Comments on: Being John Glaser 1/20/09 http://histalk2.com/2009/01/19/being-john-glaser-12009/ Healthcare IT News and Opinion Thu, 09 Feb 2012 01:56:16 +0000 hourly 1 http://wordpress.org/?v=3.3 By: plin http://histalk2.com/2009/01/19/being-john-glaser-12009/comment-page-1/#comment-3143 plin Sun, 25 Jan 2009 00:34:51 +0000 http://histalk2.com/2009/01/19/being-john-glaser-12009/#comment-3143 As someone who moved into Health IT from traditional engineering, I found the biggest issue is communication rather than technical. The subject matter experts such as a pharmacist believes they know a lot more about drugs than an engineer. Unfortunately even though this is true, the data has to be stored somewhere and accessed through an user interface of some sort. I think in order to make things successful, the gap between engineering and other subjects will have to be close gradually. The best way to do that is not to throw billion of dollars in training but rather enable universities to develop hybrid programs focused on both sides of the spectrum. As someone who moved into Health IT from traditional engineering, I found the biggest issue is communication rather than technical. The subject matter experts such as a pharmacist believes they know a lot more about drugs than an engineer. Unfortunately even though this is true, the data has to be stored somewhere and accessed through an user interface of some sort.
I think in order to make things successful, the gap between engineering and other subjects will have to be close gradually. The best way to do that is not to throw billion of dollars in training but rather enable universities to develop hybrid programs focused on both sides of the spectrum.

]]> By: JGo http://histalk2.com/2009/01/19/being-john-glaser-12009/comment-page-1/#comment-3119 JGo Thu, 22 Jan 2009 01:57:41 +0000 http://histalk2.com/2009/01/19/being-john-glaser-12009/#comment-3119 Glasser really needs to find another world - he has continually been wrong on the assesments of this industy over the past five years, his technical appraoches and strategy have been misleading and fraught we recalcualtion. Isn't it time to move on John? Glasser really needs to find another world – he has continually been wrong on the assesments of this industy over the past five years, his technical appraoches and strategy have been misleading and fraught we recalcualtion. Isn’t it time to move on John?

]]> By: Jedi Knight http://histalk2.com/2009/01/19/being-john-glaser-12009/comment-page-1/#comment-3104 Jedi Knight Tue, 20 Jan 2009 02:13:54 +0000 http://histalk2.com/2009/01/19/being-john-glaser-12009/#comment-3104 This really begs the question of what, exactly, will this money be spent on? Given the human resources needed to install and maintain HIT products, and assuming the market has already trained and given experience to the number of people who want to work in this industry, it seems that a lot of this money will be going into training efforts that cannot have a positive impact for several years. Or in other words, a lot of "certified" yet inexperienced people running a muck on projects forced through quickly since there was little business risk to the purchase. Or, the money will be used to further entrench the current generation of products that have been somewhat rejected by the marketplace as being poorly featured or overpriced (and most likely a combination of the two). The Nurse Informatacist offers a better solution. Use the money to support standards development, create facilities to transfer information, research & development on real, next generation solutions. And, throw a lot of money into the systems needed for a new paradigm for healthcare reimbursement - one not based on fee for service but based on real outcomes and results. And one that frees us from being welded to our employers' decisions for our personal healthcare choices. This really begs the question of what, exactly, will this money be spent on? Given the human resources needed to install and maintain HIT products, and assuming the market has already trained and given experience to the number of people who want to work in this industry, it seems that a lot of this money will be going into training efforts that cannot have a positive impact for several years. Or in other words, a lot of “certified” yet inexperienced people running a muck on projects forced through quickly since there was little business risk to the purchase.

Or, the money will be used to further entrench the current generation of products that have been somewhat rejected by the marketplace as being poorly featured or overpriced (and most likely a combination of the two).

The Nurse Informatacist offers a better solution. Use the money to support standards development, create facilities to transfer information, research & development on real, next generation solutions. And, throw a lot of money into the systems needed for a new paradigm for healthcare reimbursement – one not based on fee for service but based on real outcomes and results. And one that frees us from being welded to our employers’ decisions for our personal healthcare choices.

]]> By: Nurse Informatacist http://histalk2.com/2009/01/19/being-john-glaser-12009/comment-page-1/#comment-3103 Nurse Informatacist Mon, 19 Jan 2009 21:51:24 +0000 http://histalk2.com/2009/01/19/being-john-glaser-12009/#comment-3103 John, I have been following this closely like many in the Informtics community. I agree that 2009 is going to be a monumental point in time for the Healthcare IT community. I recently listed to the January 15th testimony of Jack Cochran (Executive Director The Permanente Federation), Janet Corrigan (President NQF), Valerie Melvin (Director of Information Technology The Government Accounting Office), Peter Neupert (VP Microsoft Health Solutions), Mary Grealy (President Health Leadership Council) in front of the Committee on Health, Education, Labor and Pensions. They outlined many of the bullet points above but also suggested utilizing some of the stimulus money to expand HIE programs and utilization of the massive amounts of data collected today. I personaly feel the bills in progress and stimulus needs to: 1) Support the development of further Healthcare Information Exchanges through grants and incentives 2) Reward organizations for achieving outcomes utilizing HIT as an enabler 3) Support further development of interoperability standards and methodologies to harness the power of existing data we have today to improve outcomes 4) Support the consumer through investments in Personal Health Record technology to reduce associated consumer costs It's definetly going to be an exciting 2009, but one that many of us in the HIT community should be excited about! John,

I have been following this closely like many in the Informtics community. I agree that 2009 is going to be a monumental point in time for the Healthcare IT community. I recently listed to the January 15th testimony of Jack Cochran (Executive Director The Permanente Federation), Janet Corrigan (President NQF), Valerie Melvin (Director of Information Technology The Government Accounting Office), Peter Neupert (VP Microsoft Health Solutions), Mary Grealy (President Health Leadership Council) in front of the Committee on Health, Education, Labor and Pensions. They outlined many of the bullet points above but also suggested utilizing some of the stimulus money to expand HIE programs and utilization of the massive amounts of data collected today.

I personaly feel the bills in progress and stimulus needs to:

1) Support the development of further Healthcare Information Exchanges through grants and incentives
2) Reward organizations for achieving outcomes utilizing HIT as an enabler
3) Support further development of interoperability standards and methodologies to harness the power of existing data we have today to improve outcomes
4) Support the consumer through investments in Personal Health Record technology to reduce associated consumer costs

It’s definetly going to be an exciting 2009, but one that many of us in the HIT community should be excited about!

]]> By: Bored http://histalk2.com/2009/01/19/being-john-glaser-12009/comment-page-1/#comment-3101 Bored Mon, 19 Jan 2009 20:29:48 +0000 http://histalk2.com/2009/01/19/being-john-glaser-12009/#comment-3101 The last thing healthcare needs is for the government to throw money at healthcare technology -- they will undoubtedly do so with accompanying requirements and the disaster will begin. We won't replicate the UK model, but I'm sure it will be a mess nonetheless. The mess won't be realized for a few years and, much to John Glaser's disappointment, very little or nothing will change in a month. Perhaps he needs something to new to focus on -- two years ago he was at HIMSS speaking in the Siemens booth on behalf of Soarian Financials. I'd love to hear how that project is going for them and his (honest) opinion of how it's meeting his expectations for delivery and functionality. The last thing healthcare needs is for the government to throw money at healthcare technology — they will undoubtedly do so with accompanying requirements and the disaster will begin. We won’t replicate the UK model, but I’m sure it will be a mess nonetheless. The mess won’t be realized for a few years and, much to John Glaser’s disappointment, very little or nothing will change in a month. Perhaps he needs something to new to focus on — two years ago he was at HIMSS speaking in the Siemens booth on behalf of Soarian Financials. I’d love to hear how that project is going for them and his (honest) opinion of how it’s meeting his expectations for delivery and functionality.

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