Tuesday, June 27, 2006

RHIO MUSINGS

This past week CALRHIO held a Summit in Southern California. Unfortunately due to clnical responsibilities I was unable to attend. My network of contact, I am sure will fill me in on details.

We have added several important leaders to our mail list, they are the President's of the RCMA and SBCMS. Hopefully they will disseminate the email and web links to our RHIO so that all providers in our area can see what is being discussed and hope-fully implemented.

My goal is to provide a platform for discussion and remain technologically neutral.
We still have yet to form a sustainable business model. This is a psychologically complex matter...there is no sense setting up a business structure to fail.

Notes:

There are many health and EMR related blogs being published by knowledgable consultants, with information readilly avaiable for the taking at no cost to you.
TMBN, or the medical blog network can be found at wwww.healthvoices.com There are many interest groups ranging from wellness, to EMRs and RHIO MONITOR. Some of the topics overlap.

Here is some of the most recent publications on the Topic of EMR written by Rob Lambert M.D. a practicing physician.


""I just got done giving my talk at the PACT (Physicians Adopting
Computer Technology) conference in Massachusetts, and this will
apparently be the last one. Over the last year, HIMSS has put on at
least 12 of these conferences (6 of them this year) in cities around
the country. The goal is to get physicians who have successfully
adopted to talk about the do's and don'ts of EMR adoption. The response
has been quite good for physicians and staff who attended the meetings.
They are very practical talks on how to pick out an EMR, the pitfalls
of contracts, how to implement, and some practical information about
the DOQ-IT project. As the time has passed from the first one in the
Fall of 2004 up to today, I have seen a growing intensity among
physicians about EMR. I think that they recognize that the writing is
on the wall and that they would be smart to find out more about EM

Yet they are not funding these for the future, and I
am not sure why. The word from the folks at HIMSS is that it is not
profitable (they are losing money). Now, I was not aware that they
intended on making a profit from these (I am sure that the speakers
were significantly over-paid). With the finances available to HIMSS and
the benefit for the vendors, I really don't know why they are not doing
more of these. I am sure that other organizations, such as AHQA would
be willing to help keep this series going on for the benefit it gives
to them. It just doesn't make sense to me.

This means that the
main avenue for education of physicians regarding IT will be the
salespeople from the EMR vendors. This is a very bad place to get
information. Salespeople tend to focus only on what their product does
well and do not focus on the idea of workflow redesign, which is far
more crucial than note-generation. I just had this discussion with a
physician in Boston today, who did not realize he needed to consider
more than the note-generation aspect of an EMR. Who will give them that
message now? The "EMR Roadshow," from what I hear, is much more vendor
driven, plus it is set on being profitable, so the quality (I heard
this from both attendees and speakers) is significantly less than that
of the PACT conferences.

So PLEASE don't close the book on the
PACT conferences HIMSS. I think there are ways to share the burden of
cost so that it will not be a financial drain (was it really that
bad??). Your speakers are all sad to see this go - it was a very nice
opportunity to mingle with physicians in the process of deciding. It
was our chance to help them to not make the big mistakes we have made in the psst.""

Rob publishes his own blog which can be found via the link on healthvoices.com



"

2 Comments:

At 9:30 AM, Anonymous Abdul Quddus said...

I think that there are two views points to be considered when strongly advocating the use of EMR in practices. For a Doctor it needs to easy to use and save time so that more time can be spend on the patient. Currently we have many vendors with different types of EMR that are so hard to use that it simply puts them off. I think healthcare technology companies need to develop product after regular interaction with doctors to ensure that they provide just what is required. At binaryspectrum we have developed our healthcare solutions after spending countless number of hours with doctors to ensure that its work flow is kept simple and intuitive. This is then followed up with a period of Beta testing in real time environment before it is offered as a product in the market.

 
At 9:48 AM, Anonymous Anonymous said...

What system has your organization developed Abdul?
Fatima.

 

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