Perhaps this exchange best illustrates the clash of culture between the ‘medical boots in the ground’ aka CMIO’s and the EHR industry. The names have been changed to protect the innocent or guilty depending on your perspective.
A really smart and justifiably confident EHR engineer, programmer and system architect for a major EHR company with decent market share.
A passionate and ‘has drunk the koolaide’ CMIO (of a modest size East coast, stand-alone non-profit community hospital) of the EHR value proposition, with some rather compelling reservations and real time (garbage in/garbage out) concerns.
Paraphrased narrative over drinks and dinner:
CMIO: Your EHR (generically speaking) is going to kill hospitals like mine!
EHR Dude: Why do you say that?
CMIO: There’s too much unfinished translational work that invariably falls onto my desk as CMIO and therefore the de facto educator and implementer in chief of a program that few physicians want to try to learn let alone work with.
EHR Dude: Well then that’s your problem.
CMIO: No but you don’t understand, it’s killing my hospital and will take us down (i.e., out of service).
EHR Dude: Well, I doubt it. But if that is the case, then so be it…let it sink.
Ok, this oversimplifies and perhaps takes some literary license on the actual narrative, but this is what I basically heard.
I left dinner thinking that, man, isn’t CMIO the customer here? And if so, shouldn’t EHR dude be listening, and learning from a first person boots on the ground report as an opportunity to make his or the industry’s product better?
What am I missing?