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Finally, an EMR worthy of a T-shirt

Those who are regular readers know I’ve commented on more than one occasion that you never see anyone at the HIMSS convention walking around wearing a T-shirt imprinted with the slogan, “I love my EPIC”, or one stating, “McKesson forever”–unless they were talking about...

Published Thu, Jul 07 2010 9:07 PM by Healthcare IT: How good is your strategy?

Filed under: Strategy, Rants & Musings, EHR, electronic health record, change management, EMR, business model, quality

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

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

What if our EMRs were portable?

I am wondering how much of the cost of a hospital’s EHR system includes building in the functionality of individuals’ EMRs and making them transportable. What if EMR’s were made portable and they could be carried around by patients on super smart devices? Any thoughts? ...

Published Mon, Mar 03 2010 5:50 PM by Healthcare IT: How good is your strategy?

Filed under: Rants & Musings, EHR, electronic health record, EMR

Comparing EHRs–like measuring how wet is water

The following is a reply I wrote to John’s post at emrandhipaa.com on EMR Key Differentiators. http://www.emrandhipaa.com/emr-and-hipaa/2010/03/07/emr-key-differentiators/comment-page-1/#comment-122817 You are spot-on with your comment about the requirement that they be measurable. Otherwise everyone...

Published Sun, Mar 03 2010 3:05 PM by Healthcare IT: How good is your strategy?

Filed under: Strategy, Rants & Musings, planning, Vendors-What's not to like?, EHR vendors, EHR, electronic health record, healthcare 2.0

A scathing rebuke of EHR

I encourage anyone with an EHR or thinking of getting an EHR to read this. I do not think it is a unique story. I recently spent an hour with my cardiologist. He is employed by a very large teaching hospital. After checking my vitals, listening to my heart, and asking a few questions, he moved [...]...

Published Thu, Mar 03 2010 4:12 PM by Healthcare IT: How good is your strategy?

Filed under: Strategy, Rants & Musings, planning, EHR vendors, patient relationship management, EHR, electronic health record, will EHR work

Some hospitals have more than one EHR–Why?

I wrote this reply in response to a blog written by Jay Fischer titled, Do Multi-EHR Hospitals fulfil Meaningful Use Compliance more Easily? It is interesting that for such a “new” addition to the support systems and processes that support the business of healthcare, and for the relatively few of them...

Published Wed, Mar 03 2010 7:58 PM by Healthcare IT: How good is your strategy?

Filed under: Strategy, Rants & Musings, EHR, electronic health record, meaningful use

AN EHR introspective–my cardiologist and me

The doc did not smile Nor did I on that day. So we sat in his office Wondering each what to say It was me and my Doctor. We sat there, we two. And he said, “How I wish You had something to do!” “You drove all this way Your one visit a year. You sit there like a plant This must seem quite...

Published Mon, Mar 03 2010 7:44 PM by Healthcare IT: How good is your strategy?

Filed under: Strategy, Rants & Musings, Vendors-What's not to like?, EHR vendors, EHR, electronic health record, will EHR work

When reform collides with EHR…

If I remember my physics correctly, there’s no discernable difference between screaming in a vacuum and not screaming in a vacuum, unless of course someone turns it on while you’re in it, and then by default, you’re screaming. That seemed to make sense to me during my run, but seeing it on the screen...

Published Sat, Feb 02 2010 3:57 PM by Healthcare IT: How good is your strategy?

Filed under: Strategy, Who's Running the Show?, EHR, reform, electronic health record

How to raise healthcare IT costs without really trying

Like anyone needs my advice as to how to do that. Go ahead, have at it. Go shopping. Shop to you drop. How much do you need? Suppose we open the coffers. How much; another million? Ten Million? Twenty-five, fifty? $100,000,000? This is a one-time offer, so make sure you ask for everything you need What...

Published Fri, Feb 02 2010 11:03 AM by Healthcare IT: How good is your strategy?

Filed under: informatics, HIT, Strategy, Rants & Musings, planning, EHR, electronic health record

Do you believe Meaningful Use is best for you?

The area was cordoned off with yellow crime scene tape. Crime scene investigators searched the trampled grass, careful so as not to disturb the evidence. People and horses craned their necks to watch. The lead investigator knelt and retrieved a small piece of shell with a pair of tweezers. It looked...

Published Fri, Feb 02 2010 11:16 AM by Healthcare IT: How good is your strategy?

Filed under: Strategy, Rants & Musings, EHR, electronic health record, meaningful use, ARRA

Project Management lessons from Alice and Wonderland

During my career I’ve been involved with hundreds of project teams, some quite gifted, others whose collective intellect was rivaled only by simple garden tools. I’ve been asked often if I can define what distinguishes the two types of teams. For me it always comes down to leadership. It doesn’t matter...

Published Mon, Feb 02 2010 11:48 AM by Healthcare IT: How good is your strategy?

Filed under: PMO, Strategy, Who's Running the Show?, EHR, electronic health record

Jihad Joe EHR selection

When competing hypotheses are equal in other respects, the principle recommends selection of the hypothesis that introduces the fewest assumptions and postulates the fewest entities while still sufficiently answering the question. It is in this sense that Occam’s razor is usually understood. There...

Published Fri, Feb 02 2010 9:59 AM by Healthcare IT: How good is your strategy?

Filed under: Strategy, Rants & Musings, Vendors-What's not to like?, consulting, EHR, electronic health record

What should you think about HIEs

Part of the problem I have with HIEs is similar to the old Wendy’s commercial, “Where’s the beef.” Only in this case the question becomes, “Where’s the value add?” There are hundreds of them, HIEs that is. Each one developed autonomously. Some are built within a hospital which has more than one EHR....

Published Thu, Feb 02 2010 4:51 PM by Healthcare IT: How good is your strategy?

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

EHR: the uncertainty of certitude

When I was living in Colorado and much younger my friend and I decided that instead of running during our lunch break we would sit in on an aerobics class. Our plan was to hide away in the back of the class, watch the ladies, and then head back to the office. No sweat—literally, that [...] Read More...

Published Wed, Feb 02 2010 2:45 PM by Healthcare IT: How good is your strategy?

Filed under: Strategy, Vendors-What's not to like?, EHR vendors, EHR, electronic health record

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