MedWorm provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest medical blog items that have been tagged with 'delivery system'. Sat, 03 Sep 2011 03:02:19 +0100 http://www.medworm.com/index.php?rid=4696719&cid=t_312071_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FC4I7Th9bops%2F My guess is you’ve probably never asked yourself this question. A quick preview: Technical barriers aren’t the limiting factors to Facebook becoming a care coordination platform. Facebook’s company DNA won’t play well in health care. Could Facebook become the care coordination platform of the future? If not Facebook, then what? 1) Technical barriers aren’t the limiting factors to Facebook as a care coordination platform. Can you imagine Facebook as a care coordination platform? I don’t think it’s much of a stretch. Facebook already has 650 million people on its network with a myriad of tools that allow for one-to-one or group interactions. What would it take to make Facebook a viable care coordination platform? More servers to handle the volume ... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=4696719 Sat, 09 Apr 2011 23:13:18 +0100 4696719 http://www.medworm.com/index.php?rid=4027237&cid=t_312071_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2Fi64TWB_EG3E%2F Sometimes you read something and the full impact doesn’t hit you until hours — perhaps days — later.  As I was out mountain biking today, the importance of something I ran across yesterday suddenly hit me. Accountable Care Organizations (ACOs) are today’s cure-du-jour for reforming the health care delivery system. Bob Berensen, MD of the Urban Institute strongly questions whether the shared savings model under current legislation provides enough economic incentive for hospitals to disrupt their existing core business of acute, inpatient care. The dialogue took place at HSC’s 15th Annual Wall Street Comes to Washington Conference. Here’s the conversation from the transcript — I actually went back to dig this out of my trash: Paul Ginsburg: Actually, let me ... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=4027237 Sun, 03 Oct 2010 22:16:40 +0100 4027237 http://www.medworm.com/index.php?rid=3965524&cid=t_312071_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FW7-Cvm8tO98%2F Who has the most comprehensive data about YOUR clinical conditions? For most people, the answer today is “your health plan”, but it’s not at all clear that health plans will continue to have this role in the future. As physicians and hospitals adopt EHRs, it’s foreseeable that clinical data about patients will be far more available and accessible. Will patient data become: A jockeying point for control and business advantage between health plans and care providers, A collaborative opportunity to optimize clinical care and care coordination, or Both? (more…) Article Series - Stages 2 and 3 of HITECH: The Golden Era of Care Coordination or Bureaucrats Practicing Medicine?Overview: Here Come Stages 2 and 3 of HITECH!Megatrend Spotting: Health Plan Role of Having “Best Data... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=3965524 Mon, 13 Sep 2010 23:23:38 +0100 3965524 http://www.medworm.com/index.php?rid=3015325&cid=t_312071_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2009%2F11%2F20%2F2009-rosalynn-carter-symposium-on-mental-health-policy-recommendations%2F Earlier this month, I was honored to attend the 25th Annual Rosalynn Carter Symposium on Mental Health Policy in Atlanta, Georgia. The focus of this symposium every year is to tackle a particular issue in mental health policy, population or care. This year focused, fittingly enough, on health care reform and how mental health and substance abuse programs need to be an integrated part of that effort: Currently health care in this country is focused on illness rather than health, on procedures and face-to-face interventions rather than on coordination and prevention, and on fragmented, specialty-driven care rather than on a primary care-driven delivery system. There is a solid evidence base that shows that a health system centered on primary care costs less and has better outcomes on a popu... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=3015325 Fri, 20 Nov 2009 19:05:44 +0100 3015325 http://www.medworm.com/index.php?rid=2862604&cid=t_312071_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FNHWsxnws2mA%2F Here’s the big idea: accountable care organizations (ACOs) are about creating accountability. ACOs of various types are being proposed in national health reform legislation. For all you ever wanted to know about ACOs, read How to Create Accountable Care Organizations from the Center for Healthcare Quality and Payment Reform.   I spent an hour and a half poring over the details of this excellent report written by Harold Miller. My mistaken impression has been to focus on the organizational form of ACOs, rather than their objectives.  Organizational form is relevant in understanding ACOs, but primarily as a means toward creating accountability, not the end in itself.  Thus, expect to see many varying types of ACOs emerging based on local needs and characteristics. I initially a... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2862604 Mon, 05 Oct 2009 18:26:29 +0100 2862604 http://www.medworm.com/index.php?rid=1409690&cid=t_312071_113_f&fid=34695&url=http%3A%2F%2Fmedicalconnectivity.com%2F2008%2F04%2F30%2Fselling-connectivity-new-knowledge%2F The most striking lesson that I’ve experienced, and witnessed repeatedly, is that when it comes to connectivity, “you don’t know what you don’t know.” This applies to providers (buyers) as much as it does vendors (sellers). When presented with a new problem, it’s human nature to apply current knowledge and mental models in search of a solution - thus the perennial appeal of the “intuitively obvious.” Intellectually we know that problems don’t all fall into the same logical framework. But, for various reasons we tend to apply known solutions to new problems, and only when the outcome is unacceptable do we contemplate the unknown. Decision making insanity aside, this typical approach is inefficient - or worse. The barrier to effectively a... Medical Connectivity Consulting blogs http://www.medworm.com/rss/comments.php?id=1409690 Wed, 30 Apr 2008 17:59:41 +0100 1409690