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EHR’s marmalade-and-toast hypothesis

Les choses son contre nous—things are against us.  EHR is the marmalade-and-toast hypothesis, that the marmalade-side will land on the carpet when the toast falls from the breakfast plate, played out...

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How to recover your lost EHR productivity

Success and failure are often separated by the slimmest of margins. Sometimes you have to be prepared to think on your feet to out think unfavorable circumstances. Sometimes success hinges on how you...

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Your EHR Works As Designed, And That’s The Problem

This is my newest contribution to HealthsystemCIO.com. What could we have done differently, is the question I hear from many of the healthcare executives with whom I speak about the productivity loss...

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EHR: How is your EHR vendor performing?

Many organizations have a Program Management Office and a Program Steering Committee to oversee all aspects of the EHR.  Typically these include broad objectives like defining the functional and...

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The True Measure Of Success For HIT Systems

My newest post in healthsystemcio.com.  Feedback appreciated. The title of the book on the lap of the person sitting next to me was “Cost Justifying Usability”. My cynicism jumped immediately to...

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Is Your EHR More Like iPhone Or iTunes?

Below is my latest post on healthsystemcio.com.  Let me know what you think. Times are perilous, and they ain’t a-changin.  As Europe focuses its attention on whether the Euro will become a collector’s...

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What EHR users really want

I just read an article in the Harvard Business Review about the notion of what Henry Ford would have said if he were asked what people wanted.  The oft-quoted response was “Faster horses.” At one point...

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EHR’s 5 stages of grief

Being a blogger is not too dissimilar to being a failure’s biographer.  Unless you simply repeat the ideas of your contemporaries, good blogging requires a certain avidity to oppugn those who revel in...

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Poor Project Planning–Musings of a drive-by mind

It takes a lot of energy to dislike someone, but sometimes it is worth the effort. It is not easy being a consultant.  One client required me to shout “unclean, unclean” as I passed through the...

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Spilling Tea–Why Your Business May Be Failing

Years ago the word Lubyanka was enough to bring normal Russians to their knees in terror.  Lubyanka is known best for being the headquarters of the Soviet secret police, then called the KGB.  The...

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