February 12, 2010
As a consulting "subject matter expert" I have worked primarily through consulting companies. Most commonly, I am brought in to an implementation at a point of failure. The unfortunate frequency of stalled and failed implementations has kept consultants busy. With the new push toward healthcare IT many institutions are initiating or reinvigorating implementation projects. The sheer volume of new implementations will uncover a shortage of experienced clinical consultants. Let me propose "mentoring" as a novel solution.
November 21, 2009
It is official. According to a Study published today in the American Journal of Medicine there have been no documented financial efficiencies from computerizing medical records even when studying the “100 banner hospitals that are most wired.”
November 15, 2009
I’ll make this short: Don’t start with a time-line! Almost universally every RFP for an EMR/CPOE that I evaluate already has a time-line.
October 31, 2009
I ran across this website this morning. Maybe it will cheer you up this weekend as it did me. Some sarcasm to go with your morning coffee. I’ll need
October 29, 2009 Jim Feldbaum, M.D.
It occurred to me that my recent blog really didn’t define a Medical Home. In short: Each patient has a personal physician that leads a team at the practice level who takes responsibility for the ongoing care of a patient. The relationship includes responsibility for all stages of care (primary, specialty, preventive, end of life, etc.) with a whole person orientation. Care is integrated and coordinated with an emphasis on quality, safety and outcome.
October 28, 2009 Jim Feldbaum, M.D.
Where is all this talk of process improvement, reimbursement algorisms, and government intervention leading us? I hope towards better care and outcomes. Are we really headed towards a new model or is it a fad that will burn out when faced with the challenges of change. Although I am usually a proponent of incremental change when it comes to quality improvement I can be a zealot.
September 29, 2009
Over the past few months I have had the opportunity to assess the current state of IT job recruitment.
August 14, 2009
I have already lamented the sorry state of IT consulting in a previous blog, but today’s KLAS Report sheds some light on the state of the industry.
August 3, 2009
While so much of the push-back is obvious and overt there can be behavioral work-arounds that add a dangerous but avoidable element to patient care. Work-arounds in the paper world usually represent strategies for circumventing “policy,” sometimes as an improvement to flawed or outdated policy, but dangerously often as a convenience that has insinuated itself into routine care.
July 26, 2009
RAIDS (Recently Acquired Income Deficiency Syndrome) has devastated the healthcare consulting population.
