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Togetherness

June 11, 2009
by Neal Ganguly
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Without real collaboration and participation, a great opportunity may be lost

I am ending a term as president of our State’s chapter of HIMSS, and presided over my final meeting yesterday. It was our annual spring forum, and the topic was Hospital, Facility and Physician Alignment. Two years ago, the room would have been filled with IT folks complaining about how the clinician’s don’t get it, and bemoaning the fact that we don’t have enough money. Yesterday, there was a diverse audience of clinicians and administrators in addition to the IT contingent. In fact, the event was co-sponsored by the NJ Chapters of the American College of Healthcare Executives, the Healthcare Financial Management Association, and the Organization of Nurse Executives as well as the Medical Society of New Jersey (with journalistic representation by our own Anthony Guerra). Listening to the presentations, and more importantly, the lunchtime and hallway conversation, it was clear that the ARRA Bill has exposed an alignment of interests that was previously buried.

Sure, we all believed in providing high quality care, and being efficient, but each came at it from different directions. The Clinicians approached the environment using the high-touch, independent expert philosophy around which they were trained – marginalizing administrators and IT people and necessary evils that just ‘got in the way of good care’ and did not understand the nuances of patient care. The Administrators approached the environment as a business where clinicians were viewed as a necessary evil. Prima donnas, that did not care to understand the complexities of managing a business enterprise. The IT people, of course, recognized that neither side ‘got it’, and that they would have to clean up everyone’s mess and make it all work. Of course, the truth is somewhere in the middle – a place where the various constituencies learn enough about their ‘business partners’ to collaborate and build a better environment. I believe that is what I was witnessing at this event and what we are all seeing at events around the country. An energetic and engaged interaction between the players in healthcare focused around improving the environment and sharing information. This collaborative momentum must be sustained. We all must work to understand more about the big picture of healthcare in order for us to effectively contribute In our areas of expertise. The Stimulus Bill has given us a rallying point. It’s up to all of us to make it count.

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