Andrew Holm-Hansen - Health IT Solutions Architect

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.

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 Experience

  • 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
  • Pioneer Rx, LLC v. Danwins, LLC
    Jurisdiction: Louisiana Western District
    Case Number: 5:21-cv-01738
    Counsel: Kirkland & Ellis, LLP
    Nature of Matter: Trade Secret
  • 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 Matter: 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 #: 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
  • 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.

Technical Due Diligence

  • Acquisition Expert Consultant
    • Analyzed architecture plan and implementation details of large content aggregation and comprehension system
    • Performed code quality and Cyclomatic complexity analysis
    • Evaluated Lambda Architecture implementation and fit for purpose
    • Evaluated CI/CD process that used Ansible and Terraform in AWS

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

Meet Some of Our Experts

Jae young Bang - Director of Software Development

Jae Young Bang, PhD

Director of Software Development Los Angeles

Dr. Jae Young Bang is a senior computer scientist and software technology consultant with a decade of experience in software engineering. He currently serves as a consultant and source-code reviewer in software litigation including patent/copyright infringement and breach-of-contract matters, and also as a researcher in software architecture design and analysis.

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Sigurd Meldal - Computer Expert Witness

Sigurd Meldal, Dr.Sc.

Senior Computer Scientist Silicon Valley

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Brad Ulrich - Software Expert Witness

Brad Ulrich

VP of Health IT & Audits Nashville

Brad Ulrich has a diverse career as a computer scientist, software engineer, technology manager, and entrepreneur. His experience spans software design, programming, patent management, healthcare, mobile devices, startups, technology licensing, regulatory compliance, and risk management.

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George Edwards - Software Expert Witness

George Edwards, PhD

President & Principal Computer Scientist Los Angeles

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Ajit Dhavle

Ajit Dhavle, Pharm.D, MBA

VP of Health IT, Audits & Life Sciences Washington D.C.

Dr. Ajit Dhavle is a healthcare technologist, clinician, entrepreneur, and a problem solver with 20 years of experience in digital health, quality, e-medications, Health IT standards, and patient safety. He oversees a team of health informatics experts to provide strategy, management, SDLC, compliance, and audit services to government and commercial entities.

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Nenad Medvidovic - Software Expert Witness

Nenad Medvidović, PhD

Senior Computer Scientist Los Angeles

Nenad Medvidović is a Professor and Associate Chair for Ph.D. Affairs in the Computer Science Department at the University of Southern California. He has been deposed and testified at trial numerous times in patent infringement cases.

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