What are /r/healthIT's favorite Products & Services?

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This is provides a very detailed framework on how to manage projects. It's basically the Bible for Project Managers and is the foundation for their PMP exam.

PMBok

Note that no project I've been on used every single one of these tools (the overhead would be insane).

Have you checked out Coursera's Interprofessional Healthcare Informatics course? It's totally free.

https://www.coursera.org/learn/health-informatics-professional

It's a pretty good introduction and overview of the field. It used to have sessions every couple of months, but now they opened it on-demand. The only drawback is that you don't have message boards where participants can talk amongst each other. It was a nice way to network with professionals.

What school do you go to?

I am one who has implemented it in his office. I am very active in the community. I recommend you check in here: https://groups.google.com/forum/#!forum/hardhats

Here are barriers I see with it: -- It is open source, so corporate EHR vendors are more likely to want to use their own closed-source solutions. They can charge more that way. And as a result, there are less well-paid sales persons coming around to convince you to use it. Kind of why drug reps don't come around to encourage use of cheap generic drugs.

-- It uses a hierarchical database (M), while the rest of the world has tended to go to relational databases (SQL). So familiarity of IT graduates is less.

-- It is designed for U.S. veterans at VA facilities. So using it for a different purpose sometimes means that one has to find other ways of accomplishing a goal. That takes effort and makes the system to not be turn-key.

-- Implementation of any EMR system takes work with configuration. No two office do things the same. And trying to get the software to match your work-flow takes time. Time = money. So VistA does have cost. My experience has been that when people get VistA, they think they are getting a low cost option. Long term, it will be cheaper, but up front costs are probably more than with a commercial system.

Hope that helps. Got to run.

I am Mirth Connect (Advanced) certified and have been in the industry for over a decade. I run a team of over a dozen Integration devs. I would be happy share a zoom and give you some tips, examples, and guide where I can. My calendar is at https://calendly.com/jackhaines

I’ve seen Postgres in a lot of open source projects. IIRC it adheres closely to SQL standards. “main goal of being standards-compliant and extensible” (https://www.digitalocean.com/community/tutorials/sqlite-vs-mysql-vs-postgresql-a-comparison-of-relational-database-management-systems)

I don't know. I honestly have no idea what the PACS admin market looks like, but I'm assuming you'd need some PM background, dba/network admin experience. I also expect most hospitals have written in certification requirements like CCNA for new hires. I think working for a 3rd party organization, like a VNA, would make it easier to skirt the certifications but still leverage your RT training.

I would look at PACS admin job postings, or http://www.indeed.com/forum/job/PACS-Administrator.html

I got my start in health IT the same way. I did some medical billing and coding 15 years ago, but ended up being the go-to IT person, eventually transferring dept officially. It's a valid path, but I would work to itemize some of the bigger fixes, configurations, you did. I'm not sure if there are any ongoing radiology open source projects, but it wouldn't hurt to get involved with one, even if it's just helping with documentation.

I'm hoping one of the PACS/rads can chime in.

You issue with learning a ERP from scratch for a hospita ls going to be that a ERP is basically a canned system. That mean that when installed it has a lot of base functions/features/modules it can provide a organization, but ultimately how they are set up and actually utilized is often up to the organization and things can be "simple" or very complex depending on the other systems that the ERP is interfaced with.

If I were you, what I would do is look into and do a little research on healthcare ERP systems and find the common modules or pieces you want to learn first. Oracle, Microsoft Dynamics, and Lawson are the most popular in hospitals so look at how those are used withing healthcare ERP. Those are also very expensive, so go get a popular free ERP with great support like Dolibarr ERP and install it and begin training yourself.

Dolibarr ERP is prob one of the most popular open source ERP's in the world so there is a good amount of help and documentation out there on it.

https://www.dolibarr.org/

Here is some others that are popular https://opensource.com/tools/enterprise-resource-planning

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This is the informatics bible: Biomedical Informatics: Computer Applications in Health Care and Biomedicine (Health Informatics) https://www.amazon.com/dp/1447144732/ref=cm_sw_r_cp_api_i_sTmyFbSQMDQMH

This teaches all the fundamental concepts of EHR systems and other computer applications in Healthcare. I strongly recommend this.

This book is incredible and very easy to read. Breaks down the history and the wbu of HIPAA.

After I read the book I took and passed the HCISPP ISC2 test.

I would highly recommend at least learning the basics of SQL. During college, my (now) father in law suggested that I use “Sam’s teach yourself SQL in 10 minutes” to get a beginner level understanding for it. The book comes with downloadable data sets that you can use to complete exercises which I found very helpful. You will need something like Microsoft Access to create the tables and run the queries but it’s totally worth it. I would say this entry level education helped me secure an internship which turned into the beginning of my career in health IT. At this point, even though I’m not actively using SQL, it’s still very helpful for navigating the EMR (Epic) at the hospital I’m consulting for and understanding alternate ways for finding important data.

https://www.amazon.com/SQL-Minutes-Sams-Teach-Yourself/dp/0672336073/ref=nodl_

Companies like mine are built for this. We've been in the game a long time and have lots of ways to be efficient. Don't want to "advertise" here, but if you're interested in speaking, even if it's just a friendly discussion, please reach out: https://calendly.com/jackhaines

> ideal certification to help me land a position as Tier 1 helpdesk support?

can you pick up a phone?

That's about it. If you want to be a technician in healthcare, you would need to be able to pick peanuts out of a keyboard for endusers. If you want to be an engineer, then it would help to have some proficiency certs in A+, MCSE, CompTIA, etc

For clarity, Med Tech is true clinical benchwork. If IT is your passion, this likely won't interest you, just pointing out how you could use your education to get into Healthcare

Mt. Sinai, NYU, HHC, Hospital for Special Surgery and Jamaica Hospital (in addition to aforementioned ACP) are all in NYC and Hackensack University Medical Center is across the river.

Plenty of jobs here: http://www.indeed.com/jobs?q=Epic+Systems+Analyst&l=New+York%2C+NY

I would recommend you to try using Scalefusion Kiosk software - https://scalefusion.com/kiosk-solution, I believe it'll help you with the setup you're looking for, with their 24/7 support team.

>g/classes of technical skills could a therapist do before applying to you to make them more valuable to you? In other words, if I spent 120 days of my own time and money to learn technical skills, where would you recommend that time be spent? An informatics grad certificate? CAPM? Weekend coursera specialization courses? Tech boot camps? UX / Ui? Sql? A HIM grad certificate? Thanks!

So before I get to your main question:

UX/UI is for design and its a very saturated, would not recommend.

SQL isn't a bad skill to have, but typically applies to people who are doing things with data. There is a position within the implementation team for data import. I didn't mention this one before because these skills will take longer to learn and typically not an entry level position.

As for your main question

First, our industry does put weight on certifications like yours does. I personally do not put a lot of stock in these.

Here is how I would learn if I was you and I would also leverage this as a portfolio to help get hired somewhere:

https://www.loom.com/share/8e108db158c3476ea4c95e9ed29a6e11

Not sure if it'd solve your issues, but it's not hard to produce PDFs of Dokuwiki pages. I've been involved in doing so for ISO9000 quality documentation, and it worked well partly because every PDF had a link back to the exact version that it was based on as well as the most up-to-date one.

We used the DW2PDF plugin, and then the XSLFO plugin.

My personal favorite is AnyDesk. It doesn't have 2FA yet, but it's on the roadmap... so keep an eye on this one.

Thanks! It was quite a number of hours over the last couple months. I'm currently using the Ruby on Rails framework, which has done a lot of heavy lifting for me and I think should scale well in the long-run.

I used infocaptor to produce them and it uses d3 for its charting. I copied your data and played with few visualization interations using this URL https://my.infocaptor.com/free_data_visualization.php Click on data tab and provide your data

Hi All,

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​

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Any and all feedback is much appreciated!

>I’d prefer to keep things less “technical” as I’d still like to lean into my clinical skills somehow. Meaning, I’m not interested in learning things like HL7 or SQL

I'm going to challenge you on the less technical thing for a moment.

SQL in and of itself is easy to learn and a remarkably powerful tool to have in your tool belt if understood. You'll likely be able to "understand data" a little bit better if you understand how relational database management systems function.

That said I'm going to recommend you pick up Teach Yourself SQL in 10 Minutes. You won't become a propeller head expert at databases, but you'll be able to speak conversational geek, which is a huge step up.

Also, it's $30.

Anyway, this is a sort of sideways recommendation based on what you'd mentioned.

The Harvard Business Review Guide to Project Management is a useful primer. You can read through it in a focused weekend and it will orient you to some best practices, buzz words, and other foundational concepts. It won't perfectly map on with the healthcare setting, but if you're in the stage of defining project management it could be a useful start.

Yeah I think you hit the nail on the head. Realized that when I started researching it a bit more.

Basically I am doing exactly what you said to do. Researching our system to know it in and out and taking in as much clinical and networking information I can. I've learned a lot, but it's still an uphill battle from here.

In the meantime I'm reading up on this book to expand my horizons. Figured that was a good starting point.

Thanks for the advice.

Just to add on to what /u/dwillytrill is saying in his/her excellent post - there is then a sublayer of healthcare IT that adds on to things that the PM and EHR software lacks (i.e., "apps" for software):

• Interoperability software. Software that enables your different systems to communicate with each other (i.e., Epic can talk to Cerner) to facilitate the flow of information.
• Terminology management. ICD-9/10 codes are not the most clinically relevant (though ICD-10 is getting there) so there are companies that assist practices in managing (and updating) the code sets.
• Speech to text software. Enables doctors to dictate patient encounters and have it automatically converted to structured text that can be consumed by the PM and/or EHR software.
  

And the list goes on. I'm biased though as I work for a company that would fall under this second tier.

If you want a foundational understanding of the field then I recommend you pick up a book on the subject (here is one). However, because the field is changing so rapidly, once you do have a foundational understanding, then I recommend you follow a website geared towards this like Healthcare IT News.