Comments on: Readers Write 1/15/09 http://histalk2.com/2009/01/14/readers-write-11509/ Healthcare IT News and Opinion Thu, 09 Feb 2012 01:56:16 +0000 hourly 1 http://wordpress.org/?v=3.3 By: Ricky Roma http://histalk2.com/2009/01/14/readers-write-11509/comment-page-1/#comment-3767 Ricky Roma Tue, 24 Mar 2009 10:38:54 +0000 http://histalk2.com/2009/01/14/readers-write-11509/#comment-3767 Re: Skeptical. For prove me wrong detail, I would recommend starting with this Journal of American Medical Informatics Association article published online on March 4, 2009: http://www.jamia.org/cgi/reprint/M2997v1 (warning, pdf). It is healthcare specific and neatly summarizes a large body of work in this area. Then for even more background, research the 78 additional studies which are cited. Is the 67% failure rate sacrosanct? No. Is an actual figure generally agreed to be an abysmal number? Yes. Does it really matter to, say a hospital’s board of directors, whether HIS projects fail because of staffing, lack of support, organizational roadblocks, or software not working? These failures are not necessarily always about Dark Side sales people lying or being sleazy, they are about HIS management not using their gold to set their own rules for being successful. Instead, they let us set these rules. For suggestions on setting your own rules, see my last note. -RR Re: Skeptical. For prove me wrong detail, I would recommend starting with this Journal of American Medical Informatics Association article published online on March 4, 2009: http://www.jamia.org/cgi/reprint/M2997v1 (warning, pdf). It is healthcare specific and neatly summarizes a large body of work in this area. Then for even more background, research the 78 additional studies which are cited.

Is the 67% failure rate sacrosanct? No. Is an actual figure generally agreed to be an abysmal number? Yes.

Does it really matter to, say a hospital’s board of directors, whether HIS projects fail because of staffing, lack of support, organizational roadblocks, or software not working? These failures are not necessarily always about Dark Side sales people lying or being sleazy, they are about HIS management not using their gold to set their own rules for being successful. Instead, they let us set these rules.

For suggestions on setting your own rules, see my last note.
-RR

]]> By: LGRO http://histalk2.com/2009/01/14/readers-write-11509/comment-page-1/#comment-3062 LGRO Thu, 15 Jan 2009 15:44:57 +0000 http://histalk2.com/2009/01/14/readers-write-11509/#comment-3062 "Tales from the Dark Side" was an excellent commentary and full of truth. Perhaps, even thought they routinely get "beat up" in HIStalk, KLAS comments (not scores, although they, too, have some merit) should be referenced as an evaluation tool. With all the "magic" that takes place on site visits or demos, the client commentary is taken from KLAS interviews with real clients that are well past the site visits and demos and have to deal with the REAL product on a day to day basis. KLAS includes both positive and negative comments and the sheer volume as well as the tone of each section is a good indicator of what really works... or doesn't! “Tales from the Dark Side” was an excellent commentary and full of truth. Perhaps, even thought they routinely get “beat up” in HIStalk, KLAS comments (not scores, although they, too, have some merit) should be referenced as an evaluation tool. With all the “magic” that takes place on site visits or demos, the client commentary is taken from KLAS interviews with real clients that are well past the site visits and demos and have to deal with the REAL product on a day to day basis. KLAS includes both positive and negative comments and the sheer volume as well as the tone of each section is a good indicator of what really works… or doesn’t!

]]> By: Martin Blank http://histalk2.com/2009/01/14/readers-write-11509/comment-page-1/#comment-3059 Martin Blank Thu, 15 Jan 2009 14:16:08 +0000 http://histalk2.com/2009/01/14/readers-write-11509/#comment-3059 @Ricky Roma- Great insight...we just finished a very lengthy EMR/PM selection process and most of your points hit very close to home (ouch!). Thanks for giving us sand people (or at least some of us who like to have our heads in the sand) a glimpse into how it is in your world. @Ricky Roma-

Great insight…we just finished a very lengthy EMR/PM selection process and most of your points hit very close to home (ouch!). Thanks for giving us sand people (or at least some of us who like to have our heads in the sand) a glimpse into how it is in your world.

]]> By: The Alchemist http://histalk2.com/2009/01/14/readers-write-11509/comment-page-1/#comment-3058 The Alchemist Thu, 15 Jan 2009 13:44:16 +0000 http://histalk2.com/2009/01/14/readers-write-11509/#comment-3058 A highly contractive hybrid term that my wife & I have come to use and chuckle every time is "fool-em-up." Fool-em-up can be applied across the broad spectrum of demos, presentations, balance sheets, excuses, etc. Anytime you want to demonstrate your brand of truth, you simply apply the "fool-em-up" and make everyone happy and secure. I give credit to "fool-em-up" from a lovable and brilliant chief software architect that I worked with years ago and still around. Fool-em-up, you know who you are and I applaud your skill. A highly contractive hybrid term that my wife & I have come to use and chuckle every time is “fool-em-up.” Fool-em-up can be applied across the broad spectrum of demos, presentations, balance sheets, excuses, etc. Anytime you want to demonstrate your brand of truth, you simply apply the “fool-em-up” and make everyone happy and secure.

I give credit to “fool-em-up” from a lovable and brilliant chief software architect that I worked with years ago and still around. Fool-em-up, you know who you are and I applaud your skill.

]]> By: Dan Field http://histalk2.com/2009/01/14/readers-write-11509/comment-page-1/#comment-3057 Dan Field Thu, 15 Jan 2009 05:32:33 +0000 http://histalk2.com/2009/01/14/readers-write-11509/#comment-3057 I think Peter Basch really nailed the unspoken issue underlying the failure of HIT to deliver on the promises- that it's aimed at satisfying a reimbursement scheme that is not aligned with delivering optimum, efficient healthcare. Having access to what the previous docs did is good for the patient, documenting 2 elements on each of 9 systems in the physical part of E&M coding (or 10 review of systems elements) is only good for helping my organization compete for ever scarcer 3rd party payor dollars. Oh, and great discussion of The Dark Side- been on both sides too, much truth was written. I don't know how to get around one problem with site visits. Why would anyone waste their time offering to be a site visit without some incentive? I think Peter Basch really nailed the unspoken issue underlying the failure of HIT to deliver on the promises- that it’s aimed at satisfying a reimbursement scheme that is not aligned with delivering optimum, efficient healthcare. Having access to what the previous docs did is good for the patient, documenting 2 elements on each of 9 systems in the physical part of E&M coding (or 10 review of systems elements) is only good for helping my organization compete for ever scarcer 3rd party payor dollars.

Oh, and great discussion of The Dark Side- been on both sides too, much truth was written. I don’t know how to get around one problem with site visits. Why would anyone waste their time offering to be a site visit without some incentive?

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