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 'health information network'. Sat, 03 Sep 2011 02:35:53 +0100 http://www.medworm.com/index.php?rid=4125105&cid=t_417453_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FfzA8zEEyTkY%2F The September issue of Wired magazine and an article in last Sunday’s New York Times illustrate a central debate in technology circles. The debate is not new — it’s being going on for two decades — but it has newfound vibrancy. The essence of the debate is about competing tech/business models: walled gardens vs. the open world wide web (web).   vs.   The debate is highly controversial and nuanced. There are “experts” on both sides. My point today is not to take sides (although I’ll admit my canine partiality to the open web), but rather: to point out that the debate is occurring  to explain what the discussions are about to suggest that competition between walled gardens vs. the open web is creating healthy competition and providing consumers with great choi... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=4125105 Tue, 02 Nov 2010 00:30:33 +0100 4125105 http://www.medworm.com/index.php?rid=2871810&cid=t_417453_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FZ3Qe5zM6HCw%2F How big a network will the Health Internet (aka National Health Information Network) be? My BOTE (back-of-the-envelope) calculation is that this network could consist of about 301 million nodes.  Here’s my math (pls. clarify or amplify): 300 million individuals in U.S. 700 K doctors 5 K hospitals 295 K — other B2B healthcare entities Very rough…but I hope you get the point. So let’s put into perspective press releases from Google or Microsoft announcing that they have developed new “partnerships” (i.e.nodes in the network) for Google Health or Microsoft HealthVault. As an example, today Google announced partnerships with APWU Health Plan and Harvard Pilgrim Health Plan. (more…) Article Series - Healthcare Crosses the Chasm to the Network EconomyIntro to a New S... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2871810 Tue, 06 Oct 2009 23:01:41 +0100 2871810 http://www.medworm.com/index.php?rid=2832243&cid=t_417453_113_f&fid=34625&url=http%3A%2F%2Fclinicalit.blogspot.com%2F2009%2F09%2Fnew-cmio-stories.html The long-awaited second issue of CMIO is out, and now it's going to a regular, bimonthly publishing schedule. I tell you this because I have two feature stories in this issue, including the cover story on health information exchange. I also wrote a feature on "meaningful use" of health IT. That, of course, is the standard for qualifying for federal EHR subsidies starting in 2011. (Source: Neil Versel's Healthcare IT Blog) Neil Versel's Healthcare IT Blog blogs http://www.medworm.com/rss/comments.php?id=2832243 Thu, 24 Sep 2009 20:15:00 +0100 2832243 http://www.medworm.com/index.php?rid=2790321&cid=t_417453_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=2737833&cid=t_417453_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_417453_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=2681989&cid=t_417453_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_417453_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=2580276&cid=t_417453_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_417453_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=2131257&cid=t_417453_113_f&fid=34634&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FEmrAndHipaa%2F%7E3%2F_m6Vrw2tkns%2F Details about Obama’s health care stimulus package are out. I prefer to call it Obama funds EMRs for medical practices. Here’s a summary of some proposed changes via HISTalk and John Glaser, VP and CIO at Partners HealthCare System (and thanks to Chris Paton for linking me there). Provision of $40,000 in incentives (beginning in 2011) for physicians to use an EHR Creation of HIT Extension Programs that would facilitate regional adoption efforts Provision of funds to states to coordinate and promote interoperable EHRs Development of education programs to train clinicians in EHR use and increase the number of healthcare IT professionals Creation of HIT grant and loan programs Acceleration of the construction of the National Health Information Network (NHIN) He also adds. &#8220... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=2131257 Sat, 24 Jan 2009 17:58:46 +0100 2131257 http://www.medworm.com/index.php?rid=2053043&cid=t_417453_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_417453_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_417453_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=1969197&cid=t_417453_113_f&fid=35744&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F457745500%2F Please read my guest post over at the Center for Connected Health . (Source: e-CareManagement) e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=1969197 Tue, 18 Nov 2008 23:32:01 +0100 1969197 http://www.medworm.com/index.php?rid=2580315&cid=t_417453_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FLB0y8RWDDx8%2F Please read my guest post over at the Center for Connected Health . (Source: e-CareManagement) e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2580315 Tue, 18 Nov 2008 23:20:06 +0100 2580315 http://www.medworm.com/index.php?rid=2511431&cid=t_417453_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FLB0y8RWDDx8%2F Please read my guest post over at the Center for Connected Health . (Source: e-CareManagement) e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2511431 Tue, 18 Nov 2008 23:20:06 +0100 2511431 http://www.medworm.com/index.php?rid=1961063&cid=t_417453_113_f&fid=35744&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F452278943%2F “What’s a yabut?” you ask. Yabut is a term coined by my esteemed colleague, the late Paul Fetrow.  It stands for “Yeah….but….” Yabuts are the gotchas, the fine print, the details that affect the terms of any agreement.  For example, the telecom companies will tell you its easy to switch carriers now that we have number portability.  Yeah…but it will cost you $175 for an early termination fee. Yesterday’s post ended with the optimistic observation that Google Health and Microsoft HealthVault have agreed in principle that the platforms will be open and interoperable. (Presumably) you’ll be able to either 1) move all your data from Google Health to HealthVault, or vice versa, and 2) be able to transfer data across networks, e.g., your doctor has signed up with Healt... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=1961063 Fri, 14 Nov 2008 16:26:18 +0100 1961063 http://www.medworm.com/index.php?rid=2580316&cid=t_417453_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FGVKPpDwElWY%2F “What’s a yabut?” you ask. Yabut is a term coined by my esteemed colleague, the late Paul Fetrow.  It stands for “Yeah….but….” Yabuts are the gotchas, the fine print, the details that affect the terms of any agreement.  For example, the telecom companies will tell you its easy to switch carriers now that we have number portability.  Yeah…but it will cost you $175 for an early termination fee. Yesterday’s post ended with the optimistic observation that Google Health and Microsoft HealthVault have agreed in principle that the platforms will be open and interoperable. (Presumably) you’ll be able to either 1) move all your data from Google Health to HealthVault, or vice versa, and 2) be able to transfer data across networks, e.g., your doctor has signed up with Healt... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2580316 Thu, 13 Nov 2008 22:05:47 +0100 2580316 http://www.medworm.com/index.php?rid=2511432&cid=t_417453_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FGVKPpDwElWY%2F “What’s a yabut?” you ask. Yabut is a term coined by my esteemed colleague, the late Paul Fetrow.  It stands for “Yeah….but….” Yabuts are the gotchas, the fine print, the details that affect the terms of any agreement.  For example, the telecom companies will tell you its easy to switch carriers now that we have number portability.  Yeah…but it will cost you $175 for an early termination fee. Yesterday’s post ended with the optimistic observation that Google Health and Microsoft HealthVault have agreed in principle that the platforms will be open and interoperable. (Presumably) you’ll be able to either 1) move all your data from Google Health to HealthVault, or vice versa, and 2) be able to transfer data across networks, e.g., your doctor has signed up with Healt... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2511432 Thu, 13 Nov 2008 22:05:47 +0100 2511432 http://www.medworm.com/index.php?rid=1955389&cid=t_417453_113_f&fid=35744&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F451312919%2F Will the Microsoft HealthVault, Google Health, and Dossia personal health information (PHI) platforms be able to exchange data?  In our introductory essay announcing the Birth of the Personal Health Information Network (PHIN), Dr. David Kibbe and I posed a critical question: What will the PHIN look like?  Will there be multiple, non-interoperable, competing networks or just one interoperable network? This question is being answered with the best possible answer:  the PHIN is evolving as one, interoperable network. Consider 3 scenarios: Scenario One: Status Quo — Your Personal Health Information Today Scenario Two: The PHIN — Multiple, non-interoperable platforms Scenario Three: The PHIN—Multiple, interoperable platforms In this post, I’ll present  images of these ... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=1955389 Thu, 13 Nov 2008 02:16:27 +0100 1955389 http://www.medworm.com/index.php?rid=2580318&cid=t_417453_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FlGsCUEjEK9k%2F Will the Microsoft HealthVault, Google Health, and Dossia personal health information (PHI) platforms be able to exchange data?  In our introductory essay announcing the Birth of the Personal Health Information Network (PHIN), Dr. David Kibbe and I posed a critical question: What will the PHIN look like?  Will there be multiple, non-interoperable, competing networks or just one interoperable network? This question is being answered with the best possible answer:  the PHIN is evolving as one, interoperable network. Consider 3 scenarios: Scenario One: Status Quo — Your Personal Health Information Today Scenario Two: The PHIN — Multiple, non-interoperable platforms Scenario Three: The PHIN—Multiple, interoperable platforms In this post, I’ll present  images of these... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2580318 Thu, 13 Nov 2008 01:26:27 +0100 2580318 http://www.medworm.com/index.php?rid=2511434&cid=t_417453_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FlGsCUEjEK9k%2F Will the Microsoft HealthVault, Google Health, and Dossia personal health information (PHI) platforms be able to exchange data?  In our introductory essay announcing the Birth of the Personal Health Information Network (PHIN), Dr. David Kibbe and I posed a critical question: What will the PHIN look like?  Will there be multiple, non-interoperable, competing networks or just one interoperable network? This question is being answered with the best possible answer:  the PHIN is evolving as one, interoperable network. Consider 3 scenarios: Scenario One: Status Quo — Your Personal Health Information Today Scenario Two: The PHIN — Multiple, non-interoperable platforms Scenario Three: The PHIN—Multiple, interoperable platforms In this post, I’ll present  images of these... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2511434 Thu, 13 Nov 2008 01:26:27 +0100 2511434 http://www.medworm.com/index.php?rid=1907826&cid=t_417453_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_417453_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_417453_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=1686477&cid=t_417453_113_f&fid=35744&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F357580770%2F From the August 6 edition of HISTalk — Healthcare IT News and Opinion: "Re: UHG. Was at the Healthcare Quality Conference yesterday in Boston. Got to talking to a United Health exec who informed me that they have signed an agreement with Google Health and have a pending agreement with HealthVault. This backs up UHG’s previous statement that member records would be made portable. Individual made mention that the Google Health relationship extends beyond just claims records transfer and includes a technology partnership regarding UHG’s OMX." Commentary: Among health care incumbents, health plans are experiencing the greatest heartburn over the emerging Personal Health Information Network (PHIN). On the one hand, existing health plan IT and business models have been proprieta... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=1686477 Wed, 06 Aug 2008 17:11:23 +0100 1686477 http://www.medworm.com/index.php?rid=1645816&cid=t_417453_113_f&fid=34625&url=http%3A%2F%2Fclinicalit.blogspot.com%2F2008%2F07%2Fpodcast-dr-robert-kolodner-on-national.html I love the annual Association of Medical Directors of Information Systems (AMDIS) Physician-Computer Connection. It's a chance to hear some of the smartest people and most accomplished people in healthcare, namely medical informaticists, in a small, informal setting. This year's event, held last week in beautiful, laid-back Ojai, Calif., featured an appearance by Robert Kolodner, M.D., the national coordinator for health information technology.After Dr. Kolodner's presentation—more of a Q&A with his peers in medical informatics—he graciously sat down for an audio interview with me. Here is the result.Podcast details: Robert Kolodner, M.D., on the national health IT strategy. Recorded July 16, 2008, in Ojai, Calif. MP3, stereo, 64 kbps, 14.3 MB, running time 31:24.0:40 Background on... Neil Versel's Healthcare IT Blog blogs http://www.medworm.com/rss/comments.php?id=1645816 Wed, 23 Jul 2008 06:12:00 +0100 1645816 http://www.medworm.com/index.php?rid=1546873&cid=t_417453_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=1543755&cid=t_417453_113_f&fid=35744&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F319025998%2F The Ultimate Guide to Google Health: 60+ Tips and Resources — it’s by Jessica Merritt at NursingDegree.Net blog. Really useful and practical! …and it blows away other world famous “how to” guides…                                     Related Posts (# comments) June 19, 2008 — Untangling the Electronic Health Data Exchange (3) June 1, 2008 — Cerner Disses Google Health. Surprised? (9) April 20, 2008 — Next Generation Disease Management, ala Google (0) April 19, 2008 — Is the Medical Establishment the Best Guardian of Your Medical Data? (1) April 10, 2008 — Could a Linkage Between Amalga and HealthVault Become a Centerpiece of M... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=1543755 Tue, 24 Jun 2008 17:29:50 +0100 1543755 http://www.medworm.com/index.php?rid=1531582&cid=t_417453_113_f&fid=35744&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F315769979%2F by David C. Kibbe MD, MBA The purpose of this post is to help a non-technical audience untangle some of the confusion regarding health data exchange standards, and particularly come to a better understanding of the similarities and  differences between the Continuity of Care Record (CCR) standard and the CDA Continuity of Care Document (CCD). But what I’m most interested in is getting beyond the technical, political, or economic positions and interests of the proponents of any particular standard to arrive at some principles that demonstrate in plain language what we are trying to achieve by using such standards in the first place. Frankly, I don’t give a hoot about what standardized XML format for capturing clinical data and information about a person becomes the norm in the ... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=1531582 Fri, 20 Jun 2008 05:43:32 +0100 1531582 http://www.medworm.com/index.php?rid=1485000&cid=t_417453_113_f&fid=35744&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F302413715%2F Vince Kuraitis and David C. Kibbe, MD, MBA We’re not. From the Kansas City Business Journal : Google Inc. has approached Cerner Corp. about a partnership, but Cerner officials don’t sound eager to entangle themselves with the Web-search Goliath. That’s because the proposed partnership relates to Google Health, the personal health record site launched earlier in May in beta form. The overture hasn’t led to substantive talks, Cerner President Trace Devanny said, because Cerner doesn’t see much value in Google Health or HealthVault, a similar site that Microsoft Corp. launched in October. Cerner CEO Neal Patterson referred to the sites during a May 23 shareholders meeting as "electronic shoeboxes," requiring consumers to do much of the data importi... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=1485000 Sun, 01 Jun 2008 20:06:52 +0100 1485000 http://www.medworm.com/index.php?rid=1419690&cid=t_417453_113_f&fid=35744&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F283643493%2F  The Healthcare Unbound Conference is a highlight of my year and I always look forward to it! What’s so special about this conference? First, the caliber of the people attending.  It’s a stimulating mix of high-level clinical, technical and business types.  The energy is flowing and many people have told me how much they like to go just for the networking. Second, the caliber of the conference organizer.  I’ve worked with many conference planners, and Satish Kavirajan is not your ordinary conference organizer. Satish really knows his stuff and he’s a pleasure to work with.  I’m impressed how from a year in advance of the first Healthcare Unbound in 2004 he delved into the substance of the topics.  He read every link and every report I sent him, he talk... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=1419690 Mon, 05 May 2008 02:47:45 +0100 1419690 http://www.medworm.com/index.php?rid=1385454&cid=t_417453_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=1378034&cid=t_417453_113_f&fid=35744&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F271808586%2F Vince Kuraitis and David C. Kibbe, MD MBA  Tomorrow’s edition of the New England Journal of Medicine contains an article entitled “Tectonic Shifts in the Health Information Economy”.  While we have not yet fully digested this article, it’s clear that the authors’ description of the “Health Information Economy” closely parallels our initial description of the Personal Health Information Network (PHIN).  The main thrust of the NEJM article is to discuss implications (good and bad) relating to clinical research. The NEJM article is also highlighted in a New York Times piece entitled “Warning on Storage of Health Records.” In anticipation of our webinar tomorrow sponsored by Healthcare Informatics, we wanted to bring these articles to your attention ASAP.  As a f... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=1378034 Thu, 17 Apr 2008 00:52:48 +0100 1378034 http://www.medworm.com/index.php?rid=1363831&cid=t_417453_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=1362487&cid=t_417453_113_f&fid=35744&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F267383423%2F What are companies like Google, Microsoft, and Dossia (sponsored by Intel, Wal-Mart, AT&T and others) hoping to accomplish in health care? What is the emerging Personal Health Information Network (PHIN) and why should you care? What’s the Continuity of Care Record (CCR) Standard, and how is it destined to become an initial focal point of data exchange initiatives? Why is the PHIN potentially disruptive to many business models? What types of companies or organizations could be affected the most? What are opportunities and threats to major health care players — hospitals, physicians, health plans, enterprise HIT vendors, ambulatory HIT vendors, and others? What specific actions can you take to be a leader in advancing the PHIN and positioning your company for success? ... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=1362487 Thu, 10 Apr 2008 01:46:20 +0100 1362487 http://www.medworm.com/index.php?rid=1349758&cid=t_417453_113_f&fid=35744&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F264064443%2F The Continua Health Alliance is doing a good job in getting remote patient monitoring (RPM) devices to become plug-n-play — where devices and peripherals from different manufacturers complying with Continua Guidelines will be able to talk to one another. Continua’s work-to-date is a necessary, but not yet sufficient effort to make RPM devices mainstream. Knocking down the barrier of device-incompatibilty exposes the bigger barrier of lack of data interoperability among RPM technologies and between RPM devices and health care IT systems.  Jonathan Edwards, research VP and lead telemedicine analyst for Gartner, nails the issue: (more…) Share This Related posts (and # of comments) Microsoft’s HealthVault: User Manual = C-, Strategy to Create a New Ecosystem = A (1... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=1349758 Fri, 04 Apr 2008 16:01:55 +0100 1349758 http://www.medworm.com/index.php?rid=1340848&cid=t_417453_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_417453_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=1288551&cid=t_417453_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=1024187&cid=t_417453_113_f&fid=34625&url=http%3A%2F%2Fclinicalit.blogspot.com%2F2007%2F11%2Fscoop-amias-10x10-going-global.html CHICAGO—This is just a quick post to draw your attention to a story posted on Digital Healthcare & Productivity this morning: The American Medical Informatics Association is expanding its 10x10 program internationally, with the goal of training 20,000 informatics professionals outside the U.S. by 2020. AMIA chief Dr. Don Detmer will make the announcement during his annual "state of the association" speech at 12:30 pm CST today. But you heard it here (or at DHCP) first.Also coming in today's DHCP newsletter is news from today's American Health Information Community here in Chicago that the Federal Communications Commission will award $400 million in grants over the next three years to connect small and rural healthcare facilities in 42 states and three territories. (Source: Neil Versel's ... Neil Versel's Healthcare IT Blog blogs http://www.medworm.com/rss/comments.php?id=1024187 Tue, 13 Nov 2007 17:44:00 +0100 1024187 http://www.medworm.com/index.php?rid=727188&cid=t_417453_113_f&fid=34625&url=http%3A%2F%2Fclinicalit.blogspot.com%2F2007%2F07%2Fmy-dirty-mind.html When I first saw a news brief today about a statewide database for medical records in New York, I had to laugh. There was something about the name: Health Information Exchange of New York. I thought there might be a reason that the state name came at the end, like perhaps to form an acronym. Then I realized that the initials, HIENY, might be pronounced as "hiney." Talk about setting yourself up to be the butt of jokes (pun strongly intended)!To my disappointment, I clicked on the link to the actual news story the brief came from and learned that the exchange is known as HIXNY.Anyhoo ...Yet another health IT bill destined for inaction was introduced in Congress today, but at least this one seems to have some thought behind it. The proposed Independent Health Record Trust Act, from Rep. Denn... Neil Versel's Healthcare IT Blog blogs http://www.medworm.com/rss/comments.php?id=727188 Wed, 11 Jul 2007 18:44:00 +0100 727188 http://www.medworm.com/index.php?rid=486735&cid=t_417453_87_f&fid=35052&url=http%3A%2F%2Fwomensbioethics.blogspot.com%2F2007%2F02%2Fprivacy-of-health-network-what-privacy.html Many moons ago, before departing the Silicon Forest for the Ivory Tower, I worked for a company that was trying to design a way for patients and doctors to have internet office visits. Several large companies in my field has discovered that most of the time they lost to employees going to the doctor was spent in driving and waiting. The obvious solution was to make little internet kiosks on campus, where you could video conference with your doc. It was an interesting idea, although a bit ahead of its time. One large aspect of my job was to wrestle with HIPAA guidelines, specifically making sure that all of the patient records we had were safe. Defining safety in terms of the internet is not easy, as the Bush Administration is now learning. It seems that the GAO has discovered that the Admi... Women's Bioethics Blog blogs http://www.medworm.com/rss/comments.php?id=486735 Sun, 18 Feb 2007 18:44:00 +0100 486735