In This Issue:
  • MGMA GEORGIA State Chapter Annual Conference May 1-3, 2016
  • MGMA Jacksonville, Florida April 21st Luncheon
  • Artificial Intelligence, cognitive computing and machine learning are coming to healthcare: Is it time to invest?
  • CEO Note: New Guidelines for Hospital Cybersecurity
    Tier3MD Upcoming Events:
  • Exhibitor: Florida Annual 2016 Conference being held June 22-24 at Hyatt Regency Grand Cypress in Orlando
  • Tier3MD Hosting the "Pink Cork" - Atlanta 4.14.16

Contact Us

855-MyTier3 (698-4373) *2204

Tier3MD will be a proud exhibitor at the 2016 Georgia MGMA conference May 1st – 3rd. We hope to see many of you there. “Going to the annual conference allows us a chance to meet clients and new practice administrators throughout the state. It also gives us a chance to meet up with peers in our industry. We are able to keep up with the latest advancements in medical IT which directly benefits our clients.” -Michael Brown


Tier3MD was pleased to sponsor the Northeast Florida MGMA Chapter Luncheon on April 21st in Jacksonville, Florida. 

In attendance for Tier3MD were Michael Brown (National Director) and Erik Fernandez (Florida Regional Director). “It was great to see some clients and over 40 medical practice administrators from the Jacksonville area. I look forward to getting to know each one of these administrators and working with NFMGMA in the future.” -Erik Fernandez 

Below are the Speakers and Sponsor Information: 

Speaker: Jason Mehta - AUSA, Elizabeth Holahan - Office of Council to the Inspector General, Robert Murphy - Special Agent 


Sponsor: Erik Fernandez - Tier3MD

Artificial intelligence, cognitive computing and machine learning are coming to healthcare: Is it time to invest? 

With Google, IBM and Microsoft all setting sights squarely on healthcare, and analysts predicting 30 percent of providers will run cognitive analytics on patient data by 2018, the risk of investing too late may outweigh the risk of doing so too soon.

By Tom Sullivan HealthcareIT News

April 22, 2016

The arrival of artificial intelligence and its ilk — cognitive computing, deep machine learning — has felt like a vague distant future state for so long that it’s tempting to think it's still decades away from practicable implementation at the point of care. And while many use cases today are admittedly still the exception rather than the norm, some examples are emerging to make major healthcare providers take note. Regenstrief Institute and Indiana University School of Informatics and Computing, for instance, recently examined open source algorithms and machine learning tools in public health reporting: The tools bested human reviewers in detecting cancer using pathology reports and did so faster than people. 

Indeed, more and more leading health systems are looking at ways to harness the power of AI, cognitive computing and machine learning. 

"Our initial application of deep learning convinced me that these methods have great value to healthcare," said Andy Schuetz, a senior data scientist at Sutter Health’s Research Development and Dissemination Group. "Development will be driven by our acute need to gain efficiency." 

Schuetz and his colleagues are not alone. By as soon as 2018, some 30 percent of healthcare systems will be running cognitive analytics against patient data and real-world evidence to personalize treatment regiments, according to industry analysts IDC. 

What’s more, IDC projects that during the same year physicians will tap cognitive solutions for nearly half of cancer patients and, as a result, will reduce costs and mortality rates by 10 percent. 

Race is heating up 

IBM’s Watson is the big dog in cognitive computing for healthcare, but the race is on and the track is growing increasingly crowded. 

IBM rivals Dell and Hewlett-Packard are readying systems to challenge Watson, while a range of companies including Apple and Hitachi Data Systems are each taking their own tack toward AI, cognitive computing and machine learning. 

A report from Deloitte in 2015 rattled off a list of other competitors, including: Luminoso, Alchemy API, Digital Reasoning, Highspot, Lumiata, Sentient Technologies, Enterra, IPSoft and Next IT.                                                 

And late last month Google and Microsoft battled it out when Google unwrapped its Cloud Machine Learning and Microsoft shot back that same week with big data analytics of its own and the new phrase "conversational intelligence" to describe its new offerings. 

So don’t expect Watson to be the only "thinking machine" option moving forward. 

Hurdles ahead 

Among the obstacles facing healthcare organizations and the intrepid technology vendors trekking to AI, cognitive computing and machine learning will have to high-step to overcome: data. 

Data is always going to be an issue for both healthcare providers and technology vendors. Collecting it, storing it, normalizing it, tracing its lineage and the critical – if not particularly sexy – matter of governance, are all necessary so providers can harness cutting-edge software and hardware innovations to glean insights that enhance patient care. 

"Translating data into action — that is the hard part, isn’t it?" said Sarah Mihalik, vice president of provider solutions at IBM Watson Health. 

Achieving the transformative potential for AI, she added, is also going to require a mindset and practice shift in how providers embrace technologies and acquire talent. 

The right data is essential to solving many of today’s problems but the information itself does not a lasting strategy make. 

"Analytics is just one part of an overall data strategy," said Nicholas Marko, MD, chief data officer at Geisinger Health System. 

Other key pieces include: business intelligence, enterprise data warehouse, infrastructure, privacy and security. 

"If you’re not focusing on how these pieces are all in motion then invariably you’re going to hit some kind of bottleneck," Marko said. "The strategy has to be a dynamic living thing, not something you just put down on paper. There is not some secret sauce that allows you to lay down an analytics strategy. It’s a lot of hard work. Nobody has the magic solution." 

Not even technology titans. 

First-mover advantage 

AI, cognitive computing and deep machine learning are still nascent technologies but consultancies are suggesting that healthcare organizations begin working these technologies now rather than waiting. 

"The risk of investing too late in smart machines is likely greater than the risk of investing too soon," according to a report from Gartner Group. 

There’s little arguing that the degree of complexity around big data in healthcare is exactly why clinicians, physicians and, indeed, the industry at large need these emerging technologies, which have felt so far away for so long. 

"I have no doubt that sophisticated learning and AI algorithms will find a place in healthcare over the coming years," Sutter’s Schuetz said. "I don't know if it's two years or ten — but it's coming."



New Guidelines for Hospital Cyber Security


It was announced last week that NIST (National

Institute of Standards and Technology) will be releasing new guidelines for hospital

cybersecurity.   NIST offers a security

framework that was developed for the federal government that helps

organizations understand, select and implement security controls.  The imminent set of best practices will help

healthcare organizations become more penetration-resistant, more effective at

limiting damage attackers can inflict and ultimately better able to withstand


NIST Fellow Ronald Ross has likened the NIST framework to

a very large catalog of privacy and security controls to safeguard the

enterprise from hostile cyberattacks.   

And the latest iteration comes as the proliferation of advanced

technologies is rapidly exceeding healthcare executives’ ability to protect their

organizations from cyberthreats, Ross added, because every new system or device

expands an organization’s attack surface. “Organizations are buying as much IT

as fast as they can to obtain greater capabilities,” Ross explained.

With that mad rush to embrace new technologies, however,

there are certain things that healthcare organizations cannot control, such as

operating systems or databases, for which the best they can really do is keep

pace with the patches vendors like Microsoft and Oracle distribute.

In the forthcoming guidance he said that NIST is working

to reduce complexity of systems security engineering. “The best way to describe

the concept is like this: When you fly on an airplane or cross a bridge, you do

so because you trust the airplanes we fly and the bridges we cross, you have

confidence in the people who designed and built them,” he said. To that end,

the guidance will include best practices for buidling software and systems that

are both secure and trustworthy.   “We

can build and deploy systems that we can trust, too, in a hospital environment,

so the systems can better withstand cyberattacks, are more

penetration-resistant, and limit the damage an adversary can do if an attack

comes through the perimeter,” Ross said.

As an IT professional protecting medical practices, I am anxious

to see these new guidelines, and will be implementing them throughout our

client base.

Sheryl J. Cherico,
CEO/COO, Co-Founder 
Sheryl is the CEO of Tier3MD and one of the leading Healthcare IT Consultants in the country. 

Tier3MD Upcoming Events:

Exhibitor: Florida Annual 2016 Conference being held June 22-24 at Hyatt

Regency Grand Cypress in Orlando

Tier3MD Hosting the "Pink Cork" - Atlanta 4.14.16

Tier3MD is proud to host the 4th annual Pink Cork to benefit Georgia Breast Cancer, and we want YOU there!  You are cordially invited to join us on Saturday, May 14th, 2016 at the Tier3MD loft located at 3580 Pierce Drive in Chamblee, GA  30341.

Mothers, daughters, grandmothers, sisters, aunts, cousins, friends…the impact of breast cancer in the US and around the globe has taken a devastating toll on families and our communities. BUT…we need YOU to support this battle.  Please come an join us for a night of fun, food, drinks, and most importantly, awareness.


  Michael H. Brown  
855-MyTier3 (698-4373), ext 2204
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