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Clawing Your Way up–When you Claw for a Living

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...

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It’s all about the Customer Service after the Sale

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...

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Top Sales Bloopers

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. Sales folks have a...

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EHR’s JUST DON’T WORK!

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...

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What Happens When Your EMR Coding Wizard Loses its Magic?

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....

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

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...

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When Hospital and Ambulatory IT - CLASH

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? If you have been in Healthcare...

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

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...

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EHR Russian Roulette

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...

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Moving the Goal Post on Meaningful Use

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...

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Fifty Shades of EHR

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...

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What We Can Learn from the Affordable Care Act Website

Working in large healthcare organizations comes with its own style of politics and culture. The key to successful projects in this type of environment is to empower the project team to raise red flags...

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The Great Divide: Financial & Clinical Systems

0 Many organizations compartmentalize their systems into clinical and financial Systems. It’s almost as if the CIO grew up familiar with billing /scheduling systems and the clinical systems is just...

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How Smart Do You Want Your Physician’s Phone?

0 Not too long ago we were all working diligently to deliver handheld solutions to physicians. It was a “mobile device” that would allow access to HIS, patient lists, and lab results. It was either an...

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3 Quick Steps to Avoid a Stagnant Technology Staff

0 From a cost benefit perspective investing in technical training is not only inexpensive, but yields high returns in terms of customer satisfaction and employee retention. Sit down with any...

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The Fallacy of a Single Solution

0 If you find yourself giving up “requirements” just to fit a vendor’s single solution, then either it was not a real requirement or you are compromising functionality.  The pendulum swings again....

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Demystifying the Cloud

0 I believe there is a HIPAA fear still out there which the term “Cloud” has created. It gives the impression that the data is going somewhere…up there in the mist. With virtualization many data...

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The SOW: Statement of Waffling

0 Reviewing an State of Waffling (SOW) for a client the other day I was struck by the amount of waffling the vendor was doing in trying to make their case for their estimated cost of services....

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Standard Interfaces: Always Different

0 Accountable Care Organizations (ACO), meaningful use, data warehouses, and every clinical or business healthcare system depends on interfaces. Yet it is often the most overlooked, underappreciated,...

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Challenges for Population Health: A Clinical and Technology Approach

0 Now with Patient Centered Medical Home, Meaningful Use and Accountable Care we are seeing a shift in how we view this information. Data is now a valuable asset to be used as a patient health tool,...

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