Becker's Hospital Review

100 Hospital and Health System CIOs to Know p. 13 Keeping Up With the Fortune 500 Through the widespread adoption and use of electronic medical records, healthcare now has what other industries from retail to banking have long enjoyed: access to large volumes of information about their customer base. p. 20 It's Not Easy to Engage Patients — Even for ACOs Patient-centered care is a cornerstone of any accountable care organization, but creating or joining one doesn't necessarily make patient engagement any easier. p. 22 Chuck Lauer: Doctors, First Heal Thine Manners Why providers need to remember the art of "etiquettebased medicine" now more than ever. p. 44 INDEX Table of Contents p. 6 Health Information Technology p. 19 Clinical Integration & ACOs p. 22 Financial Management p. 40 Legal & Regulatory Issues p. 42 Hospital Review February 2014 • Vol. 2014 No. 2 Health IT Implementation: How Complex Systems Turn Action Into the "Most Difficult Thing In the World" By Ellie Rizzo Health IT has the potential to be the magic bullet for quite a few problems in healthcare, or, at least, that's how it's advertised. However, effectively implementing technology and enabling its most beneficial capabilities is much easier said than done. While healthcare's technological systems are still several generations behind many other industries, the U.S. has made great gains in technology implementation in the past five years, both physically and in terms of technological savvy. Consider the electronic health or electronic medical record. In 2008, only 8 percent of hospitals had even the most basic EHRs in place, according to the Office of the National Coordinator for Health IT. As of 2012, the most recent year for which ONC has data, 56 percent of hospitals had adopted EHRs. continued on page 8 EHRs and Health IT Projects: Are They Battering Hospitals' Financial Profiles? Meaningful Use Outside of the Metropolis: The Challenges of Rural Health IT Adoption By Bob Herman By Helen Adamopoulos This past November, Standard & Poor's Ratings Services downgraded the credit rating of Wake Forest Baptist Medical Center in Winston-Salem, N.C., from "AA-" to "A+". Michael Archuleta is more than just the director of IT of Mt. San Rafael Hospital, a 25-bed critical-access hospital in Trinidad, Colo. Essentially, he serves as the individual responsible for a never-ending list of responsibilities, which would normally be dispersed unto many individuals within the IT department. Hospital downgrades stem from various issues, most of which are specific to an individual organization's situation, but they essentially result from two overarching themes: declining margins or rising costs. continued on page 9 "At times, I've faced difficulty in regards to having limited resources made available to me," he says. continued on page 10 Becker's Hospital Review 5th Annual Meeting May 15-17, 2014 • Swissôtel • Chicago, Illinois The Most Business- and Quality-Focused Meeting in the Hospital and Health System Arena 100+ sessions and 190+ speakers Register by April 1 for Early Registration Discounts For more information visit, www.BeckersHospitalReview.com and click on "Conferences."

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