tag:blogger.com,1999:blog-32053362.post298474560174771952..comments2024-03-18T06:27:51.599-04:00Comments on Not Running a Hospital: Can we make it even more meaningful and useful?Paul Levyhttp://www.blogger.com/profile/17065446378970179507noreply@blogger.comBlogger11125tag:blogger.com,1999:blog-32053362.post-58906932790745962682012-06-18T11:03:49.592-04:002012-06-18T11:03:49.592-04:00Dave,
I agree with you in theory, i.e., if this w...Dave,<br /><br />I agree with you in theory, i.e., if this were any other sector in the economy; but health care is notoriously slow in changing. Normal market forces don't seem to work in the normal way and over the same time horizon. So I don't expect to see the phenomenon you describe happening at all or very fast.<br /><br />What might be different here -- and I say MIGHT -- is that Judy is an extraordinary person with a good heart, and no shareholders to worry about. If she decides to head in a new direction because she sees societal value in it, she can make it happen even if it does change the nature of her semi-monopoly.Paul Levyhttps://www.blogger.com/profile/17065446378970179507noreply@blogger.comtag:blogger.com,1999:blog-32053362.post-23101281667089469192012-06-18T05:24:53.252-04:002012-06-18T05:24:53.252-04:00Why is no one talking about cost? At 700 million o...Why is no one talking about cost? At 700 million over 10 years for Partners Health Care to install Epic, the cost of EHR's alone will drive the quest for hospital revenues to new heights. I am by no means a computer guru, but after a career full of marginal to outright failed enterprise solutions at community hospitals, I am sick to death of these large, expensive systems which promise much but deliver little - all the while telling the customer it's their own fault.<br /><br />It's time for a second generation, affordable, flexible and patient-centered EHR, not incremental changes to these dinosaurs. And yes, I believe EHR's should be designated as a 'medical device.'<br /><br />nonlocal MDAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-34432879531908308652012-06-18T00:31:05.960-04:002012-06-18T00:31:05.960-04:00I agree w/ Matthew's POV. The org winning usin...I agree w/ Matthew's POV. The org winning using a closed, proprietary model rarely is the first to open. They only open when they start losing business (e.g., look at IBM & MSFT when they lost dominance, they got "open" religion). Those losing to Epic are most likely to open first. <br /><br />If the market was in stasis, Epic would have a much better chance of long-term dominance. It's entirely unclear that the providers who are dominating today and can afford Epic's price tage are well positioned for the future. As the healthcare leaders stated in this piece http://thehealthcareblog.com/blog/2012/06/14/the-irrelevance-of-the-supreme-court-decision-on-obamacare/, it's the disruptive models that are their biggest worry. While they are slogging through automating the historic delivery model, others are inventing the models most likely to win in the future.Davehttps://www.blogger.com/profile/04377557996598577175noreply@blogger.comtag:blogger.com,1999:blog-32053362.post-46662991217861416772012-06-17T23:21:14.406-04:002012-06-17T23:21:14.406-04:00Centers for Medicare and Medicaid Services (CMS) h...Centers for Medicare and Medicaid Services (CMS) has provided $4.5 billion in electronic health record incentives. How might electronic health record (EHR) efforts progress from here? http://www.healthcaretownhall.com/?p=5188Jeremy Engdahl-Johnsonhttp://www.healthcaretownhall.comnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-35808380629038605372012-06-17T20:32:10.246-04:002012-06-17T20:32:10.246-04:00My dream is to re-orient EHRs
around an open-sourc...My dream is to re-orient EHRs<br />around an open-source core and let the vendors compete in the<br />area where they're currently most lacking--user interface.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-26483192010179687012012-06-17T20:14:19.969-04:002012-06-17T20:14:19.969-04:00From Twitter:
Providers (& patients) will nee...From Twitter:<br /><br />Providers (& patients) will need an ecosystem of platforms & tools. Agree, EHR vendors can enable this future@claudiawilliamsnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-62644682879434976892012-06-17T20:12:12.252-04:002012-06-17T20:12:12.252-04:00Billions of tax dollars into the stew – making man...Billions of tax dollars into the stew – making many people rich beyond their wildest dreams - and no federal mandate about interoperability or shared applications. Weird.<br /><br />It makes me root harder for some of the open solutions against the Empire that seems to be growing up in Wisconsin.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-84352974029849691262012-06-17T20:10:15.606-04:002012-06-17T20:10:15.606-04:00This is spot on in many ways. Epic's role in ...This is spot on in many ways. Epic's role in this act is only increasing - with great power comes great responsibility.Michaelnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-75081294808582550542012-06-17T18:00:00.517-04:002012-06-17T18:00:00.517-04:00You're asking the wrong person, Paul. The Epic...You're asking the wrong person, Paul. The Epic folks are going to do what they do and it's not in their DNA to open a platform. They'll build it themselves and do a good job. But Allscripts has already taken tentative steps to open their system, and so have the SaaS platform vendors in the physician market...and my guess us a few more losses and Cerner heads there too.<br /><br />But with Epic's growning footprint in the big systems here, the question is whether a big Epic client will insist on Epic allowing other applications on to <i>their</i> version of the Epic platform. So the question is, what'll it be George or Paul? (I don't know which groups John & Ringo run!)Matthew Holthttp://www.thehealthcareblog.comnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-55831465324271836822012-06-17T14:41:53.551-04:002012-06-17T14:41:53.551-04:00Thanks, David. I added Tory to the author list an...Thanks, David. I added Tory to the author list and also fixed the spelling of your name!Paul Levyhttps://www.blogger.com/profile/17065446378970179507noreply@blogger.comtag:blogger.com,1999:blog-32053362.post-84686897709990764502012-06-17T13:32:29.849-04:002012-06-17T13:32:29.849-04:00Appreciate perspective on the Forbes piece Tory Wo...Appreciate perspective on the Forbes piece Tory Wolff and I wrote; some of the issues you thoughtfully raise here are also discussed in a second piece Tory and I put together last week, available here: http://www.theatlantic.com/health/archive/2012/06/is-one-company-about-to-lock-up-the-electronic-medical-records-market/258473/ . It will be fascinating to see how this important story unfolds.David Shaywitznoreply@blogger.com