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It’s funny how seemingly incongruous events can converge and bring about an “aha” experience. You know aha experiences. Those funny little brain burps when synapses cascade and create new meaning, solve problems and lead, if we are lucky, to new ideas and solutions. We all have them. Individuals that have a lot of them are [...]
“We have decided to make a change in IT leadership.” Not exactly the words you want to hear on a Wednesday afternoon. But I knew it was coming, so it was not a surprise. First off, it was a Wednesday and my CEO always fired people on a Wednesday. Secondly, he and I were a [...]
The serious lack of infrastructure to support an expansive and meaningful ACO strategy is missing from the healthcare technology toolkit. Some may view this as a non critical issue but with so many organizations engaged in some form of ACO activity, we have to ask, “Have we begged the question?” It seems to me we [...]
Federal health care reform has generated immense interest in Accountable Care Organizations (ACOs). In theory, improved quality and reduced cost will be gleaned by bundled payment of a health system and the physician. To attain this, however, and to improve quality and reduce cost, there will have to be good communication and a strong relationship, [...]
As Lao Tzu, the father of Taoism once said “The journey of a thousand miles must begin with a single step.” When I first read the announcement from CCHIT in November that they had a process for Hospitals to self certify their EHR Environment for Meaningful Use, I was thrown back to ancient eastern philosophy [...]
Oscar Wilde once wrote that “Everything popular is wrong,” and I think that time has come for healthcare information systems. Now, granted Health information technology (HIT) has come a long way from its infancy as a means to produce a bill. As the use of EHRs expanded beyond basic clinical information and began to encompass [...]
“Change does not roll in on the wheels of inevitability, but comes through continuous struggle.” Martin Luther King once said. The Healthcare delivery system is on the verge of change. It will take hard work from all of us to us to make it happen. I like to look at it terms of structure and change. Structure being the underlying construct of the healthcare system and change the process by which we struggle to manifest a new delivery model. The federal Government has outlined a structure.
Command and control was the traditional means of management, but it is not well suited for the complex healthcare organizations of the 21st century. Healthcare today demands flexibility, transparency, and quality. Under pressure from increased regulations and declining reimbursements, healthcare needs to grab the attention of the consumer. To do this we must be transparent, [...]
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