Home » Readers Write » Currently Reading:

Readers Write: Recapturing the Best Part of Best-of-Breed

October 3, 2018 Readers Write No Comments

Recapturing the Best Part of Best-of-Breed
By Meg Aranow

image

Meg Aranow is CEO of Edaris Health of Boston, MA.

Early on in HIT, departmental systems were the only computer-based clinical and business solutions we had. Often built and sold by teams that came directly out of the operational areas and bringing experiential credibility, these solutions spoke the language of the department leaders who were making the purchasing selections. The more relatable they were, the more significant their market share.

Later, with reputations solidified, these vendors began to capitalize by broadening their horizons into related areas, offering suites of applications to handle adjacent functions, such as all labs sections, not just blood labs, or all finance departments, not just AP/AR.

Then came the perfect storm that really engaged us all in the allure of the enterprise systems. First, computerization became the expected standard and big-budget centralized IT departments took root. Second, the market responded with R&D money and new investment capital. Third, healthcare costs and patient safety became everyday news and the idea of health consumerism grew. As timely, accurate shared data seemed the holy grail for both quality and expense control, the lure of single fully integrated systems became irresistible.

The decisions seemed easier 10 years ago. That was when the primary definition of an enterprise was its physical boundaries. There wasn’t much talk about IDNs and integrating freestanding surgery centers, urgent cares, or SNFs.

Now, even as we seek to integrate the data that ensures quality, safety, and expense control within the walls of our institution, we are simultaneously pushing care outside the walls to be handled in places that have less overhead and are easier for patients to navigate. There’s a tightrope to walk. We can’t trample on the very workflows that have created those higher margins and faster throughput at the lower-cost locations. If we make them behave as the rest of the enterprise does, we may lose the very things that made them attractive business assets and popular care destinations for patients in the first place.

As interoperability standards have become de rigor, there are options of where to draw the perimeter of the enterprise system and where to allow – or even encourage – deep support of site-specific workflows without compromise. That is, workflow support as once delivered by narrowly-focused departmental systems.

Customized workflow support is the new best-of-breed. With mature interoperability standards in place, we do not have to sacrifice tailored, intuitive workflow support for the sake of integrated data, decision support, and analytics. There is no reason not to have it all.

View/Print Text Only View/Print Text Only


HIStalk Featured Sponsors

     







Subscribe to Updates

Search


Loading

Text Ads


Report News and Rumors

No title

Anonymous online form
E-mail
Rumor line: 801.HIT.NEWS

Tweets

Archives

Founding Sponsors


 

Platinum Sponsors


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Gold Sponsors


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reader Comments

  • GenesRFree: Your first sentence points out the problem, "a piece on CNN". Turn that fake news off!!...
  • Frank Poggio: I would file these announcements under...Almost fake news....
  • ErinsDad: Unfortunately, money frequently follows the hype, before the reality sets-in... "Please be advised that on September 12,...
  • Weather Man: The terms “winter weather, “winter weather,” “winter weather advisory, and “winter storm warning,” are defin...
  • Mr. HIStalk: Thanks! You provided my "today I learned" item for the day, and one I will surely remember. I had no idea that meteorolo...
  • Ex-Epic: Semi-angry rant... I was disappointed it ended as soon as it did. The LOINC codes are ridiculous. It's all there ready...
  • THB: It IS a winter storm ... meteorological winter is defined by "weather folks" as the three coldest months of the year ......
  • Robert Lafsky: Semi-angry rant but a good one...
  • Renee Broadbent: The issue regarding interoperability will never be fully solved by creating more regulations and layering on all sorts o...
  • Vaporware?: Charlie & 'Answer' ... No answer is coming. Cerner's "vision" was invented to make the sale. CommonWell was invented...

RSS Industry Events

  • An error has occurred, which probably means the feed is down. Try again later.

Sponsor Quick Links