Is HITECH Working? #1: Hospitals are grumbling but are playing in the game; success is not guarante

by Vince Kuraitis JD, MBA and David C. Kibbe MD, MBA 

The rationale for hospitals having to play in the HITECH game is straightforward: the financial carrots through 2015 are helpful, and the financial sticks after 2015 will be very painful.

We’ll discuss:

• Financial Impacts on Hospitals
• Survey Data Showing Hospitals Will Play
• Why Success is Not Guaranteed

Financial Impacts on Hospitals

Even prior to HITECH, most hospital executives already had passed the threshold decision and concluded that they need to implement EHR technology. Thus, the issue for most hospitals isn’t “whether” to implement EHR technology, but “when”, “at what cost”, and “how”. (more…)

Article Series - Is HITECH Working?

1. Is HITECH Working? 7 Observations Mom Could Understand
2. Is HITECH Working? #1: Hospitals are grumbling but are playing in the game; success is not guaranteed.

Previous in series

Tags: CCHIT, certification, EHR, EMR, HIE, HIMSS, HITECH, hospital, meaningful use, Medicare, privacy

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from phone:

Blaine

6103108104

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Another checklist victory

There's a new paper in BMJ on the use of checklists. In this study 8 care bundles, each with an associated checklist (available on the BMJ website), were introduced in the hospitals of the North West London Hospitals Trust. Five of the bundles were related to prevention or management of infections (central line insertion, ventilator associated pneumonia, MRSA, diarrhea and vomiting, and surgical site infections). Changes in mortality were monitored for diagnoses that would be expected to be impacted by the bundles as well as overall mortality. Significant reductions in mortality were noted beginning one month after implementation of the checklists. It is important to point out that this is a quasi-experimental study and confounders may be at play. Nonetheless, it's another piece of evidence that supports the checklist concept. After having now read both Peter Pronovost's and Atul Gawande's books on checklists, I am convinced that these simple tools can have huge impacts by their ability to drive high levels of compliance with practices that we know reduce risk. Ironically, the implementation of a simple and effective checklist turns out to be enormously complex given the culture of medical care which has traditionally bowed to doctor's autonomy (i.e., their egos). I was talking to one of my favorite surgeons last week about these issues, and he summed it up well: "The young surgeons get it. As for the old ones, I think we'll have to wait for them to die off."

http://feedproxy.google.com/~r/ControversiesInHospitalInfectionPrevention/~3/nTq1tZLHrrU/another-checklist-victory.html

from phone:

Blaine

6103108104

Posted via email from InnovationThrives

Quote from NPR on iPad, its the reason for the device at time zero. Next year is for the techies.

At the end of the day, I think some techies will love this and others will not but people who don't like computers or struggle dealing with them will appreciate this design, ease of use and will probably love it! This isn’t my opinion, it’s a fact, I had family members that typically struggle with a computer fighting for their personal iPad time. These techno-phobes were able to figure the iPad out really fast and without many questions, which made me ecstatic. Why? Well, because this meant that the iPad would effectively cut down the amount of family "help-desk" tickets I need to close out and that would be awesome!

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Telemedicine in VA success

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Great CNBC video on innovation in healthcare

http://www.innovationthrives.com/3/post/2010/04/great-issue-of-cnbc.html

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REALLY SHOULD READ THIS

http://hbr.org/web/extras/insight-center/health-care/will-disruptive-innovations-cure-health-care

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Obama mopping floor with bush on jobs

http://link.businessinsider.com/view/cbt.l1/b3d9225e

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