Is Microsoft Amalga in trouble?

Goody. What else have you got?

According to the Microsoft Amalga Web site, not much.

Since its unveiling at HIMSS 2008 in Chicago, I count six releases from Microsoft concerning the introduction of Amalga at various hospitals.

These include deals in Washington, D.C., in Mountain View, Calif., two deals near its Seattle home base, and a hospital in Malaysia, in addition to the new deal.

That would appear to be great, but it's actually behind the pace of the previous year, when under the name Azyxxi (a name designed to fly under the radar) it announced agreements with the St. Joseph's Health System,  Johns Hopkins, and Novant. Fewer deals, but bigger.

Then consider all the excitement now surrounding health IT, the size of the Obama stimulus aimed at health IT. More should be happening.

Now it is very possible that Microsoft is about to spring a bunch of really, really big deals on us. It could be I'm going to be named People's Sexiest Man Alive for 2009.

Possible, not likely.

Meanwhile, IBM swooped in and grabbed Kaiser Permanente, Cerner grabbed the VA's laboratory work, and on and on and on.

Health is going to be a business where you either get big fast or you get out over the next few years. A shake out is coming.

Is Microsoft going to get shook?