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Be Antibiotics Aware with the NHSN Antimicrobial Use and Resistance Module

In August 2022, the Centers for Medicare and Medicaid Services (CMS) issued a final rule for FY 2023 Medicare Hospital Inpatient Prospective Payment System for Acute Care Hospitals and Long-term…

Lantana Blood Heroes

According to the American Red Cross, someone in the U.S. needs a blood transfusion every two seconds. In January 2022, the American Red Cross declared the first ever blood crisis.…

A Passion for Geologic Disasters: Molly’s Journey

The first time I felt an earthquake I was living and studying geology in Christchurch, New Zealand. Excitement and curiosity overcame the initial moment of fear. Although I found the…

National Nurse’s Day 2022

National Nurse’s Day on May 6 is the annual kickoff of National Nurse’s Week. On this day, we applaud and acknowledge the vital role nurses play in society. “Rooted in…

Public Health Analyst Series: Virgie’s Journey

For as long as I can remember, my biggest goal in life was to make an impact in people’s lives. In middle and high school, I enjoyed my math and…

Climate Change: Taking Action for Equity

Climate change is impacting human lives and health in a variety of ways. It threatens the essential ingredients of good health – clean air, safe drinking water, nutritious food supply,…

Change a Life, Be a Mentor: My Mentorship Experience

Each day of the American Public Health Association’s National Public Health Week (NPHW) focuses on a theme considered essential for the future success of public health as a whole. The…

Toward Health Equity in Transfusion Medicine

One of the most significant risks transfusion patients face is an adverse reaction to blood products such as whole blood, red blood cells (RBC), platelets, and plasma. A number of…

National Public Health Week is April 4 – 10: “Public Health is Where You Are”

Due to the COVID-19 pandemic, many people have a better understanding of the concept of public health compared to several years ago. Public health has become highly politicized over the…

2021 Annual Retreat: Two Perspectives

Just when we thought our Annual Retreat couldn’t look any different (read about last year’s virtual retreat here), we introduced the first hybrid retreat, an in-person and virtual congregation of…

Maternal Health Day of Action: Getting the Information Needed to Drive Change

Women in the United States die before, during, and after childbirth at a higher rate than any other developed nation in the world—a sobering fact highlighted by Vice President Kamala…

U.S. Antibiotic Awareness Week: Moving Forward from COVID-19

Each year, we observe U.S. Antibiotic Awareness Week (USAAW) and honor Lantana’s continued partnership with the Centers for Disease Control and Prevention (CDC). This year again we provide an update on…

October is American Pharmacists Month: What are Lantana Pharmacists Up To?

The Lantana pharmacists have been busy on work beyond the pharmacy, from optimizing how we get medication data out of electronic health records (EHRs) to supporting nursing home reporting of…

Celebrating Infection Prevention Week: What is an Infection Preventionist?

Often dubbed (somewhat mockingly, I would say) the “hand hygiene police,” Infection Preventionists (IPs) are tasked with a broad set of responsibilities aimed at preventing and controlling infections within healthcare…

Celebrating Lantana Nurses

After a year of when the pandemic dictated most decisions, we can finally see the light at the end of a dark tunnel. A vaccine! It has been a long…

Earth Day 2021: Lantana Partners with My Green Doctor

Lantana is celebrating Earth Day 2021 by announcing a new partnership with My Green Doctor, an environmental sustainability program for healthcare practices. Our greenLantana initiative works on improving the long-term…

The “Us” in Climate Justice

Our health is affected by climate change and its consequences, such as natural disasters and extreme weather. Just last year alone, wildfires burned the western US, Australia, the Amazon rain…

Vaccinating the Community

No matter how far away a nurse gets from the frontline, we remain nurses at heart. A perfect example of this is our very own, Robin Williams, RN and Zabrina…

Coffee Talks with Liora: Advancing Racial Equity

The COVID-19 pandemic continues to spotlight health disparities/inequities in the US. Hear what Lantana’s CEO, Liora Alschuler and the DIG leads have to say about addressing theses disparities and the…

The PHIG Supports National Public Health Week April 5-11, 2021

Public health was thrust into the spotlight with the emergence of COVID-19. The World Health Organization declared COVID-19 a global pandemic on March 11, 2020. Over a year later, we’re…

DIG for Change: A Year of Diversity and Inclusion

Following our annual retreat in November 2019, Lantana created the Diversity and Inclusion Group (DIG) to promote policy changes and encourage diversity and inclusion company wide. We came up with…

Somewhere Out There is a Tiny Lantana Forest

One morning, a happy email from Marte, our Administrative Guru & Event Coordinator, popped into my inbox about trees: “From our items we have ordered from Eco Promotions, they have…

Lantana 2020 Retreat: This Time It’s Virtual

The planning for our annual Company Retreat this year started out just like every other year. We had our dates and our location, and we were working on logistics (food,…

U.S. Antibiotic Awareness Week: Using the NHSN AUR Module to Support Antibiotic Stewardship

In honor of U.S. Antibiotic Awareness Week (USAAW) and Lantana’s continued partnership with the Centers for Disease Control and Prevention (CDC), we provide an update on the nation’s primary system…

IT at Lantana: Many Hats and Time Zones

Networking and server infrastructure are complex and made of many moving parts. It’s my job to ensure those parts work together seamlessly and efficiently. Put simply, server engineering/administration consists of…

My Heritage and My Work in Health IT

Hola! Me llamo Malissa y soy de El Paso, Texas! Translation: Hello, my name is Malissa and I’m from El Paso, Texas! As a Mestiza woman, I am very proud…

Health Data Literacy: A Story is Worth 1,000 Data Points

October is Health Literacy Month! Health literacy seems more important now than ever, with multiple sources identifying poor health literacy as a barrier to COVID-19 response efforts. John Zarocostas identified COVID-19 as an “infodemic” as much as a pandemic.

The Group that Studies Together Stays Together: Group Learning for Professional Development

Lantana is a distributed company, meaning all employees work remotely. Working from home has a lot of advantages: cost savings for both the company and employee, a smaller carbon footprint…

Can you D.I.G it?: Lantana’s Diversity and Inclusion Journey

Diversity is defined as variety, the condition of having or being composed of differing elements (traits and characteristics that make people unique); while Inclusion is defined as the act or…

What is One Thing We Can Do to Improve the Use of Health Information?

What is one thing we can do to improve the use of health information? Our team weighs in. Missed our last vlog? Check it out here.

Non-COVID Patient Perspectives on Hospitalization During the COVID-19 Era

Navigating the healthcare system can be overwhelming during the best of times, but it’s even more challenging during a public health crisis. Seeing the impact on the news and reading…

Lantana Nurses: Coming Together During Social Distancing

This year is deemed the Year of the nurse to recognize the 200th anniversary of Florence Nightingale’s birth and the release of the World Health Organization’s first State of the…

What We Love About Lantana

At our 2019 Retreat, our Communication & Channel Manager asked for volunteers to answer questions about the company. This vlog, which we are releasing on our Fifteenth Anniversary, resulted from…

The Journey Past the Mailbox (AKA Happy Earth Day 2020)

The world is different. Maybe your feelings are a grab bag of spiraling anxiety, anger, fear, relief, loneliness, and grief, and your usual coping skills aren’t available right now. After…

6 Tips to Stay Sane While Working from Home

Advice from the Work from Home “Experts” at Lantana Consulting Group Lantana’s employees always work remotely, since 2005. After all that time working from home, we have some advice to…

Meta Manage Your Metadata for Mega Value

People talk a lot about the value of data. Data are described as an organization’s “most valuable asset” and “the new oil.” Maybe. The information tracked in client and administrative…

greenLantana: Reducing the Web’s Carbon Footprint

In 2019, greenLantana made a big decision—to offset the environmental impact of our web presence. Lantana employees want to better their community and environment. We avoided the environmental impact of…

Getting SASsy: Process Improvements and Using the Right Tool for the Job

The program took nearly 48 hours to run. On a tight timeline, this wasn’t ideal. Then we had to make several last-minute changes to the code right after our engineer…

Rattlesnakes, Javelinas, and Tarantulas, Oh My!: My First Lantana Retreat

After working at Lantana Consulting Group for 11 months as a Project Coordinator, I was excited to experience my first Lantana retreat and meet my teammates. Since Lantana is a…

Sending out an S.O.S.: Learning SAS Essentials

I first thought SAS was a coding program used for cleaning up and validating large amounts of data and for generating reports. Since I had never coded before, it seemed…

U.S. Antibiotic Awareness Week: An Update on the Antimicrobial Use Option

U.S. Antibiotic Awareness Week (USAAW) raises awareness about appropriate antimicrobial use and the threat of antimicrobial resistance. More than 2.8 million antimicrobial-resistant infections occur in the United States each year,…

From Shared Space to My Own Space

Transitioning from a corporate office space to working from home has been great—a millennial’s dream. Instead of having to leave for work in the morning and battling rush hour, I…

2019 Interoperability Standards Advisory (ISA)

Lantana has engaged in standards development and deployment for over ten years and supported the development of over 70 specifications. We were pleased to take the opportunity to respond and…

An Expedition to Quality at Lantana

My healthcare IT journey began in 1988 when I accepted a clerical position in the Ambulatory Care department at St. Michael’s Hospital in Toronto, Canada. The department was implementing a new computerized Patient Registration system, which I learned relatively easily, and I was intrigued with the accuracy and efficiency of this new process. The new system allowed for more precise patient scheduling and the ability to view all outpatient clinic activity. I wanted to learn more, so I took classes on Computerized Business Systems and Programming at Ryerson University in the evenings, while working at the hospital in the daytime.

Public Health Analyst Series: Wendy’s Journey

I grew up in rural northern Ohio playing outside and exploring the countryside—rain, snow, or sunshine. I loved being outside, active, and just playing in the dirt. I also loved…

Public Health Analyst Series: Amy’s Journey

As a teen, when people asked what I wanted to be when I grew up, I always said a doctor. In high school, my favorite classes were biology and human anatomy, and I enjoyed listening to and helping people. As a summer lifeguard, I enjoyed the feeling of saving lives and keeping people safe. (Yes, I did actually save people during my tenure! Learning to swim is a life-saving skill!) Becoming a doctor seemed like a logical career path.

CleanMed Conference

In May, I attended the CleanMed conference in Nashville where professionals from across the industry including clinicians, architects, hospital administrators, policy consultants, sustainability officers, hospital vendors and a very nice veterinary specialist discussed sustainability in their healthcare institutions.

Nursing Informatics Series: Dawn’s Journey

When I was growing up, I wanted to become a veterinarian because I love animals. However, when I was twelve, my grandfather, who had a chronic health condition, came down with influenza A and passed away after only three days in the hospital. As my family sat with him, the nurses came in to monitor his condition frequently to make him comfortable. Their compassionate care to him was wonderful, but they didn’t just care for him.

Nursing Informatics Series: Olga’s Journey

I always knew I wanted to become a nurse. I wanted to save the world by helping others, and as a young adult, I thought helping others always meant being at the patient’s side.

Nursing Informatics Series: Robin’s Journey

Growing up, my role models were family friends who were registered nurses. They were compassionate and confident. I wanted to be like them. After graduating nursing school, I went to work in surgical ICU. Looking back now, I realize I have always relied on and have learned to trust technology even when it was electronic devices connected to my ICU patients.

Nursing Informatics Series: Zabrina’s Journey

I took an indirect path to nursing informatics. I started on my journey early—as a candy striper volunteer in a tertiary care center at the age of 13. This experience was my first contact with patients in a hospital setting.

My First HL7

HL7 Working Group Meetings (WGM) – #HL7WGM in my social media-oriented mind– are bustling, busy, eventful gatherings held three times a year that draw standards-minded people from around the world. I experienced my first HL7 WGM January in San Antonio, and from my short amount of time in the health IT (HIT) industry and little experience with standards in general, you could say I was overwhelmed but learned a ton.

Public Health Analyst Series: Laura’s Journey

The me of ten years ago never would have predicted the career that I have now. Ten years ago, I was majoring in mathematics and economics at the University of California San Diego, on track to become a retirement actuary. I took a class on the US healthcare system to fulfill one of my general education requirements, and the professor assigned us a paper on a local healthcare organization of our choice.

Public Health Analyst Series: Hector’s Journey

In the summer of 2001, I had one of those life-defining moments while interning at Harvard Medical School; I discovered the public health field. Up to that point, all I ever wanted to be was a family medicine physician with a dream of one day opening a private practice to help those in my community back in Peekskill, New York.

Public Health Analysts: Who We Are and What We Do

The American Public Health Association (APHA) observes National Public Health Week during the first week of April each year. Each of Lantana’s public health analysts has a story to tell…

Nursing Informatics Series: Marla’s Journey

Over the past 25 years, my nursing journey has taken me down different professional paths.  At each crossroad in my career, I used the Servant Leadership philosophy as my compass…

Wellness in the Workplace – The Social Dimension

Previous Wellness in the Workplace blogs covered the physical dimension1 of wellness. Today’s blog covers the social dimension in a virtual environment. Social wellness refers to cultivating relationships and connecting with others.…

Transitioning from CDA to FHIR

FHIR, HL7’s latest standard, supports the document paradigm without document restrictions. FHIR includes a RESTful API out of the box, as well as alternate syntaxes (i.e., XML and JSON). The industry will need transition strategies for those invested heavily in CDA while new implementers move directly to FHIR.

Annual Retreat 2018

Fifteen minutes into the 2017 film Wonder Woman, my only thought was, “I want to work with them!”—the fictional Amazon warriors of Themyscira. While I haven’t ended up performing heavy…

Reduce Provider Burden by Rethinking the eCQM Development Process

I’ve looked at the feds, I’ve looked at the vendors,I’ve tried to find the keyto 50 million burdens.         (with apologies to The Who) The electronic health record promised a transformation in…

Nursing Informatics Series: Angela’s Journey

As a former home health nurse, I know firsthand the importance of real-time patient health information. Today’s nurses can easily document and upload information that is instantaneously accessible to other…

Nursing Informatics Series: Lynn’s Journey

Today, as a Senior Nurse Informaticist at Lantana, I am part of a team of clinical, program and policy analysts, working with IT engineers to develop standards-based solutions permitting interoperable—platform…

Working from Home (#WFH): How working remotely is one millennial’s dream job

Working from home, once an unimaginable idea, is a regular part of many professionals’ lives. Technology innovation and improvements enable many to work from their houses, apartments, and even RVs.…

Has the Clock Run Out on Electronic Claims Attachments?

With the shift towards value-based care, payers still need access to clinical information for reimbursement decisions as well as for cost and quality metrics and standardizing enough of the clinical record to satisfy the anticipated attachments reg would be an excellent next step in that direction.

Nursing informaticists: who we are and what we do

  All around the world, May 12 is celebrated as International Nurses Day. It marks the end, in the U.S., of National Nurses Week—a time to honor and recognize nurses…

Pleasant surprise with open-source development

This is a story of how a health IT guy goes looking for an easier way of doing a tedious task, can’t find that easier way anywhere, ends up building…

Extreme Vacation

  Lantana provides a unique benefit to its employees: after seven years of employment, an employee can take a two-month paid vacation—the “sabbatical.” I’ve now been working for the company…

Patient-Generated Health Data and EHR Integration

  The PGHD Revolution   With the rise in popularity of mobile health apps and wearable technology, the volume of patient-generated health data (PGHD) is rapidly outpacing providers’ ability to…

Electronic Attachments Tell a Comprehensive Health Story

  Anticipated HHS regulations are expected to provide standards for electronic documents used as attachments to support reimbursement-related transactions. On February 5, I was joined by Mary Lynn Bushman, Sr.…

Reporting Into the Antimicrobial Use and Resistance (AUR) Module

Hospitals report and analyze AUR data via the AUR Module. The AUR Module covers two reporting options, one for antimicrobial use (AU) and one for antimicrobial resistance (AR). Facilities can participate in one (just AU or just AR) or both (AU and AR) at any given time.

2017 Annual Retreat: My First Week at Lantana

I started a new job last month, joining Lantana Consulting Group as a Public Health Analyst, and my first week there was a little out of the ordinary. Lantana is…

Wellness in the Workplace – Powerlifting

How do you begin your day? If you’re like Crystal Kallem, Lantana’s Executive Director of Analysis and Policy, you begin with an intense weight lifting session.

Working from Home (#WFH): Wendy’s RV Office

Lantana’s distributed environment allows for some pretty exciting adventures. From international travels to unconventional living, that flexibility can make for some rather unique “offices”.

Wellness in the Workplace

In honor of National Wellness Week, we are kicking off our Wellness in the Workplace series. Over the next few months, you can read about Lantana’s spin on some of these dimensions of wellness. In this post, we focus on how Lantana supports physical wellness. 

Proposed Interoperability Standards Measurement Framework

Lantana Consulting Group submitted comments on July 31, 2017 in response to the Office of the National Coordinator’s (ONC) request for feedback on the Proposed Interoperability Standards Measurement Framework.

Measurement Framework to Assess Nationwide Progress Related to Interoperable Health Information Exchange to Support the National Quality Strategy

Lantana Consulting Group submitted comments on June 30, 2017 in response to the National Quality Forum’s (NQF) request for comments on the Measurement Framework to Assess Nationwide Progress Related to Interoperable Health Information Exchange to Support the National Quality Strategy.

CDA in the Wild: Conclusion (Installment #8)

Clinical Documents were never meant to hold 10 pounds of coded data. CDA is a 5-pound bag, containing the actual words, either written directly by a clinician or spoken and transcribed, with the minimal coding necessary for the use case.

What is AUR and Why Do We Care?

AUR is more than an airport code for a commune in southern France (Aurillac, if you are curious). AUR is an important facet of public health. Using the Antimicrobial Use and Resistance (AUR) reporting module, hospitals can report and analyze antimicrobial use and/or resistance data.

Notes from the Field

Recently a team of Lantana clinical analysts had the opportunity to go out in the field. As part of a national field test related to electronic reporting from clinical systems, our team was instrumental in providing hands-on training through site visits, collecting and assessing data on approximately 150 data elements, conducting focus groups, and providing feedback to the client.

Working at Lantana: Annual Retreat

We traveled to Oracle, AZ for our last retreat. We hiked, hosted an employee cocktail competition, sang karaoke, toured an artist commune, explored Biosphere 2 (my personal favorite), and stargazed from a certified dark sky park.

Road Warrior’s Utility Belt

  A benefit of Lantana’s virtual structure is the ability to work almost anywhere. Most days, this means working from our home offices (boring!). Occasionally, we truly work from anywhere,…

Lantana Selects Cool Effect Projects to Offset Carbon Emissions

How does a distributed company in the health information technology industry offset emissions from business travel? Set criteria, choose a vendor, and ask the staff to vote!

Why Payers Should Play with FHIR

This blog introduces participants working on clinical data exchange and value-based care to HL7’s Fast Healthcare Interoperability Resources (FHIR) standard and Connectathon, an event that tests FHIR’s interoperability mettle. Since Connectathon 1 in 2012, the buzz around FHIR has grown exponentially. Word on the street is HL7 has trouble finding hotel conference rooms large enough to fit all attendees! HL7 will host Connectathon 14 in January 2017 in San Antonio.

Why Payers Should Play with FHIR – Part 2

This is Part 2 of the Why Payers Should Play With FHIR. To read part 1 click here. HL7 holds Connectathons on the Saturday and Sunday before the working group…

Working at Lantana: Professional Development

Setting professional goals at Lantana is an intentionally structured process. We take time to think about where we are in our career and what kinds of skills make us better at what we do.

Carbon Offsets for Lantana Business Travel—Where to Put Our Money?

Lantana’s business travel is a major source of our corporate greenhouse gasses emissions that we can mitigate by buying carbon offsets. How do we choose where to put our money?

New Public CDA Stylesheet

Lantana is happy to announce the release of a new public CDA Stylesheet, an open-source renderer for CDA documents. The stylesheet transforms the XML of a CDA document into a webpage that can be viewed in a browser or other XSLT-compatible application.

Trifolia Open Source Update

Lantana is happy to announce the release of Trifolia 4.1, the second release as open source code. With the initial release, we announced plans to improve installation, documentation, to pre-load data, and to simplify authentication. We have made progress on all of these.

CDA in the Wild: Timing is Everything (Installment #7)

Will time be cruel to CDA? Some think so, we think it is still alive and kicking. The hard part of CDA has always been its HL7 V3 heritage, and it is HL7 V3, not CDA that needs to join the dinosaurs, buried in shale and crushed into carbon.

Conversations from the SideFrontlines: Get Ready for CQL to Change the Game

The Clinical Quality Language is a new expression language that defines logic for quality artifacts. With its introduction into eCQMs, the industry has taken the first step towards a harmonized standards landscape.

Trifolia 4.0.0 Release Notes

This is the second major open source release of Trifolia. The update simplifies the installation process for users who wish to install Trifolia on their own systems, and improves support for the latest release of FHIR. It also includes bug fixes for users in China who were unable to log in due to the use of Google Captcha. Finally, it allows users to import data from other Trifolia installations, making it easier to share data between instances of Trifolia.

Offering an Open Source Terminology Tool

  I have been working with Robin Williams, RN, and Zabrina Gonzaga, RN, two of our clinical analysts, to update the value sets used by Camara, our clinical document editor.…

When You Have to Travel for Work, Invest in Carbon Offsets

Lantana is a distributed company that does not manufacture products. We do not have corporate offices to retrofit for energy efficiency, so what can our business do to reduce its impact on the planet? One important option is to address our greenhouse gas emissions from business travel.

Working at Lantana: Onboarding

There’s always an anxious excitement associated with joining a new company and meeting new team members. A new chair that requires some breaking in, an empty work-space that will eventually become a reflection of your work style. Things are a little different at Lantana. So what can you expect when your workplace already feels like home?

What Eligible Clinicians Need to Know About Proposed Changes to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)

The Medicare Access and CHIP Reauthorization Act of 2015 changed the way Medicare rewards clinicians for providing quality care. CMS released a proposed rule in April 2016 to carry out key provisions of MACRA and implement two payment paths available to “eligible clinicians” (EC) as part of the proposed “Quality Payment Program”: (1) the Merit-Based Incentive Payment System and (2) the Alternative Payment Model Incentive. The proposed “Quality Payment Program” replaces the Sustainable Growth Rate (SGR) formula for paying eligible clinicians based on value and quality of care, which aligns with CMS’s goal to replace Fee-for-Service (FFS) volume-based payment with a value-based system.

Does Risk-Adjustment for Sociodemographic Status (SDS) Have an Impact on Hospital Performance?

Ongoing research examines the impact of applying sociodemographic status (SDS) risk-adjustment to the Centers for Medicare & Medicaid Services (CMS) quality reporting programs. The main driver for investigation is a community assertion that SDS risk-adjustment is necessary to accurately gauge the quality of care given to patients of diverse backgrounds. Contrary to popular belief, recent research produced evidence that SDS risk-adjustment has little to no impact on hospital performance ratings.

greenLantana: The Case Against Commuting

  One of the many benefits of a distributed environment is flexibility. At Lantana Consulting Group, employees establish productive work environments wherever Wi-Fi can reach. Rather than joining millions of…

CDA in the Wild: Coded Data Issues (Installment #6)

  This week, I have left the bush behind and retreated to the comfort of my office. I am attempting to decode the works of the famous biologist Brice Schneuer,…

Comments on Standards for Claims Attachments

Co-author: Kanwarpreet Sethi   Lantana Consulting Group commented on the testimony provided on February 16, 2016, to the National Committee on Vital and Health Statistics (NCVHS) Subcommittee on Standards, Hearing…

2017 Interoperability Standards Advisory

Lantana Consulting Group submitted comments on March 18, 2016 in response to the Office of the National Coordinator’s (ONC) request for feedback on the 2017 Interoperability Standards Advisory (2016 Advisory).…

Trifolia Release 3: New Functionalities

Co-author: Robin Williams, RN   Trifolia (https://trifolia.lantanagroup.com/) is a web-based tool for standards development work. Trifolia produces HL7 Clinical Document Architecture (CDA) templates and Fast Healthcare Interoperability Resources (FHIR) profiles.…

Conversation from the Sidelines: HL7 January 2016 in Orlando, FL

  “Conversation from the Sidelines” is a new series at Lantana’s blog. We’ll share experiences from conferences or events that gave us a different perspective on the industry.   First…

CDA in the Wild: Narrative Issues (Installment #5)

  A solitary Wild CDA has left its pride. We can only presume it is searching for a mate by its extravagantly complex header and the swish of its long…

Consolidated CDA: Pursuing Continuous Improvement

  Recently, I helped a team of HIT vendors implement an experiment to study the new HL7 Consolidated CDA (C-CDA) Care Plan Document template. This template includes constraints on a…

Certification Frequency and Requirements

  Earlier this quarter, ONC and CMS requested information on program requirements for certification frequency for reporting quality measures. Lantana Consulting Group supports eMeasure development and has a sharp interest…

CDA in the Wild: Validation and Schematron (Installment #4)

  It has been weeks since our last episode. Frankly, the sight of that genetically mutated Wild-CDA/North-American-XHTML hybrid left my team so repulsed that many could not continue. But after…

Quality C-CDAs can lead to Quality Reporting

As standards developers and data analysts, we rely on finding patterns in our day to day work. We apply our patented “pattern recognition algorithm” (note: not a real patent) to identify the questions our clients ask most often. “How can we leverage our healthcare data to perform quality reporting?” Closely followed by, “and can we use C-CDA to import that data into our analytics environment?” Although we’d prefer a simple “yes”, the solution is rarely simple.

ASCO Augments Clinical Oncology Treatment Plan and Summary with Survivorship Care Plan

Co-authored by: Edward P. Ambinder, MD Jeremy L. Warner, MD The cancer journey, from diagnosis to treatment to survivorship, involves multiple interventions and stakeholders. Survivorship begins after completing a bulk…

Draft 2016 Interoperability Standards Advisory: Lantana Response

Everyone understands today that standards for data, communication, and terminology are the lynch pins of health information exchange across clinical care. But who is doing something about it? Earlier this…


Earlier this quarter, CMS came out with a rule that establishes a new methodology for MIPS eligible providers and encourages eligible professionals to participate in APMs. Lantana supports several stages…

CDA in the Wild: Validation – XML Schema (Installment #3)

  During our last episode, we stumbled upon a wild CDA lying dead in the grass. Not wanting to pass up such an opportunity, we decided to dissect the beast…

CDA In The Wild: Basic XML Issues (Installment #2)

  Move in closer now…do you see that? It’s a wild CDA lying motionless in the grass. Surely it’s waiting for prey to…wait, it’s not moving – something’s wrong…  …

CDA in the Wild – Introduction

…beyond the bushes ahead you will see the Wild CDA in its natural habitat…
Lantana Consulting Group presents the first installment of CDA in the Wild by Rick Geimer, a blog series that identifies top errors found in CDAs (and how to fix them).

We go greenLantana

greenLantana is the name of our collective effort to measure, evaluate, and improve the corporate, social, and environmental impacts of our Lantana way of doing business. As the name suggests, our initiative emphasizes environmental responsibility and includes support for “corporate social responsibility”[1] and the “triple bottom line”.[2]

What Does LTPAC Want – for Interoperability?

The Long-Term and Post-Acute Care (LTPAC) Health IT (HIT) Collaborative held its 10th Annual Summit in Baltimore at the end of June. HIT leaders, policy makers, providers, and vendors, convened to discuss industry initiatives and priorities from the Collaborative’s latest Roadmap for Health IT in LTPAC. We participated in and attended several sessions on continuity of care and quality reporting.

The Lifecycle of a Template – Part 2: Template Characteristics and Lifecycle

HIT Stakeholders at all levels benefit from understanding the template lifecycle. System engineers and clinical analysts who design templates, implementers who use templates, and participants who govern templates need this…

The Lifecycle of a Template – Part 1: Stability and Progress

A template’s inaugural design often doesn’t seem like a “version”. It is difficult for designers while working closely to solve a problem, to envision that someday, perhaps even in the not too distant future, the solution they are in the midst of creating will need to change. And so it is with templates.

Wash, rinse, and repeat (Part 2)

My last blog post detailed some of the features of Trifolia that help make my life as an information analyst easier. In this post, I discuss the part of the…

Trifolia, how do I love thee? Let Me Count the Ways (Part 1)

I’ve worked with various incarnations of HL7 Implementation Guides (IG) for roughly 8 years. My first exposure was in the UK with the NHS Connecting for Health’s Message Implementation Manual (MIM) for V3 messages. I wasn’t involved in building this specification, but I did use it for coding. Later, I was responsible for creating the Clinical Document Architecture (CDA) IGs for Australia’s national eHealth program. Back then, these were manually created Word documents that evolved into partially automated DocBook created PDF documents.

What’s New in Trifolia 2.17

The most recent Trifolia update addresses requesting permissions, permissions notifications, default setting for exporting to MS Word and MS Word value set settings. Read our latest blog post for details of the full development log.

HIT on Parade at the 2015 American Society of Clinical Oncology (ASCO) Annual Meeting

HIT vendors eager to advance the cause of shareable clinical information – and their products – can do so this Spring in a first-of-a-kind interoperability demonstration. ASCO is not primarily a trade or HIT show. It is the central venue for 25,000+ cancer clinicians, researchers, and other stakeholders from around the world.

What’s New in Trifolia 2.16?

Released on Thursday, Oct 23, 2014 Retired Template Status Trifolia now supports a “Retired” template status, representing a template that should no longer be used. The Retired status is only…

Free Text Sig

Discord is afoot. It has been for some time now. The cause is a little understood data element known as “Free Text Sig”.

CDA Experts on FHIR

At Lantana, we are all pretty comfortable working with CDA. I think we are also pretty open to understanding its limitations. The current CDA, Release 2, was developed ten years ago. It was designed to meet a range of requirements from simple, transformed-from-dictation documents to fully coded, semantically interoperable reports. A key design consideration, a requirement for passing ballot within HL7 at that time, was full compatibility with Version 3 messaging and an explicit tie-in to the Reference Information Model (RIM).

What’s New in Trifolia 2.15

The latest release of Trifolia is available. Check out what is new in Trifolia 2.15.

Are Meaningful Use Stage 2 certified EHRs ready for interoperability? Findings from the SMART C-CDA Collaborative

Upgrades to electronic health record (EHR) systems scheduled to be introduced in the USA in 2014 will advance document interoperability between care providers. Specifically, the second stage of the federal…

What’s new in Trifolia 2.14

Trifolia version 2.14 is now available. Several updates have been made to the user interface, template editor, template viewer and browsing functions to improve user experience.

Proposed Delays to 2014 Meaningful Use Timeline & and Changes to Certified Electronic Health Care Technology (CEHRT). How will you be affected?

Today, CMS announced proposed changes to Medicare and Medicaid electronic health record incentive program timeline for 2014 and revisions to the CEHRT definition. As a courtesy, Lantana put this summary…

Brag Blog: HAIMS Nails it for Veterans

The great thing about a career in health IT is that we have so many problems to solve. The drag is that it occasionally feels as if we operate on…

Lantana Annual Retreat: Full Speed Forward

Lantana’s company retreat started out with a review of the company vision statement, pared down to the following: “We want to see health information available across the spectrum of care, supporting safe, effective, affordable healthcare that improves well-being, public health, quality of care, and research.”

From there, we spent a day and a half reviewing our goals, strategy, and tactics to realize this vision. We found, to our satisfaction, that our long-time company motto[i], “have fun, make money, improve the industry” works just fine to articulate our goals.

Rest Secure

A security update for the long-standing CDA style sheet is available from Lantana Consulting Group here. This update addresses a potential vulnerability exposed by use of the style sheet in…

HIMSS Health Story Project: Our Successful Demonstration of the SEE Tool in a Patient-Centric Use Case

Lantana demonstrated the SEE Tool as part of HIMSS Health Story showed how physicians without an EHR can still access the HIE & update a patients record.

Proposed Voluntary Certification for Long-term and Post-acute Care (LTPAC) Providers

The Health IT Policy Committee’s Certification and Adoption Workgroup recently held a virtual hearing on a proposed long-term and post-acute care (LTPAC) certification program.

Conformance Drift in Consolidated CDA R2; Part Three of Three

The C-CDA Implementation Guide development team settled on five heuristics in resolving ballot comments grouped as “tighten constraints.” Here are my thoughts on the applicability of those heuristics.

Conformance Drift in Consolidated CDA R2; Part Two of Three

The HL7 Consolidated Clinical Document Architecture (C-CDA) Release 2 ballot received an unprecedented 1,000+ comments. A number of those comments include proposals to tighten various constraints within the document. Here are some arguments towards constraint tightening.

Conformance Drift in Consolidated CDA R2; Part One of Three

The HL7 Consolidated Clinical Document Architecture (C-CDA) Release 2 ballot received an unprecedented 1,000+ comments. A number of those comments include proposals to tighten various constraints within the document. Although tightened constraints sometimes are necessary, they may also represent bad spec design in the form of a “conformance drift,” a situation in which increasingly restrictive conformance verbs are applied to truly optional elements thus idealizing one implementation of the spec to the exclusion of others.

Now Available: Write-Enabled Trifolia Workbench

The write-enabled version of the Trifolia Workbench: HL7 Web Edition is now available for HL7 members.

Template Versioning for Consolidated CDA (C-CDA)

The HL7 Structured Documents Working Group (SDWG) is discussing approaches to template versioning in Consolidated CDA (C-CDA). I suggest here a strategy that is consistent with current policy on identifiers.

Ready for Write-Enabled Trifolia Workbench?

Lantana will soon release an enhanced, write-enabled version of the Trifolia Workbench: HL7 Web Edition for HL7 Members. Trifolia Workbench is a web-based standards development tool that supports designers, developers and implementers in capturing and managing HL7 RIM-based templates, such as the Clinical Document Architecture (CDA) and the Healthcare Quality Measure Format (HQMF/eMeasure).

Public Webinar This Week: Role of Standards in Quality Measurement

Crystal Kallem, RHIA, CPHQ, will review the current state and vision for quality measurement and the role of foundational quality specifications that are requirements in Meaningful Use Stage 2.

CDA Academy Hat Visits Machu Picchu

CDA Academy Alumnus, David Swiezy, Allscripts, took his CDA Academy hat along on several adventures—to Machu Picchu in Peru and to the Galapagos Islands.

Join the Ballot Pool for C-CDA (by Monday)

As part of the ongoing effort to enable more consistent and accurate clinical data exchange, the HL7 Implementation Guide for CDA® Release 2: Consolidated CDA Templates for Clinical Notes (US Realm) Draft Standard for Trial Use Release 2 continues to build on the library of CDA R2 templates consolidated within the first release.

Accelerating Health Information Exchange: Highlight from ONC/CMS Webinar

I recently dialed in for a webinar on Accelerating Health Information Exchange hosted by both the Office of the National Coordinator for HHS (ONC) and the Centers for Medicare and Medicaid (CMS). The government had received over 200 public comment submissions on policies that can strengthen the business case for exchanging information across providers seamlessly and securely. Here are some takeaways from the webinar.

Where’s Your Hat?

Each student who attends our CDA Academy workshop receives a super soft, unstructured, eco-friendly, bamboo and cotton blend, red hat with white CDA Academy logo. We’ve been handing out the same popular hat for the past eight workshops…

Administrative Simplification: Highlight from CMS eHealth Summit Webinar

We believe C-CDA can provide the requisite information to automate the pre-authorization process, providing immense efficiencies for both providers and payers.

Updated C-CDA and QRDA Specs Now Available

The updates address errata approved by the HL7 Structured Document Work Group. Both draft standards for trial use are referenced in the Certification Criteria for Meaningful Use Stage 2…

Join Us: New Quality Reporting Track for CDA Academy VIII

We are excited to announce a new two-day track on Implementing Quality Reporting at CDA Academy VIII…

Lantana at HIMSS13: Hello, New Orleans

Eight of us will be in the Crescent City for the better part of a great week. We’re looking forward to meeting with colleagues, clients, prospective clients, old friends and people who share our passion for HIT interoperability, music and good food. Here’s what’s up…

Are There Really Any Health IT Standards?

“What would you say to someone who says, ‘There are no standards [in health IT].’?” …

Our Perspective on Updating Consolidated CDA

Several proposals have come forward to augment HL7 Consolidated CDA with additional templates. The Structured Documents Work Group has taken the position that new templates supporting long term care will be added in an addendum rather than integrated into a new release of the spec. I think this position needs to be reconsidered both as a general course and for the specific material. Here’s why.

At Your Service!

We are taking advantage of our upcoming meeting with 25,000 of our closest associates — we will show greenCDA technology in the Health Story portion of the HIMSS12 Interoperability Showcase, Hall G, #11000.

How green is greenCDA?

The answer is, “potentially, pretty darn green.” I was invited to speak at the 2nd Annual Global Healthcare Conference where the topic is the greening of healthcare – reducing the environmental impact of care delivery in the US and around the world…

2nd Annual Global Healthcare Conference: The Green Revolution in Health Information Technology

Uncovers environmental impact of electronic health records and a strong tie to standards in the incentive to reduce visits.

Academy V: Around the Corner and Out on the West Coast

Hard to believe that we are already going into our fifth edition of the CDA Academy, the premier place to learn, absorb, ponder and explore everything related to the core specification behind Meaningful Use of electronic health records and all types of clinical information exchange.

Lantana is Growing

We are looking for a qualified operations manager, clinical information analyst, terminology analyst and software qa engineer…

New Tool for Managing CDA Templates Now Available

Our beta release of a tool for capturing, storing and managing CDA templates is now available through HL7.

Academy IV: Almost here…

The source for comprehensive training in the core specifications required for Meaningful Use, the CDA Academy, comes around again in Academy IV, now enhanced with a track for policy makers and planners.

Direction Needed

Health Story recently participated in an advocacy day on Capitol Hill. I helped prepare a broadsheet, and it came to mind when I was asked (again) yesterday about recognition for the Consolidation Project effort.

Template Database Now Open Source

The Lantana Consulting Group is proud to release our Template Database (TDB) as open source software under the Eclipse Public License.

That Was the Year That Was

We are just wrapping up our fifth annual Lantana retreat here at the sunny, frigid and idyllic C.O.D. Ranch in Oracle, AZ. Looking back, it’s been quite a year for us and for the industry.

Launch of the “HL7/IHE Health Story Consolidation Project under the ONC S&I Framework”

If the official title of the Consolidation Project is looongg, that is in part why it is exciting – there are many hands involved here, and we expect to make light work of a number of important tasks.

Welcome to the Lantana Consulting Group Blog!

Moving into our beautiful new site is like getting a new home. It’s a great opportunity to see ourselves in a new light.

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