Tag Archives: EHR adoption

Folding in the Internet of Things (IOT)

Technology innovation doubtlessly enables us to provide more data, in real time, at the point of clinical decision-making. Until now, most of this innovation is “internal” HIT and its associated data created in our care delivery organizations, like lab test results, imaging studies or written impressions of a physician’s clinical … Read More

Posted on December 2nd, 2015 in Innovating Health Care IT
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The Parable of the Broken Window

Despite our best efforts to the contrary, we all know, expect and often dread unintended consequences associated with Health Information Technology (HIT). The French economist Frédéric Bastiat offers a classic example of our experience with these consequences in his “broken window” parable that goes like this: A shopkeeper’s son accidentally … Read More

Posted on November 25th, 2015 in Innovating Health Care IT
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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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Elephant in the Room: The Role of Shame in Health IT Resistance

Journal of Healthcare Information Management (JHIM) Fall 2014 / Volume 28 / Number 4 In this issue, we examine building on caregiver empathy, not just toward patients but among each other, to help overcome shame and embrace courage to benefit healthcare organizations as they complete IT projects transitioning them to … Read More

Posted on October 1st, 2014 in Articles
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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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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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