e-CareManagement blog

Chronic Disease Management • Technology • Strategy • Issues and Trends

Physician EHR Implementation Is Doggone Difficult

Now that Medicare’s future direction for chronic care management has become murky, I’ve started to pay more attention to the many other demonstration/pilot projects that Medicare has in the works relating to chronic care.

HoneyBear Kuraitis relaxes in a cool stream after joining a strenuous mountain bike ride

In April Medicare announced roll out of its DOQ-IT U (Doctor’s Office Quality — Information Technology University), as a part of the Physician Focused Quality Initiative. DOQ-IT U is an interactive, Web-based tool designed to provide solo and small-to-medium sized physician practices with the education for successful Electronic Health Record (EHR) adoption, including lessons on culture change, vendor selection and operational redesign.

Implementing EHRs in physician practices will be a key element of success in physician-led chronic care projects. How successful have pilots of DOQ-IT University been at getting physicians to adopt EHRs?


A recent article in the San Francisco Business Times sheds light on early DOQ-IT U results:

Lumetra led the pilot program, and had the best results nationally, said spokeswoman Laura Marshall. Its percentage of successful EHR implementations at small medical practices during the pilot was nearly twice that of the national average, 31 percent versus 17.6 percent, according to Lumetra. As a result, CMS is promoting the DOQ-IT program nationally and implementing its so-called online university to help spread the EHR gospel.

Am I the only one who finds it tough to be inspired by a 31% success rate? My point here isn’t to rain on anybody’s parade, but to point out the difficulty of EHR adoption. Thanks to Fred Fortin for steering me to this in his recent blog posting — Will Doctors Bite the Virtual Apple?

For additional reading:

Related Posts (# comments)

 

Discussion

What do you think? Leave a comment. Alternatively, write a post on your own weblog; this blog accepts trackbacks.

Subscribe without commenting

Comments

1.
On April 29th, 2007 at 9:15 pm, Murgatroyd said:

Never mind all that; is that your doggie? Adorable. What kind of dog is it?

2.
On April 29th, 2007 at 10:30 pm, Vince Kuraitis said:

HoneyBear Kuraitis, world’s cutest dog, indeed is our canine. She is a pound dog so we don’t know her breed, but we suspect some mix of husky, lab, and golden retriever. HoneyBear was happy to pose for this shot in a cool stream on Saturday.

Leave a Reply