Adam L. Myers, the Chairman at the marcus evans National Healthcare CMO/CMIO Summit 2014, on how healthcare IT can facilitate the new model of care. Interview with: Adam L. Myers, MD, CHCQM, CPHRM, Chief Medical Officer, Texas Health Physician Enterprise, Texas Health Resources.

1. Interview with: Adam L. Myers, MD,
CHCQM, CPHRM, Chief Medical
Officer, Texas Health Physician
Enterprise, Texas Health Resources.
“There is a big shift in how healthcare is
approached in the US, but the common
denominator across the transition is the
need for a fluid transfer of information,”
points out Adam L. Myers, MD, CHCQM,
CPHRM, Chief Medical Officer, Texas
Health Physician Enterprise, Texas
Health Resources. “Unless data is
accessible in a variety of different
practice settings, accessible after hours,
available real time in emergency
departments and to care navigators, the
longitudinal model is not going to work.
Healthcare Information Technology (IT)
will play a critical role in the new model
of care,” he goes on to say.
The Chairman at the marcus evans
National Healthcare CMO/CMIO
Summit 2014, in Las Vegas, Nevada,
March 6-7, Myers outlines how the
healthcare industry is changing and
what role healthcare IT and Chief
Medical Information Officers
(CMIOs) will play.
What shift is the US healthcare
industry undergoing today?
It is shifting towards chronic disease
management, health promotion and
health management for entire
populations, rather than just episodic
disease management for individuals.
This shift to longitudinal care brings
many opportunities and challenges, as it
changes the way patients are
approached, and how data and
information are managed.
How can healthcare organizations
successfully make this transition?
A variety of things will have to happen.
There must be better alignment
between providers, hospitals and
patients to align previously disparate
goals. The alignment effort necessitates
tremendous investment that will not
necessarily bring in revenue, at least
initially. For example, care navigators
do not produce revenue yet they will be
a significant expense. That is the
disconnect as we shift from a delivery
system based on fee for service to
another payment model.
Healthcare IT will play a more
significant role. When managing
payments longitudinally, having a single
progress note on paper or even
electronically in a physician’s office will
not be enough. The data must be
available at numerous points of access
simultaneously in real time.
The opportunity that CMIOs could miss
is the chance to implement best
practices. They might be tempted to
take what is occurring on paper and
translating it into an electronic format
without evaluating the care process,
looking at how care is provided and
incorporating best practices.
How should hospitals plan for
computerized physician order entry
(CPOE) implementation? How can
it be seamlessly integrated into a
hospital’s existing IT infra-
structure?
First of all, they should not go in
understaffed. To effectively implement
CPOE it takes a significant crew of
hands on the trenches working directly
with doctors. Hospitals will have to
decide whether they will allow
physicians to have their own custom
sets or if they will be standardized.
Standardization that allows for some
flexibility is best, to get buy-in into the
process. Some physicians might
implement changes willingly, while the
orthopedist who visits the hospital once
a week will not be so motivated.
Finding leverage points where people
feel compelled to buy into a process is
at times challenging, but it can be done.
It just takes persistence, and more staff
and man hours than you think you will
need.
A good place to start implementing
CPOE is with the folks who will be more
motivated, such as the emergency
department and hospitalist groups,
allowing the hospital to try the process
on a more limited scope.
Any final words of advice?
With some effort, it can be a win-win for
all parties. Physicians will wonder if they
have to give up their autonomy and
have their pockets picked, so whenever
possible, they should be involved in the
actual planning process. That is the only
way to get their buy-in.
It can be
a win-win
for all
parties
Healthcare IT’s Role in
the New Model of Care

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