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CIOs look to market for help, but IT vendors fall short

June 02, 2009 | Bernie Monegain, Editor

Related Links

  • "Executive Reaction to the Stimulus Package"

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OREM, UT – With IT budgets squeezed, physician practices and hospitals are looking to IT vendors for ways to keep their technology projects on track - but those vendors are offering few creative solutions, according to a new report from  KLAS.

The report, "Executive Reaction to the Stimulus Package," reflects feedback from dozens of CIOs and other healthcare executives on a range of economic issues. It also explores the gap between what providers need and what vendors are offering to deal with a troubled economy.
 
"Simply put, the solutions providers are requesting the most are the options vendors are pursuing the least," said Jeremy Bikman, executive vice president of research and strategy for the Orem, Utah-based research firm. "Certainly, reduced maintenance fees and other cost-cutting measures would be welcomed by providers, but not every creative solution has a dollar sign attached to it."
 
"More than a quarter of the providers we interviewed are looking to vendors to help them achieve a stronger ROI – and that means more training and better support," Bikman said. "Providers are essentially saying, 'Help us use your system more effectively,' and very few vendors have answered the call."
 
Beyond the vendor-provider relationship, "Executive Reaction to the Stimulus Package" addresses the shift in IT project timelines since the ratification of the American Recovery and Reinvestment Act (ARRA) and its provisions for healthcare IT. While the dramatic 2008 economic downturn redirected most hospitals into survival mode, the future reimbursement changes outlined in ARRA have caused a shock in the market, KLAS reports. According to the report, 28 percent of providers have accelerated or changed the direction of their IT plans since the announcement of the stimulus package, with 43 percent ready to move, but with caution.
 
Providers who are accelerating their plans not only have an eye toward reimbursement dollars but also are eager to have first pick of the best resources. As one IDN's executive team summarized, "The ARRA will create a feeding frenzy for EMRs and will overburden vendors and consulting firms."
 
Though no healthcare technology vendors received overwhelming praise for their efforts to help provider customers deal with the challenging economy, a few were noted for their efforts. Microsoft, Epic and GE received the highest ratings from providers for trying to support their customers with creative solutions, while Agfa, Kronos and Meditech received the lowest scores. Other vendors referenced in the study include Cerner, CPSI, Eclipsys, Lawson, McKesson, QuadraMed and Siemens.
 
"Almost every organization, provider or vendor, is struggling right now in some way," Bikman said. "What vendors must understand, however, is that the short-term sacrifices they make today will create relationships that can bear fruit for years to come."

Related Topics:
  • Jeremy Bikman
  • Orem
  • stimulus

Reader Comments (1)Login to Post a Comment

P Schlyer says: Foundational elements for information exchange
June 05, 2009 | 4:15PM GMT

Something to think about when trying to manage the budget and prepare for stimulus incentives is how to make better use of the technology you have in place today. I hate to shamelessly promote a solution, but I would be remiss if I didn’t offer up these thoughts. An enterprise-wide patient registry or master person index is a key element of the information exchange foundation and is not just about matching and linking patients.

A patient registry or EMPI that is actively integrated with registration and EMR applications improves customer service and care delivery. It gives care givers and registrars a comprehensive view of a patient across systems so that conversation is more productive. It enables labs and results to be linked to the right patient and shared across providers. It also improves the quality of data and allows basic patient information to be shared with community exchanges when needed.

There is so much focus on EMR implementation and adoption but little focus on the critical infrastructure required to enable the flow of information between heterogeneous systems; EMR offers potential interoperability, and the proper infrastructure that includes an enterprise-wide patient registry or EMPI will let us realize the potential.

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