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HIT in 2014: Portal Perils and Half-Built Houses

Scott Mace, for HealthLeaders Media, December 17, 2013

The ease with which some of these organizations attested for Stage 1 of Meaningful Use may have instilled a false sense of confidence, Kreofsky says.

I suggested, and she agreed, that the essence of good healthcare IT governance is being able to put out fires while at the same time performing the kind of rigorous risk analysis and systems analysis that keeps the bigger picture in mind.

Otherwise, you end up with something like healthcare.gov, a system that had all the necessary pieces in place, but didn't have the overall project management in place necessary to insure anything like success. "The challenge is that many of these analyses and potential reworkings are very time- and resource- intensive," Kreofksy says. "It's not like you just check a box."

Like Building a House
Analytics will remain another hot healthcare IT topic in 2014, but the pitfalls are considerable there too.

"Most organizations are really struggling to move beyond just pure retrospective operational analytics," Kreofsky says. "They're trying to figure out where they can deal with their existing vendors and where to supplement with other tools or technologies. They're wrestling with data integrity, and quite importantly, the right skill set for this type of work. I have seen some data points, heard some pain points, talking with clients. It's a different type of mindset from I'll say building order sets to understanding utilization trends."

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4 comments on "HIT in 2014: Portal Perils and Half-Built Houses"


Frank Poggio (12/18/2013 at 10:38 PM)
Correction.. For hospitals that's .33 reduction of the MBI. So for a 250 bed community hospital that would be roughly, $50mill*.008*.33 = $130k Hardly worth getting bent out of shape about when an EHR could cost $10+ million! ..LOINC codes are: A universal code system for identifying laboratory and clinical observations and results.

scottmace (12/18/2013 at 4:51 PM)
LOINC stands for Logical Observation Identifiers Names and Codes. More info at http://www.loinc.org.

Stuart Showalter (12/18/2013 at 9:46 AM)
For those unfamiliar with the term, it might have been nice to define "LOINC." Unless I missed something, I don't see that spelled out anywhere.