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4 responses to "REC EHR Request for Information"

1. # Matt Gale commented on August 10th, 2010:

   Excellent. Standards are always a good thing.

2. # Don B commented on August 16th, 2010:

   From the above …

   “Through the establishment of this preferred vendor program, REACH intends to maintain ongoing, healthy competition between participating vendors but at the same time will establish a number of ground rules and standards that will make the vendor selection process more efficient and effective.”

   I know what BobbyG has said on more than one occasion … but again I wonder how a REC can “maintain healthy competition” … being staunchly vendor neutral … and then incorporate in its criteria a “willingness to be judged based on … price differentiation”.

   Maybe his HealthInsight is doing this differently than the folks in MN/ND … or the folks in CA. If you read CalHIPSO’s RFP (no RFI for them) … you’d think they were buying the stuff.

3. # John commented on August 16th, 2010:

   Don B,
   It seems like you’re mixing RECs there. BobbyG’s REC is the only one I know that is staunchly vendor neutral. There may be others, but all of the other ones I’ve seen have had some level of vendor involvement either ignorantly or in many cases not.

4. # Don B commented on August 17th, 2010:

   John… Perhaps BobbyG will confirm that perspective… to which I would then salute HealthInsight for a effective and less obtrusive role than that which other RECs are taking.

   Consumer Reports provides subscribers with a feature by feature strength comparison of different brands of an appliance… listed in descending order of cost. RECs ought to provide the same summary and assist practices in sizing, sourcing, and deploying their product in order to meet MU specifications.

   To me when RECs include a price differentiation as a part of their preferred vendor assessment it inserts itself into the market acting like a buyer to the vendors. Perhaps there is an opportunity to negotiate a lower price from a vendor but if I were a vendor the only way I drop my price like RECs are talking about is if I own the market. Vendors are not going to want a REC-negotiated price on a public spread sheet right alongside their competitors.

   The priorities in the original line above “…ground rules and standards that will make the vendor selection process more efficient and effective”… is reversed. Never in business do you ever prioritize efficiency before or in front of effectiveness. RECs who are going into the vendor vesting process wanting to establish an efficient group of vendors … may result in an ineffective group of providers. I point out this mistake as an example of what happens when you have academics and bureaucrats who aren’t involved in operating a business run a government program.

   Bottom line … making an EHR decision that focuses on price before any of the operational attributes is as wrong as making the decision based on getting an MU stimulus check.

   Businesses make corporate capital equipment and system decisions based on requirement and capabilities and once cost is established by the principals negotiating with the providers (not middle men) then businesses look to see how they will finance the acquisition. Amateur business ‘experts’ at the REC will fail their clients if they think it’s any other way.