Category: Innovating Health Care IT

Embracing Our Vulnerability

This entry is part 2 of 2 in the series Elephant in the Room: The Role of Shame in HIT Resistance

In the same way healthcare systems demonstrate increasingly rapid evolution, we’ve seen similar impressive changes in HIT. Twenty years ago, few had even heard of an EHR. Today you would be hard pressed to find a healthcare worker who has never heard the term. Yet technology change of any magnitude … Read More

Posted on October 7th, 2014 in Innovating Health Care IT
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Rethinking The Abilene Paradox

This entry is part 1 of 2 in the series Elephant in the Room: The Role of Shame in HIT Resistance

Forty years ago, management literature referred to a story demonstrating how organizations “frequently take actions in contradiction to what they really want to do and therefore defeat the very purposes they are trying to achieve.” That story is now known as the “Abilene Paradox.” The story describes a Texas family … Read More

Posted on October 1st, 2014 in Innovating Health Care IT
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Revise the Roles (and Rules)

This entry is part 2 of 2 in the series Let Curiosity Cross the Chasm: Reducing Physician Resistance

Common sense and our own experience tell us to also look at the velocity of current changes brought about by required compliance with Meaningful Use and other standards. In any industry, the sheer volume of change would be overwhelming – some level of resistance is a natural response. As we … Read More

Posted on July 7th, 2014 in Innovating Health Care IT
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Beyond the Demographics Demon

This entry is part 1 of 2 in the series Let Curiosity Cross the Chasm: Reducing Physician Resistance

In a research paper presented at the Institute of Electrical and Electronics Engineers (IEEE) 2013 46th Hawaii International Conference on System Sciences, 1 Anol Bhattacherjee, Christopher Davis and Neset Hikmet confront a problem all of us in Healthcare Information Technology (HIT) face at one time or another: physician resistance to or … Read More

Posted on July 1st, 2014 in Innovating Health Care IT
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Applying Full Contact Care

This entry is part 2 of 2 in the series HIT and Patient Engagement: The Cart Before the Horse

Many patient engagement projects in the U.S. rely on the design and use of HIT tools and resources. Patient portals, personal health records, on-line patient education are a few examples of these HIT tools. Future efforts, at least for the near term, are very likely to continue seeking to leverage … Read More

Posted on October 12th, 2013 in Innovating Health Care IT
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Clarifying Patient Engagement

This entry is part 1 of 2 in the series HIT and Patient Engagement: The Cart Before the Horse

“Patient engagement is the blockbuster drug of the century” 1 …or so asserts Health Information Technology (HIT) futurist Leonard Kish. But like many transformational themes in healthcare, we do not have a commonly agreed upon definition of what exactly “patient engagement” is. Last year, the National eHealth Collaborative conducted a … Read More

Posted on October 5th, 2013 in Innovating Health Care IT
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Building a Data-Savvy Workforce

This entry is part 2 of 2 in the series Seeing the Big Picture in Big Data

One interesting and possibly new finding from this assessment is that employers believe there is a growing need for deep skills and understanding related to working effectively with data.  The authors commented: “…A difference was noted related to data management, data mining, data analytic, and similar skills and competencies. Twenty-six … Read More

Posted on April 12th, 2013 in Innovating Health Care IT
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Navigating Big Data

This entry is part 1 of 2 in the series Seeing the Big Picture in Big Data

Those of us in health care imagine large quantities of useful, easily accessible, accurate and meaningful data at our fingertips, helping us improve the way we provide individual patient care while reducing costs and advancing health care systemically. Unfortunately, while this is where we want to be “when health care … Read More

Posted on April 5th, 2013 in Innovating Health Care IT
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A Tale of Four Cultures

This entry is part 2 of 2 in the series When Worlds Collide: The Cultural Side of HIT Failure

In an insightful essay 1 Chuck Friedman, a physicist and educator, described his growing interest in the “soft side” of informatics. He observed that solid code and reliable systems were often insufficient to successfully adopting HIT in clinical environments. Even with the best of technologies, “people” got in the way … Read More

Posted on January 12th, 2013 in Innovating Health Care IT
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The Culture of HIT Implementation

This entry is part 1 of 2 in the series When Worlds Collide: The Cultural Side of HIT Failure

“An account of technology’s frustrations can start anywhere, but sooner or later it leads to medicine.” – Edward Tenner In his book, Why Things Bite Back, Edward Tenner thoughtfully articulates what he calls the “revenge effects” – the unintended consequences that so often arise as we continue our relentless Information … Read More

Posted on January 5th, 2013 in Innovating Health Care IT
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