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Author: Elyse, PMP, CPHIMS
July 20, 2009


Truth be told, there is not a nirvana application which will achieve meaningful use in every organization without a culture change. However, every healthcare organization can achieve meaningful use if it undergoes significant culture changes in the transition from paper to electronic. So before we start implementing madly, let's consider some of the risks for implementation we need to consider. I'll start this series with the perception factors.

We have previously discussed the Healthcare IT strategic impact Grid. As a part of assessing the overall perception of the EHR with ARRA how does your organization view meaningful use?.


  1. Viewed as a forced government requirement

  2. Clarifies the perception that technology just enables workflow efficiencies through easing clerk jobs

  3. Justifies the already in place attitude that technology enables healthcare quality improvements and strategic business goals

The first two items here indicate that this is a reactive organization currently utilizing IT as a utility. Clearly an education needs to occur with the C-suite and throughout, because organizationally we will never get to meaningful use without collaborative. Perhaps it is even enough of a flag for boards to consider if they have the right individuals in the right seats on the meaningful use bus.

The third choice indicates this organization is ready for the challenge, and in many cases may already be engaged in the challenge.

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2 Comments to “Getting Ready for the Meaningful Use EHR - Discovering the perception factor”

It is very dissapointing that many healthcare delivery organizations belong to a whopping majority of 80% that have never implemented some for of electronic health record.

Not having implemented technology in a significant way only indicates that they have been living on an isolated island and in their organizational silos and in detriment to the patient population that they serve and to the national healthcare system in general and they are also the culprits of the exagerated cost that we must all pay.

I agree that a cultural shift must take place in these prehistoric organizations and that their respective C-suite should actually step down and leave the positions to competent leaders.

Most likely they will be the ones that cause the government to spend a boatload of money and accomplishing close to nothing. I've witnessed hospitals that stifle the efforts of automating their processes with petty politics and childish behaviors.

AMEN to this: "Truth be told, there is not a nirvana application which will achieve meaningful use in every organization without a culture change". Great Post. I implimented a electronic document change over for Fannie Mae on large loan deliveries. It took years and dedication to teach our clients. I mean I did everything from educate them scanners to OCR to creating PDFs, and I was the IT manager. I realized that to make it happen it would definatly need to be that culture change you are referring to.

I blogged on a way to introduce the concept that people have to do somethings and IT has to do others here: http://blog.sealightllc.com/?p=235

Also - I've found a lot of good stuff following the NHS project in the UK.


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