Comments on: Readers Write 7/31/08 http://histalk2.com/2008/07/30/readers-write-73108/ Healthcare IT News and Opinion Thu, 09 Feb 2012 01:56:16 +0000 hourly 1 http://wordpress.org/?v=3.3 By: Deborah Leyva http://histalk2.com/2008/07/30/readers-write-73108/comment-page-1/#comment-2673 Deborah Leyva Fri, 21 Nov 2008 17:50:47 +0000 http://histalk2.com/2008/07/30/readers-write-73108/#comment-2673 Entertaining Truthful Engaging Thoughtful Reality Check Words to describe this post. Thanks for sharing. Think I will link to it from my blog at www.myhealthtechblog.com Entertaining
Truthful
Engaging
Thoughtful
Reality Check

Words to describe this post. Thanks for sharing. Think I will link to it from my blog at http://www.myhealthtechblog.com

]]> By: Alex Scarlat MD http://histalk2.com/2008/07/30/readers-write-73108/comment-page-1/#comment-1851 Alex Scarlat MD Thu, 07 Aug 2008 23:38:11 +0000 http://histalk2.com/2008/07/30/readers-write-73108/#comment-1851 EXCELLENT ARTICLE ! Mike surely knows the details of a clinical IT implementation and has superbly written about it. The analysis of what can go wrong (and usually will) is one of the best I've recently seen. Kudos ! EXCELLENT ARTICLE !
Mike surely knows the details of a clinical IT implementation and has superbly written about it.
The analysis of what can go wrong (and usually will) is one of the best I’ve recently seen.
Kudos !

]]> By: dogofwar http://histalk2.com/2008/07/30/readers-write-73108/comment-page-1/#comment-1789 dogofwar Thu, 31 Jul 2008 20:55:43 +0000 http://histalk2.com/2008/07/30/readers-write-73108/#comment-1789 "No if we could only take these experiences and codify them into a set of policies that the govt could use to help foster adoption, hey, we may get somewhere." Please provide an example of what you propose. I'm all for the government outlawing physician egos :) And fear. “No if we could only take these experiences and codify them into a set of policies that the govt could use to help foster adoption, hey, we may get somewhere.”

Please provide an example of what you propose.

I’m all for the government outlawing physician egos :) And fear.

]]> By: dogofwar http://histalk2.com/2008/07/30/readers-write-73108/comment-page-1/#comment-1788 dogofwar Thu, 31 Jul 2008 20:53:41 +0000 http://histalk2.com/2008/07/30/readers-write-73108/#comment-1788 I'm glad that others thought that the "blacksmith" analogy was helpful. A couple of thoughts to extend it further: The only "automation" that might make ROI sense to the blacksmith would be a credit card machine and a cash register. Most small physician practices have adopted technologies to automate billing. While the blacksmith is a good craftsman, a close look at his work would probably reveal quite a bit of variability in one horse shoe to another...and quite a bit of time being spent on work and re-work. The kinds of technology that you see in manufacturing to reduce variability, speed processes, and measure key aspects of processes and products...are precisely the things that a blacksmith shop (or small physician office) would resist adopting...because they mean change and accountability. Market forces made the blacksmith shop an anachronism, while the small physician office is the prevailing care delivery organization in the US. Even an EMR-lite (if it contains much more than functionality for "better" documentation and automated billing) doesn't pass ROI muster for the vast majority of physician practices. Which is why only about 4 in 100 (!) have implemented one. I’m glad that others thought that the “blacksmith” analogy was helpful.

A couple of thoughts to extend it further:

The only “automation” that might make ROI sense to the blacksmith would be a credit card machine and a cash register. Most small physician practices have adopted technologies to automate billing.

While the blacksmith is a good craftsman, a close look at his work would probably reveal quite a bit of variability in one horse shoe to another…and quite a bit of time being spent on work and re-work. The kinds of technology that you see in manufacturing to reduce variability, speed processes, and measure key aspects of processes and products…are precisely the things that a blacksmith shop (or small physician office) would resist adopting…because they mean change and accountability.

Market forces made the blacksmith shop an anachronism, while the small physician office is the prevailing care delivery organization in the US.

Even an EMR-lite (if it contains much more than functionality for “better” documentation and automated billing) doesn’t pass ROI muster for the vast majority of physician practices. Which is why only about 4 in 100 (!) have implemented one.

]]> By: Lisa http://histalk2.com/2008/07/30/readers-write-73108/comment-page-1/#comment-1787 Lisa Thu, 31 Jul 2008 18:30:46 +0000 http://histalk2.com/2008/07/30/readers-write-73108/#comment-1787 and, just to set the record straight Wompa, a lot of corporate "in-kind" time as well as personal volunteer time goes into the project. -- the Fed dollars didn't come close to covering the costs. In fact, the website is currently being hosted by a volunteer non-profit for no costs to anyone except that non-profit. And, finally, to my knowledge, HISPC does not support any EHR legislation in Congress. (but, if you have info to the contrary, please do share). Lisa and, just to set the record straight Wompa, a lot of corporate “in-kind” time as well as personal volunteer time goes into the project. — the Fed dollars didn’t come close to covering the costs. In fact, the website is currently being hosted by a volunteer non-profit for no costs to anyone except that non-profit.

And, finally, to my knowledge, HISPC does not support any EHR legislation in Congress. (but, if you have info to the contrary, please do share).

Lisa

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