EHR: How difficult without the correct strategy

The Myth of EHR Certification

Healthcare IT: How good is your strategy? — Sat, 16 Jul 2011 01:36:05 GMT

EHR certification inspectors will swarm hospitals like fifty-year-old women to a Celine Dion concert. Why is certification a part of the overall plan? Is this planned failure? Do they have reason to believe that a certain percentage of EHRs will fail certification? Of course they do. Let’s describe two...(read more)

Who lost the ‘R’ in EHR’s ROI?

Healthcare IT: How good is your strategy? — Thu, 14 Jul 2011 16:59:57 GMT

This is my latest post in healthsystemcio.com. http://healthsystemcio.com/2011/07/14/standardization-lies-beyond-the-clinical-realm/# 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...(read more)

Suicide: The Hospital Business Model

Healthcare IT: How good is your strategy? — Wed, 13 Jul 2011 16:05:19 GMT

I prefer to talk about events before they take place, not after. I don’t know if that makes me a futurist or merely someone not bright enough to understand them as they now are. I like to have a think about things that don’t seem right. This helps me understand what I may be missing, or if I may [.....(read more)

Healthcare’s pre-mortem

Healthcare IT: How good is your strategy? — Tue, 12 Jul 2011 11:48:34 GMT

I call this my premortem of the large provider business model. The new reform law is Washington’s Anschluss of the healthcare business model—the annexation of the old way of doing business. With change, as with writing a novel, the most difficult part is to invent the end. It is only difficult if someone...(read more)

Is it time to fire Winston?

Healthcare IT: How good is your strategy? — Mon, 11 Jul 2011 18:01:32 GMT

I was reporting to the board—or bored—sometimes it is the same. The mission: figure out what was wrong, and then fix it. I spent weeks talking to everyone from the executives to the receptionist. I interviewed patients and physicians. The doctors were not happy, the patients less so. Costs were up, charges...(read more)

EHR: Going the Last Mile

Healthcare IT: How good is your strategy? — Tue, 05 Jul 2011 13:46:13 GMT

Summer vacations via car. Makes me wonder what ever happened to station wagons—anyone who does not remember Richard Nixon may want to use Google to the term ‘station wagon’. We had a sky blue Ford; others had the one with the faux wood-grain side panels like the one Chevy Chase drove in the movie Vacation...(read more)

Is your mission statement merely decorative parsley?

Healthcare IT: How good is your strategy? — Mon, 04 Jul 2011 15:49:47 GMT

What is your organization’s mission, your vision, your goal? Can you articulate it? If yes, write it below in the space provided. Okay. Why do you have a mission statement? Is it of any more value than the parsley on your Denny’s Grand Slam breakfast plate, or is it actionable? What does it tell you...(read more)

HIT: Your most solvable big problem

Healthcare IT: How good is your strategy? — Fri, 24 Jun 2011 17:40:59 GMT

Two incompatible things are a type A personality and heart disease—I speak from experience. I usually run six miles a day, three miles out and three miles back. A few weeks ago I started hitting a wall after two to three miles and found myself having to jog/walk back to the car. Wednesday I hit [......(read more)

Meaningful Use–Are you following the crowd?

Healthcare IT: How good is your strategy? — Fri, 24 Jun 2011 13:31:15 GMT

I remember the first time I entered their home I was taken aback by the clutter. Spent and wet leaves and small branches were strewn across the floors and furniture. Black Hefty trash bags stood against the walls filled with last year’s leaves. Dozens of bright orange buckets from Home Depot sat beneath...(read more)

Patient Experience Management: Why Men Can’t Boil Water

Healthcare IT: How good is your strategy? — Tue, 21 Jun 2011 22:40:49 GMT

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...(read more)

My Healthcare Hero

Healthcare IT: How good is your strategy? — Sun, 19 Jun 2011 20:25:54 GMT

Hero has become such a disposable word. I thought it might be of interest to share the meaning of the word from the eyes of a ten-year-old, my son. Father’s Day is always extra special to me, because without this story there would not have been any more Father’s Days for me. Forgive me for...(read more)

Part 2: Are 7 sigmas 8 too many?

Healthcare IT: How good is your strategy? — Wed, 01 Jun 2011 16:48:11 GMT

The worst part about being wrong in public is having an audience. Yesterday marked the eight-and-a-half year point since my heart attack. I celebrated with a six mile run. Instead of hiding my car keys under the bumper like I always do, I stuck them in the pouch of my MP3 case. I was back [...] Read...(read more)

Patient Experience Management: For Adults Only

Healthcare IT: How good is your strategy? — Tue, 31 May 2011 21:12:59 GMT

This post is the first in a series that may make you rethink everything you think you know about Patient Experience Management. Last week I checked in to a hotel for three days; seventy-two hours. I was at the hotel for an event that required ninety minutes; one-and-half hours. A few weeks prior to my...(read more)

Is this today’s evlvoing healthcare strategy?

Healthcare IT: How good is your strategy? — Fri, 27 May 2011 12:32:01 GMT

Did the large provider healthcare model go from making all the ducks better to only making some of the ducks better? Please let me know if the concept depicted below makes sense. Thanks Read More......(read more)

The Hospital Business Model–a 1 page perspective

Healthcare IT: How good is your strategy? — Wed, 25 May 2011 23:00:40 GMT