The #HIMSS14 Blog Carnival is managed by the HIMSS team and hosted by #HIMSS14 Social Media Ambassadors. For a collection of all the Carnival Round-Up posts from this year’s event, please visit the HIMSS Blog to find links to the posts from each of the Social Media Ambassadors.
The Value of HIT Lies in Getting Content Back Out, Not in Putting Content In – by Dr. Jon Handler, CMIO
I understand where Dr. Handler, CMIO of M*Modal, comes from. Dr. Handler’s clinical background stems from the emergency medicine. Clinicians in emergency rooms do not have time to be scribers, especially in the fast-paced big city ones.
Content consumption is what clinicians need, but then, who creates the content. We can’t scale down the Internet to the physician’s offices or the hospitals, someone, or something, in these locales have to capture the data.
Just like the nursing profession came to aid the physicians with the daily tasks a new role has to be created to aid the clinicians with the capturing of data, whether this role is human or robotic is yet to be determined.
Although Dan has some very good points and facts here, the patient matching conundrum has long been resolved technically-wise.
We have no problem of matching to a patient healthcare information originated from external sources, probalistically or deterministically, with at least some identifying data; we can even do fuzzy matching if needs be.
We tend to surround politics around everything healthcare and this is what has gotten us in the huge mess where we are now. Let’s keep the government out of the patient-matching conversation because, if not, it will become a cluster of conundrums. Just wait and see.
Most healthcare organizations have a lack of data governance policy and hence a lack of data quality. This is why they have a big mess in their demographics databases. Those of us whom have spent years developing algorithms for demographic and account splits, merges and patient auto-matching fully understand this. Adding to the lack of data governance these healthcare organizations have poor processes and workflows in critical areas. Instead of Health IT having been used as a tool to correct this they tried to fit a square peg in a round hole, or was it a round peg in a square hole. Go figure.
Anyways, having the government dictate a patient matching algorithm is a recipe for disaster. We don’t need the government here. All the government has done so far is to spend billions of tax-payers dollars to get us to where we don’t know yet. HMOs anyone?
What is the Value of Health IT? – by Blair Butterfield
Blair’s blog really resonated with me. I witnessed technology’s effectiveness while providing healthcare in remote areas like the Amazon Jungle. Technology provided access to healthcare that saved lives.
I agree that Health IT will help increment quality but I don’t think it will do anything with the cost of delivering care. Controlling costs in healthcare will only be realized with ending with the billing abuse.
Healthcare IT will not reduce the abuse that patients are subject to by the outrageous costs of medical treatment. Recently, my wife had to go to the emergency room of a hospital belonging to a big group. After 4 hours in the ER we received a $7000 bill! The physicians conclusion was “only God knows what you may have”. This hospital had all the latest technology you can find. My wife doesn’t speak english but even the lack of an interpreter was no problem since they had a very sophisticated computerized interpreter.
I actually believe that the patients are going to get their bills stuffed with the cost of the investment in healthcare IT.
The Value of Health IT – by DICOM Grid
I wholeheartedly agree that the cloud could be very valuable for healthcare. The question is: “Is the world ready for it?”. Every time I embark in a project with the intent of using the cloud I witness one big pandemonium shortly after. HIPAA paranoia is the greatest obstacle.
Those of us that have worked in projects where data is hosted elsewhere understand the complexities of them and we don’t try to oversimplify them.
There are many practical uses cases that can benefit from this and other advanced technologies but anything we plan to use has to consider the riddle of, sometimes senseless, rules and policies we are governed by.
The Value Proposition of EHRs – by Girish Navani
Way to go Girish! Very short, concise and full of wisdon. Girish is simply saying that Health IT is only valuable if it is meaningfully used. And this is the big question: “are doctors meaningfully using the EHRs they have purchased with the generous tax-payers incentives?”. I guess this will be answered only with time. Or maybe audits?
Just what the doctor ordered, a rapping #HealthChick!
Enjoy this short video with Susan Biddle from Juniper Networks. Susan also tells her compelling story of why health IT is important for her.
Coming later today – HIMSS Blog Carnival #2 – Value of Health IT – Part II