84. meditech part 2

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  • 1. H.I.S.-toryby Vince CiottiEpisode #84:Meditech Part 2 The people who built the behemoth 2012 by H.I.S. Professionals, LLC, all rights reserved.

2. My Favorite Vendor CEO! So who founded this amazingly successful and long lived vendor?Easily one of the greatest HIS-tory heroes in my eyes. Why?? 1. He graduated from MIT in 1964 I applied that very year and got rejected. And I was no dummy: I won a 4-year full scholarship to Temple U. in Philly, but MITs standards were that much higher! 2. He was the son of Sicilian immigrants; my grandparents came over on a boat in 1915; my Dads the little 2-year-old in this photo: 3. Meditechs founder shuns business suits, loves Bob Dylan and even wore an earring until he was about 40 years old sound like the hippie garb Mr. HIS-talk got me to wear at my 2011 HIMSS presentation? 4. He shuns the limelight, the opposite of many CEOs from other HIS vendors 3. (Antonino) Neil Pappalardo So how did he do it? His fascinating story starts back in the 60s: Neil started was a native of frozen suburban Rochester, N.Y., like so many other early HIS vendor founders who had nothing else to do in those frozen northlands: Steve Klickof Dairyland, Frank Poggio of HMDS, and Judy whats-her-name of Epic Neil entered MIT in 1960, where he studied physics but graduated with a degree in electrical engineering. His first job in 1964 was at the Hospital Computer Project at Massachusetts General Hospital headed up by Dr. Octo Barnett, who had been recruited by Homer Warner (of IHC fame) and funded by BBN and the NIH. Octos team was programming a DEC PDP-1 with an impressive 16K of 18 bit memory, and the ability to support an amazing 5 simultaneous users! 4. Dr. Octo Barnetts StudentsIn a pdf file you should Google, Octo describes a promising student:one of the most imaginative and productive computer scientists it has been my privilege to know - Neil Pappalardo. I first knew Neil when he was a student of mine at MIT and did his senior thesis in my cardiovascular laboratory. Hejoined me after graduation from MIT as Research Assistant. In about 1965-1966, Neiltried to persuade me that we could develop a programming system that would support the development of medical information systems at MGH. For some months, I tried to discourage them from what I felt to be a radical and obviously unproductive activity - - after all, what competency and experience did a hospital-based group have? Neil, however ignored my guidance, as was his usual habit, proceeded with the development of MUMPS, and in a few months, had a system that was exciting and promising. 5. Other Octo HIS PioneersDr. Barnetts had several other HIS connections:- TSI - Another of Octos students was JerryGrossman,who was CEO of New EnglandMedical Center, and founder of TransitionSystems, Inc.a leading EIS system, lateracquired by Eclipsys (Allscripts today). You may remember an earlier episode on GEs early Medinetshared system (episode 13 at hispros.com). Heres Octos take: At about this time GE entered the business of time-sharing computer support for the hospital industry. This newGE subsidiary, known as Medinet, had very ambitious goals -simultaneously to develop time-sharing hardware, a newlanguage and a complete set of hospital informationapplications. The company never had the opportunity toeither succeed or fail, since after about six months GEdecided to terminate all of its computer activities 6. Medinet/Meditech Connection Episode 13A of this HIS-tory series told a fascinating tale thatconnects the GE Medinet timesharing project to todays Meditech - That episode recounts Jim Pesces(current VP of McKessons red-hot Paragon) story of his early days at GE Medinet back in 1969: One of Jims night-shift employees at GE was a youngster named Larry Polimeno, passed over for a supervisor job. Larry then quit to join some flaky start-up HIS firm And what was the firm Larry joined? In 1968, Neil left MGH to launch his own firm after learning his wife was pregnant with their fourth child. Times were tough and Neil talked to many friends, family and potential donors to raise money, eventually finding some local venture investors. The day his 4th child (a girl) was born, he formed: 7. Management Stability Remember this chart below? It illustrates the amazing stability ofNeil Pappalardo and Larry Polimeno as senior execs at Meditech. Only 2 other HIS vendors have had the same people leading theirentire HIS-tory: Cerners Neil Paterson and Epics Judy Faulkner,although only for 30 years each (SMS Jim Macaleer also hadreigned for 30 years before the Siemens acquisition circa 1999) All other vendors have had a steady parade thru their C-Suites 8. Other Meditech Execs In 1975, a young programmer named HowardMessing came from MIT. Fortunately, his work didnot live up to his name, and he worked his way upthe organization, promoted to VP of Implementationin 1984, and then CEO in 2010, when Neil hit 68. Heres their smiling C-Suite from the mid-1990s:Roberta GriggBarbara Manzollilo Bob GaleJoanne WoodEd PisinskiHoward MessingChris Anschuetz 9. Other Meditech Mavens Got to give credit to several other old friends fromMeditech who have greatly impressed me over the years: Stu Lefthes, VP of Sales, who left McAuto to join Meditech in 1982; big joke in St. Louis: Stu Left us! - Ken Jasper, Regional Sales Director in thenortheast, who was stuck with our firmthrough dozens of our vendor-brutal Non-RFP system selection processes, and won hisfair share of them while always remaining agentleman (so rare in the HIT sales world!). Next Week: we delve into the early years of Meditechs development - An amazing array of non-healthcare systems in the early 70s! - LIS start at Cape Cod hospital that lasted for 40 full years - Evolution from MUMPS to MIIS to Magic to NPR to C/S to 6.0