Technology as Gateway to Knowledge

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“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”

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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”

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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”

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Building a Great Team V

So far we’ve discussed four of the elements I like to look for when building a team that will be required to drive massive changes in the way things are done. Transforming a healthcare practice or hospital from paper-based information to a paperless environment certainly qualifies as a massive change. Previously, I’ve outlined curiosity, creativity, confidence and compassion. The fifth thing I look for is competence.

I assume that by the time we’re talking to people about working together, that is, we’ve gone beyond the resume stage and are into the interviews, potential hires must have demonstrated some degree of professional or technical competence in order to get this far. I consider competence then, in the context of whether or not somebody has, in aggregate, the qualities previously mentioned, and whether or not that “package” is suitable not only for the long-term mission of the organization, but for the more immediate task of transformation.

Without these five components, you increase the risk to both the organization and the individual. When building a team that will see you through a complete organizational change, neither the organization nor the individual (if you do this right) will resemble the original at the end of the project. We’re not looking to fit someone into the current process, because that process is due to change. We’re looking for people who can, as previously noted, thrive within ambiguous territory. This is especially true for executive leadership. People get used to having information and answers to questions, and that’s one way we demonstrate our historical competence. When everything changes, immediate and solid answers may only come after time and with more experience.

These qualities of individuals scale up to the organization as well. If your organization is prepared for systemic change, curiosity, creativity, confidence and compassion will enable an environment where fluidity of change increases the overall competence of the organization. This in turn, contributes to the ability to visibly participate in a leadership role in the community of those who not only provide healthcare, but who actively push forward, defining the future of healthcare delivery.

Your thoughts and comments are welcomed!

-Rod Piechowski

Copyright © 2010, Rod Piechowski, Inc., Consulting

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