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Physician Adoption of HIT:

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Connectivity. Healthcare setting. Application familiarity ... Connectivity. HIE. Questions? A. John Blair, III, MD. President, Taconic IPA. Thanks for your time! ... – PowerPoint PPT presentation

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Title: Physician Adoption of HIT:


1
  • Physician Adoption of HIT
  • Barriers Strategies
  • AHRQ Annual Meeting
  • Wednesday September 26, 2007
  • A. John Blair, III, MD
  • President, Taconic IPA

2
Barriers
  • Adoption
  • Long Term Use

3
Barriers
  • Wrong driver
  • Prohibitive cost
  • Inadequate IT expertise
  • Scarce resources
  • Limited resolve/tenacity
  • Poor integration of products
  • Unrealistic expectations

4
Wrong Drivers
  • Internal
  • Increase reimbursement
  • Save time
  • Cure for dysfunctional processes
  • Techie promoter
  • External
  • Hospitals
  • Health plans
  • RHIOs

5
Strategies
  • Automation after thoughtful redesign
  • Do not pave cow paths
  • Quality improvement
  • Improved safety
  • Patient satisfaction
  • Employee satisfaction
  • Practice desire not external promotion

6
Prohibitive Cost
  • 20,000-30,000/provider up-front
  • 500-1,000/provider/month on-going

7
Strategy
  • Subscription model
  • 5,000/provider up-front
  • 500/provider/month on-going

8
Inadequate IT Expertise
  • Practice management system
  • Legacy systems
  • Older technology
  • Less network complexity
  • Lower availability requirement
  • Lower response time requirement
  • Internet connectivity
  • ASP

9
Strategy
  • EHR is a new world
  • Availability
  • Response time
  • Equipment
  • Network

10
Strategy
  • IT support outsourcing
  • Connectivity
  • Healthcare setting
  • Application familiarity
  • New understanding of medical practice setting
  • Now clinical area and workflow effected in
    addition to administrative
  • Preventive maintenance

11
Scarce Resources
  • Staffing constraints
  • Knowledge base

12
Ideal Implementation
13
Strategy Typical Implementation
14
Implementation Services
  • Coordinate IT
  • Practice Consultant
  • MGMA
  • Front office
  • Billing office
  • Implementation
  • Project management
  • Post Implementation
  • CMIO
  • Decision support
  • Chronic disease management
  • Connectivity
  • HIE

15
Questions?
16
Thanks for your time!
  • A. John Blair, III, MD
  • President, Taconic IPA
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