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."