Tag Archives: EMR

HIEs: Is the Failure to Launch Due to Lack of HIT Interoperability or Purely Business Economics?

We’ve been hearing about HIEs for some time now.  What we haven’t heard much is any real success from it.  When I first started read about it back in 2008, it sounded like a no-brainer to me. And especially when it intersected with Meaningful Use and the move to EHRs?  A double-no brainer.  However, with the exception of isolated HIEs here and there, the concept hasn’t really gained much traction.  Why is that?  Most of the reasoning seemed to come from the lack of interoperability due to the lack of standardization of the myriad types of healthcare data—-claims, EHRs, lab, radiology, etc.  However, this article introduces another concept that maybe the real culprit in this failure to launch—it’s not a profitable business as of yet.

What are your thoughts?  Do you agree w/this Brookings Institute report or do you still believe that it lies squarely on the shoulders of interoperability issues?

EHRs: Once Implemented, You Can’t Just Forget It

All too often in mid-size to smaller organizations (across any industry, really), time and effort is not really dedicated to optimizing a technology once implemented unless it’s an emergency.  That seems to also be the case for EHRs.  For most providers especially smaller physician groups that used a paper-based system, this has been especially hard.  However, larger providers such as hospital groups are experiencing similar pains.  (Remember the first U.S. Ebola case a few months ago partially being blamed on the Epic clinical workflow?  At the time of implementation, I’m sure Ebola was not on the mind of the vendor nor of the client).  Here is an article that talks about this further w/researchers exploring this at Scott and White Health System.

Ebola and Health IT: Where Operationalization of Health IT and a Deadly Virus Meet

Unless you have been hiding in the woods somewhere with no link to the outside world, we all know about the burgeoning threat of the Ebola outbreak and how a confirmed case of this deadly virus is now in the U.S.

How did this happen?

Well, there seems to be many lapses that occurred, including the afflicted patient allegedly not being truthful on an exit questionnaire as he flew out of Liberia.  The second major misstep seems to have occurred in the Texas hospital’s EMR workflow after the patient was brought into the Emergency Department.  

This brings up an interesting point that a lot of us that have worked on systems implementations and migrations over the years in healthcare.  The bits and the bytes of technology can only serve to support the operations of the customers (the business units) and not vice versa.

Epic and Interoperability: Do They Play Nicely with Others or Are They Lone Rangers?

Since the time I work worked on an Epic EMR installation at a major Atlanta area hospital back in 2009, I’ve always heard that Epic, arguably the most widely used EMR in the provider space, is not really fond of interoperability and conforming to data standardization and harmonization.  And since they have the vast majority of the EMR market, they can get away with this.

This article asks if they really are as standalone as a lot perceive or if they are really more interoperable than they are being given credit.

Boston Marathon Bombing Aftermath: How an Area Hospital’s Workflow and EMR Handled It

Most of us at Axiom have limited experiences w/the provider side of the industry.  I know that was the case for me before I went to work at a major hospital in the Atlanta area implementing Epic a few years ago.  Here’s an interesting article about how Brigham and Women’s Hospital in Boston handled the influx of the Boston Marathon bombing victims and how they are using this to better refine their workflow and supporting technologies (including their EMR) to better handle these mass casualty incidents.