HITInsight Blog Archives
We should have seen it coming, really. It was entirely predictable, and the most recent RAND report proves it.
We incentivized comprehensive IT adoption, making it easier to bill for every procedure, examination, aspirin, tongue depressor, kind word and gentle (or not) touch without first flipping the American healthcare paradigm on its head, if such a thing is even possible.
Anyone who understands the importance of continuity of care knows that health information exchange is essential. How are we supposed to cut waste and duplication from the healthcare system and truly focus on patient welfare if doctor B has no idea what tests doctor A conducted, or what the results were?
The predominant proprietary HIT vendors know this, yet have engaged in prolonged foot-dragging on interoperability and even basic data interfacing. Yes healthcare IT is their business, but interoperability is not in their nature.
Does anyone in their right mind believe that these are the best of times in healthcare or health IT?
Does anyone besides Judy Faulkner and Neal Patterson believe these are the best of times? (I mean, everyone knows that Dramatic Transition + Industry-wide Upheaval + Piles of Cash = Satisfaction / Contentment, proving the point mathematically.)
The question: At what cost to overall healthcare improvement do Epic and Cerner (and others, to be fair ... except you, Allscripts) reap massive profits?
The recently concluded election was seen by many as a referendum on the 2010 Affordable Care Act, now widely known and even embraced by the president as Obamacare. President Obama’s re-election ensures that the implementation of reform will continue, but how a divided Congress deals with it while trying to control federal spending will remain an open question for some time.
A study recently published in the Journal of the American Medical Informatics Association (JAMIA) identifies the implementation and adoption of Computerized Provider Order Entry (CPOE) functionality as the number one barrier for hospitals working toward Meaningful Use Stage 1.
When it comes to IT system decisions, healthcare organizations often ask a key question: Should we buy it or should we build it ourselves? Open source offers a new option to this traditionally binary decision. This option becomes more compelling when the open source solution is the most broadly deployed EHR in the world—the VistA system from the U.S. Department of Veterans Affairs (VA). Instead of Buy vs. Build, it’s the Best of Both.
Traditionally, organizations look at their new system requirements and weigh pros and cons as described below.