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A Humorous Look at Healthcare as #HFMA2016ANI Begins

Posted on June 27, 2016 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

As part of RelayHealth’s (Part of McKesson) announcement during ANI 2016, they put out some cartoons that look at some of the challenges that continue to plague healthcare. I’m sure they’ll be posting a bunch of them on Twitter @McKesson_MHS and @RelayHealth, but these two really gave me a good laugh.

Healthcare Sticky Notes Cartoon

Don’t underestimate the power of sticky notes!

Healthcare Claims Cleanup Cartoon

Looks like it’s going to be another banner year for HFMA’s ANI conference. It’s a unique venue where so much money is flowing since there’s so much financial waste in healthcare. Don’t believe me? I saw one company advertise that they were giving away a Harley Davidson or $15,000. Chew on the ROI of that investment. Says a lot about the type of deals that are signed at ANI.

HCA Builds Capacity For Resilience Into EMR Rollout Training

Posted on January 1, 2016 I Written By

Anne Zieger is veteran healthcare editor and analyst with 25 years of industry experience. Zieger formerly served as editor-in-chief of FierceHealthcare.com and her commentaries have appeared in dozens of international business publications, including Forbes, Business Week and Information Week. She has also contributed content to hundreds of healthcare and health IT organizations, including several Fortune 500 companies. She can be reached at @ziegerhealth or www.ziegerhealthcare.com.

A few weeks ago, Hospital Corporation of America had a rather substantial EMR outage. The outage, which was caused by a problem with storage hardware, lasted about 24 hours. It largely affected a portion of the 50 hospitals it operates in Florida, but some of the 115 HCA hospitals located outside Florida were impacted too.

Though large EMR outages are worth noting, my purpose in writing this blog is not to slam HCA. Actually, HCA staffers seem to have been prepared for the worst. In fact, according to an article from the Healthcare Financial Management Association, HCA built resiliency into its EMR rollout and operations process. And that is interesting indeed.

Hiring for talent and attitude

To roll out an EMR across its large network of hospitals, HCA leaders settled on an unusual strategy.  Rather than sign up a cadre of pure HIT specialists, HCA decided to hire professionals across a wide variety of disciplines.

As it turned out, all of the 120 EMR implementation specialists it hired were under age 30, with strong organizing, communication and collaborative skills. Their degrees included English, marketing and biomedical science.

Training for rollout

To train the newly-blessed specialists, HCA created hCare University. The new team members got four to six weeks of training, including both hands-on and classroom education, in vital skills such as working with clinicians and managing projects.

hCare University also taught the implementation specialists HCA’s EMR methodology, refining the approach — and how it taught that approach — over time. HCA trialed its methods at one pilot hospital, then two more, and eventually rolled it out to 20 to 40 hospitals at a time, HFMA reports.

Stressing inclusiveness and communication

As the rollout progressed, hCare teachers and system leaders continued to hammer home the importance of effective communication — and just as importantly, making sure that clinicians felt included.

“We probably spent as much, if not more, time on the people aspects as on the technology,” said consultant Mary Mirabelli, who oversaw the rollout, as well as HCA’s Stage 1 Meaningful Use efforts. “Because you’re expecting clinicians to exhibit new behaviors and embrace a system that is sometimes not well designed for their needs, you have to figure out ways to give them control and involve them in decision making.”

Now, I admit to being a bit biased, as I’m the kind of liberal arts jack-of-all-trades HCA relied on to supervise its rollout. And I want to emphasize that I’m not suggesting that traditional HIT hires are per-se inflexible!

That being said (having declared my prejudices), I would tend to believe that HCA is telling the truth when it asserts that staff confidently worked around the outage, despite its length and breadth.  I would assert that mixing in people whose primary skills are “soft” with HIT pros is an excellent way to support a resilient attitude when EMR problelms emerge.

Investing in people who can coordinate with all sides is actually good for HIT staffers. After all, doesn’t it benefit the HIT department when other folks are out there building good will, fostering cooperation and (in hopefully rare cases) minimizing damage to morale when snags or outages occur?

A Hospital CFO Perspective on EHR Expense

Posted on June 25, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

The past couple days I’ve been able to enjoy a couple days sitting down with hospital CFO’s at HFMA’s ANI conference in Las Vegas. I think this is the third time I’ve attended the event and it’s always a really interesting conference since hospital CFOs have a great financial perspective into the running of a hospital.

While at the big dinner celebration they had last night at the event, I asked a hospital CFO what she thought of the event and what she’d learned. She responded:

The sessions really helped me feel good about the small investments we’ve been making in population health and analytics. I think were going in the right direction.

Then she added this after thought that was telling:

Not to mention justifying the insane amount of money we’re spending on our EHR.

I think we’ve done a really poor job of explaining why the EHR is worth the investment. Let’s be honest though. Most of the EHR implementations haven’t been about leveraging the EHR to improve the organization. They’ve been focused on the meaningful use regulatory requirements, getting the EHR incentive money, and avoiding the EHR penalties.

Going forward we’re going to have to shift our thinking. We’re going to have to do a much better job justifying the EHR expense by showing the benefits an EHR provides a hospital organization.

HFMA’s ANI Conference in Las Vegas

Posted on June 4, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

I’ve been gearing up for the big HFMA ANI (HFMA National Institute) conference happening in Las Vegas June 22-25. This conference is largely focused at hospital CFOs, but all of the solutions being offered are now leveraging some form of technology. So, I certainly have a learning curve when talking to many at the conference, but it’s a great place to see where hospitals really plan to spend their money.

I think this will be my third time attending the event and it’s quite the experience. While not as large as the enormous HIMSS annual conference, the booths are just as big and I think that more cash flows at ANI than at HIMSS.

I like to describe it this way. All of the deals being talked about at ANI are a question of whether the organization can save them $5 million or $100 million. In fact, a lot of the contract discussions at ANI have some form of performance metric in order for the vendor to get paid. It makes for a really unique experience.

You can see from the keynote speakers that they’re heavy on leadership. I always enjoy a professional leadership speaker, so I’ll do what I can to cover them. Plus, I’ve never heard Atul Gawande, MD in person and so that should be interesting.

My schedule at ANI is really filling up, but if you’re planning to attend I’d love to meet up if we can. We can at least hang out together at one of the evening receptions or parties. I always love to meet readers and learn from them.

American Health Network Reduces Denial Management Time by 75 Percent, Realizes ROI of 200 Percent

Posted on August 29, 2013 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Ever since I first attended HFMA’s ANI conference, I’ve been fascinated by the opportunities available in managing a hospitals revenue. There are so many areas where even a small change to your operations directly effect your bottom line. That’s the beauty of any revenue solution.

Thus, I was quite interested to read this whitepaper about American Health Networks experience reducing claim denials. American Health Networks realized an ROI of 200 percent and recovered $1.4 million by changing their denial management practices.

I especially like how American Health Networks chose to roll this out first as a pilot program to a small subset of doctors. Then, after evaluating the results they chose to roll it out to the whole organization. Far too often I see organizations try to go all in with a solution and then fail miserably. There’s a lot of value of rolling out any IT solution to a small set of engaged users before applying them to the whole organization. One of the biggest values of this is the pilot group of users becomes the product champions once you’re ready to roll it out to the whole organization.

There are a lot of places where revenue is figuratively leaking out of healthcare organizations. For many organizations, claim denials is one of those places. I’d love to hear what solutions people have implemented to address claim denials in their organizations.