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	<title>Comments for MD Leader</title>
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	<link>http://mdleader.wordpress.com</link>
	<description>Physician Leadership, Electronric Health Records and a few photographs</description>
	<lastBuildDate>Tue, 10 Feb 2009 18:44:21 +0000</lastBuildDate>
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		<title>Comment on Bear Creek, Portage County, Wisconsin by sandersonp</title>
		<link>http://mdleader.wordpress.com/2009/01/14/bear-creek-portage-county-wisconsin/#comment-223</link>
		<dc:creator>sandersonp</dc:creator>
		<pubDate>Tue, 10 Feb 2009 18:44:21 +0000</pubDate>
		<guid isPermaLink="false">http://md-leader.com/?p=304#comment-223</guid>
		<description>Thanks Jairy</description>
		<content:encoded><![CDATA[<p>Thanks Jairy</p>
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		<title>Comment on Bear Creek, Portage County, Wisconsin by jairyhunter</title>
		<link>http://mdleader.wordpress.com/2009/01/14/bear-creek-portage-county-wisconsin/#comment-222</link>
		<dc:creator>jairyhunter</dc:creator>
		<pubDate>Tue, 10 Feb 2009 15:06:05 +0000</pubDate>
		<guid isPermaLink="false">http://md-leader.com/?p=304#comment-222</guid>
		<description>Fantastic shot!</description>
		<content:encoded><![CDATA[<p>Fantastic shot!</p>
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		<title>Comment on Plover Halo by jairyhunter</title>
		<link>http://mdleader.wordpress.com/2009/01/07/plover-halo/#comment-221</link>
		<dc:creator>jairyhunter</dc:creator>
		<pubDate>Tue, 10 Feb 2009 15:05:47 +0000</pubDate>
		<guid isPermaLink="false">http://mdleader.wordpress.com/?p=85#comment-221</guid>
		<description>Wow, Pete. Awesome shot....almost looks as if there&#039;s a moonbeam down to your building.</description>
		<content:encoded><![CDATA[<p>Wow, Pete. Awesome shot&#8230;.almost looks as if there&#8217;s a moonbeam down to your building.</p>
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		<title>Comment on Testing, Testing and More Testing by Scott Knutson</title>
		<link>http://mdleader.wordpress.com/2008/12/30/testing-testing-and-more-testing/#comment-220</link>
		<dc:creator>Scott Knutson</dc:creator>
		<pubDate>Tue, 10 Feb 2009 14:17:17 +0000</pubDate>
		<guid isPermaLink="false">http://mdleader.wordpress.com/?p=240#comment-220</guid>
		<description>Great postings, great photography.

Wholehearted agreement on the complexities of EHR upgrading.  I appreciate your comments.</description>
		<content:encoded><![CDATA[<p>Great postings, great photography.</p>
<p>Wholehearted agreement on the complexities of EHR upgrading.  I appreciate your comments.</p>
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		<title>Comment on Conflicts of Interest by 15</title>
		<link>http://mdleader.wordpress.com/2009/01/11/conflicts-of-interest/#comment-213</link>
		<dc:creator>15</dc:creator>
		<pubDate>Mon, 12 Jan 2009 00:03:52 +0000</pubDate>
		<guid isPermaLink="false">http://md-leader.com/?p=299#comment-213</guid>
		<description>&lt;strong&gt;Health Lessons...&lt;/strong&gt;


...</description>
		<content:encoded><![CDATA[<p><strong>Health Lessons&#8230;</strong></p>
<p>&#8230;</p>
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		<title>Comment on Testing, Testing and More Testing by David Robbins</title>
		<link>http://mdleader.wordpress.com/2008/12/30/testing-testing-and-more-testing/#comment-202</link>
		<dc:creator>David Robbins</dc:creator>
		<pubDate>Tue, 06 Jan 2009 13:00:10 +0000</pubDate>
		<guid isPermaLink="false">http://mdleader.wordpress.com/?p=240#comment-202</guid>
		<description>I enjoyed your post.

Have you considered virtualizing your environment in a test segment of your network?  This allows you to pull data from production into an isolated segment and you then can expose the new software modules to actual data.  Naturally this is dependent on the size of the network, database servers, etc.  However, VMWare ESX is now priced at a level where it is a worthwhile investment.  A one time cost of $50,000 is better invested in a testing environment that can be re-used as opposed to the 50,000 X ??? to investigate an error in production.</description>
		<content:encoded><![CDATA[<p>I enjoyed your post.</p>
<p>Have you considered virtualizing your environment in a test segment of your network?  This allows you to pull data from production into an isolated segment and you then can expose the new software modules to actual data.  Naturally this is dependent on the size of the network, database servers, etc.  However, VMWare ESX is now priced at a level where it is a worthwhile investment.  A one time cost of $50,000 is better invested in a testing environment that can be re-used as opposed to the 50,000 X ??? to investigate an error in production.</p>
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		<title>Comment on Testing, Testing and More Testing by Billy</title>
		<link>http://mdleader.wordpress.com/2008/12/30/testing-testing-and-more-testing/#comment-201</link>
		<dc:creator>Billy</dc:creator>
		<pubDate>Sun, 04 Jan 2009 07:34:35 +0000</pubDate>
		<guid isPermaLink="false">http://mdleader.wordpress.com/?p=240#comment-201</guid>
		<description>Testing becomes even more intense when you have multiple interfaces to different systems.  I.e. lab, pharmacy, etc...  Even if your EHR vendor supports modules to all of these it&#039;s often the case that you need to interface with business partners or semi-affiliated practices.  All of this makes testing much much more complex.  

Where have you found benefit with automated testing scripts and what tools seem to work well for healthcare workflow?  We formed a QA team a year ago, dedicated rather than virtual, for this very reason and we&#039;re always curious to hear best practices from other organizations.</description>
		<content:encoded><![CDATA[<p>Testing becomes even more intense when you have multiple interfaces to different systems.  I.e. lab, pharmacy, etc&#8230;  Even if your EHR vendor supports modules to all of these it&#8217;s often the case that you need to interface with business partners or semi-affiliated practices.  All of this makes testing much much more complex.  </p>
<p>Where have you found benefit with automated testing scripts and what tools seem to work well for healthcare workflow?  We formed a QA team a year ago, dedicated rather than virtual, for this very reason and we&#8217;re always curious to hear best practices from other organizations.</p>
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		<title>Comment on Pre-loading Data into the EHR by Billy</title>
		<link>http://mdleader.wordpress.com/2008/11/21/pre-loading-data-into-the-ehr/#comment-200</link>
		<dc:creator>Billy</dc:creator>
		<pubDate>Sat, 22 Nov 2008 06:09:04 +0000</pubDate>
		<guid isPermaLink="false">http://mdleader.wordpress.com/?p=221#comment-200</guid>
		<description>You&#039;re talking all of the right steps and I commend your team for their prep.  The amount of benefit and value you&#039;ll realize from your implementation will be directly proportional to the amount of prep that you put into it.  Good luck!</description>
		<content:encoded><![CDATA[<p>You&#8217;re talking all of the right steps and I commend your team for their prep.  The amount of benefit and value you&#8217;ll realize from your implementation will be directly proportional to the amount of prep that you put into it.  Good luck!</p>
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		<title>Comment on Wisconsin River by Tina P.</title>
		<link>http://mdleader.wordpress.com/2008/05/13/wisconsin-river/#comment-199</link>
		<dc:creator>Tina P.</dc:creator>
		<pubDate>Tue, 14 Oct 2008 22:42:18 +0000</pubDate>
		<guid isPermaLink="false">http://mdleader.wordpress.com/?p=46#comment-199</guid>
		<description>It almost does&#039;nt look real. At first, i thought it was a painting.  Very beautiful.</description>
		<content:encoded><![CDATA[<p>It almost does&#8217;nt look real. At first, i thought it was a painting.  Very beautiful.</p>
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		<title>Comment on Addressing the Medical Staff &#8211; Disruptive Behavior by George  Anderson</title>
		<link>http://mdleader.wordpress.com/2008/06/30/addressing-the-medical-staff-disruptive-behavior/#comment-198</link>
		<dc:creator>George  Anderson</dc:creator>
		<pubDate>Mon, 18 Aug 2008 14:38:58 +0000</pubDate>
		<guid isPermaLink="false">http://mdleader.wordpress.com/?p=93#comment-198</guid>
		<description>This is execellent as it provides information available to JCAHO prior to its&#039; announcement of the  new Janury standards.</description>
		<content:encoded><![CDATA[<p>This is execellent as it provides information available to JCAHO prior to its&#8217; announcement of the  new Janury standards.</p>
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