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March 7, 2014 Headlines 3 Comments

Moody’s: 6 Hospitals With Credit Challenges Related to EHRs

Moody’s recaps the EHR-related credit downgrades that took place at US hospitals during 2013.

Use of Telemedicine Can Reduce Hospitalizations of Nursing Home Residents and Generate Savings for Medicare

A Commonwealth Fund study finds that nursing homes that used telemedicine to provide after-hours care significantly reduced hospitalization rates for their residents, compared with facilities not using this service.

Effects of Meaningful Use Functionalities on Health Care Quality, Safety, and Efficiency

ONC publishes a dashboard that consolidates 2010-2013 literature focused on MU related outcomes changes.

HIE solutions see drop in provider satisfaction

KLAS rates HIE solutions and finds that Epic, Orion, and Siemens are doing the best. Researchers note that “What is surprising is that despite the millions of dollars HIE vendors invested to add needed functionality, only about half of them are seeing their provider satisfaction scores improve."

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Currently there are "3 comments" on this Article:

  1. RE: Moody’s: 6 Hospitals With Credit Challenges Related to EHRs

    Remember the chart that Epic had on the side of their HIMSS booth showing client gains/losses for each of the major EHR vendors? It would be interesting to see a similar chart showing which EHR systems are being installed by hospitals that have announced “unanticipated” EHR related financial woes or had their bond ratings downgraded as a result.

  2. Re: Moody’s and Uncle Pizza –

    It would also be worthwhile to see the total cost and benefit projections that those having downgrades experienced and the financial projections before the systems were implemented. The only way it would be valuable is to see the projections before the heavy pressure comes-down to cut costs and boost benefits. I would venture a hypothesis that many of these organizations had –

    ~downward trends in key indicators before the system was implemented
    ~missed the opportunity to address process issues, reinforcing the existing bad behaviors
    ~didn’t properly fund change management and training at proper levels (for example – accepting feedback, benefits of implementation, training)
    ~minimally followed-up on benefits projected through the build, testing, training and go live

    The system is an easy scapegoat. There is usually more to the story. It benefits everyone to study these organizations.

    There is often more to the story of the chart referenced by Uncle Pizza. Mergers and acquisitions are driving change in some markets. Organizations deciding they need a bigger catalyst for change than just an upgrade can provide. Organizations not trusting the existing vendor or seeing the challenges a local competitor may have with a particular vendor. Organizations looking for mature revenue cycle and clinical systems from one vendor.







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