July 2010 - EHR: How difficult without the correct strategy

How to Revive a Failed EHR Implementation

My latest post on www.healthsystemCIO.com. Here’s an idea I think merits consideration. http://healthsystemcio.com/2010/07/30/how-to-revive-a-failed-ehr-implementation/ What do you think? Read More...

Published Fri, Jul 30 2010 11:11 AM by Healthcare IT: How good is your strategy?

Filed under: CIO, informatics, Rants & Musings, planning, Who's Running the Show?, EHR, change management, EMR, hospitals, Hospital

Finally, an EMR worthy of a T-shirt

Those who are regular readers know I’ve commented on more than one occasion that you never see anyone at the HIMSS convention walking around wearing a T-shirt imprinted with the slogan, “I love my EPIC”, or one stating, “McKesson forever”–unless they were talking about...

Published Thu, Jul 29 2010 9:07 PM by Healthcare IT: How good is your strategy?

Filed under: Strategy, Rants & Musings, EHR, electronic health record, change management, EMR, business model, quality

A little IT knowledge can kill you

It almost killed me. Curious? I lived in Colorado for a dozen years, and spent almost every other weekend in the mountains, fly-fishing, skiing, climbing, and painting—any excuse would do. Colorado has 54 peaks above fourteen thousand feet. In my twelve years I climbed most of them. Some solo; some with...

Published Tue, Jul 27 2010 6:15 PM by Healthcare IT: How good is your strategy?

Filed under: informatics, PMO, HIT, Rants & Musings, EHR, Hospital

Would you be willing to help me?

Please let me know if you would be willing to connect me with any good executive search firms. Thanks, Paul Read More...

Published Tue, Jul 27 2010 7:33 AM by Healthcare IT: How good is your strategy?

Filed under: Rants & Musings

How can you solve the EHR puzzle?

Seth Godin wrote about the “Perfect Problem.” A perfect problem, in its existing state, is unsolvable. The way most of us handle it is to click our heels together three times and hope it goes away. We tend to work on imperfect problems, those that can be solved. What is the difference between the two...

Published Mon, Jul 26 2010 9:52 AM by Healthcare IT: How good is your strategy?

Filed under: informatics, Strategy, Rants & Musings, Who's Running the Show?, EHR, hospitals, Hospital

What if we got report cards at work and they were sent home to your children?

While in the process of filing the kids’ report cards, I scanned a few of the remarks drafted by their teachers. Written about my youngest son, “We really enjoy his humor. It would be helpful if you might speak with him about when it’s not okay to be funny.” This is the same child I [...] Read More....

Published Mon, Jul 26 2010 8:05 AM by Healthcare IT: How good is your strategy?

Filed under: Rants & Musings

“How many days ago was Sunday?”

The photo comes from my Robert Redford look alike period. Do you ever awaken wishing you were all you used to think you were before you figured out you weren’t? Me either. I’m someone who has these kind of days when it’s best to keep me away from shiny objects. During college, I spent several [...] Read...

Published Sun, Jul 25 2010 3:47 PM by Healthcare IT: How good is your strategy?

Filed under: informatics, PMO, Strategy, Rants & Musings, planning, EHR, healthcare 2.0, hospitals

Why do you think projects fail?

Again on the project failure? Yes. Why? Trying to head it off at the pass. Source, The Bull Report. Fifty-seven percent of failures are due to bad communication. What’s that? Poor grammar? No. Not enough meetings? Doubtful. It’s about PMO. A hired gun? Perhaps. An advocate who will manage the vendor...

Published Sat, Jul 24 2010 3:05 PM by Healthcare IT: How good is your strategy?

Filed under: informatics, PMO, Rants & Musings, EHR, hospitals, Hospital

The Services We Offer

What we have here is a failure to communicate, and unfortunately the failure is mine. It has been a week of learning. According to one of the thought leaders in healthcare, whom I’ve known for more than a year, he does not understand what services my firm offers hospitals, and he thinks others may have...

Published Fri, Jul 23 2010 2:44 PM by Healthcare IT: How good is your strategy?

Filed under: informatics, PMO, Rants & Musings, patient relationship management, change management, process. work flow, Hospital

Do you need to fire Ferguson?

It may be time to fire Ferguson. I was listening to Imus the other day as he was interviewing the famous promoter, Jerry Weintraub. The promoter relayed a story about one of his clients, John Denver. Mr. Denver was constantly complaining about a number of things on one of his European tours, and he demanded...

Published Fri, Jul 23 2010 8:55 AM by Healthcare IT: How good is your strategy?

Filed under: Strategy, Rants & Musings, planning, Who's Running the Show?, healthcare 2.0, business model

Have I erred on the side of stupidity?

Twice in the span of twelve hours, I received unsolicited and honest feedback from two individuals whose opinion I value, about my attempt to share with you my thoughts about a range of issues concerning the business of healthcare. One came from my father; since he holds that role he is allowed to offer...

Published Thu, Jul 22 2010 7:06 AM by Healthcare IT: How good is your strategy?

Filed under: informatics, Strategy, Rants & Musings, consulting, healthcare 2.0, business model, Hospital

The most relevant EHR/EMR piece you will ever read

According to the New England Journal of Medicine, somewhere north of fifty percent of EHR implementations fails. Your odds of success are no greater than the flip of a coin. What if there is a tool whose use can stop the failure of most EMR system implementations? The purpose of this post is to let Read...

Published Mon, Jul 19 2010 9:20 AM by Healthcare IT: How good is your strategy?

Filed under: Strategy, Rants & Musings, planning, EHR vendors, Who's Running the Show?, EHR, electronic health record, user acceptance, will EHR work, Work Flows, hospitals

EHR 2 a-days

It’s hot and muggy; a hazy pall seems to levitate before me. We call it Pennsylvania in summer. Chest pain yesterday, nitro in gym bag. Intervals today. I hate running intervals as much now as I did in high school, but they’re better for the heart than just running distance. Twenty-four 110’s. Did I...

Published Mon, Jul 19 2010 7:27 AM by Healthcare IT: How good is your strategy?

Filed under: PMO, Strategy, Rants & Musings, Who's Running the Show?, EHR, will EHR work, change management, hospitals

EHR: How do you know if vendors tell the truth?

At the beginning of my final year of graduate school, during a prior administration, the school sponsored a seminar on how to dress for interviews. The take away from the seminar is the following: If you are interviewing with a financial institution wear a pin-stripe suit, white shirt, and a power tie...

Published Sun, Jul 18 2010 7:25 PM by Healthcare IT: How good is your strategy?

Filed under: Strategy, Rants & Musings, Vendors-What's not to like?, Who's Running the Show?, EHR

The definitive EHR Buying Guide

EHR Buying Guide—Vendor darts So, here’s the thing with what a lot of EHR vendors seem to view as the lower end of the food chain, chum worthy customers—Hospitals, IPAs, group and individual practices. Vendor darts. I can’t tell you the number of providers with whom I’ve spoke who’ve had to navigate...

Published Sun, Jul 18 2010 7:08 PM by Healthcare IT: How good is your strategy?

Filed under: Rants & Musings, planning, Vendors-What's not to like?, EHR vendors, Who's Running the Show?, EHR, healthcare 2.0, business model