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 'ehrs'. Sat, 03 Sep 2011 02:20:55 +0100 http://www.medworm.com/index.php?rid=4997657&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F1wckhjpaKlU%2F An earlier post — Could Facebook Be Your Platform for Care Coordination? resonated well with folks. Readers and commenters (on e-CareManagement and The Health Care Blog) quickly grasped that a social networking platform could play a very useful role in coordinating our health care, yet also agreed with the conclusion that Facebook wasn’t  “it”. So let’s ask the question again: Could Google+ be your platform for care coordination? This post will Describe Google+ and Circles Discuss how Google+ gets past some of Facebook’s limitations as a care coordination platform Comment on Google+ as a care coordination platform (promising, but too early to tell) (more…) Article Series - Social Networks and Care CoordinationCould Facebook Be Your Platform for ... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=4997657 Mon, 04 Jul 2011 23:24:57 +0100 4997657 http://www.medworm.com/index.php?rid=4744847&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2Fcvkny3XUFqI%2F By now most people understand the promise of pharmaceuticals being customized to “YOU” based on your individual genetic code.  While this isn’t prevalent today, we understand that this will be possible in a few years. Let’s take a minute to consider the mechanics of how this will occur. You’ve received a prescription, and it directs the pharmacist to tailor the medicine to YOUR genetic profile. Consider two possible scenarios of how this transaction might happen. You’re on the phone with your pharmacist: 1) “OK, you need my DNA sequence. I keep my genetic profile in my mattress…let me get it and I’ll read it out loud to you.  C, A, T, G, G, A, T… no,  that was actually a G…let me start over.  C, A, T, G, G, A, T… (19 hours later) … T, and... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=4744847 Sat, 23 Apr 2011 17:12:12 +0100 4744847 http://www.medworm.com/index.php?rid=4742498&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FPMKzUWq-mhk%2F Unlike some of my colleagues, I’m not losing ANY sleep over whether personal health record (PHR) systems ultimately will be adopted and used by patients. In my mind, the issue isn’t WHETHER, but WHEN. Yes, I know that adoption has lagged and that surveys suggest 7% or less of the U.S. population has used a PHR. Stay with me on this one for a minute. You’d have to have two underlying beliefs to conclude that PHR systems won’t eventually emerge: That health record data will persist in non-electronic formats, i.e., paper That people won’t have interest in accessing or using their health record data (more…) Tags: EHRs/PHRs, platform (Source: e-CareManagement) e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=4742498 Fri, 22 Apr 2011 21:45:18 +0100 4742498 http://www.medworm.com/index.php?rid=4734268&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FokDK9gkw3iE%2F (click on the graphics to link to original sources) Regular readers know that I find Professor Clay Christensen’s theory of disruptive innovation to be a useful lens to explain industry evolution. Let’s look at two recent health IT initiatives and see why one is working and the other is stalled. (more…) Tags: disruptive innovation, EHR, interoperability (Source: e-CareManagement) e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=4734268 Tue, 19 Apr 2011 00:26:45 +0100 4734268 http://www.medworm.com/index.php?rid=4592497&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2Fbm7GeabSsXU%2F “If banks can exchange funds electronically through the ATM system, why can’t my doctor and hospital exchange information electronically?” Keith Boone’s concise article “A Doctor is Not a Bank” explains why this conclusion about healthcare interoperability is overly-simplistic. …and Keith’s article reminded me of an even deeper explanation presented in the National Academies’ Frontiers of Engineering series — Why Health Information Technology Doesn’t Work, by Elmer Bernstam and Todd Johnson. The table below summarizes the differences between health data and banking data.   (more…) No tag for this post. (Source: e-CareManagement) e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=4592497 Mon, 14 Mar 2011 13:03:41 +0100 4592497 http://www.medworm.com/index.php?rid=4536166&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FT1DeFM2yPX4%2F iMedicalApps recently published its list of Top 20 Free iPhone Medical Apps for Healthcare Professionals. What struck me about the list is that the state-of-the-art is stand alone applications — I didn’t see any that had any connection to an EHR (electronic health record).  Here’s the top 5 to give you a flavor of what’s on the list: Medscape Micromedex New England Journal of Medicine Epocrates Free Medical Calculators I expect that this list will begin to look very different in coming years as EHRs continue to open their platforms to outside developers…and applications will increasingly be integrated into direct patient care. No tag for this post. (Source: e-CareManagement) e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=4536166 Tue, 01 Mar 2011 18:26:48 +0100 4536166 http://www.medworm.com/index.php?rid=4525075&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FSFlJznDf4IQ%2F After attending the largest annual health IT conference of the year — HIMSS 11 –  John Moore reported that “nearly every EHR vendor has an iPad App for the EHR [electronic health record], or will be releasing such this year.” Doctors love iPads…not surprising? But, how might you explain this? There are at least two different possibilities: Coincidence Theory Conspiracy Theory The Coincidence Theory So doctors want to access EHR software through the iPad…what’s the big deal? Apple has built a great new hardware platform with the iPad. There’s nothing else like it in the marketplace.  While other companies are building competing tablets, Apple’s has been the only viable option in the market for over a year. (more…) Tags: Apple, EHRs/PHRs, strategy... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=4525075 Sun, 27 Feb 2011 00:21:41 +0100 4525075 http://www.medworm.com/index.php?rid=4429079&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F32qW7qHRZ2A%2F Webinar Title: An Impending Marriage: Electronic Health Records (EHRs) and Care Management Software The presentation will be geared at practicing clinical case managers in health plans, hospitals, disease management companies, and similar organizations: Describe market forces driving integration of EHRs and care management software.  Review care management software survey data and stimulus funding for EHR adoption.  Describe a 3 stage framework for the evolution of EHRs and care management software.  Characterize benefits to patients and impacts on care manager responsibilities. The event is sponsored by HealthSciences Institute and the PartnersinImprovement Alliance. When: Friday, February 4, 2011 11:30 am Eastern Time 10:30 am Central Time 9:30 am Mountain Time 8:30 am Pacific Time... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=4429079 Wed, 02 Feb 2011 21:13:33 +0100 4429079 http://www.medworm.com/index.php?rid=4389233&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FsejciRvUwz4%2F The PCAST Report on Health IT has become a political piñata.  Early Feedback on PCAST  Like many of my colleagues, I was taken aback by the release of the Report in early December 2010 — I didn’t know quite what to make of it. Response in the first week of release was:  Limited. The first commentaries were primarily by technical and/or clinical bloggers. The mainstream HIT world had remarkably little initial reaction to the Report.  Respectful of the imprimatur of “The President’s” Report and noting some of the big names associated with the report (e.g., Google’s Eric Schmidt and Microsoft’s Craig Mundie.) Focused on technical and/or clinical perspectives around two broad themes. The vision is on target:  “extraordinary”, “breathtakingly... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=4389233 Sun, 23 Jan 2011 21:11:05 +0100 4389233 http://www.medworm.com/index.php?rid=4372108&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F2LlHAo67_oQ%2F The Health IT Policy Committee has published proposed Stage 2 and 3 Meaningful Use Recommendations and they’re open for public comment until February 25. I’ll share a couple of particularly useful and well written analyses and commentaries by colleagues. Health IT guru and thought leader Dr. John Halamka writes about The Proposed Stage 2 and 3 Meaningful Use Recommendations in his blog. This is a great article to get a thumbnail overview of all the proposed recommendations. John lists 38 criteria and provides a quick commentary on how challenging he sees each of them. (Keep in mind that he’s CIO at one of the most HIT-advanced health systems in the country — your definition of “easy” and his might not be alike.) (more…) Article Series - Stages 2 and 3 of ... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=4372108 Wed, 19 Jan 2011 22:16:13 +0100 4372108 http://www.medworm.com/index.php?rid=4309612&cid=t_126816_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fmaking-2011-meaningful%2F2011.01.03 Today, $27 billion in incentives begin for using electronic medical records, as office- and hospital-based providers begin to register for meaningful use criteria. Providers must use a certified system according to Centers for Medicare and Medicaid meaningful-use guidelines for 90 consecutive days within the first year of the program to qualify. Eligible professionals can receive up to $44,000 over five years under the program. There’s an additional incentive for eligible professionals who provide services in a Health Professional Shortage Area. To get the most money, Medicare-eligible professionals must begin by 2012. By 2015, Medicare-eligible professionals and hospitals that do not demonstrate meaningful use get punished. (more…) *This blog post was originally publis... Better Health blogs http://www.medworm.com/rss/comments.php?id=4309612 Mon, 03 Jan 2011 20:00:00 +0100 4309612 http://www.medworm.com/index.php?rid=4285198&cid=t_126816_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Finterconnected-medical-apps-of-the-future%2F2010.12.23 At this past October’s Health 2.0 meeting in San Francisco, many great new ideas about the future of healthcare were presented with a special emphasis on technology. For a great overview check out the keynotes by Jeff Goldsmith & Tim O’Reilly. The conference, organized by Matthew Holt & Indu Subaiya started in 2007 and bills itself as the “the leading showcase of cutting-edge technologies in healthcare.” Those not lucky enough to attend the conferences can follow along on the Health 2.0 blog. Besides exploring the overarching themes of the future of healthcare in general and health IT in particular, many innovative companies, young and old, gave on-stage demos at the conference. One demonstration in particular stood out for me. This was the demo by the Accelerator Apps Netw... Better Health blogs http://www.medworm.com/rss/comments.php?id=4285198 Thu, 23 Dec 2010 22:00:56 +0100 4285198 http://www.medworm.com/index.php?rid=4258996&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FSKqD3rR617E%2F At the December 13 meeting of the HITPC (Health IT Policy Committee), the MU (Meaningful Use) Workgroup proposed a first draft of HITECH Stage 2 and 3 objectives. A full list of objectives for Stages 1, 2 & 3 is available in the PowerPoint presented to HITPC. The proposed objectives contain a mix of items that are: Unchanged from Stage 1 Similar MU criteria with higher implementation goals, e.g., Stage 1: CPOE for Rx orders 30% Stage 2: CPOE for 60% of Rx, lab and radiology orders entered by licensed professionals Clarifications or more detailed specifications Discretionary objectives moved to core set New items Here’s a list of proposed new objectives for Stage 2 MU: (more…) Article Series - Stages 2 and 3 of HITECH: The Golden Era of Care Coordination or Bureaucr... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=4258996 Wed, 15 Dec 2010 01:19:12 +0100 4258996 http://www.medworm.com/index.php?rid=4258997&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FPGncVfd3efQ%2F Last week PCAST (The President’s Council of Advisors on Science and Technology) issued a major report — “Realizing the Full Potential of Health Information Technology to Improve Healthcare for Americans: The Path Forward”.  The reviews are filtering in and I’m seeing two major themes:  The vision is on target:  “extraordinary”, “breathtakingly innovative”. These guys didn’t do all their technical homework. The range varies, but the message is consistent.  Here are some early critiques of the PCAST report. Let the debate continue! (more…) Tags: EHR, health IT, HIT, HITECH, meaningful use, PCAST (Source: e-CareManagement) e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=4258997 Mon, 13 Dec 2010 21:48:26 +0100 4258997 http://www.medworm.com/index.php?rid=4190275&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FtpWr_ncaRT0%2F Remember the penguin problem described by economists? No one moves unless everyone moves, so no one moves.  Overcoming the penguin problem has a lot to do with creating expectations. A recent writing by Dr. James O’Connor in Physician Practice expresses a voice from the physician community that I’ve never heard before.  His essay is entitled “Meaningful Use — Doctors Have No Choice”. (more…) Tags: EHR, EHRs/PHRs, HITECH, network effect, penguin problem (Source: e-CareManagement) e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=4190275 Sun, 21 Nov 2010 23:59:55 +0100 4190275 http://www.medworm.com/index.php?rid=4159244&cid=t_126816_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fhealth-it-and-job-security%2F2010.11.11 Hospitals nationwide are racing against the clock to ensure their health IT systems meet meaningful use guidelines. The incentive? Money, of course. Systems that meet certain criteria make doctors eligible for up to $44,000 in bonus money from the government. As mentioned on this blog previously, implementing an electronic health system is difficult. The usability of the current generation of electronic health records (EHRs) is still relatively primitive, especially when compared to other industries, and the disruption in workflow is undeniable. Worse, there seems to be a lack of trained IT professionals to do the job. In a recent piece from American Medical News: 60% of hospital IT executives believe tech staffing shortages, which some estimate to be a shortfall of 50,000 qualified IT p... Better Health blogs http://www.medworm.com/rss/comments.php?id=4159244 Thu, 11 Nov 2010 21:00:31 +0100 4159244 http://www.medworm.com/index.php?rid=4097941&cid=t_126816_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fhealthcares-facebook%2F2010.10.22 [Recently] the Wall Street Journal‘s front page story exposed a significant privacy breech of online personal information via the world’s most popular social networking site, Facebook: Many of the most popular applications, or “apps,” on the social-networking site Facebook Inc. have been transmitting identifying information—in effect, providing access to people’s names and, in some cases, their friends’ names—to dozens of advertising and Internet tracking companies, a Wall Street Journal investigation has found. The issue affects tens of millions of Facebook app users, including people who set their profiles to Facebook’s strictest privacy settings. The practice breaks Facebook’s rules, and renews questions about its ability to keep ident... Better Health blogs http://www.medworm.com/rss/comments.php?id=4097941 Fri, 22 Oct 2010 16:00:00 +0100 4097941 http://www.medworm.com/index.php?rid=4065439&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FR13qXxm3a_c%2F “Track who is on a care team — and share info with the patient.” That’s just one of the summary recommendations coming from expert testimony given in a recent public hearing on how to improve care coordination through the use of health information technology. The Meaningful Use workgroup and Quality Measures workgroups are now wrestling with how to translate this recommendation into meaningful use criteria for HITECH Stages 2 and 3. Seems like a good idea — simple, straightforward — perhaps even obvious. The EHR (electronic health record) could be a great tool for keeping care team members in the loop and on the same page about a patient’s care. But then I thought about this for a few minutes, and the complexities started dawning. This seemingly simple recomme... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=4065439 Thu, 14 Oct 2010 02:14:40 +0100 4065439 http://www.medworm.com/index.php?rid=3965524&cid=t_126816_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=3946560&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F5rv0xNvyUfk%2F   We’ve spent the past year creating the MU (meaningful use) requirements for Stage 1 of the HITECH act.  As shown by the diagram above, Stage 1 focuses on Data Capture and Sharing. Now it’s time to begin to focus on Stage 2 (Advanced Clinical Processes) and Stage 3 (Improved Outcomes). The current generation of EMRs (electronic medical records) were designed primarily to assist care providers with clinical documentation, billing, and maximizing revenues. They were not designed to enable care coordination and optimize population health.   This essay is the first in a new, ongoing series that will highlight: Design and metrics for Stages 2 and 3 of the HITECH act Companies and care providers developing and using applications targeting Stage 2 and 3 MU objectives This first essay wi... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=3946560 Wed, 08 Sep 2010 23:49:07 +0100 3946560 http://www.medworm.com/index.php?rid=3915112&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FY6Y-dwjsVBc%2F CLICK HERE FOR THE CONFERENCE WEBSITE Healthcare providers face critical choices in selecting and implementing Electronic Health Records (EHRs). In addition, physicians and hospitals will need to develop the capacity to exchange clinical information in order to meet Meaningful Use requirements. This program will offer detailed and practical information on EHR selection and implementation, as well as strategies for creating a sustainable health information exchange (HIE). The program also features sessions on legal/regulatory issues, clinical platforms and applications as well as strategies for optimizing workflow in order to accelerate clinical transformation. Distinguished Speakers Include: Steve Adams, Executive Vice President, Collaborative Care, Alere & President, Clinical Groupwa... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=3915112 Sun, 29 Aug 2010 20:41:45 +0100 3915112 http://www.medworm.com/index.php?rid=3823003&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FztTx8pGpy6o%2F …Australian citizens, that is…not U.S. citizens.  See Dr. David Moore’s writeup in Australian Health Information Technology. Of course, you’d never see this type broad support for centralized EHRs in the U.S. Is this good or bad? You can decide for yourself…but at the very least this caught my attention as illustrating communitarian vs. individualistic tendencies in different world nations.   No tag for this post. (Source: e-CareManagement) e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=3823003 Wed, 04 Aug 2010 18:52:01 +0100 3823003 http://www.medworm.com/index.php?rid=3767077&cid=t_126816_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fmeaningful-use-does-what-you-do-qualify%2F2010.07.19 One doesn’t usually look to the Federal Register to define meaning or purpose (philosophers, yes, but bureaucrats?), but the federal government has officially ruled on what constitutes “meaningful use” — for the purposes of distributing dollars to clinicians for electronic health records. The Wall Street Journal’s health blog has an excellent synopsis of the rule and the reaction from different interest groups and experts, and the New England Journal of Medicine has a very clear explanation and summary of its key elements by David Blumenthal, M.D., F.A.C.P., the federal government’s coordinator of health information technology. (more…) *This blog post was originally published at The ACP Advocate Blog by Bob Doherty* (Source: Better Health) Better Health blogs http://www.medworm.com/rss/comments.php?id=3767077 Mon, 19 Jul 2010 16:00:00 +0100 3767077 http://www.medworm.com/index.php?rid=3595686&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2Fq9PZVLYoau4%2F by Vince Kuraitis JD, MBA and David C. Kibbe MD, MBA Pop quiz: Among early-stage companies that are successful, what percentage are successful with the initial business model with which they started (Plan A) vs. a secondary business model (Plan B)? Harvard Business School Professor Clay Christensen studied this issue.  He found that among successful companies, only 7% succeeded with their initial business model, while 93% evolved into a different business model. So let’s take this finding and reexamine our human nature. In light of these statistics, what makes more sense: Defending Plan A to your dying breath? Assuming Plan A is probably flawed, and anticipating the need for Plan B without getting defensive? We question many of the assumptions underlying HITECH Plan A. We a... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=3595686 Tue, 25 May 2010 13:47:48 +0100 3595686 http://www.medworm.com/index.php?rid=3592209&cid=t_126816_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fpatient-tests-ehrs-and-medical-homes-the-price-isnt-right%2F2010.05.24 Healthcare reform is forcing medical students to learn about the financial costs of the tests they order, as well as their clinical importance. Once a taboo topic, it’s being openly taught to students to prepare them for practice. At Harvard, one physician in training duplicated television’s “The Price is Right” to keep his peers guessing at the costs of tests on a patient’s bill. Molly Cooke, FACP, a Regent of the College, encourages doctors to consider the value of the tests they order as they deliver care. (Kaiser Health News, New England Journal of Medicine) The price isn’t right for electronic medical records. Even $44,000 in stimulus money isn’t enough to make doctors jump into using computers. (more…) *This blog post was origin... Better Health blogs http://www.medworm.com/rss/comments.php?id=3592209 Mon, 24 May 2010 14:00:00 +0100 3592209 http://www.medworm.com/index.php?rid=3538242&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FdIwL5RIMh8Y%2F by Vince Kuraitis JD, MBA and David C. Kibbe MD, MBA . ….or to be more specific, HITECH is synergistic with payment reform that could come from the recently passed national health care reform legislation — the Patient Protection and Affordable Care Act (PPACA). We’ll keep this post fairly short and try to avoid many of the more divisive aspects of this topic. The need for healthcare payment reform is well understood on both sides of the aisle: Realizing the full potential of health IT depends in no small measure on changing the health care system’s overall payment incentives so that providers benefit from improving the quality and efficiency of the services they provide. Only then will they be motivated to take full advantage of the power of electronic health records. Dr. David... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=3538242 Tue, 04 May 2010 23:52:12 +0100 3538242 http://www.medworm.com/index.php?rid=3529788&cid=t_126816_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fa-not-so-unforseen-complication-of-electronic-health-records%2F2010.05.03 [Here's a] good article [from] the New York Times written by a doctor [Pauline Chen, M.D.] about intrusive aspects of electronic health records (EHRs) on doctor-patient communication. An excerpt: “…just because EMR improves information sharing and retrieval, it doesn’t necessarily follow that our communication with patients and colleagues will also be better.” Read the rest of the article here. *This blog post was originally published at a few thoughts from a tumor surgeon* (Source: Better Health) Better Health blogs http://www.medworm.com/rss/comments.php?id=3529788 Mon, 03 May 2010 18:00:03 +0100 3529788 http://www.medworm.com/index.php?rid=3515486&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FC92DVSfJIdc%2F . by Dave deBronkart (e-PatientDave), Vince Kuraitis, and David C. Kibbe So far this series has looked at HITECH participation by hospitals (grumbling but in the game) and physicians (wary, on the sidelines), kudos for ONC’s three major policy points, and how HITECH is already moving the needle on the vendor side. Today we’re going to look at the reason the whole system exists: patients. It’s possible to look at the patients issue from a moral or ethical perspective, or from a business planner’s ecosystem perspective. In this post we’ll simply look at it pragmatically: is our approach going to work? It’s our thesis that although you won’t see it written anywhere, the stage is being set for a kind of disruption that’s in no healthcare book: patient-driven disruptive innovati... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=3515486 Wed, 28 Apr 2010 22:42:43 +0100 3515486 http://www.medworm.com/index.php?rid=3487183&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FRSzkHf44-FI%2F by Vince Kuraitis JD, MBA and David C. Kibbe MD, MBA Most of the press coverage and attention to HITECH has been to the “buy” side of the market:  The central question here has been: “Will doctors and hospitals buy and use EHR technology?” Meanwhile — and much more quietly — the sell (vendor) side of the EHR market is already dramatically different than it was a year ago. We observe change occurring at at least three levels: HITECH as Policy Change HITECH as Mindset Change HITECH as Technology/Business Model Change (more…) Article Series - Is HITECH Working?Is HITECH Working? 7 Observations Mom Could UnderstandIs HITECH Working? #1: Hospitals are grumbling but are playing in the game; success is not guaranteed.Is HITECH Working? #2: Key physicians will sit on the s... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=3487183 Mon, 19 Apr 2010 17:41:48 +0100 3487183 http://www.medworm.com/index.php?rid=3471884&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2Flz5D9nw2Izc%2F We concluded our last post in this series with a blunt prediction that “key physicians will sit on the sidelines” and that clinician non-adoption of EHR technology is a potential “deal-breaker for the success of HITECH”. While this might sound like a criticism of the way HITECH has been implemented, it’s not intended that way — it’s a commentary on 1) the complexity and scope of change that will be required to make HITECH successful, and 2) the level of protective entrenchment existing American health care today. Rather, we believe that the Office of the National Coordinator (ONC) for Health IT – Dr. David Blumenthal and his staff — have done a superb job in interpreting and defining key aspects of HITECH legislation. We’re big fans. For those of you who have been fo... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=3471884 Wed, 14 Apr 2010 23:56:39 +0100 3471884 http://www.medworm.com/index.php?rid=3298420&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FQbxzZ-mIxdQ%2F John Moore of Chilmark Research and I agree on things 90+ percent of the time. He even thanked me personally for our collegial relationship in a Thanksgiving Day essay on his blog. However…I can’t help but comment on John’s misleading story “CCD Standard Gaining Traction, CCR Fading” in The Health Care Blog. He writes: In a number of interviews with leading HIE [Health Information Exchange] vendors, it is becoming clear that the clinical standard, Continuity of Care Document (CCD) will be the dominant standard in the future.  The leading competing standard, Continuity of Care Record (CCR) appears to be fading with one vendor stating that virtually no client is asking for CCR today. I have four beefs with John’s essay: It’s no news that HIEs prefer CCD. HIEs are not repr... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=3298420 Tue, 23 Feb 2010 00:53:50 +0100 3298420 http://www.medworm.com/index.php?rid=3216685&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FEjhW2IT3hGA%2F I received this email in my inbox this morning: Thank you for being a loyal user of the Revolution Health Personal Health Record. Unfortunately we will be discontinuing this service as of the end of February 2010 and removing all records, information, and data from the Revolution Health Web site. So that you don’t lose the information you’ve entered into the system, we strongly suggest that you download your personal records as a PDF to print and save for future reference. To do this, simply follow these instructions: Log in to your Personal Health Record. From any page of your record, click on the “printable version” link on the top right corner of any page. When you see a pop-up box asking you to “Select the following sections to include in your print out,... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=3216685 Wed, 27 Jan 2010 16:23:26 +0100 3216685 http://www.medworm.com/index.php?rid=3012474&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FmQyPb5p5cGU%2F Medicare announced today that it is extending its Personal Health Record (PHR) pilot project for residents of Utah and Arizona. This is a waste of time and taxpayer dollars. Those of you who read my blog know that I’m a big fan of PHRs, but you have to know when you’re backing the wrong approach. What’s wrong with this pilot project? A lot: (more…) Tags: business model, EHRs/PHRs, HIE, Medicare, platform (Source: e-CareManagement) e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=3012474 Fri, 20 Nov 2009 05:09:35 +0100 3012474 http://www.medworm.com/index.php?rid=3008190&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2Fl-Al-f57GLs%2F Continuing his stunning reversal of long held perspectives, Dr. John Halamka’s blog post today suggests Guiding Principles for HIT Standards Committee: Keep it simple; think big, but start small; recommend standards as minimal as possible to support the business goal and then build as you go Don’t let “perfect” be the enemy of “good enough”; go for the 80% that everyone can agree on; get everyone to send the basics (medications, problem list, allergies, labs) before focusing on the more obscure Keep the implementation cost as low as possible; eliminate any royalties or other expenses associated with the use of standards Design for the little guy so that all participants can adopt the standard and not just the best resourced Do not try to create a one size fits all standard, i... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=3008190 Wed, 18 Nov 2009 19:05:28 +0100 3008190 http://www.medworm.com/index.php?rid=2989242&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FtOrT4I_LFf4%2F David Blumenthal, M.D., M.P.P. National Coordinator for Health Information Technology U.S. Department of Health & Human Services Dear Dr. Blumenthal, I was honored to receive a personal email from you today. However, after reading it, I conclude that you must have intended to send this email to Judith Faulkner, CEO of Epic Systems. I really liked what you said about working toward interoperability: The HITECH Act calls for the “development of a nationwide health information technology infrastructure that allows for the electronic use and exchange of information and that…promotes a more effective marketplace, greater competition…[and] increased consumer choice” among other goals.  (Section 3001(b))  This means we cannot support arrangements that rest... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2989242 Fri, 13 Nov 2009 00:58:35 +0100 2989242 http://www.medworm.com/index.php?rid=2981183&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FaeujPdqyGRU%2F The King of the Cats has just acknowledged that indeed cats and dogs should co-exist peacefully. Dr. John Halamka — Vice Chair of the HIT Standards Committee of the ONC and one of the most vocal and influential figures in health IT — writes a blog post this morning entitled “The Genius of AND”. Halamka reasonably summarizes the essence of the debate about standards and interoperability as being between “the healthcare informatics crowd” (cats) and the “Internet crowd” (dogs): He notes that the debate shouldn’t be about one or the other POV prevailing (“either/or”), but about integrating both points of view (“and”): ..we need to embrace both approaches – the right tool for the right job depending on what you want to achieve. For provider to provider communi... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2981183 Tue, 10 Nov 2009 17:39:16 +0100 2981183 http://www.medworm.com/index.php?rid=2927429&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FsnPM8nIcyTg%2F An article in today’s Washington Post links to a letter written by Senator Charles E. Grassley. The letter is directed at 10 EMR (electronic medical record) vendors, and asks very pointed questions about whether the vendors have been negligent in not addressing patient safety issues in their technologies. Senator Grassley, you have the scent and you’re on the trail.  There are several other questions you should be asking these vendors: (more…) Article Series - The Dog Manifesto: A Disruptive Innovator's Guide to Health ITWill HITECH Lead to Innovation? The Continuing Cat/Dog DialogueDogged Optimism: Five Innovative Aspects of HITECHFeline Foot-Dragging: Three Non-Innovative Aspects of HITECHWait and See: What’s Unclear or To-Be-Determined (TBD) About HITECH.Can Cats Think... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2927429 Sun, 25 Oct 2009 21:46:49 +0100 2927429 http://www.medworm.com/index.php?rid=2904964&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F0_vhnMGH51k%2F BrightTALK is sponsoring a complimentary Electronic Health Record Summit this Tuesday, October 20, 2009. David C. Kibbe MD, MBA and I will be presenting “Introduction to Clinical Groupware and the Clinical Groupware Collaborative” Clinical groupware is a new and evolving model for the development and deployment of health information technology (HIT) platforms and applications having the following characteristics: Use of the Internet and the web for EHR technology. Explicit design for information sharing and online communication among providers and patients/consumers. A modular or component architecture upon which applications can be aggregated to meet specific clinical and workflow tasks. Patient/consumer engagement tools that facilitate ongoing health management and care coo... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2904964 Mon, 19 Oct 2009 00:03:18 +0100 2904964 http://www.medworm.com/index.php?rid=2832251&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FtVXihMwiuC0%2F Dr. Don Storey and I spoke at the at The Forum 09 conference in San Diego earlier this week. The DMAA publication “The Continuum” had an excellent writeup of our enthusiastically received presentation.  Here’s a copy of our PowerPoint slides… HITECH Health IT Legislation: Opportunities for the DMAA Community View more presentations from vincek. and here’s DMAA’s writeup: Helping physicians and hospitals meet the “meaningful use” criteria for federal support for health information technology under recently passed legislation represents a keen opportunity for the population health management industry, presenters at this session said yesterday. Vince Kuraitis, JD, MBA, of Better Health Technologies, LLC, and Don Storey, MD, of RMD Networks, presented a look at the evolut... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2832251 Fri, 25 Sep 2009 01:54:42 +0100 2832251 http://www.medworm.com/index.php?rid=2804028&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FX87R6YOmFcE%2F by Steve Adams, CEO, RMD Networks and Acting President, Clinical Groupware Collaborative   I’m writing to extend a warm personal invitation to learn more about the Clinical Groupware Collaborative (CGC).  To-date, purely through word-of-mouth over 40 companies have expressed interest in the CGC, and we expect that you’ll be hearing a lot more about us over the coming months. Our meeting will take place next Tuesday, September 22, 6 PM in conjunction with The Forum 09, the annual meeting of DMAA: The Care Continuum Alliance.  More details are provided at the bottom of this post. I’ll address a few questions that might be on your mind. Q. What is Clinical Groupware?  (more…) Tags: care management, clinical groupware, conference, DMAA, EHR, EMR, platform (Source: e-CareMa... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2804028 Wed, 16 Sep 2009 22:46:36 +0100 2804028 http://www.medworm.com/index.php?rid=2790321&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2Fqn6AlRE1xgg%2F By Vince Kuraitis and Steven Waldren MD, MS.  Dr Waldren is Director of the Center for Health Information Technology at the American Academy of Family Practice (AAFP). Two issues have rightfully surfaced front and center in the public’s understanding of HITECH Act implementation: ” definition of “Meaningful Use” of EHRs, and ” definition of “certification” process for EHRs …and we applaud the progress of the workgroups and the HIT Policy Committee in addressing these issues constructively. However…a THIRD issue lurks – “Data harmonization at the expense of data liquidity“, or put another way – “misplaced pursuit of one (and only one) language at the expense of practical communication.” On August 20, the HI... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2790321 Sat, 12 Sep 2009 18:18:03 +0100 2790321 http://www.medworm.com/index.php?rid=2782124&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FrzJiYQ9ydd4%2F by Glen Laffel MD, PhD Many of us have enjoyed a few good minutes of fun having our fortunes told by soothsayers who claim they can predict our future based on patterns of tea leaves in a cup or the playing cards we’ve pulled from a deck. We pay a few dollars for the entertainment and if the fortune teller is skilled, we are temporarily impressed by his “insight.” But once we leave the carnival, we come back to our senses. Fortune-tellers can’t predict the future. With its latest announcement, the Certification Commission for Healthcare Information Technology (CCHIT) appears to have entered the fortune telling business. And if information provided on blogs published by its founders is to be believed, some EHR vendors plan to have their fortunes told by the former EHR certification... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2782124 Wed, 09 Sep 2009 21:43:16 +0100 2782124 http://www.medworm.com/index.php?rid=2741456&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FJVbaWzgJhJI%2F These guys really don’t get it, and they need to be called on the carpet, taken to the woodshed, or pick your own favorite cliche. The Federation of American Hospitals (FAH) sent a letter to Dr. David Blumenthal (National Coordinator for Health IT) arguing that “Meaningful Use” funding should not be tied to achievement of quality measures.  The FAH is the trade association for for-profit hospitals; the letter is dated August 26 and a copy is available on the HealthHombre website, with a deserved hat tip. First, let me concede that they make a reasonable point on p. 3 when they say “Under it’s framework, the Policy Committee has recommended that HHS should adopt a measure for 2013 requiring a 10 percent reduction in preventable admissions from 2012 to qualify as a meani... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2741456 Thu, 27 Aug 2009 20:16:29 +0100 2741456 http://www.medworm.com/index.php?rid=2737833&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FbH0pN3YZ4vc%2F This post is a foundational overview of characteristics of network industries.  Much of the terminology will deserve deeper discussion, but we have to start somewhere. In his book The Economics of Network Industries, Professor Oz Shy lists four characteristics of network industries. The main characteristics of these markets which distinguish them from the market for grain, dairy products, apples, and treasury bonds are: Complementarity, compatibility and standards Consumption externalities [network effects] Switching costs and lock-in Significant economies of scale in production In this essay, I’ll quote from Dr. Shy in explaining each of these characteristics.  I’ll also offer a few thoughts as to how these characteristics apply to healthcare. More specifically, I’ll dis... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2737833 Wed, 26 Aug 2009 23:01:13 +0100 2737833 http://www.medworm.com/index.php?rid=2719776&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2Fjp_2OUrAwoQ%2F   “We need to make care linkages a core competency of American health care.”  George Halvorson, Chairman and CEO, Kaiser Foundation Health Plan, Kaiser Foundation Hospital   There’s a double meaning to the title of this new series: Healthcare Crosses the Chasm to the Network Economy At the level of technology, it’s a reference to Geoffrey Moore’s bestselling business/technology book — “Crossing the Chasm”. The Chasm here is the huge gap between early adopters of technology and mainstream users. The book describes the process of bringing specific technologies into mainstream usage. At the level of clinical care, its a reference to the landmark 2001 report by the Institute of Medicine — “Crossing the Chasm”.  Here, the Chasm is a reference to the quality/safety... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2719776 Fri, 21 Aug 2009 01:09:37 +0100 2719776 http://www.medworm.com/index.php?rid=2705195&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2Fu4izsd-pnv0%2F At last Friday’s meeting, the HIT Policy Committee adopted the recommendations of the Certification and Adoption Workgroup. Between the initial recommendations in July and the adopted recommendations in August, one critical word was added to the definition of “certification”.  That one word is “minimum” — and this one word expresses the correct approach and philosophy for the government’s role in the certification process for EHRs. In this post I’ll address why a “minimum” approach toward certification makes sense:  Why “Minimum” Certification is Right: More Like UL Why Current CCHIT Certification Based on Functionality Risks Irrelevance or Lock-in to Outdated Technology Why “Minimum” Certification is Right: More Like Underwriters Laboratories (more&... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2705195 Sun, 16 Aug 2009 23:46:43 +0100 2705195 http://www.medworm.com/index.php?rid=2699695&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2Fno1LFrhNDCM%2F by Vince Kuraitis, Steve Adams, and David C. Kibbe MD, MBA Over the past several years, many diverse initiatives have arisen offering partial solutions to systemic problems in the U.S. health care non-system.  We see Meaningful Use Criteria recommended by the HIT Policy Committee as a unifying force for these previously disparate initiatives. These initiatives have included: Patient Centered Medical Homes (PCMHs) Regional Health Information Organizations (RHIOs)/Health Information Exchanges (HIEs) Payer Disease/Care Management Programs Personal Health Record Platforms — Google Health, Microsoft HealthVault, Dossia, health banks, more to come State/Regional Chronic Care Programs (e.g., Colorado, Pennsylvania, Improving Performance in Practice) Accountable Care Organizations — the n... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2699695 Thu, 13 Aug 2009 20:41:48 +0100 2699695 http://www.medworm.com/index.php?rid=2681989&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FEHAHY8k71iI%2F Google Health…please stick around….but please also get your stuff together. Over the past few days, several of my respected colleagues have written excellent blog posts essentially asking “Does Google Health have life?” Scott Shreeve — CLEAR! Shocking Google Health Back to Life John Moore — Is Google Health Irrelevant? Will Crawford — Future of Google Health I share their observations and sentiments.  I see Microsoft HealthVault as a serious business strategy while Google Health is more like a hobby (one of probably hundreds at Google). Are there reasons Google should stick around healthcare? Absolutely!  Off the top of my head, I can think of five: Google brings unique competencies to health care information seeking. Google Health is doing a good job on a sho... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2681989 Fri, 07 Aug 2009 22:36:01 +0100 2681989 http://www.medworm.com/index.php?rid=2664008&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F9FbayybjEJQ%2F                 Economists call it “The Penguin Problem”  — No one moves unless everyone moves, so no one moves.  The role of user expectations is crucial in getting penguins to move off of ice floes and in the successful adoption of new network technologies.  I’ll cover two main points in today’s essay: How “The Penguin Problem” Helps Explain Low EHR (electronic health record) Adoption To-Date How Recent Federal Actions Are Setting Higher Expectations for EHR Adoption The Penguin Problem and Low EHR Adoption To-Date While not the only factor, the role of user expectations is a crucial element in explaining the adoption of new network technologies. Harvard Business School Professor Tom Eisenmann explains: (more…) Tags: business model, care management... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2664008 Sun, 02 Aug 2009 23:37:24 +0100 2664008 http://www.medworm.com/index.php?rid=2639627&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FL62uVsfWwlE%2F A subtle but profound shift is occurring in the world of RHIOs/HIEs (Regional Health Information Organizations/Health Information Exchanges). …and the title of the eHealth Initiative’s Sixth Annual Survey of Health Information Exchange says it all: Migrating Toward Meaningful Use What’s happening here? (more…) Article Series - The Dog Manifesto: A Disruptive Innovator's Guide to Health ITWill HITECH Lead to Innovation? The Continuing Cat/Dog DialogueDogged Optimism: Five Innovative Aspects of HITECHFeline Foot-Dragging: Three Non-Innovative Aspects of HITECHWait and See: What’s Unclear or To-Be-Determined (TBD) About HITECH.Can Cats Think Outside the Box? Here’s a Role Model.Stand for Quality Group: “Link HIT Investment to Quality Improvement”EHR 2.0: ... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2639627 Sat, 25 Jul 2009 18:15:48 +0100 2639627 http://www.medworm.com/index.php?rid=2588286&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FeRNIIE2S3y8%2F Blogger Fred Pennic writes a review of the (HIMSS) Healthcare Information and Management Systems Society 2008 Book of the Year Award. The book is entitled Keys to EMR Success: Selecting and Implementing an Electronic Medical Record and is written by Ronald Sterling, CPA, MBA. There is no question,” says Sterling “that the selection and implementation of an EMR is a ‘bet-the-practice’ proposition. If you fail, you end up with more costs and greater frustration.…” (emphasis added) The real question that Joe the Doctor is asking himself is “…’scuse me, but WHY am I being forced to bet-my-practice on an EMR in the first place?  I’m not a gambler.” The problem here is not in health information technology (HIT) per se, but in conceptualizing EMR 1.0 as... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2588286 Thu, 09 Jul 2009 17:52:51 +0100 2588286 http://www.medworm.com/index.php?rid=2584240&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FaS-839IzEtM%2F   Click on the graphic to download a copy of today’s BrightTALK webcast. (Source: e-CareManagement) e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2584240 Wed, 08 Jul 2009 21:10:21 +0100 2584240 http://www.medworm.com/index.php?rid=2580275&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FNtLe1UNrsro%2F BrightTALK is sponsoring a complimentary series of e-Health Summit webcasts this Wednesday, July 8. Here’s a full listing of the six eHealth Summit topics (Eastern Time).  Click on the links to attend any or all of the webcasts.  The series will be recorded for future on-demand access.  EHR 2.0: Federal HITECH Act Creates Opportunities Beyond EMRs   8 Jul 2009 11:00 am Presenting Vince Kuraitis, Principal Better Health Technologies   Data Convergence in Life Sciences and Healthcare   8 Jul 2009 12:00 pm Presenting Greg Nelson, President and CEO, ThotWave Technologies   Continua Health Alliance – Interoperable Telehealth Solutions    8 Jul 2009 2:00 pm Presenting Rick Cnossen, President & Chairman of Continua Health Alliance   The Future of Disease & Ca... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2580275 Mon, 06 Jul 2009 23:11:45 +0100 2580275 http://www.medworm.com/index.php?rid=2576675&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FNtLe1UNrsro%2F BrightTALK is sponsoring a complimentary series of e-Health Summit webcasts this Wednesday, July 8. Here’s a full listing of the six eHealth Summit topics (Eastern Time).  Click on the links to attend any or all of the webcasts.  The series will be recorded for future on-demand access.  EHR 2.0: Federal HITECH Act Creates Opportunities Beyond EMRs   8 Jul 2009 11:00 am Presenting Vince Kuraitis, Principal Better Health Technologies   Data Convergence in Life Sciences and Healthcare   8 Jul 2009 12:00 pm Presenting Greg Nelson, President and CEO, ThotWave Technologies   Continua Health Alliance – Interoperable Telehealth Solutions    8 Jul 2009 2:00 pm Presenting Rick Cnossen, President & Chairman of Continua Health Alliance   The Future of Disease & Ca... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2576675 Mon, 06 Jul 2009 23:11:45 +0100 2576675 http://www.medworm.com/index.php?rid=2580276&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F0wBiPYi-N2o%2F by Vince Kuraitis JD, MBA and David C. Kibbe MD, MBA The last article in this series — Time for EHRs to Become Plug-and-Play — used words to describe a major industry shift underway in health IT. Sometimes pictures help to make a point. Here are several diagrams that you can also download as PowerPoint slides.  Computer Industry 1983 to 2002     Source: Venkatraman, N. Winning in a Network Centric Era, 2006 Blueprint for Health IT Shift From EMR 1.0 — 2008… …to Clinical Groupware/EHR 2.0 — 2012 (more…) Article Series - The Dog Manifesto: A Disruptive Innovator's Guide to Health ITWill HITECH Lead to Innovation? The Continuing Cat/Dog DialogueDogged Optimism: Five Innovative Aspects of HITECHFeline Foot-Dragging: Three Non-Innovative Aspects of HITECHWait and S... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2580276 Sun, 21 Jun 2009 19:18:11 +0100 2580276 http://www.medworm.com/index.php?rid=2511413&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F0wBiPYi-N2o%2F by Vince Kuraitis JD, MBA and David C. Kibbe MD, MBA The last article in this series — Time for EHRs to Become Plug-and-Play — used words to describe a major industry shift underway in health IT. Sometimes pictures help to make a point. Here are several diagrams that you can also download as PowerPoint slides.  Computer Industry 1983 to 2002     Blueprint for Health IT Shift From EMR 1.0 — 2008… …to Clinical Groupware/EHR 2.0 — 2012 (more…) Article Series - The Dog Manifesto: A Disruptive Innovator's Guide to Health ITWill HITECH Lead to Innovation? The Continuing Cat/Dog DialogueDogged Optimism: Five Innovative Aspects of HITECHFeline Foot-Dragging: Three Non-Innovative Aspects of HITECHWait and See: What’s Unclear or To-Be-Determined (TBD) ... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2511413 Sun, 21 Jun 2009 19:18:11 +0100 2511413 http://www.medworm.com/index.php?rid=2580278&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FRpKJj9t7QIM%2F by David C. Kibbe MD, MBA The remarkable report, “Initial Lessons From the First National Demonstration Project on Practice Transformation to a Patient-Centered Medical Home,” published in the May/June issue of Annals of Family Medicine, the Nutting Report, makes this point about the state of primary care IT offerings: Technology needed in a PCMH is not “plug and play.” The hodge-podge of information technology marketed to primary care practices resembles more a pile of jigsaw pieces than components of an integrated and interoperable system. Surprise!  Well, actually, no surprise.  We all recognize that health IT implementation in family practices, even under the best conditions and with the best of planning, is difficult and can be an ongoing challenge.    Wha... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2580278 Thu, 21 May 2009 23:36:19 +0100 2580278 http://www.medworm.com/index.php?rid=2441878&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FRpKJj9t7QIM%2F by David C. Kibbe MD, MBA The remarkable report, “Initial Lessons From the First National Demonstration Project on Practice Transformation to a Patient-Centered Medical Home,” published in the May/June issue of Annals of Family Medicine, the Nutting Report, makes this point about the state of primary care IT offerings: Technology needed in a PCMH is not “plug and play.” The hodge-podge of information technology marketed to primary care practices resembles more a pile of jigsaw pieces than components of an integrated and interoperable system. Surprise!  Well, actually, no surprise.  We all recognize that health IT implementation in family practices, even under the best conditions and with the best of planning, is difficult and can be an ongoing challenge.    Wha... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2441878 Thu, 21 May 2009 23:36:19 +0100 2441878 http://www.medworm.com/index.php?rid=2580280&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F4_ElO4lpZR0%2F             The forthcoming definition of the “meaningful use” of health information technology will set the direction of the Obama administration’s strategy for health IT adoption, said David Blumenthal, the new national coordinator for health IT. Government HealthIT, April 28, 2009 …but not everyone sees eye-to-eye on the definitions of “meaningful use” and “certification”.  [See the first post in this series for a refresher on the dog (disruptive innovator) and cat (incumbent EHR vendor) points of view.] Markle Foundation –  Best Articulation of the Dog (Disruptive Innovator) POV  Achieving the Health IT Objectives of the American Recovery and Reinvestment Act A Framework for ‘Meaningful Use’ and ‘Certified or Qualified’ EHR Markle Foundation; Apri... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2580280 Thu, 30 Apr 2009 23:34:18 +0100 2580280 http://www.medworm.com/index.php?rid=2380914&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F4_ElO4lpZR0%2F             The forthcoming definition of the “meaningful use” of health information technology will set the direction of the Obama administration’s strategy for health IT adoption, said David Blumenthal, the new national coordinator for health IT. Government HealthIT, April 28, 2009 …but not everyone sees eye-to-eye on the definitions of “meaningful use” and “certification”. (See the first post in this series for a refresher on the dog (disruptive innovator) and cat (incumbent EHR vendor) points of view.) Markle Foundation –  Best Articulation of the Dog (Disruptive Innovator) POV  Achieving the Health IT Objectives of the American Recovery and Reinvestment Act A Framework for ‘Meaningful Use’ and ‘Certified or Qualified’ EHR Markle Foundation; April 3... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2380914 Thu, 30 Apr 2009 23:34:18 +0100 2380914 http://www.medworm.com/index.php?rid=2365195&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F7gtTQvi2XCg%2F What’s stunning about this deal is who its NOT with.  The AMA chose NOT to partner with any of the incumbent electronic medical record (EMR) companies, e.g., Allscripts, GE, Epic, NextGen, or many others. For those of you who have not seen earlier posts in this series, please understand that the reference to “goes to the dogs” is a great compliment. In a joint press release, the American Medical Association and Covisint unveiled an agreement yesterday: Compuware Corporation (NASDAQ: CPWR) announced today that its Covisint subsidiary signed an agreement with the American Medical Association (AMA) to deploy an innovative health information exchange solution delivering value to its 240,000 member physicians and the physician population at large…. Covisint will enable AMA physicia... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2365195 Thu, 23 Apr 2009 21:42:57 +0100 2365195 http://www.medworm.com/index.php?rid=2580281&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F7gtTQvi2XCg%2F What’s stunning about this deal is who its NOT with.  The AMA chose NOT to partner with any of the incumbent electronic medical record (EMR) companies, e.g., Allscripts, GE, Epic, NextGen, or many others. For those of you who have not seen earlier posts in this series, please understand that the reference to “goes to the dogs” is a great compliment. In a joint press release, the American Medical Association and Covisint unveiled an agreement yesterday: Compuware Corporation (NASDAQ: CPWR) announced today that its Covisint subsidiary signed an agreement with the American Medical Association (AMA) to deploy an innovative health information exchange solution delivering value to its 240,000 member physicians and the physician population at large…. Covisint will enable AMA physicia... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2580281 Thu, 23 Apr 2009 21:21:43 +0100 2580281 http://www.medworm.com/index.php?rid=2353915&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FaqtcvTfhArI%2F #2 in a series — Modifications to HIPAA Privacy Laws: Impact on Microsoft HealthVault, Google Health, and other PHRs.  by Deven McGraw JD, MPH, Center for Democracy & Technology Introduction There has been considerable discussion lately about whether or not the stimulus legislation (ARRA) extends HIPAA coverage to commercial vendors of personal health records (PHRs) any time they contract with entities already covered by HIPAA like hospitals, health plans or physicians groups.  (For those of you who don’t know, HIPAA is the Health Insurance Portability and Accountability Act of 1996.  The HIPAA privacy and security regulations form our national health privacy and security rules.) The provision in question (Section 13408) states that “each vendor that contracts w... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2353915 Tue, 21 Apr 2009 15:56:34 +0100 2353915 http://www.medworm.com/index.php?rid=2580282&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FaqtcvTfhArI%2F #2 in a series — Modifications to HIPAA Privacy Laws: Impact on Microsoft HealthVault, Google Health, and other PHRs.  by Deven McGraw JD, MPH, Center for Democracy & Technology Introduction There has been considerable discussion lately about whether or not the stimulus legislation (ARRA) extends HIPAA coverage to commercial vendors of personal health records (PHRs) any time they contract with entities already covered by HIPAA like hospitals, health plans or physicians groups.  (For those of you who don’t know, HIPAA is the Health Insurance Portability and Accountability Act of 1996.  The HIPAA privacy and security regulations form our national health privacy and security rules.) The provision in question (Section 13408) states that “each vendor that contracts w... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2580282 Tue, 21 Apr 2009 15:55:03 +0100 2580282 http://www.medworm.com/index.php?rid=2348766&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FjvLnxdH1sw4%2F Today’s post is the first in a series entitled: Modifications to HIPAA Privacy Laws: Impact on Microsoft HealthVault, Google Health, and other PHRs.  We’ll explore how recent changes in privacy provisions of  ARRA/HITECH Federal stimulus legislation affect personal health information (PHI) platform companies (e.g., HealthVault, Google Health,  Dossia) and personal health record (PHR) companies. Health IT expert and journalist Neil Versel described the issue in the April 7 issue of BNET Healthcare: Although Google and Microsoft have gotten plenty of attention for their Web-based personal health records, both companies have long maintained that they’re not bound by the privacy protections of a 1996 federal law known as HIPAA. And despite a recent HIPAA change — one intend... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2348766 Tue, 21 Apr 2009 00:45:52 +0100 2348766 http://www.medworm.com/index.php?rid=2580283&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FjvLnxdH1sw4%2F Today’s post is the first in a series entitled: Modifications to HIPAA Privacy Laws: Impact on Microsoft HealthVault, Google Health, and other PHRs.  We’ll explore how recent changes in privacy provisions of  ARRA/HITECH Federal stimulus legislation affect personal health information (PHI) platform companies (e.g., HealthVault, Google Health,  Dossia) and personal health record (PHR) companies. Health IT expert and journalist Neil Versel described the issue in the April 7 issue of BNET Healthcare: Although Google and Microsoft have gotten plenty of attention for their Web-based personal health records, both companies have long maintained that they’re not bound by the privacy protections of a 1996 federal law known as HIPAA. And despite a recent HIPAA change — one intend... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2580283 Mon, 20 Apr 2009 22:11:50 +0100 2580283 http://www.medworm.com/index.php?rid=2314636&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FtjL9XrI90NE%2F This report…(is)  also an attempt to inject a dose of reality into the discussion of interoperability – from practical expectations for the near term and future years to the challenges of developing software architecture and implementation guides that can execute new interoperability criteria uniformly and successfully. 2) New York Presbyterian/Microsoft: We’re Creating Patient Data Liquidity Today! New York-Presbyterian Hospital Pioneers New Personal Health Record, Press Release; April 6, 2009 Patients can reference their actual, up-to-date health records, which are organized and stored through Microsoft’s Amalga and HealthVault technologies and stored by the patient in a personal account following visits to their hospital, doctors and health care providers. Here are more de... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2314636 Tue, 07 Apr 2009 00:41:01 +0100 2314636 http://www.medworm.com/index.php?rid=2580284&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FtjL9XrI90NE%2F This report…(is)  also an attempt to inject a dose of reality into the discussion of interoperability – from practical expectations for the near term and future years to the challenges of developing software architecture and implementation guides that can execute new interoperability criteria uniformly and successfully. 2) New York Presbyterian/Microsoft: We’re Creating Patient Data Liquidity Today! New York-Presbyterian Hospital Pioneers New Personal Health Record, Press Release; April 6, 2009 Patients can reference their actual, up-to-date health records, which are organized and stored through Microsoft’s Amalga and HealthVault technologies and stored by the patient in a personal account following visits to their hospital, doctors and health care providers. (more…) (Sou... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2580284 Mon, 06 Apr 2009 23:41:13 +0100 2580284 http://www.medworm.com/index.php?rid=2314637&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2Fj_Ez0iUXmYE%2F One of the potential dangers of limiting $17 B HITECH federal stimulus funds to electronic health records (EHRs) is the risk of locking-in outdated technologies. Let’s consider what this might mean. If you think of today’s EHR technology as EHR 1.0, what might EHR 2.0 look like? This post presents a number of innovative ways to conceptualize EHR 2.0: EHR as Platform + Applications EHR as Clinical Groupware EHR Integrated with PHR EHR as Software-as-a-Service (SaaS) EHR as a “Publish-Discover” Search Engine EHR + Disease Management Services = Care Coordination DRT-Enabled EHR My point here is not to provide an exhausting listing of what’s possible, but simply to get you to begin to think about what’s outside the existing EHR box. These concepts are not mutually exclusive a... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2314637 Sun, 05 Apr 2009 22:18:45 +0100 2314637 http://www.medworm.com/index.php?rid=2580285&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2Fj_Ez0iUXmYE%2F One of the potential dangers of limiting $17 B HITECH federal stimulus funds to electronic health records (EHRs) is the risk of locking-in outdated technologies. Let’s consider what this might mean. If you think of today’s EHR technology as EHR 1.0, what might EHR 2.0 look like? This post presents a number of innovative ways to conceptualize EHR 2.0: EHR as Platform + Applications EHR as Clinical Groupware EHR Integrated with PHR EHR as Software-as-a-Service (SaaS) EHR as a “Publish-Discover” Search Engine EHR + Disease Management Services = Care Coordination DRT-Enabled EHR My point here is not to provide an exhausting listing of what’s possible, but simply to get you to begin to think about what’s outside the existing EHR box. These concepts are not mutually exclusive a... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2580285 Sun, 05 Apr 2009 19:51:24 +0100 2580285 http://www.medworm.com/index.php?rid=2580286&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FIsmhji_JbC0%2F On March 24, Stand for Quality — a new group representing 165 diverse health care organizations — called for a new era of quality in health care. Their white paper is titled Building a Foundation for High Quality, Affordable Health Care: Linking Performance Measurement to Health Reform . The perspectives of Stand for Quality are a remarkable break from the past and have significant implications for future investment in health information technology. The Stand for Quality document unequivocally supports the dog  (disruptive innovator) POV — that providers should be paid for improvements in quality and outcomes. It rejects the cat (incumbent EHR vendors and supporters) POV — that providers should be reimbursed for simply acquiring health IT , with the expectation that quality ... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2580286 Mon, 30 Mar 2009 07:05:58 +0100 2580286 http://www.medworm.com/index.php?rid=2314638&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FIsmhji_JbC0%2F On March 24, Stand for Quality — a new group representing 165 diverse health care organizations — called for a new era of quality in health care. Their white paper is titled Building a Foundation for High Quality, Affordable Health Care: Linking Performance Measurement to Health Reform . The perspectives of Stand for Quality are a remarkable break from the past and have significant implications for future investment in health information technology. The Stand for Quality document unequivocally supports the dog  (disruptive innovator) POV — that providers should be paid for improvements in quality and outcomes. It rejects the cat (incumbent EHR vendors and supporters) POV — that providers should be reimbursed for simply acquiring health IT , with the expectation that quality ... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2314638 Mon, 30 Mar 2009 07:05:58 +0100 2314638 http://www.medworm.com/index.php?rid=2580287&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FhcPD8UrQ9Jw%2F Even though I am a self-admitted dog person, Hoover is my buddy. Hoover got a new shoebox as a Christmas present.  While most cats are very tied to their existing surroundings and don’t like things to change, Hoover is not your average cat. The following photos were taken over about a two week period. Hoover hopes you enjoy them! (more…) Article Series - The Dog Manifesto: A Disruptive Innovator's Guide to Health ITWill HITECH Lead to Innovation? The Continuing Cat/Dog DialogueDogged Optimism: Five Innovative Aspects of HITECHFeline Foot-Dragging: Three Non-Innovative Aspects of HITECHWait and See: What’s Unclear or To-Be-Determined (TBD) About HITECH.Can Cats Think Outside the Box? Here’s a Role Model.Stand for Quality Group: “Link HIT Investment to Quality Imp... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2580287 Sat, 28 Mar 2009 22:24:28 +0100 2580287 http://www.medworm.com/index.php?rid=2314639&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FhcPD8UrQ9Jw%2F Even though I am a self-admitted dog person, Hoover is my buddy. Hoover got a new shoebox as a Christmas present.  While most cats are very tied to their existing surroundings and don’t like things to change, Hoover is not your average cat. The following photos were taken over about a two week period. Hoover hopes you enjoy them! (more…) Article Series - The Dog Manifesto: A Disruptive Innovator's Guide to Health ITWill HITECH Lead to Innovation? The Continuing Cat/Dog DialogueDogged Optimism: Five Innovative Aspects of HITECHFeline Foot-Dragging: Three Non-Innovative Aspects of HITECHWait and See: What’s Unclear or To-Be-Determined (TBD) About HITECH.Can Cats Think Outside the Box? Here’s a Role Model.Stand for Quality Group: “Link HIT ... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2314639 Sat, 28 Mar 2009 22:24:28 +0100 2314639 http://www.medworm.com/index.php?rid=2580288&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2Fo1yx5yJT8jI%2F Sometimes laws are passed and the statute itself represents 95% of the work — there aren’t many details to figure out or loose ends to tidy up. That isn’t the case with HITECH. The HITECH statute is just the beginning. Whether you’re a cat or a dog, you’ll have hopes and fears about aspects of HITECH that are unclear or yet to-be-determined (TBD). These include: (more…) Article Series - The Dog Manifesto: A Disruptive Innovator's Guide to Health ITWill HITECH Lead to Innovation? The Continuing Cat/Dog DialogueDogged Optimism: Five Innovative Aspects of HITECHFeline Foot-Dragging: Three Non-Innovative Aspects of HITECHWait and See: What’s Unclear or To-Be-Determined (TBD) About HITECH.Can Cats Think Outside the Box? Here’s a Role Model.Stand for Quality G... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2580288 Fri, 27 Mar 2009 16:09:06 +0100 2580288 http://www.medworm.com/index.php?rid=2314640&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2Fo1yx5yJT8jI%2F Sometimes laws are passed and the statute itself represents 95% of the work — there aren’t many details to figure out or loose ends to tidy up. That isn’t the case with HITECH. The HITECH statute is just the beginning. Whether you’re a cat or a dog, you’ll have hopes and fears about aspects of HITECH that are unclear or yet to-be-determined (TBD). These include: (more…) Article Series - The Dog Manifesto: A Disruptive Innovator's Guide to Health ITWill HITECH Lead to Innovation? The Continuing Cat/Dog DialogueDogged Optimism: Five Innovative Aspects of HITECHFeline Foot-Dragging: Three Non-Innovative Aspects of HITECHWait and See: What’s Unclear or To-Be-Determined (TBD) About HITECH.Can Cats Think Outside the Box? Here’s a Role ... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2314640 Fri, 27 Mar 2009 16:09:06 +0100 2314640 http://www.medworm.com/index.php?rid=2288960&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FyF5HCw4UkO0%2F What do cats (incumbent EHR vendors and their supporters) have to smile about over HITECH? A lot. …and it’s not very complicated.  HITECH directs $17 B to the cat community, and leaves scraps for the dogs. (As a refresher, the cat POV is that HITECH stimulus funds should simply pay directly for electronic health record (EHR) technology — that providers will figure out how to use the technology to improve quality and outcomes; the dog POV is that HITECH should pay for improved quality and outcomes — change incentives and IT will naturally follow. See the first post in this series for more detailed explanations.) There are three aspects of HITECH that are particularly favorable to cats: (more…) Article Series - The Dog Manifesto: A Disruptive Innovator's Guide to Health ITWil... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2288960 Thu, 26 Mar 2009 00:28:38 +0100 2288960 http://www.medworm.com/index.php?rid=2580289&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FyF5HCw4UkO0%2F What do cats (incumbent EHR vendors and their supporters) have to smile about over HITECH? A lot. …and it’s not very complicated.  HITECH directs $17 B to the cat community, and leaves scraps for the dogs. (As a refresher, the cat POV is that HITECH stimulus funds should simply pay directly for electronic health record (EHR) technology — that providers will figure out how to use the technology to improve quality and outcomes; the dog POV is that HITECH should pay for improved quality and outcomes — change incentives and IT will naturally follow. See the first post in this series for more detailed explanations.) There are three aspects of HITECH that are particularly favorable to cats: (more…) Article Series - The Dog Manifesto: A Disruptive Innovator's Guide to Health ITWil... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2580289 Wed, 25 Mar 2009 23:47:25 +0100 2580289 http://www.medworm.com/index.php?rid=2580291&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FVk_cTwmT93s%2F If you’re a dog (an innovator), what’s there to smile about over HITECH?  Quite a bit. In the first post of this series, I suggested that HITECH favors cats by about 60/40 and noted that the single most cat-like feature of HITECH is providing incentives for physicians and hospitals to acquire and implement EHRs  — but only EHRs. Reader “Mark” commented: “How does this work out to 60/40? Looks to me like 100% cats.” Let’s look a bit deeper to see how HITECH creates opportunities for disruptive innovation . (As a refresher, the cat POV is that HITECH stimulus funds should simply pay directly for EHR technology — that providers will figure out how to use the technology to improve quality and outcomes; the dog POV is that HITECH should pay for improved quality and outcome... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2580291 Mon, 23 Mar 2009 15:09:39 +0100 2580291 http://www.medworm.com/index.php?rid=2288962&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FVk_cTwmT93s%2F If you’re a dog (an innovator), what’s there to smile about over HITECH?  Quite a bit. In the first post of this series, I suggested that HITECH favors cats by about 60/40 and noted that the single most cat-like feature of HITECH is providing incentives for physicians and hospitals to acquire and implement EHRs  — but only EHRs. Reader “Mark” commented: “How does this work out to 60/40? Looks to me like 100% cats.” Let’s look a bit deeper to see how HITECH creates opportunities for disruptive innovation . (As a refresher, the cat POV is that HITECH stimulus funds should simply pay directly for EHR technology — that providers will figure out how to use the technology to improve quality and outcomes; the dog POV is that HITECH should pay for improved quality and outcome... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2288962 Mon, 23 Mar 2009 15:09:39 +0100 2288962 http://www.medworm.com/index.php?rid=2272523&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FwK_vcfB-VBM%2F Will the recently passed HITECH legislation — the federal stimulus funding for health IT — encourage innovation?  or will it lock in outdated electronic health record (EHR) technology? It’s a mixed bag — HITECH legislation  is both dog-like (innovative) and catlike (protecting incumbents).  I’ll refresh your memory below on more specific definitions of cats and dogs. Among many other reasons, HITECH is dog-like primarily because it has ended the question of WHETHER the U.S. is really serious about health IT reform.  HITECH spells out clear policy goals working toward interoperable health IT and dedicates an initial $19B in federal stimulus funds to begin the work. HITECH begins to create an environment for innovation in health care reform. There are many open questions a... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2272523 Tue, 17 Mar 2009 22:57:45 +0100 2272523 http://www.medworm.com/index.php?rid=2580292&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FwK_vcfB-VBM%2F Will the recently passed HITECH legislation — the federal stimulus funding for health IT — encourage innovation?  or will it lock in outdated electronic health record (EHR) technology? It’s a mixed bag — HITECH legislation  is both dog-like (innovative) and catlike (protecting incumbents).  I’ll refresh your memory below on more specific definitions of cats and dogs. Among many other reasons, HITECH is dog-like primarily because it has ended the question of WHETHER the U.S. is really serious about health IT reform.  HITECH spells out clear policy goals working toward interoperable health IT and dedicates an initial $19B in federal stimulus funds to begin the work. HITECH begins to create an environment for innovation in health care reform. There are many open questions a... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2580292 Tue, 17 Mar 2009 22:11:33 +0100 2580292 http://www.medworm.com/index.php?rid=2272511&cid=t_126816_113_f&fid=38236&url=http%3A%2F%2Fwww.healthcareitnews.com%2Fblog%2Ftimeline-arra-technology-provisions The American Recovery and Reinvestment Act includes numerous deadlines and milestones for technology. I thought it would be useful to provide a timeline for the work ahead: Upon enactment (February 16, 2009) *Additional funding to government agencies to enhance adoption of healthcare information exchange (Section 3011) (Source: Healthcare IT News Blog) Healthcare IT News Blog blogs http://www.medworm.com/rss/comments.php?id=2272511 Mon, 16 Mar 2009 15:30:02 +0100 2272511 http://www.medworm.com/index.php?rid=2580296&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FuB_rESw-8VU%2F About a year ago, we read about about Dorothy Tillman’s heroic efforts to get a copy of her aunt’s  medical records. Here’s a recap:  On a Saturday evening Dorothy took her 86 year old aunt to a hospital in Montgomery, Alabama. Frustrated after an overnight stay in the ER which she said yielded “little treatment”, she requested a copy of her aunt’s medical records before leaving. When she was told that it was hospital policy to request records “in writing”, Dorothy escalated her requests for the records. Refusing to leave without the records, she was brought to the floor by security guards and arrested on charges of  criminal trespassing. The Chicago Tribune reports that Dorothy has been VINDICATED! (more…) Article Series - We want our medical records! NOW!&... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2580296 Mon, 02 Mar 2009 13:30:40 +0100 2580296 http://www.medworm.com/index.php?rid=2233659&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FuB_rESw-8VU%2F About a year ago, we read about about Dorothy Tillman’s heroic efforts to get a copy of her aunt’s  medical records. Here’s a recap:  On a Saturday evening Dorothy took her 86 year old aunt to a hospital in Montgomery, Alabama. Frustrated after an overnight stay in the ER which she said yielded “little treatment”, she requested a copy of her aunt’s medical records before leaving. When she was told that it was hospital policy to request records “in writing”, Dorothy escalated her requests for the records. Refusing to leave without the records, she was brought to the floor by security guards and arrested on charges of  criminal trespassing. The Chicago Tribune reports that Dorothy has been VINDICATED! (more…) Article Series - We want our medical records! NOW!&... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2233659 Mon, 02 Mar 2009 13:30:40 +0100 2233659 http://www.medworm.com/index.php?rid=2239786&cid=t_126816_86_f&fid=34464&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FDavidrothmannet%2F%7E3%2FJBIZYUGgf3k%2F I’m not sure what to make of WebPax.com…but at first glance, it seems really cool to have a Web-based service for viewing images in DICOM format. I know at least a couple of physicians who will want to try it out right away for sharing the occasional scan with a colleague from a distance. I *do* like that DICOM files are anonymized as they are uploaded. DICOM tags are cleared and… • The year and month are not modified • The day is set to the first of the month • The time is set to midnight The patient’s birth date is set to January 1, 1970 I’ll say this much: If I kept a digital personal health record in an online service, I’d want to be able to view DICOMs in it with this kind of tool. Google needs to buy these guys or build a comparable tool... davidrothman.net blogs http://www.medworm.com/rss/comments.php?id=2239786 Wed, 11 Feb 2009 05:29:29 +0100 2239786 http://www.medworm.com/index.php?rid=2169882&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F535063174%2F by David C. Kibbe MD, MBA What would you call health care software that: Is Web-based and networkable, therefore highly scalable and inexpensive to purchase and use; Provides a ‘unified view’ of a patient from multiple sources of data and information; Is designed to be used interactively - by providers and patients alike - to coordinate care and create continuity; Offers evidence-based guidance and coaching, personalized by access to a person’s health data as it changes; Collects, for analysis and reporting, quality and performance measures as the routine by-product of its normal daily use; Aims to provide patients and their providers with a collaborative workflow platform for decision support; and Creates a care plan for each individual and then monitors the progress of... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2169882 Sun, 08 Feb 2009 19:47:10 +0100 2169882 http://www.medworm.com/index.php?rid=2580299&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FLYsKy0KdwLI%2F by David C. Kibbe MD, MBA What would you call health care software that: Is Web-based and networkable, therefore highly scalable and inexpensive to purchase and use; Provides a ‘unified view’ of a patient from multiple sources of data and information; Is designed to be used interactively – by providers and patients alike – to coordinate care and create continuity; Offers evidence-based guidance and coaching, personalized by access to a person’s health data as it changes; Collects, for analysis and reporting, quality and performance measures as the routine by-product of its normal daily use; Aims to provide patients and their providers with a collaborative workflow platform for decision support; and Creates a care plan for each individual and then monitors the... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2580299 Sun, 08 Feb 2009 19:42:05 +0100 2580299 http://www.medworm.com/index.php?rid=2511415&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FLYsKy0KdwLI%2F by David C. Kibbe MD, MBA What would you call health care software that: Is Web-based and networkable, therefore highly scalable and inexpensive to purchase and use; Provides a ‘unified view’ of a patient from multiple sources of data and information; Is designed to be used interactively – by providers and patients alike – to coordinate care and create continuity; Offers evidence-based guidance and coaching, personalized by access to a person’s health data as it changes; Collects, for analysis and reporting, quality and performance measures as the routine by-product of its normal daily use; Aims to provide patients and their providers with a collaborative workflow platform for decision support; and Creates a care plan for each individual and then monitors the... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2511415 Sun, 08 Feb 2009 19:42:05 +0100 2511415 http://www.medworm.com/index.php?rid=2132566&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F523128657%2F “Where’s the single best place to get up to speed on how the Feds should  spend $20 billion to advance health information technology (HIT)?” A colleague asked me this question a couple of days ago, and at first I hesitated.  Then it struck me — Matthew Holt’s The Health Care Blog has become the focal point for discussion of this critical topic. Matthew’s very recent article — Cats & dogs: Can we find unity on health care IT change? — summarizes the two schools of thought that have emerged over the past two months. His article is important and notable for a number of reasons: He crystallizes the two emerging schools of thought — the dog vs. cat POV (see below) He summarizes and links to many other key writings on the HIT spending topic He suggests that the dog ... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2132566 Mon, 26 Jan 2009 04:40:24 +0100 2132566 http://www.medworm.com/index.php?rid=2580300&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FsMjkQZXzDXw%2F “Where’s the single best place to get up to speed on how the Feds should  spend $20 billion to advance health information technology (HIT)?” A colleague asked me this question a couple of days ago, and at first I hesitated.  Then it struck me — Matthew Holt’s The Health Care Blog has become the focal point for discussion of this critical topic. Matthew’s very recent article — Cats & dogs: Can we find unity on health care IT change? — summarizes the two schools of thought that have emerged over the past two months. His article is important and notable for a number of reasons: He crystallizes the two emerging schools of thought — the dog vs. cat POV (see below) He summarizes and links to many other key writings on the HIT spending topic He suggests that the dog ... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2580300 Mon, 26 Jan 2009 04:18:28 +0100 2580300 http://www.medworm.com/index.php?rid=2511416&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FsMjkQZXzDXw%2F “Where’s the single best place to get up to speed on how the Feds should  spend $20 billion to advance health information technology (HIT)?” A colleague asked me this question a couple of days ago, and at first I hesitated.  Then it struck me — Matthew Holt’s The Health Care Blog has become the focal point for discussion of this critical topic. Matthew’s very recent article — Cats & dogs: Can we find unity on health care IT change? — summarizes the two schools of thought that have emerged over the past two months. His article is important and notable for a number of reasons: He crystallizes the two emerging schools of thought — the dog vs. cat POV (see below) He summarizes and links to many other key writings on the HIT spending topic He suggests that the dog ... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2511416 Mon, 26 Jan 2009 04:18:28 +0100 2511416 http://www.medworm.com/index.php?rid=2053043&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F487950301%2F Conclusion: The Leavitt Framework Creates Bad Public Policy (more…) (Source: e-CareManagement) e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2053043 Wed, 17 Dec 2008 20:16:10 +0100 2053043 http://www.medworm.com/index.php?rid=2580310&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FMGYBqGQWs80%2F Conclusion: The Leavitt Framework Creates Bad Public Policy (more…) (Source: e-CareManagement) e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2580310 Wed, 17 Dec 2008 18:53:30 +0100 2580310 http://www.medworm.com/index.php?rid=2511426&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FMGYBqGQWs80%2F Conclusion: The Leavitt Framework Creates Bad Public Policy (more…) (Source: e-CareManagement) e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2511426 Wed, 17 Dec 2008 18:53:30 +0100 2511426 http://www.medworm.com/index.php?rid=2035920&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F485253192%2F By David C. Kibbe, MD MBA and Brian Klepper, PhD It seems likely that the Obama administration and Congress will spend a significant amount on health IT by attaching it as a first-order priority to the fiscal stimulus package. We take the President-elect at his word when he recently said: "…we must also ensure that our hospitals are connected to each other through the Internet. That is why the economic recovery plan I’m proposing will help modernize our health care system - and that won’t just save jobs, it will save lives. We will make sure that every doctor’s office and hospital in this country is using cutting edge technology and electronic medical records so that we can cut red tape, prevent medical mistakes, and help save billions of dollars each year.&qu... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2035920 Mon, 15 Dec 2008 06:35:07 +0100 2035920 http://www.medworm.com/index.php?rid=2580312&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FWz4haIHJBPA%2F By David C. Kibbe, MD MBA and Brian Klepper, PhD It seems likely that the Obama administration and Congress will spend a significant amount on health IT by attaching it as a first-order priority to the fiscal stimulus package. We take the President-elect at his word when he recently said: "…we must also ensure that our hospitals are connected to each other through the Internet. That is why the economic recovery plan I’m proposing will help modernize our health care system – and that won’t just save jobs, it will save lives. We will make sure that every doctor’s office and hospital in this country is using cutting edge technology and electronic medical records so that we can cut red tape, prevent medical mistakes, and help save billions of dollars each ye... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2580312 Mon, 15 Dec 2008 05:00:44 +0100 2580312 http://www.medworm.com/index.php?rid=2511428&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FWz4haIHJBPA%2F By David C. Kibbe, MD MBA and Brian Klepper, PhD It seems likely that the Obama administration and Congress will spend a significant amount on health IT by attaching it as a first-order priority to the fiscal stimulus package. We take the President-elect at his word when he recently said: "…we must also ensure that our hospitals are connected to each other through the Internet. That is why the economic recovery plan I’m proposing will help modernize our health care system – and that won’t just save jobs, it will save lives. We will make sure that every doctor’s office and hospital in this country is using cutting edge technology and electronic medical records so that we can cut red tape, prevent medical mistakes, and help save billions of dollars each ye... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2511428 Mon, 15 Dec 2008 05:00:44 +0100 2511428 http://www.medworm.com/index.php?rid=1907826&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F431214663%2F The federal government sponsored Certification Commission for Healthcare Information Technology (CCHIT ) is undertaking a certification process for personal health records (PHRs) . The CCHIT PHR Work Group has invited public comment on the First Draft of the PHR Certification Criteria . The current draft of the PHR Certification Criteria specifies use of the HL7 Continuity of Care Document (CCD) as the only endorsed standard for interoperable exchange of information to and from PHRs.  This is extremely short-sighted. I wrote a comment to the PHR Work Group explaining why it’s important to adopt BOTH the HL7 CCD and the ASTM Continuity of Care Record (CCR) .  I suspect most professionals commenting on these criteria will be looking through the lenses of health information technology, ... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=1907826 Sat, 25 Oct 2008 00:35:20 +0100 1907826 http://www.medworm.com/index.php?rid=2580320&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2Fd6dfiUxpNck%2F The federal government sponsored Certification Commission for Healthcare Information Technology (CCHIT ) is undertaking a certification process for personal health records (PHRs) . The CCHIT PHR Work Group has invited public comment on the First Draft of the PHR Certification Criteria . The current draft of the PHR Certification Criteria specifies use of the HL7 Continuity of Care Document (CCD) as the only endorsed standard for interoperable exchange of information to and from PHRs.  This is extremely short-sighted. I wrote a comment to the PHR Work Group explaining why it’s important to adopt BOTH the HL7 CCD and the ASTM Continuity of Care Record (CCR) .  I suspect most professionals commenting on these criteria will be looking through the lenses of health information technology, ... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2580320 Fri, 24 Oct 2008 23:23:46 +0100 2580320 http://www.medworm.com/index.php?rid=2511436&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2Fd6dfiUxpNck%2F The federal government sponsored Certification Commission for Healthcare Information Technology (CCHIT ) is undertaking a certification process for personal health records (PHRs) . The CCHIT PHR Work Group has invited public comment on the First Draft of the PHR Certification Criteria . The current draft of the PHR Certification Criteria specifies use of the HL7 Continuity of Care Document (CCD) as the only endorsed standard for interoperable exchange of information to and from PHRs.  This is extremely short-sighted. I wrote a comment to the PHR Work Group explaining why it’s important to adopt BOTH the HL7 CCD and the ASTM Continuity of Care Record (CCR) .  I suspect most professionals commenting on these criteria will be looking through the lenses of health information technology, ... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2511436 Fri, 24 Oct 2008 23:23:46 +0100 2511436 http://www.medworm.com/index.php?rid=1863438&cid=t_126816_118_f&fid=36984&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FHealthManagementRx%2F%7E3%2F415264583%2Fbreaking-news-congress-wants-to-create.html Clue - it ain't patients. Google. Microsoft. I hope someone in your healthcare organizations reads this brief. Look especially to the latter 1/3rd.Browsing Twitter this afternoon, I learned about a House bill draft (HR ____) nicknamed "Health e-Information Technology Act of 2008" from @jesran.It has not yet been assigned a number, but the draft copy is available here. It looks to be in pre-committee.Sponsors: Mr. STARK (for himself, Ms. SCHWARTZ, Mr. MCDERMOTT, Mr. MCNULTY, Mr. LEVIN, Mr. EMANUEL, Mr. NEAL of Massachusetts, Mr. PASCRELL, and Mr. LEWIS of Georgia).IF YOU ARE IN HEALTHCARE, THIS BILL IS THE MOST IMPORTANT THING YOU MAY READ THIS YEAR.Why is the bill important? Take a look:It defines an EHR, and places control of an EHR strictly and SOLELY in the hands of providers and staff ... Health Management Rx blogs http://www.medworm.com/rss/comments.php?id=1863438 Wed, 08 Oct 2008 21:17:00 +0100 1863438 http://www.medworm.com/index.php?rid=1806456&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F396692800%2F Personal health records (PHRs) are evolving toward becoming Personal Health Record Systems (PHRSs). …that’s my key takeaway from attending the Robert Wood Johnson Foundation (RWJF) Project Health Design (PHD) conference in Washington D.C. on September 17. The conference was entitled  A ‘Report Out’ from Project HealthDesign and Forum on Next-Generation PHRs . A PHD Fact Sheet capsulizes the evolution from PHRs to PHRSs: (...)Read the rest of From PHRs to PHRSs (482 words) © | Permalink | No comment | Want more on these topics ? Browse the archive of posts filed under DM Megatrend #6: Technology, EHRs/PHRs. (Source: e-CareManagement) e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=1806456 Fri, 19 Sep 2008 00:09:50 +0100 1806456 http://www.medworm.com/index.php?rid=1546873&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F320108332%2F By Vince Kuraitis and David C. Kibbe, MD, MBA Once upon a time, there was a little girl named Goldilocks. Like most Americans, Goldilocks had concerns about achieving just the right amount of data liquidity for her personal health information (PHI). Until today Goldilocks felt between a rock and a hard place: "I want my PHI to be appropriately liquid — just the right viscosity. My PHI should be viscous enough to flow to my trusted health care providers to use to improve my health and health care. “Today my PHI is frozen and inaccessible — it’s too cold. “But I’m worried about the other extreme — the risks of using a personal health record (PHR). The privacy/security advocates tell me that I should be concerned about my PHI being too hot — like ... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=1546873 Thu, 26 Jun 2008 00:28:20 +0100 1546873 http://www.medworm.com/index.php?rid=1510065&cid=t_126816_118_f&fid=36984&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FHealthManagementRx%2F%7E3%2F309724681%2Fgood-newsbad-news-cchit-to-certify-phrs.html CCHIT To Certify PHRsGood News: The government is paying attention to PHRs. Personal health records will make an increasingly vital contribution to developing "value-based care" (Mark Leavitt's terminology, not mine, although I like it...).PHR recognition is an important step to developing a more participatory model of consumer-centric care.Perhaps docs will be paid to help patients develop PHRs; perhaps docs will be paid to interact with PHRs via billable hours for CMS (currently getting paid to use/implement EHR pilot program just getting underway; DC/MD is one of four 'locations' in Phase I of the pilot).It's encouraging to see Google, Microsoft, and Wal-Mart reps on the task force roster.They're currently looking for a "patient representative" to join the working group (e-patients PLEA... Health Management Rx blogs http://www.medworm.com/rss/comments.php?id=1510065 Wed, 11 Jun 2008 15:40:00 +0100 1510065 http://www.medworm.com/index.php?rid=1451936&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F293236048%2F This third and final post in the series addresses questions about the future of the Patient Centered Medical Home (PCHM): What’s problematic about using the RUC methodology with the PCMH? What’s the optimal level for a PCMH care management fee? Should primary care leaders pull the RUC out? How?  What’s Problematic About Using the RUC Methodology with the PCMH? There are at least two reasons for not having the RUC methodology seen anywhere in the same county country as the PCMH. First, the RUC methodology doesn’t account for technology and services needed for optimal care management. Second, the RUC methodology is conceptually flawed. 1) The RUC methodology doesn’t account for technology and services needed for optimal care management. Here’s what the RUC recommended meth... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=1451936 Mon, 19 May 2008 04:49:20 +0100 1451936 http://www.medworm.com/index.php?rid=1439973&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F289763443%2F This report has stirred cries of confusion and outrage. I’ll elaborate on these cries in the second posting of this series, but if you can’t wait, read here, here, here, here, here, here, here, and here. Welcome to a series of three blog postings discussing the PCMH, care management fees, and the RUC report.  I can’t claim to smooth the uproar, but I hope to frame the issues so that they can be understood and discussed constructively. The series will address numerous questions. This first post: What is the PCMH care management fee? Why is the PCMH care management fee important? Why are people confused? The second post: What is the American Medical Association/Specialty Society RVS Update Committee (RUC) ? What is the RUC’s role in the Medicare Medical Home Demonstration... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=1439973 Tue, 13 May 2008 23:00:48 +0100 1439973 http://www.medworm.com/index.php?rid=1385454&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F273582224%2F David C. Kibbe, MD, MBA and Vince Kuraitis Drs. Mandl and Kohane begin their recent article in NEJM with the statement that “large corporations are seeking an integral and transformative role in the management of health care information,” and then warn that this “will profoundly affect the biomedical research enterprise.”    At issue for the authors is who controls the information about you and me, our health and healthcare data. Without coming right out and saying it directly, they worry that data in the hands of consumers and patients made possible through PCHR service providers like Google and Microsoft could be dangerous to the nation’s health because of  “commercial interests”.   So, they are warning us, too. But, let’s examine the... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=1385454 Sat, 19 Apr 2008 16:10:33 +0100 1385454 http://www.medworm.com/index.php?rid=1363831&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F267932530%2F Writing in ZDNet, Mary Jo Foley ponders the question of whether it might make sense for Microsoft to link HealthVault (HV) and Amalga. I’ll take this a step further and ask “Could a linkage between HealthVault and Amalga become a centerpiece of Microsoft’s broader health care strategy?” (more…) Share This Related posts (and # of comments) Birth Announcement: the Personal Health Information Network (PHIN) (1) Connecting the Dots…Google Health Promises to Create AND Dominate Next Generation PHRs (45) A First Comparison of Google Health and MS HealthVault (5) “In God We Trust” is NOT an Option for Your PHR: 5 Responses to the Google Health Trust Issue (6) Microsoft’s HealthVault: User Manual = C-, Strategy to Create a New Eco... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=1363831 Thu, 10 Apr 2008 20:28:37 +0100 1363831 http://www.medworm.com/index.php?rid=1340848&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F262006501%2F Vince Kuraitis and David C. Kibbe, MD MBA Who is the federal  government calling on to breathe life into the Nationwide Health Information Network (NHIN)? Google and Microsoft. In our first article of this series describing the Personal Health Information Network (PHIN), we noted early entrants as Google Health, Microsoft HealthVault, and Dossia.  We also noted that the network could grow rapidly, and that others would want to join or link to the PHIN. With Uncle Sam announcing plans to link to the PHIN, even we are surprised at the speed at which developments are occurring.  Government Executive reports: The federal office in charge of creating a national network of electronic health records plans to integrate the system with the health care databases that Google and Microsoft launche... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=1340848 Tue, 01 Apr 2008 16:19:18 +0100 1340848 http://www.medworm.com/index.php?rid=1322414&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F256844786%2F When using a search engine, should results be customized based on your personal health information (PHI)?  Should your search engine of choice take into account your previous history of medical searches, or even provide results tailored from data about your personal medical history? Two companies — Aetna and Microsoft — have come up with 180 degree different answers. In this post, I will: Describe how Aetna’s and Microsoft’s approaches differ Speculate on why their approaches make strategic sense for the respective companies Explore how technology and expectations about using PHI for search are likely to change over time Aetna’s SmartSource and Microsoft HealthVault  Aetna has adopted a more aggressive strategy of using your PHI to improve search results. Microsoft Healt... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=1322414 Mon, 24 Mar 2008 05:09:29 +0100 1322414 http://www.medworm.com/index.php?rid=1300456&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F250829885%2F Aetna recently made another big announcement relating to their PHR.  While the concept of what they’re doing is very appealing, it strikes me that health plans in general face an uphill battle in getting consumers to adopt and use personal health records (PHRs). I’ll describe 4 factors behind my thinking: Lack of Trust Lack of Access to Clinical Data Lack of Permission Lack of Convenience in Consumer Workflow (more…) Share This Related posts (and # of comments) A First Comparison of Google Health and MS HealthVault (5) Four Misconceptions About HealthVault and the Emerging Personal Health Information Ecosystem (PHI-Ecosystem) (7) Connecting the Dots…Google Health Promises to Create AND Dominate Next Generation PHRs (44) Birth Announcement: th... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=1300456 Thu, 13 Mar 2008 16:53:02 +0100 1300456 http://www.medworm.com/index.php?rid=1289866&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F248521877%2F by Jill Kuraitis  Vince gave me Dorothy’s story to read, and here’s what I said:  GO DOROTHY!   ::::goofy little happy dance:::   Dorothy is my new hero. I love people who are willing to go to the mat for a cause, especially one having to do with the elderly, children, the disabled and less fortunate than we. Since Vince and I have been overwhelmed by the swamp of details of taking care of our family elderly for about, oh, 13 years - my parents, his aunt and uncle, pretty soon his mom -  nobody knows better than us how utterly nonsensical the systems are. Our friends call us “The Geezer Whisperers” and email us for advice dealing with their relatives’ health care paperwork nightmares.  Since Vince has a deep understanding of  how American health care ... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=1289866 Sun, 09 Mar 2008 21:39:18 +0100 1289866 http://www.medworm.com/index.php?rid=1288551&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F247983064%2F Vince Kuraitis and David C. Kibbe, MD MBA  The Internet and digital technologies have transformed many aspects of our lives over the past twenty years.  We can get cash at ATMs all over the world; we can book our own airline reservations; we can shop and get best prices over the Internet. Why hasn’t this happened in health care?  Something is missing. Recently, major global information and communication companies have announced their intention to bring their technologies and business models to health care.  While the creation of Google Health (GH), Microsoft HealthVault (HV), and Dossia (sponsors include Intel, Wal-Mart, AT&T) are important news items by themselves, what’s more important is what they represent collectively — a new Personal Health Information Netwo... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=1288551 Sat, 08 Mar 2008 17:38:15 +0100 1288551 http://www.medworm.com/index.php?rid=1284826&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F247023504%2F We underestimate how much people REALLY want medical infomation about themselves and their loved ones.  Dorothy Tillman wanted it so badly that she was arrested!  Read more at Jaz-Michael King’s blog, A Scanner Brightly.   Hap tip to Jen McCabe Gorman for spotting this amazing story. Share This (Source: e-CareManagement) e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=1284826 Fri, 07 Mar 2008 01:14:08 +0100 1284826 http://www.medworm.com/index.php?rid=1276078&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F245186328%2F While details are thin, here’s a first pass at comparing and contrasting Google Health (GH) and Microsoft HealthVault (HV).  Overall, there are many common features, some differences, and many common challenges between these two platforms.  A High Level Comparison Google Health and Microsoft HealthVault Personal Health Information (PHI) Platforms There’s still not much information available about the specifics of GH, although they did release sketchy information on the Official Google Blog.  I’ll comment on a few of the particulars. (more…) Share This (Source: e-CareManagement) e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=1276078 Tue, 04 Mar 2008 06:28:17 +0100 1276078 http://www.medworm.com/index.php?rid=1252869&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F240392936%2F This report could have been titled “12,356 Things That COULD Go Wrong With Your PHR.” (more…) Share This (Source: e-CareManagement) e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=1252869 Sun, 24 Feb 2008 15:55:35 +0100 1252869 http://www.medworm.com/index.php?rid=1148233&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F216254253%2F CONGRATULATIONS to UnitedHealth!  They’ve announced that they are making their personal health records (PHRs) transportable: The OptumHealth and UnitedHealthcare units of Minneapolis-based UnitedHealth Group have made their personal health records service accessible for life. That means an individual covered by UHC insurance or OptumHealth’s outsourced health and wellness services will be able to access their PHR–and continue to enter data into it–if they change jobs or insurance coverage. Prediction:  over time, the market will force all employers, payers, and providers to provide interoperable and transportable PHRs; proprietary PHRs will not survive in the marketplace. Why? (more…) Share This (Source: e-CareManagement) e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=1148233 Mon, 14 Jan 2008 06:06:47 +0100 1148233 http://www.medworm.com/index.php?rid=952264&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F170211408%2F by Vince Kuraitis and David C. Kibbe, MD MBA  The health care and technology worlds are still trying to figure out what Microsoft’s HealthVault (HV) is all about.  We believe that there are a number of misconceptions out there about what HV is and isn’t: Misconception #1: HealthVault is a personal health record (PHR). Misconception #2: People don’t trust Microsoft, so they won’t sign up for and use HV. Misconception #3: Patients don’t understand PHRs, don’t want them, and don’t know what they’d do with them.  This is a rate limiting step to market growth for HV and its partners. Misconception #4: By launching HealthVault first, Microsoft beats Google to the punch. Let’s take these one at a time. (more…) Share This (Source: e-CareManagement) e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=952264 Mon, 15 Oct 2007 17:17:50 +0100 952264 http://www.medworm.com/index.php?rid=931240&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F165927976%2F Would you like to have the experience of being parachuted into a deep forest with no map of where you are or clues about how to get out?  If so, I suggest that you go directly to Microsoft’s new PHR at www.healthvault.com and just TRY to figure out where you are or where you’re headed. Initial confusion put aside, I think HealthVault is strategically brilliant.  While I’d give Microsoft a C- for explaining HealthVault (HV), I’ll give them an A for laying the strategy and foundation for what can become an extremely powerful platform for the appropriate, free flow of interoperable and transportable personal health information (I’ve chosen my words carefully here). Here are four initial impressions about HealthVault — plea... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=931240 Sat, 06 Oct 2007 00:05:37 +0100 931240 http://www.medworm.com/index.php?rid=927635&cid=t_126816_86_f&fid=34464&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FDavidrothmannet%2F%7E3%2F165255120%2F HealthVault appears to be Microsoft’s offering in the field of patient-created personal health records. When it’s your job to protect your family’s health, you need every advantage. Imagine if you had a way to collect, store, and share the health information critical to your family’s well-being. HealthVault is the new and FREE way to do just that. Imagine controlling the flow of your health information. Whether you need to search the Web for the most up-to-date treatments, catalog existing health records, receive test results, or monitor current physical readings — HealthVault gives you the control you need. I like that they put a short version of their privacy policy on the front page: Our Health Privacy Commitment 1. The Microsoft HealthVault record you create ... davidrothman.net blogs http://www.medworm.com/rss/comments.php?id=927635 Thu, 04 Oct 2007 15:39:28 +0100 927635 http://www.medworm.com/index.php?rid=828532&cid=t_126816_113_f&fid=35752&url=http%3A%2F%2Fjseidman.wordpress.com%2F2007%2F08%2F28%2Fwhat-will-be-the-biggest-disruption-in-health-care%2F Will the biggest disruption in health care be an Internet-based health care industry?  We already know that more consumers get answers to their health care questions on a daily basis from the Internet than from their doctors.  But do we think that online tools will evolve enough to allow consumers to organize and make sense of that information without trained professionals? Will the trend toward “convenience care” (pharmacy- or mall-based walk-in clinics) have the greatest impact on how providers organize care delivery?  Will they need to re-think the way they practice medicine to meet new consumer expectations? Maybe CMS’s requirement that hospitals begin publicly reporting patient experience data in 2008 will forever change how hospital view patient-centered care.  ... Information Therapy...and Other Ways to Change the World blogs http://www.medworm.com/rss/comments.php?id=828532 Tue, 28 Aug 2007 21:01:56 +0100 828532 http://www.medworm.com/index.php?rid=811781&cid=t_126816_86_f&fid=34464&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FDavidrothmannet%2F%7E3%2F146349838%2F The article from the New York Times and leaked screen captures of Google Health were just the start of what is certain to be a huge ongoing discussion of internet personal health records maintained by patients. Adding to the conversation is this recent article: Benjamin Fry, Jim Warren. Navigation in internet-based personal healthcare records: for consumers who think. electronic Journal of Health Informatics, 2007; 2(2): e7. Full text PDF (requires free registration) Abstract Internet-based personal healthcare records (PHRs) are designed to be created and maintained by individual healthcare consumers, based on their own understanding of their health conditions. Based on historical hypertext systems and working from a series of consumer use cases, we examine the options for end-user naviga... davidrothman.net blogs http://www.medworm.com/rss/comments.php?id=811781 Tue, 21 Aug 2007 03:06:04 +0100 811781 http://www.medworm.com/index.php?rid=798862&cid=t_126816_86_f&fid=34464&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FDavidrothmannet%2F%7E3%2F144109443%2F Google Blogoscoped has ‘em. Hard to tell a whole lot from these little snippets…but it looks and sounds kinda’ cool, doesn’ t it? (Source: davidrothman.net) davidrothman.net blogs http://www.medworm.com/rss/comments.php?id=798862 Tue, 14 Aug 2007 18:27:13 +0100 798862 http://www.medworm.com/index.php?rid=719507&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F131458697%2F Dear readers,  thanks for your interest and feedback on my recent posting Connecting the Dots…Google Health Promises to Create AND Dominate Next Generation PHRs. Despite being over 3,500 words long, this essay has quickly become the #1 most widely read posting on my blog  It continues to generate several hundred views per day and has been linked to by over a dozen other bloggers and news sources. Reader comments center around two primary themes: 1) Should I trust Google Health’s  (GH’s) next generation personal health record (PHR) with my personal health information (PHI)? 2) Can GH really get health care players to adopt and share electronic PHI?  Why would/should others share their data with Google? Today’s blog posting will tackle the trust issue.  Reader Paul summarized... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=719507 Sat, 07 Jul 2007 18:21:56 +0100 719507 http://www.medworm.com/index.php?rid=714647&cid=t_126816_86_f&fid=34464&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FDavidrothmannet%2F%7E3%2F130613970%2F I saw some interesting comments on MEDLIB-L not too long ago: “I do not think MLA, HLS, its officers, certainly not academic medical center librarians, understand that hospital libraries have ten years of life left,” writes the anonymous commenter. The commenter appears to hear the Joint Commission and others saying, “Let technology provide us with the information we need,” instead of relying on librarians. The commenter continues: How many IT people you know who use libraries? I know one PhD student who is excited that some paper she has written has been asked to be published in some obscure “journal” in the IT field. Frightening! Down right scary. I am old enough to be leaving the work where the techie future picture is not a pretty one for me. Where i... davidrothman.net blogs http://www.medworm.com/rss/comments.php?id=714647 Thu, 05 Jul 2007 01:47:50 +0100 714647 http://www.medworm.com/index.php?rid=688677&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F126559516%2F Google Health (GH) could be the event of the decade in advancing health care reform — not just healthcare information technology (HIT) reform, but health care system reform. GH promises simultaneously to create AND dominate the market for next generation personal health records (PHRs). There is nothing else in our solar system or in the entire universe like it. While Google has not “officially” announced the details of GH, they’ve left a lot of clues. In this essay I’m going to play a combination of detective and tea leaf reader — deciphering existing clues and making some educated guesses about where GH is headed….it’s very exciting. I get truly inspired when I see a business model that 1) is exceptionally powerful, and 2) offers dramatic benefits to humanity. Google Healt... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=688677 Thu, 21 Jun 2007 06:21:29 +0100 688677 http://www.medworm.com/index.php?rid=688698&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F112977799%2F Now that Medicare’s future direction for chronic care management has become murky,  I’ve started to pay more attention to the many other demonstration/pilot projects that Medicare has in the works relating to chronic care.  In April Medicare announced roll out of its DOQ-IT U (Doctor’s Office Quality — Information Technology University), as a part of the Physician Focused Quality Initiative. DOQ-IT U is an interactive, Web-based tool designed to provide solo and small-to-medium sized physician practices with the education for successful Electronic Health Record (EHR) adoption, including lessons on culture change, vendor selection and operational redesign.  Implementing EHRs in physician practices will be a key element ... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=688698 Mon, 30 Apr 2007 01:05:17 +0100 688698 http://www.medworm.com/index.php?rid=567163&cid=t_126816_86_f&fid=34464&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FDavidrothmannet%2F%7E3%2F111727328%2F The Wall Street Journal Health blog mentions that Google VP Adam Bosworth (whose interest in health information I’ve previously posted about here, here and here) spoke today at the World Health Care Congress in Washington D.C. Bosworth…said patients should have online access to all of the electronic health information that exists about them, whether it’s contained in doctors’ files, billing databases or prescription record. … David Williams, a blogger and health-care consultant who was there….speculates that Google wants to be the one to offer consumers this information, in the form of an electronic health record. But Bosworth didn’t spill any specifics. Williams told the Health Blog this afternoon that the exec would only say that Google’s health project is... davidrothman.net blogs http://www.medworm.com/rss/comments.php?id=567163 Wed, 25 Apr 2007 01:48:37 +0100 567163 http://www.medworm.com/index.php?rid=688715&cid=t_126816_113_f&fid=35744&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F105205992%2F Google gets it. Adam Bosworth, Google Vice President, ruminates over the question “How do you know you’re getting the best care possible?” I give Adam a lot of credit for this posting: He acknowledges that health care is really complicated He understands the dangers — that providing less than perfect information has the possibility of causing harm He doesn’t claim to have all the answers He asks for input Many have been speculating about Google’s entry into health care. Read Jeff O’Connor’s blog posting and follow the links. (more…) Share This (Source: e-CareManagement) e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=688715 Thu, 29 Mar 2007 18:27:31 +0100 688715 http://www.medworm.com/index.php?rid=688809&cid=t_126816_113_f&fid=35752&url=http%3A%2F%2Fjseidman.wordpress.com%2F2007%2F01%2F28%2Fapplying-%25e2%2580%259crapid-learning%25e2%2580%259d-to-behavior-change-science-to-transform-health-care%2F I attended a fascinating Health Affairs (www.healthaffairs.org) briefing on “A Rapid-Learning Health System” this past Friday, January 26 here in Washington. The project was led by Lynn Etheridge and Health Affairs and sponsored by the Robert Wood Johnson Foundation (www.rwjf.org), Kaiser Permanente (www.kp.org), and the US Agency for Healthcare Research & Quality (www.ahrq.gov). Your first question may very well be, “What the heck is ‘rapid learning’?” The vast real-world databases created by electronic health records (EHRs) maintained by integrated delivery systems such as Kaiser and the Veterans Health Administration (VHA) create a phenomenal research capacity. With literally tens of millions of longitudinal, clinical member/patient records, the combined power to unders... Information Therapy...and Other Ways to Change the World blogs http://www.medworm.com/rss/comments.php?id=688809 Sun, 28 Jan 2007 22:03:38 +0100 688809