Thursday, October 22, 2009

#ITOH the Hitech effect

Real time notes from the itoh confernce

Anthony Guerra healthcare informatics

Hospitals are watching waiting and listening. Back on plan and moving forward. No stimulus effect.

Vendors seen a stall in market as people understand impact. Some hold up because reporting requirements are unclear.

The first wave:
Consulting is busy. "like y2k"

Regional Extension Centers don't depend on them. Confusion reigns. "HIT consulting Medicaid"
Being established by Dec2010 but incentives are to be paid in Oct2010

The second wave:
The vendors
Most clients will stick
New version is a big change is as big as switching vendors

Getting up and running:
Develop order sets
Implement it and interfaces
Workflow redesign
Training and support
Holy Grail of CPOE slow them down, reduce productivity

Some orgs are using scribes to input.

Be sensitive to the book of business when implementing

Just need to get 10% adoption

Moving beyond transactions

Improving population health
Will require intricate quality reporting. Dara management issue.

Go as granular as you can stand for data input but it makes adoption harder

REC will yield little
Implementation failures will start late 2010. Timeline rather than provide issue.

Rise of hospitalist and cmo
Hospitals will acquire more practices

Mark Scrimshire
....Sent from my iPhone

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