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How to stop throwing away money on charts

I sometimes need to rewrite ideas to help me get a better grasp of them—this is one of those times. Too many words mean I still have too much chaff blowing around in my wheat. More often than not I find it helpful instead to reframe the idea into an analogy. I hope this is [...] Read More...

Published Mon, Aug 08 2010 3:00 PM by Healthcare IT: How good is your strategy?

Filed under: Rants & Musings, EHR, change management, change, process. work flow, improving the business processes

Where workflow goes to die

There are two types of business processes; easily repeatable processes (ERP), and Barely repeatable processes. Most of the real work that needs to be done in EHR workflow improvement happens in the blank white space between the boxes on the org chart. That’s where you’ll find a lot of the BRPs–Barely...

Published Fri, Jul 07 2010 6:08 PM by Healthcare IT: How good is your strategy?

Filed under: Strategy, Rants & Musings, EHR, change management, change, business model, 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

“Who moved my cheese?”

Sometimes you find something that is too good to mess with. The following comes from “Who Moved My Cheese” by Spenser Johnson. It is the perfect allegory for healthcare. Change Happens They Keep Moving The Cheese Anticipate Change Get Ready For The Cheese To Move Monitor Change Smell The...

Published Fri, Apr 04 2010 4:46 PM by Healthcare IT: How good is your strategy?

Filed under: Strategy, Rants & Musings, planning, healthcare 2.0, change

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 over [...] Read More...

Published Sun, Mar 03 2010 4:40 PM by Healthcare IT: How good is your strategy?

Filed under: Strategy, Rants & Musings, Certification, reform, ARRA, change management, change, EMR

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

Patient Relationship Management (PRM) – where to start

I was watching something on the Smithsonian channel and caught a clip of an interview by Gary Powers, Jr. He was discussing his father, and the interviewer asked him about his dad’s ill-fated U2 flight—Gary Powers’ spy plane was shot down over the Soviet Union in 1960 by a...

Published Tue, Nov 11 2009 3:52 PM by Healthcare IT: How good is your strategy?

Filed under: patient relationship management, PRM, change management, change, CRM

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

Why is change management so important?

If EHR is about anything it’s about change. So much of what exists today has to do with creating and moving documents. Did you know? Of all documents handled each day in the average office, 90% are merely shuffled Currently, 90% of corporate memory exists on paper There are over four trillion documents...

Published Sat, Oct 10 2009 11:35 AM by EHR: How difficult is it without the correct strategy?

Filed under: Rants & Musings, consulting, EHR, change management, change

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

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