Comments on: Time to Tear Up Your IT Strategy

By: tworzenie stron www

tworzenie stron www — Sat, 01 Aug 2009 13:22:25 +0000

always been behind it, but due to lack of solid (real cahs generation) ROI, EHR initiatives have been very hard to fund appropriately A direct link to $ that come as a direct result of the investment is all we ever needed to bump such projects to the very top of the priority/funding list.

Sometimes the world changes in radically and unpredicted ways. Your strategies are always based on the current environment and a set of assumptions. When those assumptions prove wrong, you need to come up with a new plan.

By: hospitalcio

hospitalcio — Sat, 28 Mar 2009 15:44:29 +0000

By: hospitalcio

hospitalcio — Sat, 28 Mar 2009 15:41:40 +0000

It is always great to hear from an old friend.

By: Dennis DeMasie

Dennis DeMasie — Thu, 26 Mar 2009 14:36:59 +0000

Finally – the potetnial cash paymnets for a fully implemented EHR suddenly make the ROI of such endeavors undeniably lucrative for CFO support. Clinicians have always been behind it, but due to lack of solid (real cahs generation) ROI, EHR initiatives have been very hard to fund appropriately A direct link to $ that come as a direct result of the investment is all we ever needed to bump such projects to the very top of the priority/funding list.

Now, all we need is the economy to turn around a bit so the CFO relaxes a bit about spending our precious cash reserves.

By: John Lynn

John Lynn — Fri, 13 Mar 2009 04:51:29 +0000

Sounds like a great strategy. Take your thoughtful strategically planned initiatives and throw them out the window chasing some possible government cash. Or were the plans not very thoughtful or strategic?

Certainly, there’s a fair amount of cash on the line that should be considered. However, anyone that “tears up their IT strategy” means that they did a poor job making an IT strategy. Reevaluate it maybe, but not tear it up.

By: David Flax

David Flax — Tue, 10 Mar 2009 21:41:46 +0000

Yes we are ripping everything up to implement the EHR. We’re changing our focus so everything is on the EHR. We were focusing on an opensource EHR but the ARRA funds force us to use a CCHIT certified one.

By: Jay Fisher

Jay Fisher — Mon, 09 Mar 2009 20:50:37 +0000

While it is prudent to move briskly toward “meaningful use”, the statute does not really penalize anyone for a little foot dragging. After all, as long as you are “meaningfully using” by 2013, you don’t really lose hospital money.

On the physician side, Medicare gives you until 2012, Medicaid until 2011 before you have any reductions. Of course, rolling out one clinic per year is probably an issue … but panic flight into EMR is probably not necessary.

As for meaningful use, don’t you expect that the requirements will be generally reasonable within the guidelines of Certification, ePrescribing, HIT Connectivity, and Quality reporting?

By: Steve Yetter

Steve Yetter — Mon, 09 Mar 2009 13:45:58 +0000

Technology changes are only 20% of the effort. Cultural, workflow and resource training are the other 80% and there are no off the shelf or turnkey EHR implementations to ease implementation and assist with this effort in the unreasonable period required. Therefore, my experience tells me organizational inertia will prevent successful implementation in most organizations. In addition, is it reasonable to expect success in this nation wide effort where these changes have to occur at each health care implementer, using resource strapped health care vendors with outmoded product designs and technology in a 2-year period? I would like to have access to the authors’ of this bill’s source of serotonin.