaking.  </p>
<p>It will definately be interesting to see where Ministry/Affinity Health go with their EHR decision.  If they do go with the clinic&#8217;s EHR they definately have their work cut out for them, both the Marshfield clinic, and Ministry/Affinity.</p>
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		<title>By: Anonymous</title>
		<link>http://candidcio.com/2006/06/15/the-marshfield-story/#comment-100</link>
		<dc:creator><![CDATA[Anonymous]]></dc:creator>
		<pubDate>Tue, 29 Aug 2006 01:48:57 +0000</pubDate>
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		<description><![CDATA[Marshfield Clinic deserves credit for developing an EMR system in house that meets their needs. Since it was developed over, a long period is it able to be packaged up and delivered as a product. On the other hand, is it a mash of legacy and current technology limited in use to only their organization?]]></description>
		<content:encoded><![CDATA[<p>Marshfield Clinic deserves credit for developing an EMR system in house that meets their needs. Since it was developed over, a long period is it able to be packaged up and delivered as a product. On the other hand, is it a mash of legacy and current technology limited in use to only their organization?</p>
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