Iron Triangle, EHR Digital Divide, and EHR Downtime

Thanks John!

You know I can’t pass up an opportunity to plug my favorite subject. Here’s a quote from the post containing the Iron Diagram of Software Development applied to EHRs: 

“no matter how much you persuade, pay, or punish frozen workflows, they won’t change. You have to unfreeze the workflows, change them, and then refreeze them. Most current EHR and health IT systems have relatively frozen workflows. They don’t have the necessary innards: workflow engines, process definitions, graphical editors, or similar means to achieve similar ends. Process-aware systems include workflow management systems, business process management and adaptive case management. Executable and malleable workflow is what these systems do. It’s the opposite state of affairs in the EHR and health IT world”

A wide variety of EHR vendor representatives and health IT thought leaders (not just you and me anymore!) argue that Meaningful Use is diverting resources away from EHR innovation. In my case, it’s innovative workflow tech, but there are lots of other new and exciting technologies getting short shrift. Ask anyone who’s approached an EHR vendor or healthcare organization. If you can’t help them check a Meaningful Use box, forget it.

We’ll see if our movement grows!

See you at HIMSS14 …

Cheers

Chuck‎