Impact Insights

Week in Review 10/17/14


A new report from KLAS finds that less than half (!) of provider organizations believe their EHR vendor “cooperates well with other vendors.” According to FierceEMR although 82% of responding providers said their organization has been at least “moderately successful” with interoperability, most attributed that success largely to their own internal efforts (and not to their EHR vendor). Overall, only 6% of responding provider organizations reported they have achieved “an advanced state” of interoperability.

Impact Advisors’ Thoughts: Interoperability (or lack thereof) is arguably the single biggest barrier to advancement of health IT today. There are many factors involved, including (but not limited to) regulatory, competitive, and privacy-related issues. Until non-affiliated organizations can effectively exchange structured, actionable, patient-specific data from across the care continuum, the potential of initiatives like population health management will be difficult to realize in full.


A whopping 96% of hospital IT decision makers say their current infrastructure is “not fully prepared for the evolution” of their EHR, according to a new survey from MeriTalkThe top infrastructure investments being planned by respondents to optimize their EHR are: enhancing security (cited by 47%), improving application performance (38%), investing in cloud technologies (31%), and modernizing backup and recovery infrastructure (31%).

Impact Advisors’ Thoughts: Given that hackers are increasingly targeting hospitals and health systems, it is encouraging to see planned investment in IT security so high on the list.  Granted, this is only one survey with a fairly small n (151), but we fully expect spending on infrastructure optimization, especially related to protecting patient data, to be a key priority for many of our clients in the next few years.


Becker’s Hospital Review has published a fantastic “ACO Manifesto: 75 things to know about accountable care organizations.” The compilation of ACO facts and tidbits is comprehensive, covering accountable care basics, recent stats on ACO growth, and nuances and details on current programs.

Impact Advisors’ Thoughts: Whether you are specifically looking for the latest numbers and data or just trying to learn more about the ACO concept, this list is an absolute must for the bookmarks folder. Highly recommended reading.

2 thoughts on “Week in Review 10/17/14

  1. Avatar Jack King says:

    I enjoyed this report, and was not surprised, at all, to see that “A whopping 96% of hospital IT decision makers say their current infrastructure is “not fully prepared for the evolution” of their EHR..”.

    As an industry, we have many opportunities to embrace our IT infrastructure as a strategic investment vs. just another cost. The challenge we face as leaders is to tell the story in a way that our Boards of Directors, and other key decision makers, can see how the proper investment in infrastructure is not only an enabler for our EHR systems, but also helps us to build a platform to optimize how our patients will connect to us in the future.


    Jack’s observations are echoed by a number of institutions across the country. The demands of a richly connected, data-intensive environment coupled with the exploding diversity of devices being deployed to access data and transact business are presenting challenges to many enterprise architectures. Successful organizations are taking a proactive approach and anticipating not only capital spending but changes in operational proficiency to manage the technology required of an evolving technical landscape. This trend will continue for the foreseeable future as organizations adjust to changing payer models and depend on analytics to manage clinical and business outcomes. IT business operators will be need to stay current on these trends and become adept in planning the technology to enable achieving these objectives.

    Lastly, IT has traditionally been viewed as a sunk cost with minimal opportunity to have a return on investment. Healthcare is rapidly approaching a point where information-not data- is crucial to managing cost, risk and outcomes. Successful organizations understand this and are investing not only in infrastructure, but in the capability to manage the demands this new paradigm presents.

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