Pete Rivera's blog

Fifty Shades of EHR

June 11, 2013     Pete Rivera
The ONC recently announced two systems from EHRMagic decertified for Meaningful Use. These systems were not capable of performing certain functions deemed necessary for Meaningful Use. This not only impacts the physicians on this system, but is a shot across the bow for all systems that said they could capture and report Meaningful Use data, but really used smoke and mirrors.

Moving the Goal Post on Meaningful Use

March 13, 2013     Pete Rivera
The impact of the budget sequester is now being felt by physicians expecting meaningful use payments. During a HIMSS town hall meeting Elizabeth Holland, director of HIT Initiatives in CMS Office of E-Health Standards and Services, stated that Medicare meaningful use payments will be affected by the sequestration. Which means that a 2% reduction to Medicare payments will affect Meaningful use payments. Now that the word is getting out, you can hear half the industry gasp and the other half saying, “I told you so.”

EHR Russian Roulette

March 1, 2013     Pete Rivera
We cannot develop training programs with a “one size fits all” mentality. It has to be multiple solutions to fit the multiple clinician personalities, as well as the single physician with multiple personalities.

Not all CIOs are Created Equal. Which One Hits Home?

December 3, 2012     Pete Rivera
The fun begins when you look at the various CIO personalities out there. They don’t always fit the corporate climate or mesh well with the CEO’s personality. Personalities and stress factors all contribute to decision making and if you take a step back, you often can get an education, as well as some entertainment value out of it.

When Hospital and Ambulatory IT - CLASH

November 6, 2012     Pete Rivera
Information Technology (IT) is always one of those things that are often taken for granted during mergers. From an operational view, it’s all just “computers,” right?

Answer to: A Major Glitch for Digitized Health-Care Records

September 19, 2012     Pete Rivera
Based on a WSJ Opinion piece EMR software is “is generally clunky, frustrating, user-unfriendly and inefficient.” Although I will not disagree with this “generalization,” I do take exception with the articles naïve view that Health IT systems have not improved patient health.

What Happens When Your EMR Coding Wizard Loses its Magic?

September 11, 2012     Pete Rivera
You cannot make a blanket policy to say that the coding software will be used exclusively. This is like telling a pilot to trust their instruments, although the ground is getting closer and closer.

EHR’s JUST DON’T WORK!

July 11, 2012    
Let’s face it; most EHR’s are designed for primary care physicians. The idea is to continue to grow the patient data in the record each time you see a patient. Eventually you end up with a robust history and clinical data that can be used to improve the quality of care. However, specialists get a patient referral, they see the patient two or three times and they are sent back to their primary care.

Top Sales Bloopers

May 22, 2012    
Sales folks have a tough job. The cold calls, the wine, whine, and dine, and the ego stroking. However, recently I was on a call when a Sales person put their foot in their mouth.

It’s all about the Customer Service after the Sale

May 22, 2012    
There is a vendor out there that is currently losing market share and their long term customers are electing to go through the painful process of converting to another vendor. Of course my question is always the same, “Is the new system really that much better than the one you are leaving?”
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