Another Failed EHR Implementation – Surprised? Not

Albert Einstein is credited with defining insanity as “doing the same thing but expecting a different result.”  And so it goes with another EHR implementation gone bad…

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Electronic Medical Records and Higher Costs

Virtually every Electronic Medical Record (EMR) vendor claims their system will increase efficiencies.  However, a recent study by professors at Arizona State University’s W. P. Carey School of Business will “cast doubt on some of the savings” of these systems says Assistant Professor Michael Furukawa, one of the study’s authors.

“There’s a disconnect in the policy world that assumed that with all of the records moved into the computer system, nurses and other hospital personnel could spend less time running around looking for charts and that they would have more time to spend with patients,” says Associate Professor Raghu Santanam, another of the study’s authors. “While some documentation time was reduced, a lot of time at computers may have been added, especially at organizations just learning to implement the new technology in a likely transition period. Higher levels of nurse staffing were really needed.” Continue reading

Lean & Forrester's Business Technology Forum

Well, it appears my fears have been realized.  As I mentioned in a prior post, Lean & IT, I expressed concern on how IT organizations and consultants would respond to Forrester’s declaration that Lean is “in.”  Regarding Lean, Forrester’s own blog said to, “consider it more a mindset and a culture than a guide.”  It was interesting then to receive in the mail the other day, from Forrester no less, a brochure on their Business Technology Forum 2009, with the theme, Lean: The New Business Technology Imperative.  However, it went downhill quickly from there. Continue reading

What IT Can Learn From Manufacturing


A long time ago, or at least what seems like a long time ago, in the U.S., Manufacturing was King. For companies whose primary product was manufactured, manufacturing, along with finance, dominated discussions.  There was little concern for quality, cost, or customer service.  The customers would get what they got (and like it), and any additional costs incurred would simply be passed along in the price of the product.  Life was good! Continue reading