UX

A collection of 12  Posts

Is digital health innovation overrated?

Our next HealthIMPACT CIO Summit will take place next Friday, February 27th, 2015**,** at the Union League Club in New York. Our conversation kicks off in the morning with Ed Marx, SVP & CIO at Texas Health Resources and 2014 IW Healthcare CIO of the Year, and Michael Restuccia, VP & CIO at University of Pennsylvania Health System. I will be interviewing Ed and Michael together on stage and we’ll focus on how to establish a process that will embed successful innovation into the culture of an organization.

Carl Bergman, a seasoned systems analyst and project manager, is Managing Partner of EHRSelector.com and has been sharing a number of ideas for improving EHR usability with me via email. Since I loved his enthusiasm and agreed with his ideas, I invited Carl to share with us some more detail around how to improve the EHR user experience. Here’s what Carl had to say: Earlier this year, we went to an outdoor wedding.

A few days ago Harvard Business Review’s Blog Network published “You Can Win Without Differentiation” and it reminded me of the many lectures I’ve given over the past few years on why the health IT industry tolerates hundreds of EHR and EMR companies that don’t really differ much from each other. A key point made in the article was: The trick is that when there is uncertainty about the quality of a product or service, firms do not have to rely on differentiation in order to obtain a competitive advantage.

It is general knowledge among seasoned EHR implementers that EHR technology is not the primary concern when promoting EHR adoption (while there are many areas of potential improvements, the tech is generally “good enough” in most cases). There are, however, many challenges surrounding the deployments EHRs and one of the biggest is that not enough training or pre work done to prepare staff and resources. A great way to ensure EHR success is by creating a “Culture of Adoption,” which is something I discussed at length with my friend John Lynn after he attended a recent “think tank” style event hosted at TEDMED by the Breakaway Group (a Xerox Company).

I recently posted about my upcoming Healthcare Unbound presentation on why healthcare disruption is happening too slowly and requested some thoughts from my readers. This morning I woke up to receive these terrific remarks from Jeroen Bouwens which I’m sharing with permission: My theory as to what is holding back certain types of innovation in healthcare is the idea of distributing liability. As long as the ultimate responsibility, and therefore liability, lies with the Medical practitioner, they are extremely reluctant to accept automated systems making medical decisions.

_I’m a geek and proud of it — I love building software, launching new products, and am a fan of others that do it well. Recently I ran across the Berlin-based team from kenHub, a site focused on teaching anatomy online and helping medical students prepare for tests. I reached out to the team to ask them how they were differentiating themselves from the many other solutions available they said their goal was to simplify the process of learning using new didactic concepts to focus on memorizing and gamification elements to make it fun and engaging.

I’ve said repeatedly that any cloud / SaaS vendor that wants to be taken seriously in healthcare must be willing to sign a HIPAA Business Associate Agreement (BAA) and I was happy to hear that Box.com is now willing to do so. I’m quite pleased that we’re finally seeing some serious healthcare SaaS offerings from horizontal (non-healthcare-specific) vendors. Only when we move beyond healthcare-specific offerings will we be able to unshackle ourselves from the decades old legacy health IT vendors and that’s great news.

Given the well-warranted focus on design these days it’s always difficult to find the right balance between features that we should add to our software and those that we leave out. I was running a class recently on how to build product roadmaps for health IT apps / medical device software and the question of how we should decide which features to add came up. Here’s are just a few of the facets I talked about during that lecture:

One of the most important activities you can undertake before you begin your EHR implementation journey is to standardize and simplify your processes to help prepare for automation. Unlike humans, which can handle diversity, computers hate variations. Before you begin your software selection process, get help from a practice consultant to reduce the number of appointment types you manage, reduce the number of different forms you use, ensure that your charting categories (“Labs”, “Notes”, etc.

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