Are Pilot Implementations the New “Evidence”?

I’ve talked with hundreds of healthcare IT companies. Many of them are new healthcare IT startup companies. It’s a feature of being a blogger and also of me organizing the Healthcare IT Marketing and PR conference. One challenge that every healthcare IT startup company faces is proving that whatever they’ve built will actually achieve the results they describe.

In many ways, this is a chicken and an egg problem. You need some customers that are using the product and show that it works before you can get people to use your software. However, no one wants to be the first one to try the software. They’re all sitting on the fence waiting for someone else to try it out.

In the IT world, some example pilot studies are the “evidence” a healthcare IT company needs to prove their solution works. Theories don’t work. They can send it off to a lab that tests it and certifies that it works (although, that’s kind of what EHR certification did and we know how that turned out). The only effective way I’ve seen a company prove that their product will work is to have some customers that are using the product.

Although, one user using it is not enough. If you’re in the hospital world you need a trifecta of users: large medical system (often academic), medium medical system, and small medical system (usually rural or community). In the ambulatory world you usually need a user from each specialty. While we’d love to think that what works for one specialty will work just as well for another one (and sometimes it does), it’s really hard to get someone to buy something when someone else in their category isn’t using it.

The best way I’ve seen to solve this problem is to beg, borrow, and steal your way to an effective group of pilot users. I’m not sure this is such a bad thing. We all know that a product being used is very different from a product that’s only been developed. However, we need more leaders that are willing to be the pilot implementations.

I think many organizations would want to do this, but they’re just so overwhelmed by meaningful use and other regulations that they haven’t had the time. Hopefully now that MU is more mature, they’ll make the time. It turns out that there are some real advantages to being the first. It’s like having your own development team at your fingertips. We need more of this engagement in healthcare.

About the author

John Lynn

John Lynn

John Lynn is the Founder of the, a network of leading Healthcare IT resources. The flagship blog, Healthcare IT Today, contains over 13,000 articles with over half of the articles written by John. These EMR and Healthcare IT related articles have been viewed over 20 million times.

John manages Healthcare IT Central, the leading career Health IT job board. He also organizes the first of its kind conference and community focused on healthcare marketing, Healthcare and IT Marketing Conference, and a healthcare IT conference,, focused on practical healthcare IT innovation. John is an advisor to multiple healthcare IT companies. John is highly involved in social media, and in addition to his blogs can be found on Twitter: @techguy.