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The Shifting EHR Decision Makers

Posted on October 2, 2012 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 each day goes by, a shift is happening in healthcare. It’s a shift that’s easy to see and many, including myself, have noted before. The shift is hospitals acquiring ambulatory practices. It’s happening at such a rapid pace and before we know it, a small percentage of doctors are actually working for themselves. This change is going to have a dramatic impact on EHR.

One of the biggest elements of this change is who is making the EHR decision. Previously, a large portion of ambulatory EHR decision making had been done by the doctors who owned the medical practice. As doctors have started working for hospitals, the decision making process has shifted to IT executives (To be fair, many IT executives are also doctors, but often not practicing).

This change in EHR decision making is having a dramatic impact on the health IT world and will continue to have an even greater one going forward.

I and others have noted that we believe that the movement of doctors working directly for hospitals is cyclical. As one person said today at AHIMA, “doctors are the most independent people I’ve ever met.” Independence and working for a big company don’t mix very well. So, I’m sure we’ll see many doctors go back to their independent practices. In fact, one guy I mentioned this to at AHIMA said, “It’s already happening, but it’s going to take a different form.”

He’s right about this. Doctors leaving their new found masters (hospitals), aren’t likely going to be able to go back to the traditional practices they did before being acquired. I’m not sure of all the ambulatory medicine models that we’ll see, but I think those entrepreneurial doctors who want to be on their own are likely going to have to be creative in their approaches to practicing medicine. Otherwise, they won’t survive in this rapidly evolving world of ACOs.

New EHR Decision Making Process

Posted on June 11, 2009 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.

Have we lost our minds? The more I read the more it seems like the decision to implement an EHR now all revolves around the $18 billion of ARRA stimulus money. Don’t get me wrong. That’s a lot of money and something that should be considered. It just seems like all the other reasons to implement or not to implement an EHR have kind of been thrown out the window.

I think it’s worthwhile to remember that even before the EHR stimulus money there was already a lot of people implementing an EHR or planning to implement one. It’s like all those people that implemented an EHR and would never go back to paper have been forgotten. Yes, there are risks associated with implementing an EHR, but there are also some real benefits to be gained by EHR use that aren’t tied to EHR stimulus money from the government. Let’s not lose our minds and forget about the bigger picture.