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Social media, especially Facebook, is, among other things, a life experiment for me as an IT professional and “corporate executive.” In particular, I’m insatiably curious about the role that social media technology plays in transparency — breaking down the barriers and often hypocritical behaviors between personal and professional lives that allow for university football coaches [...]
There’s a great new article in the March 2012 issue of The American Journal for Managed Care, “IT-Enabled Systems Engineering Approach to Monitoring and Reducing ADEs.” You can find it here. The point I’m trying to make in this blog, by drawing attention to this article, is this: it’s time for EMR vendors to rethink [...]
Below is a Facebook message between a friend and me in which my friend asks for clarification about his hospital bills. Healthcare CIOs are in a unique position to improve this terrible state of confusion and economic waste that exists in healthcare. We understand the business and we understand the data of healthcare; and revealing [...]
For the last couple of years, I’ve been using this metaphor to highlight the ridiculous nature of healthcare and particularly, healthcare billing — the point being, we tolerate ridiculous behaviors and processes in healthcare that we would never tolerate in the rest of our lives, yet we keep building healthcare software that supports the insanity. [...]
This blog is mostly intended for the younger professionals whose careers are just beginning, but older geezers (like me) might also find it interesting, as they face the challenge of honoring their aging parents while maintaining their career. The key messages are: (1) Career paths and opportunities are three parts chance, one part planning and [...]
Data modeling is the single greatest cause of long term failure and under-performance in data warehousing and business intelligence systems across all industries. It is compounded as a problem in healthcare due to the complexity of the data and the analytic environment. Errors in data modeling strategy gestate slowly, usually emerging 2-3 years after go-live when [...]
A few weeks ago, a noteworthy healthcare consulting firm asked for input they could pass on to vendors that would help those vendors understand the relationship imperatives critical to a healthcare CIO, right now, in today’s market. After giving this topic a few days of background thought, I concluded two things: (1) At least 60% of the [...]
A new study from Johns Hopkins reveals the value of standard protocols (aka, clinical practice guidelines) on reduction of central line infections in the ICU– $1.1M per year. If I were CEO of an insurance company or major employer paying for healthcare, my contracts would require my healthcare providers to show proof that they’ve implemented evidence [...]
A recent JAMA article on ACOs is a very common sense, succinct summary of healthcare’s future challenges. As recently described by Francis Crosson, senior fellow at the Kaiser Permanente Institute for Health Policy, and despite the justifiable criticisms of the Affordable Care Act, Accountable Care Organizations cannot fail. They will, in some form, define the [...]
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