HIT or Miss, 3rd Edition: Lessons Learned from Health Information Technology Projects, 3rd Edition (Hardback) book cover

HIT or Miss, 3rd Edition

Lessons Learned from Health Information Technology Projects, 3rd Edition

By Jonathan Leviss

Productivity Press

200 pages | 10 B/W Illus.

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Hardback: 9780367143466
pub: 2019-07-02
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Description

The third edition of HIT or Miss: Lessons Learned from Health Information Technology Projects presents and dissects a wide variety of HIT failures so that the reader can understand in each case what went wrong and why and how to avoid such problems, without focusing on the involvement of specific people, organizations, or vendors. The lessons may be applied to future and existing projects, or used to understand why a previous project failed. The reader also learns how common causes of failure affect different kinds of HIT projects and with different results.

Cases are organized by the type of focus (hospital care, ambulatory care, and community). Each case provides analysis by an author who was involved in the project plus the insight of an HIT expert. This book presents a model to discuss HIT failures in a safe and protected manner, providing an opportunity to focus on the lessons offered by a failed initiative as opposed to worrying about potential retribution for exposing a project as having failed. Access expert insight into key obstacles that must be overcome to leverage IT and transform healthcare.

Each de-identified case study includes an analysis by a group of industry experts along with a counter analysis. Cases include a list of key words and are categorized by project (e.g. CPOE, business intelligence). Each case study concludes with a lesson learned section.

Table of Contents

About the Editors and Contributors. Acknowledgments. Forward. Introduction and Methodology. PART I: Hospital Care Focus. Chapter 1 Build It with Them, Make It Mandatory, and They Will Come. Chapter 2One Size Does Not Fit All. Chapter 3 Putting the cart before the horse--IDN Integration. Chapter 4 Hospital Objectives vs. Project Timelines. Chapter 5 Clinical Quality Improvement or Administrative Oversight. Chapter 6 Business Intelligence--legacy shortfall reinforces a new endeavor. Chapter 7 Legacy Data Viewer--when value endures. Chapter 8 Medication Alerts--usability reigns supreme. Chapter 9 Antibiotic approvals--A mobile app that didn’t. Chapter 10 Disruptive Workflow Disrupts the Rollout: Electronic Medication Reconciliation. Chapter 11 Anatomy of a Preventable Mistake: Unrecognized Workflow Change in Medication Management. Chapter 12. Failure to Plan, Failure to Rollout. Chapter 13 Enterprise EHR for Obstetrics--Fitting a square peg into a round hole. Chapter 14 Basic Math. Chapter 15 Mobile Devices--when in with the new does not mean out with the old. Chapter 16 Pharmacy System Upgrade--first time failures ensured later success. Chapter 17. Device Selection—No Other Phase Is More Important. Chapter 18 ICU Data Capture—how many systems is too many. Chapter 19 Fetal Monitoring--simultaneous systems migration. Chapter 20 Critical Lab--notification failure. Chapter 21 Collaboration Is Essential: Care Planning and Documentation. Chapter 22 Lessons beyond Bar Coding. Chapter 23 A Single Point of Failure. Chapter 24 Vendor and Customer. Chapter 25 Communications Upgrade--the phone’s on, but nobody’s home. Chapter 26 Ready for the Upgrade. Chapter 27 Effective Leadership Includes the Right People. Chapter 28 Chronic Care Model--Organizational Culture eats Implementation Strategy for Lunch. Chapter 29 Shortsighted Vision. Chapter 30. Committing Leadership Resources. Chapter 31 When to throw the towel--ED Downtime. Chapter 32 Voice Recognition--when life throws you lemons, make lemonade. Part II: Ambulatory Care Focus. Chapter 33 All Automation Isn’t Good. Chapter 34 Start Simple. Chapter 35 It’s in the EHR…but where?? CHapter 36 All Systems Down…What Now? Ambulatory EHR. Chapter 37 Weekends Are Not Just for Relaxing. Chapter 38 104 Synergistic Problems. Chapter 39 What defines "failure"?--A Small Practice EHR. Chapter 40 Digital does’t always mean easier. Part III: Community Focus. Chapter 41 Push vs. Pull. Chapter 42 HIE Alerts--disconnecting primary care providers. Chapter 43 Loss Aversion. Chapter 44 Care Coordination--Improved population management requires management. Part IV: Points of View. Chapter 45 Theoretical Perspective. Chapter 46 EHR Transitions--deja vous. Chapter 47 User Interface--poor designs hinder adoption. Chapter 48 Exploring HIT Contract Cadavers To Avoid HIT Managerial Malpractice. PART V: Appendices. Appendix A - HIT Project Categories. Appendix B - Lessons Learned Categories. Appendix C - Text References and Bibliography of Additional Resources. Index

About the Author

Editor: Jonathan Leviss MD FACP

Dr. Leviss has championed technology-enabled transformation in health care for over 20 years. He is the Medical Director for Clinical Innovation at Harbor Health Services, Inc., leading informatics-based programs for population health, value-based care, and organizational improvement across a multi-site FQHC and PACE program. He was the CMO at start-up companies, a state-wide HIE, and the first CMIO at NYC Health + Hospitals, leading an enterprise EHR a decade before HITECH. Dr. Leviss is a practicing internist and faculty member at the Brown University School of Public Health. He is board certified in internal medicine (ABIM) and the subspecialty of clinical informatics (ABPM).

Associate Editors:

Melissa Baysari PhD

Dr. Baysari is an Assoc. Prof. at MacQuarie University in Sydney, Australia, and leads the ‘Electronic decision support and human factors in healthcare’ stream in the Centre for Health Systems & Safety Research. Prior to focusing on medication safety since 2009, Dr. Baysari studied railway safety and train driver errors.

Christopher Corbit MD

Dr. Corbit is the Medical Informatics Director for SC TeamHealth and the Facility Medical Director for Colleton Medical Center. He previously served as the Chief Medical Informatics Officer for EMP/USACS for over 8 years. He is a practicing emergency medicine physician and also a Principal at the Healthlytyx Consulting Group.

Catherine Craven PhD

Dr. Craven is a Senior Clinical Informaticist at the Institute of Healthcare Delivery Science and the IT Department of the Mt. Sinai Health System in NY, NY. She has worked in industry, provider health care, and library sciences. She received her PhD in clinical informatics as an NIH/National Library of Medicine Health Informatics Research Fellow at the University of Missouri.

David Leander

Mr. Leander is an MD-MBA candidate at Dartmouth University, class of 2020. He worked on EHR projects at many health systems before medical school as a project manager at Epic Systems and continues as a consultant during entering medical school. Mr. Leander hopes to continue his formal informatics training in residency.

Karl Poterack MD

Dr. Poterack is board certified in Clinical Informatics as well as Anesthesiology. He serves as the Medical Director for Applied Clinical Informatics for Mayo Clinic; he practices anesthesiology at the Mayo Clinic Hospital in Phoenix, Arizona.

Eric Rose MD

Dr. Rose is Vice President of Terminology Management at Intelligent Medical Objects (IMO), responsible for managing terminology content creation operations as well as contributing to company-wide product, go-to-market, and partner engagement strategy. Dr. Rose has held numerous health informatics leadership positions in health systems and industry; he is also a family physician and clinical faculty at the University of Washington School of Medicine.

Richard Schreiber MD

Dr. Schreiber is an Associate CMIO for the Geisinger Health System at Geisinger Holy Spirit Hospital; the Regional Assistant Dean of the Geisinger Commonwealth School of Medicine; a practicing hospitalist; and an informatics researcher focusing on clinical decision support, documentation, and venous thromboembolic disease. He is board certified in clinical informatics.

Christina Stephan MD PhD

Dr. Stephan has over 15 years experience advancing innovative health technology and EHR solutions for clinical and population health systems through strategic planning, education, research and development, including: Director of Medical Informatics at Health Book, Assoc. Dir. of Health Management and Informatics at the Univ. of Missouri School of Medicine, and the Co-Chair of the AMIA Public Healt Informatics Working Group.

Kai Zheng PhD

Dr. Zheng focuses on consumer-facing technologies and design; he is an Assoc. Professor of informatics at the Donald Bren School of Information and Computer Sciences and the Director of the Center for Biomedical informatics at the Institute for Clinical and Translational Science, both at the University of California—Irvine. He is the chair of the AMIA Clinical Information Systems Working Group.

Contributing Experts, Authors and Author Teams

Jeffrey Adams, PhD, RN; Audrey Parks, MBA; and Virginia Williams, MSN, RN

Lawrence B. Afrin, MD; Frank Clark, PhD; John Waller, MD; Patrick Cawley, MD; Timothy Hartzog, MD; Mark Daniels, MS; and Deborah Campbell, RN

Melissa Baysari, PhD

Pam Charney, PhD, RD

Christopher Corbit, MD

Catherine Craven, PhD

Chris Doyle, MD

Wen Dombrowski, MD

Michael Gallagher, MD, MPH

Nicholas Genes MD, PhD, and Romona Tulloch, MS, RN

Justin Graham, MD, MS

Brian Gugerty, DNS, RN

Christopher Harle, PhD; Marvin Dewar, MD, JD; and Laura Gruber, MBA, MHS

Jacqueline Henriquez, RNC, MSN

Melinda Jenkins, PhD, FNP

Bonnie Kaplan, PhD

Gail Keenan, PhD, RN

David Leander

Christoph Lehmann, MD; Roberto A. Romero, BS; and George R. Kim, MD

Jonathan Leviss, MD

Steven Magid, MD, Richard Benigno, and Jessica Kovac

George McAlpine, MBA RN and Aditi Vakil, MBBS, MHA

Sandi Mitchell, BS Pharm, MSIS

Ilene Moore, MD

Kenneth Ong, MD, MPH

Paul Oppenheimer, MD

Larry Ozeran, MD

Patrick A. Palmieri, EdS, RN

Liron Pantanowitz, MD and Anil V. Parwani, MD, PhD

Eric Poon, MD, MPH

Brad Rognrud, MS, RPh

Eric Rose, MD

Karl Poterac, MD

Richard Schreiber, MD, and John Knapp, MSISEM

Robert Schwartz, MD

Scot Silverstein, MD

Christina Stephan, MD, PhD

Diane Stevens, RN

Walton Sumner, MD and Phil Asaro, MD

Aditi Vakil, MBBS, MHA and Ken Koppenhaver, BSN, PhD

Vivian Vimarlund, Bahlol Rahimi, and Toomas Timpka

Riikka Vuokko, Anne Forsell, and Helena Karsten

Edward Wu, MD

Kai Zheng, PhD

About the Series

HIMSS Book Series

Learn more…

Subject Categories

BISAC Subject Codes/Headings:
BUS041000
BUSINESS & ECONOMICS / Management
BUS071000
BUSINESS & ECONOMICS / Leadership
BUS101000
BUSINESS & ECONOMICS / Project Management
MED043000
MEDICAL / Hospital Administration & Care