tag:blogger.com,1999:blog-4384692836709903146.post7969512055497313969..comments2024-03-27T09:55:23.143-07:00Comments on Dispatch from the Digital Health Frontier: Losing the Popularity Battle, but Winning the Career War John Halamkahttp://www.blogger.com/profile/04550236129132159307noreply@blogger.comBlogger5125tag:blogger.com,1999:blog-4384692836709903146.post-65819038707446279962014-01-10T10:00:55.218-08:002014-01-10T10:00:55.218-08:00Thank you for this post, though I am a bit late in...Thank you for this post, though I am a bit late in responding. Your message of focusing on the 2014 mandates and deferring discretionary work is sound and something that I am forwarding to other CIO's. Best of luck as you navigate your Organization through 2014 and beyond.Anonymoushttps://www.blogger.com/profile/11399336543793191094noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-18299648900942421142013-10-23T02:26:22.013-07:002013-10-23T02:26:22.013-07:00The regulatory burden for the EHR was supposed to ...The regulatory burden for the EHR was supposed to result in a single Main Thing: Better care, more efficiently delivered.<br /><br />It has instead become its Own Thing: regulatory compliance. To your point, there are no resources left for anything else.<br /><br />There is not a ghost of a chance that the government--however well meaning--can bring cost savings and improvement of care to our industry by centralizing developmental direction of the EHR. What was supposed to be a non-burdonsome oversight to drive better data exchange and reporting/analytics has instead become a bureaucratic monster that sustains only itself and accomplishes almost nothing of substance.<br /><br />This Emperor has no clothes. It is time for more strong voices to join yours in acknowledging how stifling and unproductive is this regulatory burden. We have created a giant jobs program but we have nothing of substance to show for it that would not have been better accomplished simply by establishing a handful of key objectives (i.e. "You must be able to interoperably exchange the following 100 EHR data elements using the following vocabulary standard") and then letting the free market figure out how best to execute the objective.Jim Thompson MDhttps://www.blogger.com/profile/04062449988982953402noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-29219337879398405752013-10-22T11:23:24.672-07:002013-10-22T11:23:24.672-07:00John, doesn't this just further accelerate the...John, doesn't this just further accelerate the trend towards departments creating their own tools, specifically mobile apps? If so do you think it's in the CIO's best interest to "go with the flow" by finding and recommending best do-it-yourself development tools.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-56767535371588956762013-10-22T09:00:48.806-07:002013-10-22T09:00:48.806-07:00Thanks for bringing a bit of reality into the fore...Thanks for bringing a bit of reality into the forest, gosh knows it's needed. The average consumer has no idea as to what's on the plate of a healthcare CIO and that might even go further than healthcare these days. The government and public I think have almost gone beyond "bliss" when it comes to what is really going on with Health IT and there's a bunch of missing links here and you are right when you address the expense and of course vendors are going to keep pushing it to the edge with ICD10 and other issues as that's their profits and so the reality of a well engineered system gets skewed right and left.<br /><br />I said thanks to health insurance exchanges that the government and the general consumer are learning a real cold hard lesson about the world of complexities with IT infrastructures today and in some areas we are kind of boxed into corners. I liked the old days of writing code before all went to the web as at least you could create solutions easier, but I'm not living in the past by any means as those days are forever gone and we live in the "connected" world today. <br /><br />The politics of all of this have made it worse by all means and we have lawmakers and entities in government to include Congress that have no clue on how this all works. For at least a year I have been promoting the Sunlight Foundation of reinstating the Office of Technology Assessment for Congress as they would have a non partisan agency to help them understand some of this as all you have to do is read the news and it's apparent that there's some education lacking there and thus we end up with the political side shows. Maybe a bit of a rant but I said digital illiteracy is running hog wild in government today and both government and consumers are getting a real hard lesson in the realities of the complexities of IT infrastructures today that we live with and it's not getting any easier and the pressure on CIOs and technologies with the old thinking that solutions are "quickly" created still seems to permeate, perceptions that are not the reality of what we have out there today and that I feel keeps feeding the political cycles as they just don't understand. <br /><br />http://ducknetweb.blogspot.com/2013/10/us-consumers-and-government-are.htmlMedical Quackhttps://www.blogger.com/profile/12443589277651479846noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-2119903668483424512013-10-22T05:08:42.687-07:002013-10-22T05:08:42.687-07:00It's nice to see someone with more credibility...It's nice to see someone with more credibility who is so candid about what's really causing the slow pace of US healthcare IT innovation (excessive regulatory burden.) I think it's possibly the most depressing thing about being in medicine right now.<br /><br />-HMS3 (Would love to chat with you some time, if you ever get free time)Anonymousnoreply@blogger.com