IT investments: How can healthcare organizations avoid coming down with Bright Shiny Object syndrome?

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At NewYork-Presbyterian (NYP), we evaluate and develop new technology to serve our patients and providers. However, we also aim to...

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Posted by Daniel Barchi (Discussions: 1, Comments: 0)
Replied on May 17, 2017 12:00 am
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I agree with your breakdown of 80% People, 15% Process and 5% Technology but what you are missing is it is 100% about the Patient. The People, Process and Technology must support the Patient 100%.
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Posted by Robert Walker (Discussions: 0, Comments: 1)
Replied on May 16, 2017 8:00 pm
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I totally agree with the formulation in #1. I've seen too often where the technology was chosen because it was the "trend" (or fad, fashion, whatever term you wish to use). Only after the purchase was made without any forethought and it was handed to IT to implement along with an unreasonable budget and schedule was any thought given to purpose, functionality, integration, and most importantly of all, feasibility. When the project ends in less than stellar condition, it's usually the heads of those responsible for the implementation that roll -- not the ones who made the decision in the first place.
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Posted by Aaron Cutshall (Discussions: 0, Comments: 1)
Replied on May 16, 2017 8:00 pm
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Great piece Daniel Barchi! I would add that people should be looking to invest in platforms (multi use case) instead of point solutions (single use case). In addition, open standards based video platforms will have far more use cases than closed proprietary ones. We believe unified telemedicine is the future and we bring multiple specialities to bear over 60k times per month at over 650 hospitals, allowing hospitals to collaborate, share resources and reduce health disparities through leveraging their existing infrastructure.
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Posted by James "Jamey" Edwards (Discussions: 0, Comments: 2)
Replied on May 16, 2017 8:00 pm
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Great insights Dan. Technology is not everything, but at a minimum it must - and with the right partners can - help healthcare providers increase thru-put at less cost and with better outcomes in great orders of magnitude. A 3x volume minimum on a lower expense base is what technology has given other industries that underwent rationalization (retail, energy, etc.); the enablement of greater margin at higher volume, in the hands of strong healthcare leaders, will also provide for better outcomes with the right technology deployed intelligently into clinical workflows.
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Posted by Stephen Keeler (Discussions: 0, Comments: 1)
Replied on May 16, 2017 8:00 pm
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Well said! I've been selling technology for 30 years and my biggest challenge is un-selling technology that is perceived to be the be all to end all.
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Posted by Doug Padgett (Discussions: 0, Comments: 1)
Replied on May 16, 2017 8:00 pm
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Great Article Daniel. Healthcare providers looking at significant digital infrastructure investments should be conscious of both the challenges and opportunities under the currently regulatory framework There are opportunity through permissible EHR donation arrangements and programs like the Healthcare Connect Fund (FCC), but also challenges as information technology is increasingly being used as a regulatory compliance tool by federal and state administrative agencies. Insufficient oversight or failing to have sufficient technological flexibility may result in reimbursement adjustments under MACRA/MIPS requirements or Meaningful Use.
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Posted by Ammon Fillmore (Discussions: 0, Comments: 1)
Replied on May 17, 2017 8:00 pm
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No patients, no doctors, no doctors, no technology to help them serve the patient.
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Posted by Kurt Badstübner (Discussions: 0, Comments: 1)
Replied on May 17, 2017 8:00 pm
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Hi Daniel, thanks for sharing your great experiences and Congratulations on results. To make progress, colleagues need to be able to quickly frame their priorities within the context of their technical and organizational strategy. I have written this post to help you to do that quickly: https://medium.com/@SherriDouville/how-to-guide-for-framing-my-thesis-risk-appetite-for-digital-health-1165619e9fcb
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Posted by Sherri Douville (Discussions: 0, Comments: 1)
Replied on May 17, 2017 8:00 pm
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Great tips and insights Daniel Barchi! Looking forward to your Twitter Chat June 8th!
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Posted by Janet Guptill, FACHE (Discussions: 0, Comments: 5)
Replied on May 17, 2017 8:00 pm
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Thank you for sharing your insights. Regarding process. Many will ask to change a process or practice in conjunction with the EMR. Start the new process now. The perils and pitfalls of a new process will be evaluated well before go live. The resistance to change in the process will be evaluated and any changes to the process can be built into the EMR.
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Posted by Ann Marie Tyrell (Discussions: 0, Comments: 1)
Replied on May 17, 2017 8:00 pm
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People, process, technology!
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Posted by Anthony Brockman, MSHI, CPHIMS (Discussions: 0, Comments: 1)
Replied on May 17, 2017 8:00 pm
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Truth: People & process are more important than technology. Great post
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Posted by Erik Schnelle (Discussions: 0, Comments: 1)
Replied on May 18, 2017 8:00 pm
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Great post! Wish other health systems had the same perspective
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Posted by Akash Trivedi (Discussions: 0, Comments: 1)
Replied on May 18, 2017 8:00 pm
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Great post thanks.. I think this statement "Implementing healthcare technology is 80% people, 15% process, and only 5% technology" is great research material!
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Posted by Dina Hidayat - BSN, MLHPE (Discussions: 0, Comments: 1)
Replied on May 21, 2017 8:00 pm
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Great article...many software companies companies simply do not understand this
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Posted by Scott Covert (Discussions: 0, Comments: 1)
Replied on May 21, 2017 8:00 pm
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Yes. Its all about improving patient outcomes and while doing so advancing organization revenues and decreasing organization expenses. Technology must be a strategic tool used by people for people
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Posted by Thomas S. McDonald (Discussions: 0, Comments: 7)
Replied on May 22, 2017 8:00 pm
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Great points! My advice is always, focus on the people & process around digital health tools before the actually technology.
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Posted by Aneel I. (Discussions: 2, Comments: 4)
Replied on May 22, 2017 8:00 pm
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You made a great point with your healthcare percentage breakdown. I have always applied hear same metrics to everyday life. It is always about the "person", whether it is a patient, coworker, teammate, etc. I always cared more about the people I surrounded myself with more than what I was doing while surrounded by them. Great post!
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Posted by Mikey DeLeon (Discussions: 0, Comments: 1)
Replied on May 23, 2017 8:00 pm
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A broken process won't be fixed by a new bright shiny object. You have to get people right before you get process right. Thank you for the post.
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Posted by Darryl Roberts (Discussions: 0, Comments: 6)
Replied on May 23, 2017 8:00 pm
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This is spot on! Appreciate the honest presentation of your experiences. Refreshing and positive approach!
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Posted by Sam Godwin (Discussions: 0, Comments: 2)
Replied on May 30, 2017 8:00 pm
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Only by focusing on proven value=outcomes/costs can healthcare providers, institutions, investors and patients avoid the irrational exuberance of digital health or worthless HIt .
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Posted by Howard Green, MD (Discussions: 1, Comments: 24)
Replied on June 1, 2017 8:00 pm
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Especially with Healthcare IT where it is mostly certified garbage, throwing good money at dysfunctional IT makes no sense at all. Look at the classic mistake of MD Anderson and Watson.
If you have well-designed processes and software that makes those processes smoother, by all means, invest in it after thorough testing. Investments in IT must be incremental and measured. Most Hospital CMIOs and VPs of IT make hasty decisions without accurate needs assessment. They do not have any serious penalties for making mistakes. They hop jobs. Watch what will happen at VA. They had a carefully designed really fast and reliable Vista-A. Because DOJ wanted to go with CCHIT EMR, VA decided to do the same. I bet they did not look at the impact on workflow and costs to taxpayers when trying to dismantle something that actually works, is well connected allowing seamless information flow across thousands of facilities with dinosaurs that requires perpetual care and workarounds.
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Posted by Narayanachar Murali (Discussions: 0, Comments: 27)
Replied on June 6, 2017 8:00 pm
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Yes, people are healthcare's greatest asset. Technology itself is not a solution. Effective tech is an enabler-- helping our healthcare workers save time and deliver better care. Rather than focusing on removing the human factor, let's use tech to improve it.
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Posted by Arup Roy-Burman (Discussions: 0, Comments: 1)
Replied on June 8, 2017 8:00 pm
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Very true , important not to get carried away but focus on worka solu
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Posted by Corrina Hulkes (Discussions: 0, Comments: 1)
Replied on June 11, 2017 8:00 pm
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