In the article, Success On A Community Hospital Budget , the editors of Healthcare Technology Online share the honest realities of three community hospitals that have implemented EHRs. The three panelists share their unique financial and IT staffing limitations due to their size and locations. The panelists are all decision makers:
- Frank Beaman, CEO, Faith Community Hospital with 41 Beds
- Charles Brobst, CFO, Saint Anthony Hospital with 151 Beds and
- Anwar Botros, Director Of IT, Saint Bernard Hospital with 194 Beds
I can understand why Faith Community chose Prognosis HIS that is geared to the community hospital market. However, while these knowledgeable men share their tips for success, I have some reservations as to why a small hospital would consider implementing a closed system when they have access to VistA for less money and would be easier to implement and maintain.
Call me naïve, but I think a multi-million install, one which is on the low end for systems like MEDITECH, etc. are costing these days, is MIGHTY HIGH when one considers the fact that the systems not interoperable with other systems. So far I have yet to hear about the perfect system that is reasonably easy to install and implement on time and on budget.
Shouldn’t there be alarms going off in the heads of board members, CEOs, CTOs and CFOs all around our country? I’m still waiting for regulators to DEMAND that EMR and EHR systems HAVE TO BE interoperable to get certified. What is driving their buying decisions when it comes to EHR or EMR systems?
I’m really searching for answers here, and open to dialog with anyone who can help me understand this issue. Being a bottom-line gal, maybe I’m missing something? As a CEO of a small company, I just can’t imagine making a decision to buy a system that I know will be super costly, perhaps so costly resulting in my hospital having serious financial issues in the near or far term, when I know that I could get the job done for MUCH less money, fewer people resources, easier training, etc.
Yes, VistA has less bells and whistles and isn’t as “pretty” as the big boys”, but we can provide excellent patient care without the bells and whistles - - and shouldn’t patient care be the driving reason behind implementing any new process or computer system?