It’s said, “You can’t see the forest for the trees”, but I say remember all of those trees have leaves that drop and fall…
Whenever people, who are living breathing organisms, are involved, the variables on paper change. Remember, that they play a crucial role in this entire process.
Charles Christian, FCHIME, LCHIME, CHCIO, 2015 Board of Trustees Chair for the College of Healthcare Information Management Executives (CHIME) stated:
There are still those in Washington (DC) that believe as long as you have certified technology in place, that’s all you need. I’ll tell you that there are too many humans involved to ensure that statement, because 90 percent of what we do is related to process. It’s not related to technology; it’s how we use that technology. We can also circumvent the technology if we want to. Just because we have barcode scanning at the bedside for the patient’s medication administration doesn’t mean that the nursing staff will use it. So, we have to have those processes in place to provide the audits and oversight that we need to ensure that the technology is being used appropriately. Just because from a regulatory standpoint we have a target that we have to meet, it doesn’t mean that we’re going to meet that. We have to create a whole new system of monitoring, education, and process redesign in order to be successful.”
Christian goes on to share this is what CIOs and other C level hospital administrators have been saying. “The burden was placed on the provider and hospital in order to go out and get the other people set up because those other people didn’t have to. If we didn’t do it, then we wouldn’t meet the goals that were set for us. With meaningful use, either you do it all or you don’t get credit for any of it. Getting 90 percent of it done is not good enough. You have to have 100 percent of it done. The task was up to us to go out and ensure that our patients were using it. That required the education and follow-up calls and all those things to make sure that the patients were doing it. You’re basically putting the burden of ensuring that a behavior is accomplished by the patient once they’ve left our care. CMS doesn’t have the ability to regulate individuals. They can only regulate healthcare providers, so they do all that they can do.”
As we transition through this forest let us at MMY Consulting be your guide.