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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 [...]
With the recent selection of CSC, Microsoft, and HealthUnity by the MetroChicago Health Information Exchange, I’m once again intrigued with the role that Microsoft might play in the HIT market. I suspect the MetroChicago project is more interested in HealthVault, but Amalga is the most interesting product in Microsoft’s struggling healthcare vertical. Amalga is a [...]
Before we go too far in assuming that you need an EHR to achieve what Intermountain has, in terms of lowering costs and improving clinical outcomes, it’s worth drilling down a little further. It is Intermountain’s billing, registration, and case mix systems that enable much of what the organization achieves … and virtually every healthcare [...]
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