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.
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?
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.
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.
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.
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.
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?”
May 11, 2012 Pete Rivera
Well I was sure that there would be major adjustments to be made when I left the military after 21 years. I guess the biggest cultural change came down to the uniform. In the military you always know who is in charge by all the “ornaments” in the uniform. The more the colors and “bling,” the higher up the food chain they are, especially the Army-they are all about the bling!
May 10, 2012 Pete Rivera
Reach back to all your old quality training, Deming, Toyota, whatever and at the core it’s the same message; your front line workers really know what’s going on and what workarounds they are using because the existing system is so bad. They are also the first ones to create new workarounds because the brand new system now takes five mouse clicks to do what the old one did in two.
April 4, 2012
I find it ironic that after investing money and effort in an EMR implementation, many organizations are still handing out paper forms to collect history, insurance updates and HIPAA acknowledgements.
