Category Archives: healthcare change management
Redefining Health IT (or) Are We Putting Disc Brakes on a Space Shuttle?
By Peggy Salvatore My grandmother was born in 1896. The ice man delivered big blocks of ice through a little ice door in the kitchen where my great-grandfather moved the ice into the family icebox. My great-grandmother, fresh from birthing … Continue reading
King v Burwell: Reading the Minds of Congress
By Peggy Salvatore Before we launch into the jokes about the minds of the members of Congress, let’s clear something up. I’m into reading tea leaves but I’m not a mind-reader. However, it’s a fun sport. I don’t know if … Continue reading
Working the Roadmap
By Peggy Salvatore The ONC’s national meeting held earlier this month is cause for the greatest amount of optimism I have seen since the government decided to drive health information technology. Current and former national coordinators gathered on one stage, … Continue reading
Valentine’s Edition of Health Wonk Review: For Health Policy Lovers Everywhere
By Peggy Salvatore A few years ago I hosted the Valentine’s Day edition of HWR, and it remains one of my favorite weeks to host. Love makes the world go ‘round, whether it’s our spouse, kids, family, friends, pets, or … Continue reading
The Limits (and Horrors) of Technology in the Patient World
The New York Times called attention to a horrific death in a NYC hospital earlier this month. It raised a plethora of issues about our right to privacy, as well as how, when and what types of technology, are appropriate … Continue reading
Don’t Blink! Today’s Electronic Patient Record Systems are Tomorrow’s Horse-and-Buggies
By Peggy Salvatore Given the geometric pace of change, the electronic health record systems of today are horse-and-buggies rapidly in the making. The pace of recent change means that your typical EHR will not experience obsolescence from the amount of … Continue reading
Accountable Care is Accountable to Whom?
By Peggy Salvatore In the never-ending quest to balance the cost-access-quality triangle, the healthcare system led by the federal government has pursued many variations of payment incentives. Pay more to get them to do it. Pay less to get them … Continue reading
The Man and the Mission: Data Integrity and the First CMS Chief Data Officer
By Peggy Salvatore The changes at CMS have been stunningly breathtaking over the past few months, particularly those related to health IT. The top two biggies are personnel and mission refocus at the very top. Those high-profile changes signaled this … Continue reading
The Best Laid Plans…Laid Waste? ONC and CCHIT and the future of health IT
With some fanfare, in 2004, President George W. Bush (Bush, the younger) made the national rollout of health information technology a federal government priority when he established the Office of the National Coordinator of Health IT. Dr. David Brailer was … Continue reading
Apple Hints At Putting The “Meaningful” Into Meaningful Use
What’s so “meaningful” about Meaningful Use anyway? The short answer is, “Today, very little. Tomorrow, everything.” And that is the problem with the meaningful use requirements as they exist. By its very definition, patient data is information that should have … Continue reading
