Health Technology Assessment

This blog post is one among the rolling ideas on how hospitals have invested in health technology and their assessments.

  • Most hospitals bring in an “executive” mindset to technology (e.g. CT Scanners/MR machines, etc.).
  • Quantum of patients done versus reporting parameters
  • Vendors who sell “software enhancements” piecemeal.
  • Updates, if any, are usually tied to incremental payments.
  • Most units have piss poor networking that is utterly unviable for “uptime.”
  • Despite obvious savings in cloud computing (versus on-premises full technology stack”), most organizations have a poor understanding of how it can be framed to deliver efficiencies at scale.
  • IT departments service standalone dumb terminals
  • Enterprise computing involves the telemetry suck called as Microsoft.
  • Often the cheapest server rack gets parked in the premises that lack modularity and capability to expand.
  • Ongoing investments costs are not billed against gains in productivity; the user interface is given short shrift. Vendors, therefore prioritize a working product without a semblance of a “good” product.
  • Front office staff struggles with baked in inefficiencies rather than maximizing consumer interaction.
  • End users are usually technophobes- because they would work with “what-works” than trying to find out a newer productive mechanism.

These are reflections from my observations and hence extremely generic. Most healthcare centres do not even have a semblance of “computerization”, save for the Excel sheet dangling somewhere while users remain stuck with the scribbled paper forms.