As a consultant and C level executive for over 17 years in healthcare spanning every sub-vertical from pharma to mobile devices, I can truly say technology in Healthcare has been a complete failure in the United States. Insurance costs rise, and nobody is doing anything about it.
The implementation of ICD-10 and 5010 was a complete mess and continues to be in many organizations. Why? The standards are incredibly “fuzzy” and the industry has decided that “crosswalking” from 50K-ish codes up to 150K-ish codes has been a disaster.
More and more physicians are going independent or just out-right retiring. A Sad place to be. There is a huge conglomeration in the field and while healthcare is the single largest gross-national contributor to the Gross-National-Product (GNP) of the United States, it’s been a complete failure.
The Healthcare organizations are concentrating their technology efforts on how to get a better payout from the Insurance companies and Medicare / Medicaid than they are actually interested in providing better quality of care. It’s about revenue. Squeezing every penny out of every Insurance Company and claim they can get.
Health Care costs rise while Quality of Care decreases. I’m one of the few people willing to speak out about this issue, but it is truth. The only companies doing anything remotely right are the Pharma companies. They’re actually developing new medications and spending the money on research.
Whereas, everybody else is doing nothing more than trying new and innovative ways of getting the extra buck from the Insurance companies.
People like me who actually want to make a change while saving money are overlooked for fear we “Rock the Boat” too much. It’s incestuous and the true effectors in healthcare are shunned. This is the old guard.
Here are a couple of hints to the software vendors. You can’t crosswalk from a smaller dataset to a larger dataset effectively. There is no testing (formalized) of systems that go into place and I’m brought in to fix the problems.
While healthcare makes an enormous amount of money, they spend very little on IT and their infrastructure. 30 year old Mainframes, lack of desire to embrace more efficient technologies even when there is a clear ROI.
Republicans and Democrats can’t agree to properly pass healthcare bills that will actually help the public (the people they supposedly serve). Instead, they just add more “Pork” to the bills making them near impassable. By the time they do get passed, they’ve become ineffective due to pork.
It’s unfortunate that the companies that want efficiency and true ROI continue to hire the companies in their rolodex that truly are ineffective. Sad, but true.
I wish I had better news to report, but I don’t. I guess that’s why people like me will always find work.. fixing the mistakes of others and finding the efficiencies and the ROIs. It’s my hope that an actual healthcare organization can see they can indeed make a profit by implementing technology properly and efficiency.
Maybe this will change with the new guard over the next 20 years.. I highly doubt it though.