A.S.S. (4/2/14) Needless to tweet (but I’m sure to do so anyway), this blog post generated a lot of disagreement on Twitter. I’m prepending the choicest here, in what is called an “antescript.” In contrast to a postscript, it occurs at a document beginning. (Skip to blog post.)
yea, you &10k others knew ICD-10 would get delayed TODAY…you'd get the Amazing Webster Award if you predicted it 2-3 weeks ago 🙂
— Steve Sisko ()
. The Amazing Webster Award! I like that. Lesson: don't bet on lobbyists, regulatory capture, or government mandates < bet on value
— Charles Webster, MD ()
3 kinds of peeps right now: against , for , and want to appear to have correctly predicted outcome
— Charles Webster, MD ()
– Which one are you? 🙂
— Ken Congdon ()
– Ah, so you were peep number 3 🙂
— Ken Congdon ()
Your point is sunk cost of past investments in doesn't make it worth moving forward?
— davidfcarr ()
. Not necessarily, but much reaction based emotionally on what's already been invested. Illogical, irrational
— Charles Webster, MD ()
. Simply asking for estimates of *prospective* benefits vs costs of Have asked 4 them repeatedly. Know of any? TX advance
— Charles Webster, MD ()
There's a lot to be said for regulatory consistency. Not sure if it equates to a dollar value, though …
— Loran Cook ()
good firms don't bet on complying w/ mandates. With ICD-10, good firms got hosed by politicians. Toss 'em out in Nov and 2016!
— Steve Sisko ()
Good firms spent scarce capital and labor on ICD-10 when it could have been allocated elsewhere. Capisce?
— Steve Sisko ()
Live by the sword… die by the sword.
— Mark Buffington ()
. not wanting to use garbage software = luddite in healthcare
— Harold Smith III ()
Charles, did I say “doctors are Luddites?” Where? Please take another look at my tweets and be accurate about what you say!
— Steve Sisko ()
. What do & have in common? Physicians. AMA represents them. MGMA CEO is MD. You're referring to who?
— Charles Webster, MD ()
It’s both. Do you think ‘good firms getting hose’ and ‘consulting firms making money’ are mutually exclusive? They aren't.
— Steve Sisko ()
. 'Do you think ‘good firms getting hose’ & ‘consulting firms making money’ are mutually exclusive?' < Unfortunately I don't
— Charles Webster, MD ()
OK, but cliffhanger down 2 wire. BTW hard to predict synergy w/: resource contention vs EHR data ROI
— Charles Webster, MD ()
Indeed. On both counts.
— Tom Sullivan ()
A.S. (3/31/14) Well, ICD-10 was delayed for a year, to 2015. I wrote the blog post below the day before the vote. Today tweets containing #ICD10, #ICDdelay, #nodelay and #SGR flew fast and furiously. I predicted the outcome before the vote and extracted what I believe is the fundamental lesson.
I predict will pass.
— Charles Webster, MD ()
I called it. RT : I predict will pass.
— Charles Webster, MD ()
Too many people "bet" on & The delay & hardship exceptions are indeed capricious. Lesson: focus on value, not lobbies.
— Charles Webster, MD ()
I was a premed Accounting major (from the perennially ranked #1 University of Illinois Department of Accountancy). I believe in cost-justifying anything by anyone, from me to companies to the government. I’m against stuff that harms physician workflow, productivity, and professional satisfaction (best route to patient satisfaction with their physician). So anyway, I’ve been following the debate about ICD-10 and tweeted a link to Kyle Samani’s Why ICD-10?
My, my, my!
I think Kyle wins the debate hands down, but this is the quote from a comment counterargument that gobsmacked me.
“I’ve read all of Halamka’s posts. He’s a smart guy for sure. If you want to take an Expected Value approach to making decisions then probably 80% of the things we do and what the government mandates wouldn’t pass muster. IMO a weak argument.”
The crazy thing is I get the same basic argument from lots of people! That and apparent inability to understand the concept of sunk cost re the potential ICD-10 delay.
.
Dear Hospital CIO,
RE delay …
Sunk Cost
Yours truly,
Accounting Premed
— Charles Webster, MD ()
Normally I absolutely hate animated GIFs. However, this one for “puzzlement” has a big strong Expected Value!
