How about this: in Harvard Business Review, two leaders at Johns Hopkins suggested that hospitals could learn something about buying equipment from -- drum roll, please -- the airline industry. You don't often find many people defending airlines these days, much less holding them up as good examples of anything (except, perhaps, about what not to do, what with overbooking, cramped leg space, plenty of add-on fees, and, of course, dragging paying passengers off planes). That their recommendations make sense probably says more, though, about how poorly health care often does things than how well airlines do...
Sezin Palmer
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What Hospitals Can Learn from Airlines About Buying Equipment
For critically ill patients on breathing machines, a simple step drastically improves their survival chances by almost 10% — from 60% to 70%. It involves programming the machine to deliver enough life-sustaining breaths, but not so much that it damages their lungs by overinflating them. Given that this intervention could prevent more suffering than many wonder drugs, one would expect that there would be zero market for a breathing machine that didn’t make lung-preventive ventilation as easy as possible. But in health care, few things work as expected. Fewer than half of patients, and in some hospitals fewer than 20%, receive this life-saving intervention...
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Without Real Interoperability, Are Providers Paying Too Much for EHRs?
Would you pay top dollar for anything—a car, phone, television, whatever—that promises truly transformational technology at some unspecified future date? I doubt you would. We generally buy products for what they offer now, not what the company says they will eventually do (vaporware, as IT calls it). And yet, so many hospitals pay multi-billions of dollars for healthcare IT systems that promise to integrate patient care … eventually. Why? Some argue the primary reason is a false market that was created by federal government incentives and boundless faith.
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