Article about Emergency Room Experiences

All of us have been to the ER for either our own ailments or those of our families. I read an article here that details some of the unfortunate experiences of some people who seemed to have received the raw end of the stick. This is the article posted today, May 1st, 2018. It’s worth the read. Think about your own Emergency Room experiences. How do we get better over time? How frequent is this experience?

 

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Understanding the Healthcare Landscape 2018

Much about the American healthcare ecosystem has to do with the personalities of the professionals that shape that landscape. One of the  ways that people keep track of that is by checking out Becker’s Hospital Review.

From the CEO, CIO to the CMO & CMIO, we are able to gain insight into how a healthcare provider organization will function based on the mindset that the leadership brings with them. I’ve been at companies when the culture of the new leader has transformed the organization entirely. For some, it’s to wake a sleeping giant and for others, it has stretched it’s capabilities beyond the limit in the pursuit to be #1. There was one organization I worked at where the VP of Revenue Cycle was a consultant and brought in his consulting firm to run the department. That changed the culture of that organization so much so that people could not recognize the company from the one that they had worked in even a few months earlier. This was a radical and fundamental change to the way that that organization had worked for as long as anyone remembered and was quite a shock to the system as a whole. That’s why I encourage you to check out the Becker’s link above and keep that as essential reading for a healthcare professional.

The ABC of Healthcare is split and sold!

In healthcare news this week, it was announced that The Advisory Board Company agrees to be acquired for $2.58 billion dollars. The news on Tuesday this week that this stalwart of healthcare consulting and advisory services, with an estimated *5,700 healthcare organizations as clients, was being purchased by Optum, a division of UnitedHealth Group surprised many, including yours truly. The merger is expected to be finalized by the end of 2017.

The Press Release here mentions details of the sale. It is understood that Advisory Board chief executive, Robert Musslewhite will head the combined healthcare advisory services after the merger is completed.

*Source – Washington Post, 8/29/17

2016 – The year of Disruptive Living

With 2016 behind us, it’s hard to believe we somehow survived this year. Whether we admit it or not, we’re not used to big changes and politics does play an important part of our lives. Whether it’s in that realm or in technology, we are creatures of habit and rarely like our world or ecosystem to change. The biggest challenge I’ve always encountered on a project is change; whether it’s process or technology changes, it’s always a challenge to get people to change and adopt a new way of working. Physicians are particularly challenging to change as they are very set in their ways.

Whether it’s the elections that occurred that seemingly swung the pendulum a different direction than what was in motion for the last 24 years or the endless march of technology like Amazon Go, (which I believe could have applications outside of Retail such as in Healthcare), our lives have been greatly disrupted as we see that the status quo is not acceptable anymore.

I’ve been asked by a few people whether MACRA will get scrapped under the new US administration or whether some of the current other reporting requirements will be changed. Currently the view has been only time will tell as there has been no specific policy that has mentioned anything one way or another. Will much of the work accomplished or investment over the last 5 years be set aside or will we be able to build off that and leverage this paradigm shift for the greater good?

Only time will tell. Whatever it is, there are many people that would like to see 2016 into a distant memory and hope that the new year brings with it better fortunes than the current one has dealt many.

In Memorium: Carrie Fisher aka Princess Leia (1956 to 2016)

“Help me Obi-Wan Kenobi, you’re my only hope.”

Are EHR vendors becoming Population Health corporations?

An interesting article surfaced in Healthcare IT News that suggested that executives at some healthcare software vendors want to transform themselves from generically being deemed as an EHR vendor and become a Population Health company like Cerner’s CEO Zane Burke told Healthcare IT News. 

Being able to access data relevant for patient care should be possible regardless of the format it is presently in or whether it is in an EHR,  national database or in pdf format. 
The constraints that “EHRs” are presently may not allow for this functionality  (yet). The article goes on to state that providers are also moving towards precision medicine, accountable care management, chronic care management and value based reimbursement. 
Movement for many on the ground is still in the initial stages and only those provider organizations with deep pockets and the ability to leverage collaborative working relationships with solution vendors can think about moving forward with all of the initiatives mentioned above in a meaningful way. 

Truly Epic! R&D Spending sensation 


In a story published on September 13th , 2016 by Healthcare IT News (HIT News), Epic Systems’ founder Judy Faulkner  ( just ‘ Judy’ to many in the Healthcare IT world) revealed that Epic invested something like 50% of its operating expenses on research and development, outstripping all organization in and out of the Healthcare IT ecosystem. 

HIT News verified through federal filings that Cerner spent 19%, Allscripts spent 34% and athrnahealth was at 10%. Google spent 45% of its operating expenses on R&D  (or $12 billion) and seemed to be the closest when it came to a percentage of operating budget. 

The thought that ran through my mind was ” Has this translated to better and more efficient and streamlined patient care at Epic’s customers versus provider organizations that have implemented a competing product? I’m all for R&D and believe that it’s really what makes America great  (I don’t think we’ve lost the ‘greatness’ since 1776 when the Founding Fathers declared independence, but that’s another story for another day). The technology of the 21st century has indeed been spurred by American innovation and ingenuity  (Facebook,  Twitter and the entire world of Social Media). R&D brings us medicines that have been life changing to many and previously were inconceivable even in the latter part of the 20th century, but with the cost of patient care rising and many Americans wondering how to get them within reasonable limits anymore, does this only add to our costs in the patient community or will it be the savior of millions and have a lasting impact for the country and the world. Makes you think. …