Yes, absolutely. The business metrics are different, and the processes are different between the two environments. And the vast bulk of care takes place in the office-based setting. And the people who function in the context of the hospital environment do underestimate the differences; and the needs of a hospital-based electronic record are different from those in the hospital, and those needs need to be understood in order to be useful.
One of the most common complaints we see are around a solution not being useful. And as you know, most of this technology is disruptive at first; and that in my mind, is not fully appreciated by people working in the hospital environment. And there are many dire consequences of that. And a lot of the interoperability issues are also absolutely critical.
Do you have any explicit advice for CIOs and CMIOs based on your early experiences so far?
My advice would be, do your homework, look carefully at the products you’re assessing; make sure they’re applicable to the environment in which your people will be working; and plan heavily for the disruptions that will inevitably occur. And make sure that you communicate with a capital ‘C’ all along the process. And it’s my own personal feeling that it also helps for individuals such as CMIOs have credibility from having worked in practice, so that they understand the nuances of this technology.
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