Posted in
Technology on January 21st, 2010 by admin —
Be the first to comment!
Doubts lie not in the core technology, but in the users.
By: Sindi Major-Martinez
I recently had the opportunity to hear Denis Cortese, Mayo’s former CEO who now is an ASU faculty member, speak on health care reform and how the health plan is lacking. As Mr. Cortese said “The fundamental problem of health care in the United States is the delivery system.”
As the CEO of an IT services and support company, my first reaction to the health care debacle is that the answer lies in technology. The health care industry as a whole currently lacks standardized IT infrastructure that would enable researchers, providers, insurance companies, drug companies, and patients to better communicate with one another. In pondering Dr. Corteges’ statement further, however, I came to the realization of how daunting a task it would be to reform the entire health care system in the U.S. It’s easy to think, on a whim, that if we implement an infrastructure and delivery system using all the latest technology, then everything will work perfectly. The economy would, as a result, be stimulated by all of the investments in new technology, and health care would consequently be reformed!
Whoa down there! When we see IT projects fail to deliver on the ROI promised, it is rarely due to faulty infrastructure design. Rather, the projects fail because we neglect to prepare the people who will be using the technology. Perhaps the health care tech discussion needs to take a new direction. How are we going to take an industry with an ingrained culture and change behaviors to fully leverage new technology, so it works properly and is utilized to its full potential?
My friend runs the central billing department of a large health care provider in another state. One of her responsibilities is to roll out electronic health records to their entire system. In frustration she called me one day and said that the project was being rushed. They were not ready to train their “Super Users.” That same day, the building they were training in was suffering from power issues. The trainees who had driven in from all over the state, had already witnessed one previously failed attempt to switch to electronic record keeping and were skeptical of the major financial investment in new technology anyway. Now they were sitting around, wondering… would the new electronic health records system ever truly be implemented? Thus, a mental deficit existed from the very beginning. Over time my friend had to earn their trust and respect back, constantly proving that the new EHR implementation would make their jobs easier and the organization more efficient. Her battle continues to this day.
The story I tell above represents merely one organization. What happens when we mandate technology changes throughout the entire health care system—not because we’re ready but because of political promises from our decision-makers in DC? Can we afford not to get it right? How do we prepare people and change the culture to ensure that the enormous investment we make delivers a return on investment for the taxpayers?