Carl Anthony Osborne, CPHIMS, PMP

I help health systems get more out of their EHR.

Sixteen years inside Oracle Cerner Millennium and Epic. I build the workflow, train the people who use it, and extend it with SMART on FHIR when the vendor stops short.

BuildConfigure the workflow
TrainGet clinicians fluent
InnovateExtend it with FHIR
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FHIR competition winner, building apps that work on real EHR data rather than demo sandboxes.

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Health systems served, from pediatric hospitals to the VA.

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Years inside Oracle Cerner Millennium and Epic, on both the build and the floor.

Trusted inside 25+ health systems, including

Mayo Clinic Health System MedStar Health Penn State Health Care New England U.S. Department of Veterans Affairs Children's Hospital of The King's Daughters
CPHIMSCertified Professional in Healthcare Information and Management Systems
PMPProject Management Professional, Project Management Institute (PMI)

One operator across the EHR lifecycle.

Build, Train, Innovate. Most consultants cover one. I cover all three, so nothing gets lost in the handoff.

01 Build

Configure what clinicians actually use.

Order sets, rules and documentation tools built around real workflow, and tested before they reach the floor.

  • Cerner PowerPlans
  • Discern rules
  • Epic SmartTools
  • SmartPhrases and SmartLists
  • Order set governance
PowerPlan: Community-acquired pneumoniaValidating
AdmissionDay 1Discharge
  • Ceftriaxone 1 g IV dailyMed
  • Azithromycin 500 mg IVMed
  • Sputum culture and Gram stainLab
  • Pulse oximetry, continuousNursing
02 Train

Training that sticks after go-live.

Interactive modules, tip sheets and super-user programs built from the real build, not screenshots of it.

  • Articulate Storyline
  • Tip sheets
  • Super-user programs
  • At-the-elbow support
  • Adoption metrics

Placing a PowerPlan

A nurse can't find the sepsis order set. Where should she look first?

Ask pharmacy to enter it
Her favorites, then the folder search
Build a new order from scratch
03 Innovate

Extend the EHR on open standards.

When the vendor can't do it out of the box, I build it: SMART on FHIR apps, CDS Hooks and integrations that launch inside the chart.

  • FHIR R4
  • SMART on FHIR
  • CDS Hooks
  • HL7 v2
  • seeCOLe
Most recent lactate4.6
Unitmmol/L
Above range
Carl leading an EHR training session for a room of nurses

I don't hand off training. I run it.

The person who configured the build is the one in the room teaching it, so every question gets a real answer and every gap gets fixed in the build, not just noted.

Classroom and virtualSuper-user programsGo-live command center
Go-live readiness 0%

Clinicians trained and signed off

Innovation I ship myself: seeCOLe.

I founded seeCOLe to put the chart where the clinician is already looking. Smart glasses with MARY, a clinical assistant that reads the EHR through FHIR, so eyes stay on the patient instead of a screen.

Visit seeCOLe

seeCOLe smart glasses
MARY07:42
"MARY, summarize bed 12."
Bed 12, J. Rivera, 67. Day 2 of pneumonia. Afebrile since 06:00. On ceftriaxone and azithromycin. 2 L oxygen, sat 95%.

Ask MARY

Demo uses a fictional patient.

Credentials, communities and platforms

HIMSS CompTIA Microsoft AWS Google Cloud Partner emblem

Selected work

Three engagements, one from each part of the lifecycle. Scroll through the case files.

BuildPediatric hospital, Oracle Cerner Millennium1 of 3

Weight-based order sets rebuilt ahead of a major upgrade

The problem
Pediatric dosing lived in free text and pharmacist memory, and the upgrade would have broken half of it.
What I did
Moved dosing checks into the PowerPlans themselves, phase by phase, with pharmacy and nursing signing off each one.
40+PowerPlans rebuilt
0Go-live rollbacks
Read the case study
TrainMulti-hospital system, Epic2 of 3

A nursing training program that outlasted go-live

The problem
Classroom training ended at go-live, and adoption dropped off within weeks.
What I did
Built Storyline modules and tip sheets from the live build, and trained a super-user network across five campuses.
5Campuses, one super-user network
Read the case study
InnovateFHIR competition winner3 of 3

From hackathon prototype to a SMART app inside the chart

The problem
Clinicians needed a view the EHR vendor wasn't going to build.
What I did
Built a FHIR R4 app that launches in patient context and writes back to the record, on open standards end to end.
4×FHIR competition wins
Read the case study
Portrait of Carl Anthony Osborne
Carl Anthony OsborneCPHIMS, PMP

About Carl

Most EHR problems aren't software problems. They're the gap between how it was built and how people work.

I've spent sixteen years closing that gap from both sides. I've configured order sets the night before a go-live, stood at the elbow of nurses the next morning, and written the FHIR app that fixed what the build couldn't.

Hiring me means one operator across the whole EHR lifecycle, so nothing gets lost between the analyst, the trainer and the developer.

  • Oracle Cerner Millennium
  • Epic
  • SMART on FHIR
  • FHIR R4

Tell me where your EHR is falling short.

A 30-minute call is enough to know whether I can help. No slides, no sales pitch.

30 minutes with CarlVideo call, pick a time that suits youOpen this week