<rant> There are two sides to healthcare. * * *Payers*: Lets just say that they don't pay for the best and the brightest. And it shows (present company excluded of course). Antiquated systems cobbled together by people that moved on 15 years ago. I know that you've heard the phrase, "I don't know how they stay in business." In healthcare it is really true. I've been in places where I really do not understand how they haven't been sued out of existence by members, shut down by the government, and abandoned by providers. I really don't know how they keep the doors open. Ok, actually I do. By steadfastly refusing newer technology. By paying wages so low that attracting stellar talent is impossible. Then simply charging so much for premiums that they can cover the horrible mess that they are in. In retail organizations there is real competition - a competitive marketplace force that causes companies to figure out how to be more efficient, to implement new technology, and to provide better services. That dynamic isn't present in today's payer model. This is why there are government mandates. HIPAA transactions are to *force* healthcare to do what other industries did naturally - use a standard format for communication. ICD10 - the US is the *only* non-third-world country in the world to not implement ICD10. Everyone else did it in 1995. While there are clearly exceptions to the rule, the catchphrase for most US payers is: "Healthcare - using yesterday's technology to solve today's problems.....tomorrow."
*Provider * The consumer facing side has high end technology. They get all the cool toys for Christmas. Providers actually are, for the most part, the best and the brightest. It is very difficult to force change on these folks. The catchphrase here is, "You can get a doctor to do absolutely anything....that they were going to do anyway". It is no surprise to hear the complaints. The government forces changes on the payer who don't want to pay for them and are ill-equipped to implement them. These changes trickle down to the providers who resist it. To bad - cleaning out an infection is painful. </rant> On Thu, May 31, 2012 at 2:33 PM, David Frenkel <[email protected]>wrote: > Meaningful Use. ICD-10. HIPAA 5010. Separately, all of these > implementations, along with many others, represent big changes for hospital > executives. Combined, however, they represent a big mess, according to a > new healthsystemCIO.com survey. > Roughly 74 percent of CIOs surveyed admitted that all of the various > changes being asked of hospitals are starting to become overwhelming. "So > often I hear the phrase 'Can you make them stop?' one CIO said in > responding to the survey. "In this case, mandates, regulations, financial > shakedowns and haircuts, quality pressures, MD affiliations, HCAP scores, > the list goes on and on. Organizations need to do a better job at setting > priorities, as no outfit can do it all." > Or, as another CIO simply put it, "Too much, too fast." > The most challenging of the change-management problems, according to the > majority of CIOs surveyed, were computerized physician order entry (34.7 > percent) and electronic physician documentation (30.4 percent). Meanwhile, > 17 percent of CIOs listed patient engagement-related activities--which have > caused quite a stir in relation to the Meaningful Use Stage 2 proposed > rules--as being the most challenging problem. > "The biggest challenge [with regard to CPOE] is that the scope is not just > about orders," one CIO said. "It touches everyone who touches the patient > in ways we haven't even fully defined yet." > By far, the group most resistant to change, according to the CIOs > surveyed, was independent, non-employed physicians who referred patients > in. Such providers, according to a recent Health Affairs study, have > struggled with electronic health record adoption, especially when compared > with doctors in larger practices. > Additionally, getting doctors to change their individual behaviors--like > inputting orders electronically--was voted as the toughest part of change > management. > To learn more: > - here's the healthsystemCIO.com survey > Related Articles: > HIMSS12: The lessons in one system's CPOE missteps > Fierce Q&A: Lots of barriers to MU patient engagement rules > Smaller hospitals, solo docs struggling with EHR adoption > > David Frenkel > > > [Non-text portions of this message have been removed] > > > > ------------------------------------ > > ... > Please use the following Message Identifiers as your subject prefix: > <SALES>, <JOBS>, <LIST>, <TECH>, <MISC>, <EVENT>, <OFF-TOPIC> > > Job postings are welcome, but for job postings or requests for work: > <JOBS> IS REQUIRED in the subject line as a prefix.Yahoo! Groups Links > > > > [Non-text portions of this message have been removed] ------------------------------------ ... Please use the following Message Identifiers as your subject prefix: <SALES>, <JOBS>, <LIST>, <TECH>, <MISC>, <EVENT>, <OFF-TOPIC> Job postings are welcome, but for job postings or requests for work: <JOBS> IS REQUIRED in the subject line as a prefix.Yahoo! Groups Links <*> To visit your group on the web, go to: http://groups.yahoo.com/group/EDI-L/ <*> Your email settings: Individual Email | Traditional <*> To change settings online go to: http://groups.yahoo.com/group/EDI-L/join (Yahoo! ID required) <*> To change settings via email: [email protected] [email protected] <*> To unsubscribe from this group, send an email to: [email protected] <*> Your use of Yahoo! Groups is subject to: http://docs.yahoo.com/info/terms/
