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HIT in 2014: Portal Perils and Half-Built Houses

Scott Mace, for HealthLeaders Media, December 17, 2013

I mention to her the widespread disenchantment I've heard from providers with the analytics technology they have been acquiring.

"You have to ask the question, why are you so disenchanted?" Kreofsky says. "It's probably a third or a fourth the product's problem. It gets right back to data quality, data integration, staff capabilities, and governance.

Kreofsky characterizes healthcare IT as being in an unfinished state. "My analogy is often one of building a house," she says. "You have to buy the land. You have to invest in all of the architecture. And this is all like pre-implementation planning, and then you put in the foundation and the frame of your house, and that's your EHR, and that's a lot of money."

Although providers want to move in to the EHR and settle down, they need to keep spending on the other parts and pieces to have a finished house in order to really get the full value of that house, Kreofsky says.

"'The challenge for CIOs and for organizations now is to recognize that the big capital spending era is over, but to continue investing appropriately to get the full value of the technology."

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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.