Our fourth annual Industry Survey, comprising the views of  over 1,000 healthcare executives from a cross-section of organizations across  the country, shows technology  as a fairly low priority—sixth out of 12 concerns. Health IT, EMR, clinical  technology, and other types and uses of technology are a top priority for only  29% of leaders. Move along, nothing here to see?
Yet when you examine executives' highest priorities, technology  isn't far under the surface. The top priority listed in our survey is patient  experience and satisfaction. While the actions of physicians and nurses most  directly affect patient care, caregivers today rely on technology to get their  jobs done.
Obviously, clinical technology such as informatics is important in  this instance, but healthcare IT also has a big impact. Electronic health records  can play an enormous role in improving patient experience. Is anything more  powerful in caring for a patient than comprehensive health information  delivered quickly? 
The second highest priority in our Industry Survey is  clinical quality and safety. A study sponsored by the Robert Wood Johnson  Foundation linked clinical  quality with computerized physician order entry (CPOE), which reduces the  likelihood of errors in medication. Clinical informatics and clinical decision  support can also protect quality and safety. Payment reform, in the form of  accountable care, is another top priority. EHRs and other electronic linkages  are prerequisites for new models of shared savings.
So who's going to help healthcare executives with their  priorities? Or, as our survey puts it, who's going to save the healthcare  industry? Seven percent of leaders look to technology, but the largest share  say it will have to be hospitals. And hospitals are looking to IT tools such as  business intelligence systems to help them figure out how to control costs and  where revenue possibilities lie. 
But technology is no panacea. It costs—a lot. IT and  clinical technology are the third and fourth highest cost drivers in our survey.  And technology doesn't always work as intended without a lot of human  intelligence behind it. 
Next week, I'm heading to the HIMSS annual conference and  exhibition to see what's new in health technology. I will be meeting not only  with many technology companies but also technology users. As always,  HealthLeaders Media's emphasis is on how healthcare leaders and organizations can  achieve their ends.
Although I like cool new gadgets as much as anyone (okay,  maybe more than most), the discussions I most look forward to at HIMSS are panel  sessions with healthcare leaders discussing complex, critical issues such as  operational efficiency, care collaboration, and risk management. In other  words, how they use technology to achieve these ends. 
Back to our Industry Survey: nearly twice as many healthcare  leaders say the industry is on the wrong track (46%) rather than the right  track (25%). (The remaining 29% are on the fence.) Healthcare faces a host of  challenges today. Regardless of what they think of the particulars of the  Patient Protection and Affordable Care Act or its chances for overturn, our  readers tell us almost unanimously that reform is needed. Technology is part of  the solution.
Edward Prewitt is the Editorial Director of HealthLeaders Media. 
	
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