Insightful,adjective \ in·sight·ful \ˈin-ˌsīt-fəl, in-ˈ\. Exhibiting or characterized by Insight. noun in·sight \ˈin-ˌsīt\. 1: the power or act of seeing into a situation : penetration. 2: the act or result of apprehending the inner nature of things or of seeing intuitively. (

This is an interesting point in time in the history of the American health care system, perhaps a tipping point. First, as part of the recovery from the recession of 2008, the US government introduced a slew of changes in US Federal Health IT Legislation and Regulations. This accelerated a 'rush to computerize' as providers and hospitals worked to gain rewards for 'meaningful use' of information technology. This adoption of technology continues as providers struggle to reach ever higher goals of meaningful use and to avoid future penalties.

Then, the Affordable Care Act became the law of the land. Among other things, this is changing the model from fee for service to "value instead of volume", "outcomes", and quality. It also promoted mergers and acquisitions between providers and hospitals as focus shifts to population health, "patient centered medical homes" and accountable care organizations.

As meaningful use funding has dried up, there is the growing realization that the government sponsored adoption of technology will be incomplete and balkanized. This prompted an unprecedented venture capital investment in health IT startups, trying to fill gaps and fix what is, obviously, still, a broken American health care system.

The bottom line? Institutions struggling to navigate the rapids of health care system change while at the same time learning how best to use complex information systems to stabilize the boat and implement that change. At the same time, trying to understand new technologies fighting to climb on board. A feeding frenzy of buzz words swirling in a cloud of vapor and hype.

How can we help? We speak 'clinician' and we speak TPO. We can translate between these 'dialects of health care' and vendor and geek. We can understand your concerns with your operations. We will help you find and analyze data from your information systems. We can then help you modify and configure your systems to support new workflows that advance your mission. We can help you find and deploy interstitial solutions that bind your information systems together. We can help you use standards to reduce the variance in how you work and interoperate. Most importantly, we can you help you navigate the clouds of buzz word vapor to condense solid real world solutions. We don't give you a fish; we can teach you how to fish.

If you're a vendor, we can help you make your product better. We can help you solidify your product features and functions from a cloud of marketing Kool-Aid® vapor. We can translate customer needs and wants into specifications and road maps.We can help you explain your product and it's features to clinicians and executives and show them how it can solve their problems. We solve the last mile problem; from the 100,000 foot view, where everything is pretty to 10 feet down in the trenches. The devil is in the details.