About Michelle Holmes

Michelle is a leading industry expert on the application of IT strategies in physician practices and ambulatory care settings. As a leader of ECG’s Healthcare IT practice, she directs the development of IT plans and other key services. Michelle’s deep background with implementation and management allows her to craft strategies that prioritize actions with the greatest short- and long-term impact on patients, staff, physicians, and leadership, rather than tasks that may be the quickest and easiest. She is known for leading focused engagements that create value for her clients, apply innovation to complex tasks, and ensure clarity at the task level so that action plans are successfully executed. With expertise in many major IT platforms, including NextGen, eClinicalWorks, Epic, and MEDITECH, Michelle frequently shares her insights in articles and educational presentations for national audiences. Healthcare executives, IT vendors, professional associations, and industry publications, such as The Wall Street Journal’s MarketWatch, rely upon her insights for using IT to enhance and streamline patient care delivery and ensure that IT investments deliver their expected returns and benefits. Michelle has master’s degrees in business administration and health services administration from the University of Washington, a bachelor of arts degree in health services administration from Eastern Washington University, and a bachelor of science degree in business management from The University of Utah.

The Value-Based Enterprise Conversation Series: Informed

As the healthcare industry continues shifting to value-based care delivery, nurturing and maintaining an informed health system is more important than ever. Organizations that expect to thrive in this evolving environment must demonstrate an awareness of what they need to know now as well as in the future and possess the infrastructure to acquire and manage the continuous flow of relevant data. But being informed involves more than just gathering data; converting that data into actionable information and leveraging it to make clinical, operational, financial, strategic, and technological decisions is critical.

As part of our ongoing series of conversations about the value-based enterprise, Michelle Holmes, one of the leaders of ECG’s Healthcare IT practice, discusses the attributes of an informed healthcare organization and explores the technical and cultural barriers that often prevent organizations from making data-driven decisions. Continue reading

Meaningful Use Final Rule in Pictures

CMS and the Office of the National Coordinator (ONC) recently announced modifications to the meaningful use attestation requirements for 2014.  Following significant lobbying from EHR vendors, eligible professionals (EPs), and hospitals, CMS issued a brief reprieve to meeting Stage 2 meaningful use in 2014 – for some lucky participants.  Recognizing that EPs and hospitals may still be using 2011 certified EHR technology (CEHRT) or a mixture of 2011 and 2014 CEHRT, CMS created a chart of decision points meant to enable flexibility for EPs and hospitals alike.  These options also accommodate EPs and hospitals that have upgraded to the 2014 CEHRT but are still unable to meet the Stage 2 requirements within the mandatory timetables. Continue reading

NextGen KBM 8.3 Upgrade: Top 10 Tips and Tricks

In late January, ECG’s Healthcare IT team completed its first NextGen KBM version 8.3 client upgrade project, supporting a midsized physician group through the transition.  The organization was the tenth on record in the country to have upgraded to KBM 8.3, having completed its NextGen application version 5.8 upgrade in early December 2013 (also with ECG’s support).  All NextGen clients must upgrade to these versions this year in order to meet both ICD-10 and meaningful use Stage 2 requirements. Continue reading

HIMSS 2014 Reveals Mixed Plans for EHR Donation Arrangements

Last week I partnered with David Schoolcraft, J.D., of Ogden Murphy Wallace to facilitate a discussion at the 2014 National HIMSS Conference regarding EHR donation arrangements.  As you may have seen in a previous blog post, hospitals’ ability to donate EHRs to physician practices was recently extended through the end of 2021.  Dave and I addressed the potential of donating an EHR and related services as part of a broader physician alignment strategy.

Audience polling during the session revealed that the vast majority of attendees (80%) Continue reading

EHR Replacement: Get It Right the Second Time

If your organization has completed a thoughtful analysis and determined that your incumbent system cannot be optimized, the next challenge is to plan and execute a successful replacement EHR implementation strategy.

The Game Plan

Replacing an EHR system is often more complex than implementing the original one.  It’s critical to invest in up-front planning to define the business and end-user needs, implementation approach, data migration method, and technology integration strategy.  To vet these areas, organizations should consider four components: Continue reading