Comments on: News 3/28/08 http://histalk2.com/2008/03/27/news-32808/ Healthcare IT News and Opinion Wed, 08 Feb 2012 23:08:39 +0000 hourly 1 http://wordpress.org/?v=3.3 By: HISJunkie http://histalk2.com/2008/03/27/news-32808/comment-page-1/#comment-940 HISJunkie Tue, 01 Apr 2008 16:43:31 +0000 http://histalk2.com/2008/03/27/news-32808/#comment-940 I read the other day that a group is issuing a grant to have work done on defining an EMR, EHR and PHR. Can’t remember who it was…my blackberry blacked out just as I read it! There’s beautiful irony in this. Here we are with hospitals spending hundreds of millions of dollars on an EHR-EMR-PRH (whatever) and nobody really knows what they are or are supposed to do! Now consider this...if you couldn't describe /define what an airport is supposed to do how could you get an architect and construction engineer to build one for you? We’ll try this design first…no that won’t work…poor more concrete over here…oops no good…break it up…and around and around we go. No wonder hospitals spend millions and never seem to get finished. I read the other day that a group is issuing a grant to have work done on defining an EMR, EHR and PHR. Can’t remember who it was…my blackberry blacked out just as I read it!
There’s beautiful irony in this. Here we are with hospitals spending hundreds of millions of dollars on an EHR-EMR-PRH (whatever) and nobody really knows what they are or are supposed to do!
Now consider this…if you couldn’t describe /define what an airport is supposed to do how could you get an architect and construction engineer to build one for you? We’ll try this design first…no that won’t work…poor more concrete over here…oops no good…break it up…and around and around we go. No wonder hospitals spend millions and never seem to get finished.

]]> By: Washington Vendor http://histalk2.com/2008/03/27/news-32808/comment-page-1/#comment-939 Washington Vendor Tue, 01 Apr 2008 14:38:59 +0000 http://histalk2.com/2008/03/27/news-32808/#comment-939 Living here in Washington State has been comical. The state government is so crooked I am not surprised that this happened. Everything I have been involved with here has been decided prior to RFP's being issued and this is not the first time they have pulled a process when it did not go the way they wanted it. Too bad we just can't get our act together out here. Living here in Washington State has been comical. The state government is so crooked I am not surprised that this happened. Everything I have been involved with here has been decided prior to RFP’s being issued and this is not the first time they have pulled a process when it did not go the way they wanted it. Too bad we just can’t get our act together out here.

]]> By: HISJunkie http://histalk2.com/2008/03/27/news-32808/comment-page-1/#comment-929 HISJunkie Fri, 28 Mar 2008 21:20:11 +0000 http://histalk2.com/2008/03/27/news-32808/#comment-929 Revenue sharing is nothing new. It used to be called 'at risk' or 'performance payments'. If that's the way Athena likes to operate, so be it. Many vendors have done it in the past but abandoned it after clients refused to pay exorbitant fees. In some cases payors like Medicare outlawed it ( a la DRGs ) because they felt vendors were gaming the system and pushing the envelop way over the legal limits. That’s what happens when government makes things way too complex. A vendor comes in with a magic formula, makes a killing, then the government squashes it. Then we move on to the next big buck opportunity… Revenue sharing is nothing new. It used to be called ‘at risk’ or ‘performance payments’. If that’s the way Athena likes to operate, so be it. Many vendors have done it in the past but abandoned it after clients refused to pay exorbitant fees. In some cases payors like Medicare outlawed it ( a la DRGs ) because they felt vendors were gaming the system and pushing the envelop way over the legal limits.

That’s what happens when government makes things way too complex. A vendor comes in with a magic formula, makes a killing, then the government squashes it. Then we move on to the next big buck opportunity…

]]> By: The PACS Designer http://histalk2.com/2008/03/27/news-32808/comment-page-1/#comment-928 The PACS Designer Fri, 28 Mar 2008 15:45:19 +0000 http://histalk2.com/2008/03/27/news-32808/#comment-928 Response to HISJunkie, The revenue sharing that is achieved through improving payer receipts is the basis for athenahealth's operating style and is a concept that will over time cause other vendors to emulate since it can be highly profitable if done right. Having worked with customers directly over many years has given me the confidence that working together is a win-win for both parties if both are committed to positive results. Response to HISJunkie,

The revenue sharing that is achieved through improving payer receipts is the basis for athenahealth’s operating style and is a concept that will over time cause other vendors to emulate since it can be highly profitable if done right. Having worked with customers directly over many years has given me the confidence that working together is a win-win for both parties if both are committed to positive results.

]]> By: Dipesh http://histalk2.com/2008/03/27/news-32808/comment-page-1/#comment-927 Dipesh Fri, 28 Mar 2008 04:43:42 +0000 http://histalk2.com/2008/03/27/news-32808/#comment-927 <p>Hi There,</p> <p>Was wondering about the picture of a man having pipe and discussing about healthcare, Across the world "There is message "Smoking is injurious to health" shouldn't we have a good picture rather than a pipe.</p> <p>Regards<br /> Dipesh Shah</p> <em>From Mr. HIStalk: That was a very intentional bit of irony. It's a 50s doctor (note the head mirror thing) and many of them smoked back then, with some even appearing in cigarette commercials.</em> Hi There,

Was wondering about the picture of a man having pipe and discussing about healthcare, Across the world “There is message “Smoking is injurious to health” shouldn’t we have a good picture rather than a pipe.

Regards
Dipesh Shah

From Mr. HIStalk: That was a very intentional bit of irony. It’s a 50s doctor (note the head mirror thing) and many of them smoked back then, with some even appearing in cigarette commercials.

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