Six Common Misunderstandings About the Value of HIT

We have all heard the musings of IT professionals about how health information technology (HIT) is the reason for all things good, or how they have built the most elegant system and users will flock to it.  Unfortunately, end users don’t always see it that way.  This disconnect between the perceived and actual value of IT can often lead to larger communication and change management issues.  To avoid this disconnect, both IT and operations leaders need to be aware of the most common misconceptions regarding the value of HIT: Continue reading

Why Performance Improvement Doesn’t Always Improve Performance

Providers are facing increased pressure from patients and payors to demonstrate greater value by improving care quality and costs. To meet these expectations, physician groups and ambulatory care networks have sought and deployed an array of strategies and tools to improve performance. And yet, while many providers have begun this journey, few have realized the desired results.

Despite the best of intentions, why have so many organizations been unable to achieve their improvement goals? Continue reading

What the Future Holds for Cerner and Siemens Customers


On August 5, Cerner announced that it would be acquiring Siemens AG’s Healthcare Information Technology business unit.  The blogosphere quickly lit up, with various experts weighing in on the long-term impact of the acquisition.  More importantly, existing and prospective Cerner and Siemens customers began to wonder what the implications would be for them.  We will discuss three scenarios and the impact of each on these customers. Continue reading

Achieving Organizational Strategies Through Physician Compensation

The healthcare reform environment has hastened the pace at which providers are embracing value-based delivery models. Some 64 percent of respondents to a recent survey are planning on or currently developing a Medicare ACO, and one-third are already participating in a commercial ACO1. Further, more than half (54 percent) of respondents report that they are participating in commercial pay-for-performance programs. These initiatives require external partnerships, typically among hospitals, physicians, and payers. But they also demand internal alignment, with an emphasis on physician engagement. Continue reading

When Employment is Not an Option

Despite a flood of cardiologists entering into employment arrangements with hospitals and health systems, not all are following suit. We continue to work with a number of cardiology groups that are not interested in or eligible for employment. Why? The reasons are as disparate as the physician practices. Some cardiologists cannot become employed due to state regulations or because they are part of a multispecialty group. Others simply treasure their independence. Regardless, shrinking reimbursement and crushing cost pressures are pushing more cardiologists in private practice to explore their available options. And when employment is not an option, there are alternative arrangements that offer similar benefits while preserving physician independence. Continue reading