Document Management / Document Imaging

Florida Shots

Financial / Billing Systems

Ontario Systems

Hardware-Printeres / Copiers / Scanners

3m Specialty Display Prod

PFU Ltd / Fujitsu

HDWR-PC

Intel

Networks / Network Management

General Cable

Point-of-Care / Mobile Systems

Dell

Security / Authentication / Biometrics

CDW

Videoconferencing / Teleconferencing

Panasonic Digital Document Comp

Wireless Technology

Sprint

Verizon Wireless

• January 2009 FEATURE ARTICLES •



 The Healthcare CIO
IT Winners and Losers in 2009

By John Halamka, M.D.

I was recently asked to predict IT Winners and Losers in 2009. Rather than name individual companies, I’d like to highlight categories:

Winners

Electronic Health Record (EHR) vendors, especially Web-based applications:
The Obama administration has promised $50 billion for interoperable EHRs.

Software as a Service (SaaS) providers: SaaS providers offer lower cost of ownership and faster implementation than traditional software installation approaches.

Open Source: I’m embracing open source operating systems, databases and applications as long as they can provide the reliability and supportability that I need.

Green IT: Winners will be innovative techniques to adjust power draw, such as idle drive management, CPU voltage adjustments and high efficiency power supplies.

Cloud Computing Offerings: These are remote infrastructure utilities such as storage and high performance computing.

Losers

Client Server Applications: The cost of deploying, supporting and maintaining client server applications is no longer affordable.

Proprietary Operating Systems: I’m eliminating Solaris, AIX and HP-UX from my data centers.

High-end SAN storage: I find that 90 percent of my storage needs are met with lower end SAN, NAS and appliances that use low cost, high density drives (SAS and SATA).

Devices that do not offer energy efficient operations.

Applications that require a specific operating system or a specific browser on the client side: To be successful in 2009, applications should be operating system neutral, browser neutral and easily hosted as a service accessible via the Web.


John Halamka, M.D., is CIO of the CareGroup Health System and CIO/Dean for Technology at Harvard Medical School, and is on HMT’s Editorial Advisory Board. Contact him at jhalamka@caregroup.harvard.edu .

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