Comments on: Being John Glaser 12/9/08 http://histalk2.com/2008/12/08/being-john-glaser-12908/ Healthcare IT News and Opinion Thu, 18 Mar 2010 00:28:59 -0500 http://wordpress.org/?v=2.8.4 hourly 1 By: Sherry Reynolds http://histalk2.com/2008/12/08/being-john-glaser-12908/comment-page-1/#comment-2762 Sherry Reynolds Wed, 10 Dec 2008 19:56:42 +0000 http://histalk2.com/?p=870#comment-2762 John has the luxury of trying to integrate organizations that share the same financial interests with one another. It becomes even more challenging when you try to integrate hospital systems that are competing in the same market. Frequently we are asking Hospitals and providers to make the tech investment but the benefits accrue to third parties (outside of models like VA, Kasier) or actually end up costing hospitals money. Even though we need a systemic or at least community wide approach until you like HIT with financial incentives they are fraught with challenges. A HIE in Oregon for example failed when the hospitals realized that they would lose money when they no longer could duplicate lab tests. A RWJF funding project that included a patient designed PHR coupled with nursing case management (shared care plan) in Bellingham Washington failed when the specialists lost $3000 a year as a result of reduced hospital stays for people with chronic conditions. Once the financing is aligned with Tech we can really start to move. Thankfully John brings a real world perspective to the table that is often lacking. Now if only we could clone him. Sherry Reynolds (most recently the designated consumer advocate for AHIC Successor - Governance Planning Committee and Board of Directors Selection Committee) John has the luxury of trying to integrate organizations that share the same financial interests with one another. It becomes even more challenging when you try to integrate hospital systems that are competing in the same market. Frequently we are asking Hospitals and providers to make the tech investment but the benefits accrue to third parties (outside of models like VA, Kasier) or actually end up costing hospitals money.

Even though we need a systemic or at least community wide approach until you like HIT with financial incentives they are fraught with challenges. A HIE in Oregon for example failed when the hospitals realized that they would lose money when they no longer could duplicate lab tests. A RWJF funding project that included a patient designed PHR coupled with nursing case management (shared care plan) in Bellingham Washington failed when the specialists lost $3000 a year as a result of reduced hospital stays for people with chronic conditions. Once the financing is aligned with Tech we can really start to move.

Thankfully John brings a real world perspective to the table that is often lacking. Now if only we could clone him.

Sherry Reynolds
(most recently the designated consumer advocate for AHIC Successor – Governance Planning Committee and Board of Directors Selection Committee)

]]> By: Mike McGuire http://histalk2.com/2008/12/08/being-john-glaser-12908/comment-page-1/#comment-2758 Mike McGuire Wed, 10 Dec 2008 16:57:06 +0000 http://histalk2.com/?p=870#comment-2758 John, you are absolutely right. It's even worse when your trying to balance larger IDN governance issues with issues of smaller rural referral hospitals who have their own sets of issues. It is solvable but the approach needs to be viewed from the patient/physcians perspective back to the care modalities involved. If we start there we have a chance to build a 21st century healthcare system. John, you are absolutely right. It’s even worse when your trying to balance larger IDN governance issues with issues of smaller rural referral hospitals who have their own sets of issues. It is solvable but the approach needs to be viewed from the patient/physcians perspective back to the care modalities involved. If we start there we have a chance to build a 21st century healthcare system.

]]> By: Don Lyons http://histalk2.com/2008/12/08/being-john-glaser-12908/comment-page-1/#comment-2751 Don Lyons Tue, 09 Dec 2008 18:23:53 +0000 http://histalk2.com/?p=870#comment-2751 "It’s probably not a bad idea to augment the national conversation to include conversations that center on the messy reality of very diverse IT approaches to supporting clinical relationships (and patients) between multiple organizations." John, I agree with your perspective - we see this every day. It's a very large, and messy problem to approach efficiently... Best, Don “It’s probably not a bad idea to augment the national conversation to include conversations that center on the messy reality of very diverse IT approaches to supporting clinical relationships (and patients) between multiple organizations.”

John, I agree with your perspective – we see this every day. It’s a very large, and messy problem to approach efficiently…

Best,

Don

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