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HIT: The Change Keeps Changing

Hello to those whom I’ve yet to meet. This is rather long, so you may wish to grab a sandwich. I write to share a few thoughts. I reside in the small place where those who refuse to drink the Kool Aid reside. For those who haven’t been there, it’s where those who place principle [...] Read More...

Published Tue, Apr 04 2011 7:37 AM by Healthcare IT: How good is your strategy?

Filed under: Strategy, Rants & Musings, planning, Certification, EHR, meaningful use, NHIN, Interoperability, Hospital, Who's Running the Show?

HIEs: Too Many Cooks Spoil the Broth

Is the number of people working on developing Health Information Exchanges (HIEs) is greater than the total number of people who attended HIMSS in Orlando; more than 30,000? Why are five hundred HIEs are being built? Let us assume for a moment that there is a set of standards somewhere, a blueprint perhaps...

Published Tue, Apr 04 2011 11:23 AM by Healthcare IT: How good is your strategy?

Filed under: Rants & Musings, HIE, NHIN, Hospital, Who's Running the Show?

Blazing Saddles: the original HIE-NHIN model

Several have inquired as to why I came down so hard in yesterday’s post regarding the CMS-ONC’s approach to link our physicians and hospitals through the development of HIEs and the N-HIN. I think, as do others, the goal is worthwhile but, is the current strategy going to work? I think the current plan...

Published Tue, Feb 02 2011 10:53 AM by Healthcare IT: How good is your strategy?

Filed under: Strategy, Rants & Musings, EHR, HIE, NHIN, Hospital, Who's Running the Show?

EHR, HIEs & N-HIN; a prophecy of doom

Whether it’s vendors, RHIOs, HIEs, or the N-HIN, where is a plan that will work? Is not this what it’s all about? Perhaps it is time that the rest of the national HIT leaders at CMS and the ONC who devised this plan, and who have lead physicians and hospitals down this ill-fated path promising [...]...

Published Mon, Feb 02 2011 12:19 PM by Healthcare IT: How good is your strategy?

Filed under: Rants & Musings, EHR, HIE, NHIN, Hospital, ICD-10, Who's Running the Show?

Why should HIEs be scrapped, and what else might work

“Just because Jimmy’s mom lets him do it does not mean I am going to let you do it. Would you jump off a cliff if he did?” This argument is the best one I can make extolling the merits of the Healthcare Information Exchanges (HIEs) and the National Health Information Network (N-HIN). The strategy [....

Published Mon, Dec 12 2010 6:36 PM by Healthcare IT: How good is your strategy?

Filed under: Strategy, Rants & Musings, Who's Running the Show?, EHR, HIE, NHIN, Interoperability

The National Health Information Network explained

How does one depict the complexity of the mess being presented as the national roll out plan of electronic health records (EHR) via the national health information network (N-HIN) using Health Information Exchanges (HIEs) designed by Regional Health Information Organizations (RHIOs), with the help of...

Published Thu, Dec 12 2010 5:11 AM by Healthcare IT: How good is your strategy?

Filed under: Rants & Musings, HIE, NHIN, Interoperability

EHR: Show me the money

Every wonder how it is that all the billions in healthcare IT money came about? I imagine it went something like this. DC 1: Email those fellows over at HHS and tell them we should just make the doctors install Electronic Health Records (EHR). DC 2: While we’re at it, how about we pay them [...] Read...

Published Fri, Nov 11 2010 7:58 AM by Healthcare IT: How good is your strategy?

Filed under: informatics, Rants & Musings, General HIT, EHR, NHIN, healthcare costs

How the election will impact healthcare IT and EHR

Here are my thoughts on how the election will impact healthcare IT and EHR. This post can also be found at healthsystem cio.com at http://healthsystemcio.com/2010/11/03/healthcare-2-0-here-we-go-again/ The real healthcare 2.0 Just when you thought it was safe to get back into the water… It is a strange...

Published Wed, Nov 11 2010 11:16 AM by Healthcare IT: How good is your strategy?

Filed under: Rants & Musings, Certification, Who's Running the Show?, EHR, meaningful use, HIE, NHIN, Hospital

How’s the national EHR roll-out going?

I just fell out of the stupid tree and hit every branch on the way down. But lest I get ahead of myself, let us begin at the beginning. It started with homework–not mine–theirs. Among the three children of which I had oversight; coloring, spelling, reading, and exponents. How do parents without...

Published Tue, Aug 08 2010 2:43 PM by Healthcare IT: How good is your strategy?

Filed under: General HIT, Who's Running the Show?, EHR, NHIN, Rhio

What if GM were involved in EHR?

Goodness knows, the whole car thing did not work our too well for them Do you ever think about the origination of some of your ideas? For me, the good and the bad just seem to materialize. Like the time a friend and I were hiking a peak in the Sangre de Cristo range in [...] Read More...

Published Thu, Jul 07 2010 8:59 AM by Healthcare IT: How good is your strategy?

Filed under: Strategy, Rants & Musings, EHR, business model, NHIN

The Swarm theory of failure

According to National Geographic, a single ant or bee isn’t smart, but their colonies are. The study of swarm intelligence is providing insights that can help humans manage complex systems. The ability of animal groups—such as this flock of starlings—to shift shape as one, even when they have no leader...

Published Sat, Jun 06 2010 12:04 PM by Healthcare IT: How good is your strategy?

Filed under: Rants & Musings, EHR, RECs, HIE, NHIN, Rhio

The RHIO Answer

It may be helpful as you read this to use your highlighter on the screen to accentuate the important parts or some white-out for the parts you don’t favor. Do you ever kick an idea around, speaking about it, writing about it, until at some point you finally capture it in a way that makes sense...

Published Tue, Apr 04 2010 11:32 AM by Healthcare IT: How good is your strategy?

Filed under: Strategy, Rants & Musings, planning, EHR, electronic health record, NHIN, Rhio

My remarks to Brian Ahier’s insightful interview of Dr. Blumenthal

I encourage those who have not read Brian’s interview of Dr. Blumenthal on HealthSystemCIO.com to make time to read it. http://healthsystemcio.com/2010/03/27/chatting-with-the-national-coordinator-for-health-it/#comments Brian also has a link to the audio. Brian asked me to comment, and I was pleased...

Published Fri, Apr 04 2010 12:38 PM by Healthcare IT: How good is your strategy?

Filed under: informatics, PMO, HIT, Strategy, Rants & Musings, planning, standards, Who's Running the Show?, EHR, reform, meaningful use, RECs, NHIN

What is the future of the EHR/N-HIN landscape?

One may argue it is possible to build the real Brooklyn Bridge with nothing but toothpicks, and a lake filled with Elmer’s Glue. Difficult yes; prudent, no. Urban legend is when the United States first started sending astronauts into space, they quickly discovered that ballpoint pens would not work in...

Published Fri, Mar 03 2010 5:09 PM by Healthcare IT: How good is your strategy?

Filed under: informatics, Strategy, Rants & Musings, EHR, healthcare 2.0, NHIN

How difficult are EHR, Reform, & Interoperability

My daughter asked me to kill the bug in her room—Super Dad to the rescue. That got me wondering. Do most men think we excel at most things? As I pondered weak and weary, I started to formulate this list. I ask the men as they read through the list to score themselves on a [...] Read More...

Published Sat, Feb 02 2010 7:23 PM by Healthcare IT: How good is your strategy?

Filed under: Rants & Musings, EHR, reform, meaningful use, NHIN, Interoperability

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