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THE HITECH EFFECT
The HITECH Effect
Watching, Waiting, Listening What Does The Money Mean?
– “I Didn’t Need It, And Now You’ve Interrupted Me”
– “Great, Now I Can Do A Little More”
– “Finally, I Can Move Forward”
– “You Didn’t Really Give Me Any Money. So Thanks, I Guess”
What’s Holding Up The Market?
KLAS Says Major Vendors See Lowest Sales In Years – Hospitals Must Finish Research Phase
– MU Definition Crystallizing, But …
– Situation Around Certification Still Cloudy
– Reporting mechanisms to qualify for payments unclear (more later)
First Wave: The Consultants
Research First– Consulting Tsunami – “It’s Like Y2K”
– KLAS Reports – Understanding The Choices
– Calling Your Vendor/Partner – “It’s A Marriage, Right?”
– What’s Your Budget? Nordstrom Or TJMAXX
Pay For Help Or Get “RECked”
Are Some Waiting For The RECs? Strange Timelines – Operating By
December 2010, But CMS Will Start To Pay Incentives In
October 2010 “HIT Consulting Medicaid” Staffed By? AHIMA’s Call to Arms For
HIT Professionals
Second Wave: The Vendors
Renew The Vows Or Divorce Court? In Most Cases, Clients Will Stick It Out Major Upgrades Just Like Switching
Vendors Vendor Versions And CPOE – It’s All
About The Front End Getting To The Front Of The Line:
“Have I Told You Lately That I Love You?”
Getting Up And Running
Development Of Order Sets Implementing The IT, Writing The
Interfaces Workflow Redesign Training And Support The Holy Grail Of CPOE (Slow Them
Down, Reduce Their Revenue, What’s Not To Like?) – A Tray Of Baked Ziti And An Empty Room
A Competitive Environment
Being Sensitive To The “Book Of Business”
Carrots And Sticks – Playing The 10 Percent Game
Keep The Top Docs Happy As Long As Possible
Having A Good Hospital Down The Block Is Different Than 100 Miles Away
Beyond Transactions
The Data Mgt. Challenge – Warehouses And Repositories
Rolling It Up For Reporting – CMS/P4P The Questionable Wisdom Of A
Document Scanning Strategy The Dream Of Discrete Data – To Get
It Out You Have To Put It In, And That’s Not Easy
Must Know What You’ll Need To Do With The Data In Order To Manage It Correctly
MU & The Continuum Of Care
CEO Sets the Vision, and Vision Determines Vendor
Tying In The Practices (Stark & HITECH) – Can You Afford To Let Them Fail?
– Full Boat “X” Inpatient, Owned Ambulatory, Offer It To The Independents
– Some Vendors Have Gaping Ambulatory Hole
Tough Business To Be In
CFOs Aren’t Happy P4P Programs Still Not Large Enough
To Be A Game Changer Administrative Burden Of Reporting
Not Inconsequential “Must Revamp Reimbursement For
This To Work” – Cannot Simply Add Financial Burden And Reduce Revenues
Not To Mention…
Redundancy, Reliability And Uptime Disaster Recovery Technologies And
Planning CPOE And The Need For Wireless Wireless Demands And The Wired
Network Voice Recognition To Get Physician
Documentation Into EHR Integrating EHR, PACS & RIS
And …
Integrating Biomedical Devices Into The EHR
Privacy, Security And Audit Trails – HIPAA On Steroids
Proper Hardware To Foster Adoption – Tablet PCs
– COWs
– Empowering Handhelds Of Choice
– Physician Portals
New Business Opportunities …
HITRC (My Favorite) – “Assemble And Disseminate”
Regional Centers HHS Certification Testing Facility Monetize Your EHR Support By
Offering Services To Other Hospitals And Practices
Monetize Your Data Center
Moving Forward
Little Clarity Yet Around Reporting Mechanisms – What Data Will Be Required?
– What Form Will It Be Required In?
– Who Must Sign/What Are Penalties?
– Will There Be Audits, Like The IRS?
2010 Will Be A Big Year
Key Information Revealed– Develop Systems To Support Payment Of
Incentives
– Develop Final Rules To Establish Policies Needed To Pay Incentives
– Develop Systems To Monitor And Evaluate Incentive Payments
Prognostications
RECs Will Yield Little Implementation Failures Start In Late
2010 – Will Be Blamed On Providers When Fault
May Lay With Timelines
Fewer Small Practices Fewer Small Hospitals
Prognostications
Rise Of The Hospitalist And CMIO Rise Of The Mega-Hospital More Physician Practices Purchased
By Hospital Overall, There Will Be A General Leap
Forward With Serious Casualties Along The Way
Making The Best Out Of Bad Legislation
