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EHR ROI: a case study

I recently heard an interview of John Cougar Melencamp during which he discussed what it was like writing a song to be used by Chevy. The song, Our Country, proved to be one of his most successful commercial ventures. The interviewer asked him what it was like having Chevy as a record producer. To me...

Published Sun, Aug 08 2010 12:59 PM by Healthcare IT: How good is your strategy?

Filed under: Rants & Musings, EHR, Work Flows

The most relevant EHR/EMR piece you will ever read

According to the New England Journal of Medicine, somewhere north of fifty percent of EHR implementations fails. Your odds of success are no greater than the flip of a coin. What if there is a tool whose use can stop the failure of most EMR system implementations? The purpose of this post is to let Read...

Published Mon, Jul 07 2010 9:20 AM by Healthcare IT: How good is your strategy?

Filed under: Strategy, Rants & Musings, planning, EHR vendors, Who's Running the Show?, EHR, electronic health record, user acceptance, will EHR work, Work Flows, hospitals

Revising your work flows?

As a parent I’ve learned there are two types of tasks–those my children won’t do the first time I ask them, and those they won’t do no matter how many times I ask them. Here’s the segue. Let’s agree for the moment that workflows can be parsed into two groups—Easily Repeatable Processes (ERPs) and Barely...

Published Fri, May 05 2010 11:28 AM by Healthcare IT: How good is your strategy?

Filed under: Rants & Musings, planning, EHR, Work Flows, change, business model

EHR-the 40 chicken crocodile

Got a couple hundred million burning a hole in your pocket? Why not buy an EHR? Indeed. Riddle me this Batman, “What is a 40 chicken crocodile?” It is the number of chickens you have to feed it each day to keep it from eating you. What is the crocodile at your hospital? Is it your EHR? Let [...] Read...

Published Wed, Mar 03 2010 9:52 PM by Healthcare IT: How good is your strategy?

Filed under: PMO, Strategy, Rants & Musings, planning, EHR, Work Flows

The User’s Role in EHR–a PowerPoint presentation

This link will take you to a slideshare,net presentation that defines how healthcare providers can take control of the EHR project. I welcome your comments. http://www.slideshare.net/paulroemer/the-users-role-in-ehr Paul M. Roemer Chief Imaginist, Healthcare IT Strategy 1475 Luna Drive, Downingtown,...

Published Thu, Mar 03 2010 8:05 PM by Healthcare IT: How good is your strategy?

Filed under: PMO, Strategy, Rants & Musings, planning, EHR vendors, Who's Running the Show?, EHR, user acceptance, will EHR work, Work Flows, EMR

A guest post–An EMR that increases productivity

The following is a guest blog by James T. Loynes, MD. During a recent call he told me about an EMR he wrote for his oncology practice. My initial thought was, “Just what we need, another EMR.” The more I listened, the more I thought he had something different, something that actually was...

Published Tue, Mar 03 2010 5:43 PM by Healthcare IT: How good is your strategy?

Filed under: Rants & Musings, Vendors-What's not to like?, patients, EHR, Work Flows, EMR, process. work flow

Should you listen to the voices in your head?

Well, for starters, if you don’t nobody else will. Just because I’m paranoid, doesn’t mean the voices in my head aren’t real. What voices? They don’t like it when I speak of them, so I am going to speak in parentheses so they do not hear me.) Riding the in the car yesterday with my son, the [....

Published Mon, Feb 02 2010 3:36 PM by Healthcare IT: How good is your strategy?

Filed under: PMO, Strategy, Rants & Musings, planning, consulting, healthcare 2.0, Work Flows, change management, change

What are the success factors for EHR?

I just arrived in-country—I was in Wisconsin for two weeks. I’ve been to forty-seven states, and Wisconsin has to be one of the friendliest. Anyway, let us begin. Not long after graduating with an MBA from Vanderbilt, I returned to Vandy to interview job candidates. With me, was my adult supervisor,...

Published Fri, Jan 01 2010 1:54 PM by Healthcare IT: How good is your strategy?

Filed under: Strategy, Rants & Musings, planning, consulting, EHR, meaningful use, Work Flows, change management

EHR: Is your scope wrong? I bet it is.

The hand-written note, scrawled in the best penmanship of my nine-year-old daughter, lay next to the plate of sugar cookies and the warm glass of milk. It was eleven PM. Three kids lay in their sleeping bags, asleep on the floor of the play room—cameras ready to capture images of the annual intruder...

Published Sun, Dec 12 2009 4:18 PM by Healthcare IT: How good is your strategy?

Filed under: informatics, Rants & Musings, EHR, Work Flows, change management

EHR meeting etiquette and survival guide

How many times have you been involved in one of those EHR committee meetings whose purported purpose was to elicit ideas? I find it to be a helpful barometer to scout the room and see if the person who offered an idea at last month’s meeting was invited to this month’s...

Published Wed, Nov 11 2009 11:43 AM by Healthcare IT: How good is your strategy?

Filed under: informatics, Rants & Musings, consulting, electronic health record, healthcare 2.0, Work Flows

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 10 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

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 10 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

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 10 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

What should you budget for change management and work flows?

They came in waves from just over the horizon, each wave approaching from different elevations, and different points on the compass. They were legion; too many to count, too many for which to be able to set a winning defense. We marshaled our forces, knowing we were helpless. As I sat there awaiting...

Published Fri, Oct 10 2009 12:33 PM by EHR: How difficult is it without the correct strategy?

Filed under: Rants & Musings, Vendors-What's not to like?, electronic health record, Work Flows, change management, change

Pay attention to patients even when they’re not at your office.

The wheel’s still turning, but the hamster is dead. One Brady short of a bunch. I like the ocean one because it reminds me of a bit done by the comic Ron White. In the bit he talks about the time he met a woman who was wearing a bathing suit made of sea shells [...] Read More...

Published Wed, Oct 10 2009 11:32 AM by EHR: How difficult is it without the correct strategy?

Filed under: social networking, social media, Strategy, Rants & Musings, Work Flows, change management

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