The real challenge for many organizations will be whether Stage 7 can realistically be achieved with your existing vendors. If you are using a single-vendor approach, like many Epic, Meditech, or Cerner hospitals are, the data elements that need to flow between modules or department clinical applications already exist. The need to use BMV in […]
Contemplating Stage 7, Part I: Reengineering Processes And Securing Buy-in
As an organization that just received HIMSS Analytics Stage 6 recognition, we decided not to rest on our laurels but to fully explore the HIMSS Analytics Stage 7 requirements. We saw Stage 7 as not just recognition that an organization is basically “paperless,” but more importantly, as a commitment to improve patient care and the […]
Shifting Toward A New Care Model Means Shifting CIO Skillsets
One only needs to look at the statistics in hospitals throughout the US to see that healthcare is changing. Inpatient and ER visits are down across the board, even to the point of double-digit percentages over last year for some facilities. Ambulatory surgery and outpatient visits, however, are up if you are lucky enough to […]
The Risky Business Of Third-Party Vendors
In a free-market economy, supply and demand drive pricing, availability, and a host of other economic trends. I have been in the healthcare IT business for over 20 years now, and generally, that free-market model has worked well. It has also allowed for win-win pricing structure and contractual payment terms. For instance, I have regularly […]
Culture Clashes: The Romance and Reality of Working Overseas
In my last article, I discussed the financial considerations of working abroad. In this one, I will discuss cultural factors you may wish to weigh before accepting a position overseas. The first is that we, as Americans, often forget how much the rest of the world dislikes us as a country and as a people. […]
So You Are Considering A Position Overseas…
While the prospect of working overseas is exciting and may seem like the ultimate adventure, there are several things to consider before grabbing your Indiana Jones leather jacket, whip, and laptop. As a CIO that has lived and work overseas for half his life, I thought I would share some of my lessons learned, provide […]
Meditech 6.0 Diary Part 20: The $100,000 Question
Over the last year and a half, many of you have followed our journey from Magic to 6.x with all its challenges and nuances. It has been a daunting experience and not without its frustrations. If hindsight is 20-20, then hopefully our experiences have helped you. In this article, I will attempt to summarize where […]
Meditech 6.0 Diary Part 19: Working Through The Growing Pains
Meditech 6.0 Diary Part 18: A Summit And The Winds Of Change
Many healthcare CIOs have argued for ages that Meditech’s large market-share has caused them to be a bit less than responsive to customer needs and somewhat rigid in their delivery of service, along with being more focused on their internal business drivers than their customer’s desires. I must admit to having been one of those […]
A Dinosaur Waiting to Happen?
Are independent rural hospitals destined to go the way of the dinosaur (extinction)? No matter what state you look at, be it New York, Texas, or others, independent rural hospitals are merging or getting bought by larger entities or IDNs. While there are different drivers and benefits for this phenomenon, the core issue relates to […]