David Miles, chief information officer at Oklahoma Heart Hospital, shares tips for smooth electronic health record (EHR) changeovers, based on his experience leading a transition from Cerner to Epic. Key advice includes: building early momentum and encouraging change; defining roles and responsibilities pre-project; structured training before go-live; providing immediate on-site support post-go-live; dealing with staff resistance through honesty, listening and teamwork; and working with consulting firms to support complex transitions.

The True Cost of Focusing on Cost Instead of Cost-Effectiveness
When payors consider only the cost of the medication and not the cost and risk to the patient, doctor, and healthcare system, the irony is


