However make sure not to steal a bad page from flawed

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Unformatted text preview: s, in the case of large healthcare networks) can reduce errors, improve efficiencies, and make it easier to conduct medical research and compare patient outcomes. However, make sure not to steal a bad page from flawed enterprise migrations of the 1990s, where process reengineering became an end in itself without regard to actual need; avoid the temptation to fix something that is not broken. The goalposts keep changing The race to the top, spurred not only by US initiatives but in other geographies that are embracing EHR systems, points to one key fact of life for healthcare providers: best practices for managing EHR systems are rapidly evolving, and so are accompanying business practices for streamlining and improving healthcare delivery. For most providers, EHR systems will coexist alongside existing islands of technology in areas ranging from billing and admissions to rudimentary departmental medical records systems and ancillary systems serving radiology, clinical laboratories, hospital pharmacies, OBGYNs, or emergency rooms. This is common in other industries, especially in enterprises that already have entrenched application portfolios. Instead of replacing everything, such companies often compose new functionality in the middleware integration tier where composite applications are created from multiple existing assets. The middleware tier is exactly where EHR implementations should sit. By taking such an approach, healthcare providers can best prepare themselves for a competitive environment where best practices and operational and business goals keep evolving. Healthcare providers that implement EHR systems using standards-based service-oriented architectures (SOAs) will be even better prepared to keep pace with industry leaders, as they will be leveraging a software applications architecture designed to support change. Technology adoption should follow a similar flexible strategy. Rather than set all goals in concrete at the outset, healthcare providers should adopt more iterative...
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This document was uploaded on 12/31/2013.

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