Andrew Holm-Hansen | Director of Health IT Engineering

Andrew Holm-Hansen

Director of Health IT Engineering

Andrew Holm-Hansen worked in Health IT for 15 years before joining Quandary Peak Research as a Health IT Solutions Architect. He led several development teams during his career at Vanderbilt University Medical Center, with responsibilities ranging from EHR Integration to Clinical Decision Support Development and DevOps pipeline implementation, before transitioning into Enterprise Architecture.

His development work focused primarily on patient care applications and operationalizing predictive machine learning models driven by clinical and business event stream processing. As an Enterprise Architect, he distilled complex information that cut across legal, staffing, and technology boundaries, to provide decision-makers with actionable information.

Summary of Qualifications

  • Experience in conducting independent third party audits in the Health IT sector on behalf of the Office of National Coordinator for Health IT (ONC) and the Office of Inspector General (OIG).
  • Strong knowledge of enterprise development conventions and practices, specifically in the Health IT domain.
  • TOGAF certified Enterprise Architect responsible for documenting and designing transition plans for two large scale EHR migrations.
  • Excellent communicator capable of presenting complicated technical information in clear terms, suitable to the audience.
  • Classical computer science background.

Areas of Expertise

  • Tools
    Linux , Windows, Eclipse, Java Application Servers (Tomcat, Weblogic, OC4J, JBoss), SVN/CVS/git, Oracle, Postgres, mysql, Jenkins, Bamboo, CI, Tibco BW/BE, SOA, TOGAF, Jira, Confluence
  • Languages, Protocols and Formats
    Java, Python, Bash, Sed/Awk, XML, HTML, Javascript, HL7, FHIR, mLLP, TCP/IP
  • Frameworks
    Spring, JEE, J2EE, Struts, DWR, jQuery, AngularJS, Hibernate and My/IBatis, TIBCO
  • Methodologies
    XP, Agile, BDUF, Waterfall. TOGAF. Domain Driven Development
  • Litigation support:

Management, Audits, & Compliance Consulting

  • SQOO Project |
    Participated in eCW Corporate Integrity Agreement (CIA) as a member of the Software Quality Oversight Organization (SQOO) responsible for advising eClincalWorks (eCW) on creation and execution of a transition plan to reach compliance with the The Office of the National Coordinator for Health Information Technology (ONC) and Office of Inspector General (OIG).
    As part of the SQOO, I advised and worked closely with the internal eCW Solution Architecture team to improve software quality with a goal of measurably reducing risk to patient safety.
    Worked with eCW leadership and SQOO team members to identify gaps in strategic capability and align plans for IT procurement, hiring and resource allocation to address these gaps.
    As part of the SQOO, I investigated causes of software failure and sources of patient safety risk, presenting these findings to the OIG/ONC along with recommendations for remediation. This required communicating complicated technical and patient safety risks to a non-technical audience.
    In addition to the above, my work with the SQOO included:

    • Evaluating risks in software architectures
    • Evaluating SDLC and software risk management practices
    • Evaluating compliance with ONC-certifications and recommendations for EHR software
    • Evaluating code management and code deployment strategies and plans
    • Evaluating the quality of software in accordance with industry standards and best practices
    • Documenting the structure and behavior of complex systems
    • Making recommendations for improving software safety, reliability, and maintainability based on industry best practices
  • Masonicare v. Cerner |
    Assisting with the review and discovery production of electronic health record implementation components relevant to the case and providing analysis regarding industry standards for electronic health record implementation.
  • Kilterly v. SolutionStream |
    Provided analysis of SDLC and DevOps process, and execution of those processes. Provided analysis of software quality, architecture and design.
  • eClinicalWorks, LLC and the Office of the Inspector General of HHS Software Quality Oversight Organization |
    Member of the Software Quality and Oversight Organization (SQOO) under the Corporate Integrity Agreement between eClinicalWorks LLC and the Office of the Inspector General of the United States Department of Health and Human Services dated May 30, 2017. Serving as an independent audit and oversight organization covering a technical review of EHR software and development processes as it relates to patient safety.
    The project includes software process and source code review, including review of past issues, recommendations for risk and quality management systems, design controls, improvements to software development and testing processes, code review and manual and automated code quality analysis.

Litigation Consulting

  • HealthbookPlus Holdings, Inc v. Rod Jardine |
    Jurisdiction: JAMS
    Case Number: 5220003477
    Counsel: Burns Figa & Will
    Nature of Suit: Breach-of-Contract
  • WESCA / VonBergen v. Liberty Mutual Insurance Company |
    Jurisdiction: Eastern District of Pennsylvania
    Case Number: 2:22-cv-04880
    Counsel: Marcus & Zelman LLC
    Nature of Suit: Class Action
  • WESCA / Vonbergen v. Bloomingdales.com, LLC |
    Jurisdiction: Eastern District of Pennsylvania
    Case Number: 2:22-cv-04724
    Counsel: Marcus & Zelman LLC
    Nature of Suit: Class Action
  • WESCA / Munday v. Avis Budget Group, Inc |
    Jurisdiction: Eastern District of Pennsylvania
    Case Number: 2:22-cv-04807
    Counsel: Marcus & Zelman LLC
    Nature of Suit: Class Action
  • WESCA / Farst v. Michaels Stores, Inc |
    Jurisdiction: Middle District of Pennsylvania – Harrisburg
    Case Number: 1:22-cv-01433
    Counsel: Marcus & Zelman LLC
    Nature of Suit: Class Action
  • WESCA / Farst v. Autozone, Inc |
    Jurisdiction: Middle District of Pennsylvania – Harrisburg
    Case Number: 1:22-cv-01435
    Counsel: Marcus & Zelman LLC
    Nature of Suit: Class Action
  • WESCA / Huber v. Expedia, Inc |
    Jurisdiction: Eastern District of Pennsylvania
    Case Number: 2:22-cv-03570
    Counsel: Marcus & Zelman LLC
    Nature of Suit: Class Action
  • University of Victoria v. FreshWorks Studio Inc |
    Jurisdiction: BC Supreme Court
    Case Number: S-226081
    Counsel: Smart & Biggar LLP
    Nature of Suit: Patent
  • WIPRO Limited v. First Data Government Solutions, LP |
    Jurisdiction: District Court, D. Nebraska
    Case Number: 4:22-cv-03116-JMG-MDN
    Counsel: IMS Consulting & Expert Services
    Nature of Suit: Breach of Contract
  • Kasandra Izquierdo v.
    The New York and Presbyterian Hospital
     |
    Jurisdiction: Supreme Court of the State of New York County of Bronx
    Counsel: Heidell, Pittoni, Murphy & Bach, LLP
    Nature of Suit: Medical Malpractice
    Health IT System: Eclipsys (Now Allscripts/ Veradigm)
  • K+S Potash Canada General Partnership v. Veolia Water Technologies Inc |
    Jurisdiction: Court Of Queen’s Bench For Saskatchewan
    Case Number: QB No. 817 (filed 2018)
    Nature of Suit: Breach of Contract
    Counsel: Stikeman Elliott LLP
    Technology: Plant Design Management Systems (PDMS), Clash Detection, Database synchronization
    Role: Software Engineering and Implementation Lead
  • WESCA / Jamie Huber et al. v. Zillow Group, Inc |
    Jurisdiction: US District Court for the Western District of Washington
    Case Number: 2:2022cv01699
    Counsel: Marcus & Zelman
    Nature of Suit: Class Action Privacy
  • WIPRO Limited, LLC v. State of Nebraska |
    Provided analysis of a large systems integration project including analysis of software, documentation, solution and data architecture design specifications, TOGAF enterprise architecture artifacts and operational processes.
  • Aetna Inc v. Mednax, Inc |
    Provided analysis of a pediatric EHR for the client and produced material for an expert report.
    Analyzed opposing expert report and wrote rebuttal arguments identifying multiple flaws and inaccuracies.
  • FinancialApps, LLC v. Envestnet, Inc and Yodlee, Inc |
    Provided analysis of complex financial systems including analysis of software, documentation, design specifications, architecture decisions and operational processes for expert report.

Intellectual Property Consulting

  • Confidential Investigation |
    Nature of suit: Illinois Biometric information Privacy Act (BIPA)
    Technology: optical fingerprint readers and time clocks, network traffic capture, SQL monitoring.

Technical Due Diligence & Audits

  • Acquisition Expert Consultant
    • Reviewed architecture plan and implementation details of a large content aggregation and comprehension system and contributed to the report.
    • Performed code quality and Cyclomatic complexity analysis.
    • Evaluated Lambda architecture implementation and fit for purpose.

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