Technology as Gateway to Knowledge

(This entry is also available as pdf download: see end of article for link.)

“Meaningful Use” is upon us. Hospitals around the country are scrambling to assess its implications which, aside from the obvious financial investment that must be made, will affect healthcare providers in other ways for many years to come. Since change is inevitable, this is the perfect time to look beyond the short-term aspirations of meaningful use, and identify what healthcare should look like into the future, maybe even as far as 20 years. The government however, is not likely to create that vision, so the task will be left to those providers who are bold enough to shape new models for healthcare delivery. » Continue reading “Technology as Gateway to Knowledge”

Leave a Comment

Reform is Technology Dependent

Information technology is scattered widely throughout the health reform bill that was passed in the US. In order to accomplish many of the goals stated in the bill, information technology will be increasingly investigated as one component that might offer a degree of savings or capability to the system. Whether we are talking about checking for a patient’s insurance eligibility, medical homes or improving patient access to information, technology is at the heart of the solution. And it isn’t really just technology that will be responsible for this change: what we’re really talking about is information management, using technology as a modernized means of collecting, storing and moving information throughout the system. » Continue reading “Reform is Technology Dependent”

Leave a Comment

Creativity Required

During the 14 September, 2010 HIT Policy Committee meeting, members raised the issue of quality reporting for different purposes. Much of this focused on the difference between quality measures that are reported to health agencies for purposes of meaningful use or public health, vs. the kind of measures that might be used to analyze the individual organization. While the Committee recognizes that the two can be very different, its work will likely remain tailored, at least in the shorter term, to making recommendations that directly address “meaningful use” of EHR systems as specified in the legislation that created the Committee. » Continue reading “Creativity Required”

Leave a Comment

Pay Yourself First

Financial advisors will often tell you to “pay yourself first.” That is, if all of your paycheck goes to pay the bills, you’ll never have any savings or build any long term equity. Set something aside for yourself right off the top; then pay everyone else. The same concept works with data. In the US, the new rules for ‘meaningful use’ of EHRs require physicians and hospitals to report quality data in order to qualify for incentives through Medicare and Medicaid. In a paper-based environment, pulling quality metrics for reporting purposes can be time consuming. In an electronic environment, there will be all kinds of data collected during the course of providing care, and some of it will be used for quality reporting. The bottom line is that in theory at least, technology will make it much easier to collect the kind of data that agencies currently require. If you look at the meaningful requirements as nothing more than a checklist, you may miss a great opportunity to learn something about your organization and the community you serve.

Remember that it is first and foremost, your data. Certain elements must be reported of course, but here is the chance to “pay yourself” by thoughtfully planning how to analyze the data you will be collecting by asking:

  • What are the missing pieces of information about your practice or hospital that would really help improve efficiency, safety, patient satisfaction, etc.? (This is not a question you ask the IT department.)
  • Does the information exist?
  • If it does, who has it? If not, can it be captured?
  • Can the EHR capture the data? Is reprogramming required? (Now you’re talking to the IT department.)
  • How can the data be accessed?
  • How will the data be validated and analyzed?
  • Who should do this?
  • What will be done with what is learned?
  • How have you prepared everyone in the organization to accept the analysis as 1) valid and 2) contributing to the overall success of the mission?
  • What else can be discovered?

Welcome the flood of data; use it to your advantage. While the requirements for meaningful use will be met through federal reporting requirements, your organization will see the immediate benefits of this “self reflection” because you had the foresight to pay yourself first.

-Rod Piechowski

Copyright © 2010, Rod Piechowski, Inc., Consulting

Leave a Comment