On average, hospitals devote close to 70 percent of their budget to labor costs. Until robots replace humans in the delivery of patient care, selection of the proper skill mix and number of nurses remains a significant factor that determines cost in provider organizations.
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Square Peg – Round Hole Problem
Rapid adoption of EHRs has been hindered by a variety of factors, including a fragmented marketplace, changing federal incentives, provider uncertainty about the regulatory landscape, and the striking lack of interoperability between systems.
Continue readingStrategic Operational Plans
Standing up in a canoe is hard enough. Standing up in two canoes with one foot in each while traveling through Class 4 rapids is mind-boggling. Class 4 rapids are defined as “intense, powerful but …
Continue readingGetting Ahead
Cloud-based applications maintained by vendors offer significant advantages in cost of ownership by eliminating the cost of upgrades, providing immediate access to the latest versions of applications, and reducing the costs associated with maintaining hardware.
Continue readingRelationships Matter
Patients with sub-par experiences often post negative comments on one or more social media platforms to express their dissatisfaction. These posts then form the building blocks for a provider’s online reputation.
Continue readingStill Babbling
The problem of poor interoperability did not suddenly appear in the hot Washington summer of 2014. It has existed for several years; I called it out in an article published in this journal at the end of 2013.
Continue readingThink Like a Retailer
The sophistication of data collection and analytics tools for tracking consumer behavior expanded with technological advancement and broader distribution of consumer technology.
Continue readingHow to Effectively Choose and Assign Clinical Staff
Although information technology cannot replace the staff delivering care to patients, it can assist organizations in choosing the best talent available, help develop that talent, and determine the best way to utilize the skills of these professionals.
Continue readingA Symphony of Evidence-based Staffing
In many ways healthcare is like a symphony orchestra. Although information technology can enhance care planning, assist in medication administration, and reduce duplicative testing, it cannot replace the people required to deliver care services to patients.
Continue readingRailroads, Weed and EMRs
In the early 1970s, Larry Weed, MD further developed his structured documentation approach and described the problem-oriented medical record (POMR).
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