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Medical practices face death by software

By | June 23, 2009, 9:30 AM PDT

When I went in for an eye procedure a few years ago I chided my surgeon over his lack of Electronic Medical Record (EMR) software.

“We had it,” he said calmly. “We took it out.”

Depending on who is doing the figuring, anywhere from 19% to 30% of all EMR systems are de-installed later. Getting something that was certified by CCHIT is no guarantee of success.

CCHIT, the Certification Committee for Healthcare Information Technology, is the industry’s certification agency for health IT software.

My eye surgeon canned his system because it could not deal with a new data format. Others can theirs because of training issues, or lack of support. Failure seems especially common in small practices, which are under the most pressure to buy.

Consultant Shahid Shah told American Medical News early this year that one key to success is to phase in the software. But CCHIT only certifies complete suites, and is still bidding to control the approval process for the Obama stimulus passed early this year.

The government says that by 2011 practices that want subsidies need to check for adverse drug reactions. But such alerts are routinely ignored today. If the alarm is ignored does it make a sound?

This is a problem both reformers and the government need to face up to. What happens to stimulus money when the system bought with that money turns out to be a lemon? Or is your choice of software using stimulus money your final answer?

If it is a lot of practices are going to go out of business. Call it death by software. (Pictured is where the first of my ancestors to be born in the U.S. is buried, alongside my grandfather, World War I veteran Edmund O’Donnell. Rest in peace, grandpa.)

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Dana Blankenhorn

About Dana Blankenhorn

Dana Blankenhorn was a contributing editor for SmartPlanet from 2009 to 2010.

Dana Blankenhorn

Dana Blankenhorn

Contributing Editor, Healthcare

Dana Blankenhorn has written for the Chicago Tribune, Advertising Age's "NetMarketing" supplement and founded the Interactive Age Daily for CMP Media. He holds degrees from Rice and Northwestern universities. He is based in Atlanta.

Follow him on Twitter.

Dana Blankenhorn

Dana Blankenhorn

Dana Blankenhorn has been a technology reporter since 1982, a business reporter since 1978, and a writer for as long as he can remember. His Schwab IRA has a few tech stocks in it, most notably some Intel and Applied Materials bought over 10 years ago. But the vast majority of his tiny fortune (emphasis on the word tiny) is invested in mutual funds. He presently writes for no one else but ZDNet, SmartPlanet and himself. But if you've got an opportunity let him know. If he takes the gig he"ll first add it to this disclosure page.

He writes for SmartPlanet and is not an employee of CBS.

8
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+1 Vote
+ -
RE: Medical practices face death by software
Why did you create a new word 'de-install' when there is a perfectly adequate word 'uninstall' available.
Just a neurotic thought.
Posted by dasprem@...
23rd Jun 2009
+1 Vote
+ -
RE: Facilities versus IT
We have been living in Montana for the past 5 years and I am not supri sexshop to find it #3 on the "worst" list. Considering a sexy shopmove to Idaho to escapthe high cost of living a low income in MT. There may not be a sales tax here but they get you if you own property!
Posted by filhomarques
22nd Jul
+1 Vote
+ -
RE: Medical practices face death by software
I experienced over 40 years of technology evolution in a very large aerospace company (recently retired). Phone answering systems were the first technology ?revolution? I can remember. It?s hard to imagine now, but many employees resisted that technology, saying that they would never ?talk to a [expletive] computer?! When PCs replaced ?dumb terminals? and email arrived, again there were those who said they would never type their own emails. After all, they had secretaries for that. And you should have heard the expletives relating to Graphical User Interface, GUI, PCs with mice! Never ever would they have one of those ?expletive? things on their desk! And there were always ?studies? and anecdotes they could site to ?prove? that all those technologies did not save money. That ?computing? is a major reason for major improvements in business efficiency, is no longer being debated. As a matter of fact, any large company could not survive without extensive use of computing, which may be even more true for small companies.

In the meantime, medical expenses have been exploding and customer satisfaction has been plummeting, in large part, because of the incompetent ?computing implantations in the health care ?business?. For example, recently, I asked for a referral in the same network, to avoid the annoying ?fill out these history et al forms, please? experience. But no such luck. Not only did I receive forms to be filled out in the mail, one of which was a multi-part (carbon copy) form, but my follow on referral after having filled out those forms and turning them in, resulted in the exact same forms being sent to me again. And, get this, they shared the same office staff!

?Computing?, as with any technology, can always be stupidly implemented. It is no longer acceptable, to be debating if computing has the potential to greatly reduce costs and improve health care. What needs to be debated is why this hasn?t been done! And how do we prevent so many health care bureaucracies from bungling their technology implementations? I suspect that doctors are turning over that function to people who haven?t a clue, when it comes to evaluating computing technology. But, since they themselves don?t have a clue, they don?t see the incompetence of the team they selected. And, if the doctors expected failure but felt forced to ?go computing?, they just think, ?Well, I knew this wouldn?t work?!
Garry
Posted by GarryGR
23rd Jun 2009
+1 Vote
+ -
RE: Medical practices face death by software
HMmm, my cut & paste didn't look so good, I'll try again:
I experienced over 40 years of technology evolution in a very large aerospace company (recently retired). Phone answering systems were the first technology ?revolution? I can remember. It?s hard to imagine now, but many employees resisted that technology, saying that they would never ?talk to a [expletive] computer?! When PCs replaced ?dumb terminals? and email arrived, again there were those who said they would never type their own emails. After all, they had secretaries for that. And you should have heard the expletives relating to Graphical User Interface, GUI, PCs with mice! Never ever would they have one of those ?expletive? things on their desk! And there were always ?studies? and anecdotes they could site to ?prove? that all those technologies did not save money. That ?computing? is a major reason for major improvements in business efficiency, is no longer being debated. As a matter of fact, any large company could not survive without extensive use of computing, which may be even more true for small companies.

In the meantime, medical expenses have been exploding and customer satisfaction has been plummeting, in large part, because of the incompetent ?computing implantations in the health care ?business?. For example, recently, I asked for a referral in the same network, to avoid the annoying ?fill out these history et al forms, please? experience. But no such luck. Not only did I receive forms to be filled out in the mail, one of which was a multi-part (carbon copy) form, but my follow on referral after having filled out those forms and turning them in, resulted in the exact same forms being sent to me again. And, get this, they shared the same office staff!

?Computing?, as with any technology, can always be stupidly implemented. It is no longer acceptable, to be debating if computing has the potential to greatly reduce costs and improve health care. What needs to be debated is why this hasn?t been done! And how do we prevent so many health care bureaucracies from bungling their technology implementations? I suspect that doctors are turning over that function to people who haven?t a clue, when it comes to evaluating computing technology. But, since they themselves don?t have a clue, they don?t see the incompetence of the team they selected. And, if the doctors expected failure but felt forced to ?go computing?, they just think, ?Well, I knew this wouldn?t work?!
Garry
Posted by GarryGR
23rd Jun 2009
+1 Vote
+ -
Garry's points
Your points are all good ones, Garry.

Near as I can make out, computing got stuck in the 1970s thanks in
large part to the HIPAA Law, which placed enormous requirements on
systems serving medicine in the 1990s. That has since been used as
an excuse to use client-server technologies that have been obsolete
since I started working in this business, and to ignore every innovation
since the creation of Microsoft.

But it has been wildly profitable for Cerner, McKesson, GE and
Siemens.
Posted by DanaBlankenhorn
24th Jun 2009
+1 Vote
+ -
RE: Medical practices face death by software
Mr. Blandenhorn's info is outdated when he says, "But CCHIT only certifies complete suites". The Certification Commission for Health Information Technology recently broadened access to certification to help physicians meet the ARRA requirements. One path to certification will accomodate modular certification; another, home-grown systems. You can see them all from http://cchit.org

Sue Reber, CCHIT
Posted by Sue Reber
24th Jun 2009
+1 Vote
+ -
Have you implemented yet?
Let me know when you start certifying modules and "home-grown"
systems.

The real problem with CCHIT is the certification process itself. What we
need are open, plug-and-play standards so data can be interconnected.
And we need an end to the proprietary end-runs CCHIT has engaged in
in the past.

The best way to make sure things work together is through open
interfaces that everyone can understand.
Posted by DanaBlankenhorn
27th Jun 2009
+1 Vote
+ -
Are You Kidding
Medicine is now going to experience the best of both worlds,, one the patients will now have the security of knowing that because of the new Laws for EMR's that their doctors won't be making as many medical mistakes or wrong RX's because the pharmacist can't read their chicken scratching and the doctors by using the EMRs will earn money every time they do up to $60,000 in the next 5 years. And yes if this program make the doctors slow down and take their time and treat their patients like people and not dollar signs because they feel that they have to be repaid for their schooling it is worth it. A doctor makes up his mind what is wrong with you in the first 18 seconds you meet him in his examining room (documented by the AMA and Journal of Modern Medicine),, and no matter what you say he is thinking of his next patient or the upcoming golf game. but with the EMR he will now have to look at the screen and read what is there forcing him to see that his 18 second diagnosis was wrong.
I for one fell that this is a giant step for mankind because all to oftern we treat our doctors like Gods, and when was the last time God made a mistake.. ok so he goofed on certain parts of the world, but doctors make mistakes all the time, and surgeons bury them,.. So with that said. NOW YOU TELL ME YOU THINK TECHNOLOGY SUCKS.. just put yourself on the other end of the scalpel and hope that the doctor is operating on the right part of your body... whoops, darn he made a mistake..why well he was thinking of something else rather than paying attention to the records in front of him
That's my opinion and you are welcome to it...
Posted by norman926
2nd Jul 2009
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