October 2009 - EHR: How difficult without the correct strategy

Stilleto Change Management

I just returned from the Prada show in Milan. Not really—that was the opening line from a piece on NPR. Apparently this year’s runaway hit on the runways has to do with high heels, with the emphasis on the notion of high. The following comes from the UK Telegraph: The...

Published Thu, Oct 29 2009 1:35 PM by Healthcare IT: How good is your strategy?

Filed under: Rants & Musings, planning, patient relationship management, Work Flows, change management, change

A few thoughts on ethics

Leigh Fazzina pointed me to this posting on ethics and suggested I may wish to comment. You know me, I can’t resist a keyboard. Here’s the link. http://comprehension.prsa.org/?p=792&cpage=1#comment-2877 Ethics–if all it required was an understanding of the English (the language, not the...

Published Wed, Oct 28 2009 8:36 PM by Healthcare IT: How good is your strategy?

Filed under: Rants & Musings, ethics

Patient Relationship Management–why patients and hospitals collide

When universes collide, or is universi the plural? Not that is matters. I was watching NOVA. The show focused on the lead singer of the Indie group The Eels. The show walked through the singer’s attempt to understand was his father had done for a living. His father was a physicist...

Published Wed, Oct 28 2009 11:26 AM by Healthcare IT: How good is your strategy?

Filed under: informatics, HIT, Rants & Musings, patient relationship management, PRM, Health 2.0, change management

Pigeon Project Management Office (PMO)

I just finished stacking two cords of wood, much like a squirrel getting ready for a long cold winter. My feet were doing the “Boy is it cold dance” in an effort to keep the blood circulating. As I was picking up the scraps, my eldest picked up a piece and placed it in his [...] Read More...

Published Mon, Oct 26 2009 4:05 PM by Healthcare IT: How good is your strategy?

Filed under: PMO, HIT, Strategy, planning, consulting

A reply to the idea of Mandated Coverage

Below is a comment on a Washington Post article on mandated coverage, http://www.washingtonpost.com/wp-dyn/content/article/2009/10/25/AR2009102502607_Comments.html Great movie, poor reform—at least that’s my take on how poorly the current healthcare legislation will actually work regarding a mandate...

Published Mon, Oct 26 2009 1:34 PM by Healthcare IT: How good is your strategy?

Filed under: patients, reform, healthcare 2.0, healthcare, stimulus

The effect of healthcare reform on others

Somebody had to do this, so it may as well be me. Sometimes to bring clarity to issues, it helps me if I dumb-it-down. Which got me to wondering, how would the whole healthcare reform debate play out with Mother Goose? Here’s what I was able to learn from my interviews. Jack & Jill went up [...]...

Published Sat, Oct 24 2009 7:20 PM by Healthcare IT: How good is your strategy?

Filed under: Rants & Musings, EHR, reform, healthcare 2.0, payors, healthcare, Medicare

Is the term “Payor” healthcare’s oxymoron?

One of the great things about fall is that as I prune back the vestiges of my virtual garden I am able to collect basketful upon basketful of overly ripe metaphorical tomatoes, perfect for tossing at aberrant analogies and inappropriate idioms. It’s a curious time. We give away money to the middle class...

Published Sat, Oct 24 2009 1:47 PM by Healthcare IT: How good is your strategy?

Filed under: Rants & Musings, patients, reform, payors, healthcare

Patient Relationship Management (PRM)-why men can’t boil water

There was a meeting last week of the scions of the Philadelphia business community. The business leaders began to arrive at the suburban enclave at the appointed hour. The industries they represented included medical devices, automotive, retail, pharmaceutical, chemicals, and management consulting. No...

Published Fri, Oct 23 2009 2:40 PM by Healthcare IT: How good is your strategy?

Filed under: Rants & Musings, patient relationship management, PRM, healthcare 2.0, Health 2.0, change management, CRM

A different way to look at the public option

Louisiana Senator Landreiu was interviewed on NPR and was asked why she does not favor a public option. Finding it to be the most reasoned argument on either side of the discussion, I felt it worth sharing. She began by using an analogy she learned from Senator Lieberman. Assume that the roofing companies...

Published Thu, Oct 22 2009 3:40 PM by Healthcare IT: How good is your strategy?

Filed under: reform, Public option

EHR: there’s a difference between finished and done

The phone rang last fall. It was the school nurse asking me if I would come pick up my seven year-old son. When I inquired as to the reason she informed me he exhibited the classic symptoms of the crud; tummy-ache, non-responsive, crying. She’s the nurse, so without better information, who was...

Published Thu, Oct 22 2009 2:37 PM by Healthcare IT: How good is your strategy?

Filed under: managing, electronic health record, user acceptance, Work Flows, change management, change, process. work flow

EHR leadership isn’t always a democracy

Cerealizable. That’s my new word. I coined it the last time my wife was traveling and I was in charge of breakfast and making sure nobody missed the bus. Cerealizable is what happens when you walk into the kitchen and are confronted with two hungry dogs, three hungry kids, hair that needs brushing...

Published Tue, Oct 20 2009 7:49 PM by Healthcare IT: How good is your strategy?

Filed under: PMO, General HIT, EHR, EMR

Reform’s possible negative impact on payors

Don’t start cheering yet, but there may be a negative financial impact for payors. How? A fine will be imposed on people who do not get insurance. The fine will be an annual charge of $750, far less than what insurance would cost. People can opt-out of insurance until they are ill enough to require...

Published Mon, Oct 19 2009 7:14 PM by Healthcare IT: How good is your strategy?

Filed under: reform, payors

Work Flows–learn to color outside the lines

Somewhere out there is the person or persons who invented Chuck e Cheese. I am convinced that whoever deserves the credit either does not have children, or if they do, does not take their children to Chuck e Cheese under any circumstances. If you’ve never been, it’s one of those places whose true cacophony...

Published Mon, Oct 19 2009 3:24 PM by Healthcare IT: How good is your strategy?

Filed under: Rants & Musings, Health 2.0, Work Flows, change management, business model

Who was that woman who put in our first EHR system?

The first home I bought was in Denver. Built in 1898, it lacked so many amenities that it seemed better suited as a log cabin. There was not a single closet, perhaps because that was a time when Americans were more focused on hunting than gathering. Compared to today’s McMansions, it was doll-house sized...

Published Sun, Oct 18 2009 5:15 PM by EHR: How difficult is it without the correct strategy?

Filed under: HIT, Strategy, planning, PRM, EHR, EMR

Can we build an Enhanced Healthcare Operations Map; e-HOM

Can we build an Enhanced Healthcare Operations Map–e-HOM to create a standards for processes within the healthcare industry? Without such a map, knowing which processes are involved with which systems and knowing where to apply change management is like shooting in the dark. I’ve asked and...

Published Sat, Oct 17 2009 3:38 PM by EHR: How difficult is it without the correct strategy?

Filed under: PMO, Strategy, planning, model, healthcare operations map