Quote:
Originally Posted by Greedy,Greedy,Greedy
The systems I know best have definitely been planning for implementation. One part of that has been massive capital investment right now to improve costs down the road, and that was probably a long time coming. Some of it is a big bet that technology is the winning game for the IPAB. For the stuff I do, which usually involves these systems as purchasers or as inventors, it's been great. Lead time for capital purchases has declined significantly.
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Yeah, I don't see how it's cost effective to run a small practice anymore. One of my cousins just allowed his otphalmology practcie get gobbled up by a larger practice (owned in part by another cousin, my dad has four first cousins that are opthalmologists), and he's overjoyed. No more worries about overhead or tech implmentation anymore. Just practice medicine and let someone else worry about the administrative stuff. We've been on a buying spree as well, mainly GP clinics that were already feeders to our specialty clinics and a few ortho clinics.
Integration, though, is really hard. Texas is a coroporate practice state. Hospitals can't own docs. Makes for all sorts of chinese walls and contortions, and makes data sharing a right pain in the ass. Especially when everyone went out and spent a lot of money on EMRs a few years ago and don't want to give theirs up for the other guy's. Even though everyone hates their EMR. The Epic people look longingly at Allscripts, and our Allscripts folk get pissed off every time they hear about someone else's functionality.
There are a few HiEs taking off. I'll be very curious to see how those pan out. Employees snooping around in the EMR is the most common breech we have (and I suspect everyone else too). Those HiEs are going to have tons and tons of data. I'm really nervous about so many people having access to them.
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