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 'ict'. Sat, 03 Sep 2011 02:29:48 +0100 http://www.medworm.com/index.php?rid=5050802&cid=t_118539_113_f&fid=34637&url=http%3A%2F%2Fgaggio.blogspirit.com%2Farchive%2F2011%2F07%2F22%2F4th-international-workshop-on-from-event-driven-business-pro.html The Workshop4th International Workshop on “Event-Driven Business Process Management” is co-located with ServiceWave/Future Internet Conference 2011:Poznan, Poland from October 25-28, 2011.This workshop focuses on the topics of connecting Internet of Services and Things with the management of business processes and the Future and Emerging Technologies as addressed by the ISTAG Recommendations of the European FET-F 2020 and Beyond Initiative. Such FET challenges are not longer limited to business processes, but focus on new ideas in order to connect processes on the basis of CEP with disciplines of Cell Biology, Epigenetics, Brain Research, Robotics, Emergency Management, SocioGeonomics, Bio- and Quantum Computing – summarized under the concept of U-CEP.Important DatesDeadline paper or... Positive Technology Journal blogs http://www.medworm.com/rss/comments.php?id=5050802 Fri, 22 Jul 2011 13:26:00 +0100 5050802 http://www.medworm.com/index.php?rid=5028556&cid=t_118539_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FKoxg_7AJwv0%2F Click here or on the graphic to download a copy of my July 11 presentation from this year’s Healthcare Unbound conference. No tag for this post. (Source: e-CareManagement) e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=5028556 Wed, 13 Jul 2011 00:46:54 +0100 5028556 http://www.medworm.com/index.php?rid=5028557&cid=t_118539_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FeGWUB4gsJgQ%2F It’s understandable that a healthcare delivery system would have a mindset and business objective to keep referrals within its network of care providers. Businesses have a right and an obligation to try to hang on to their customers. It’s a different issue whether closed or walled garden HIT is an acceptable means toward that end. Outside of healthcare, we understand and can accept that businesses used closed, proprietary IT as part of their business model. Apple has designed their iPod with an eye toward incompatibility and high hassle factor in not being plug-and-play with other music players and systems. IMHO, however, healthcare is different. Keep your proprietary business model away from my body and gimme my damn data. Google+ v. Facebook on Data Portability We are witnessing an... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=5028557 Sun, 10 Jul 2011 18:32:34 +0100 5028557 http://www.medworm.com/index.php?rid=4997657&cid=t_118539_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=4753803&cid=t_118539_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FxLWKxHLiDZs%2F Healthcare needs positive role models for innovation…and we have a real-time mentor in Netflix. If you have a Netflix subscription, you probably identify with the company as providing a convenient DVD rental service — order on the web, the DVD arrives by mail, send it back in the handy pre-paid envelope when you’re done. Today’s ReadWriteWeb describes Netflix’ latest letter to shareholders and explains how the company is preparing for the demise of DVDs: (more…) Tags: business model, disruptive innovation (Source: e-CareManagement) e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=4753803 Mon, 25 Apr 2011 22:52:16 +0100 4753803 http://www.medworm.com/index.php?rid=4744847&cid=t_118539_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_118539_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_118539_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=4696719&cid=t_118539_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FC4I7Th9bops%2F My guess is you’ve probably never asked yourself this question. A quick preview: Technical barriers aren’t the limiting factors to Facebook becoming a care coordination platform. Facebook’s company DNA won’t play well in health care. Could Facebook become the care coordination platform of the future? If not Facebook, then what? 1) Technical barriers aren’t the limiting factors to Facebook as a care coordination platform. Can you imagine Facebook as a care coordination platform? I don’t think it’s much of a stretch. Facebook already has 650 million people on its network with a myriad of tools that allow for one-to-one or group interactions. What would it take to make Facebook a viable care coordination platform? More servers to handle the volume ... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=4696719 Sat, 09 Apr 2011 23:13:18 +0100 4696719 http://www.medworm.com/index.php?rid=4684485&cid=t_118539_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FsIIYXgtP5I8%2F Healthcare IT News just published its list of top issues for health plans in 2011: 1. Administrative Mandates (Compliance HIPAA 5010, ICD-10, etc.). 2. Care Management, Data Analytics, and Informatics. 3. Health Insurance Exchanges and Individual Markets. 4. New Provider Payment & Delivery Systems (ACOs, PCMHs, etc.). 5. Bend the Cost Trend. 6. Medicare and Medicaid. 7. Health Information Exchanges and EMRs. 8. Consumer’s Role in the Modernization of Healthcare. 9. Reform Uncertainties. 10. Payer/Provider Interoperability. Dear health plan colleagues, Wake up! The order of this list is totally out of whack. #2: Care Management, Data Analytics, Informatics. Good…sounds about right. However, #2 can’t happen before you address: #7: HIEs and EMRs #10: Payer/Provider ... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=4684485 Tue, 05 Apr 2011 18:15:37 +0100 4684485 http://www.medworm.com/index.php?rid=4664300&cid=t_118539_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FB9uML3xGuUk%2F Let me try to get you in the right frame of mind to read one of the most remarkable white papers in a long time: Better to BEST: Value Driving Elements of the Patient Centered Medical Home and Accountable Care Organizations — released yesterday by the Commonwealth Fund, Dartmouth Institute, and PCPCC. Having been a debater in high school and then trained as a lawyer, my default mode of thinking is to be critical: “Hey, Vince, how ya doin’? Great day isn’t it?” “Well, …err…maybe, maybe not…actually, here’s 14 reasons why not.” My wife and friends kindly tell me that this personal quality can be insufferable, and if you’ve ever met a lawyer you know what I’m talking about. My internal defense mechanism against my inner-critical brain is simply to... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=4664300 Thu, 31 Mar 2011 14:48:23 +0100 4664300 http://www.medworm.com/index.php?rid=4615231&cid=t_118539_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F14qt2xM1Yms%2F   “If you’re a health plan, you either become a care delivery system or an information services company,” said David Brailer, a former George W. Bush administration health official who now leads an investment firm. “The traditional business is dead.”   Read more at Kaiser Health News. . Tags: health plan, strategy (Source: e-CareManagement) e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=4615231 Sun, 20 Mar 2011 23:03:46 +0100 4615231 http://www.medworm.com/index.php?rid=4610870&cid=t_118539_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FsvXAj8nXUiE%2F   Click here.   No tag for this post. (Source: e-CareManagement) e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=4610870 Fri, 18 Mar 2011 23:34:58 +0100 4610870 http://www.medworm.com/index.php?rid=4610871&cid=t_118539_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FSjXt2mNST7s%2F While in Philadelphia earlier this week, my colleague Dr. David Nace presented me with a print copy of McKesson Relay Health’s newest whitepaper — Providing Accountability: Accountable Care Concepts for Providers.  I felt honored as he handed it to me and confided that it was one of only six copies in print.  I took time to read it carefully on the long flight home. The whitepaper is a great overview of accountable care and ACOs (Accountable Care Organizations). It’s a quick and easily digestible read. However, there is one key point articulated in the paper that I’d like to emphasize here: accountable care is not synonymous with ACOs. (more…) Article Series - Accountable Care Organizations: Cure-du-Jour or Real Collaborative Care?The Big Idea in U... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=4610871 Fri, 18 Mar 2011 18:25:39 +0100 4610871 http://www.medworm.com/index.php?rid=4592497&cid=t_118539_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_118539_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_118539_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=4517228&cid=t_118539_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FU1dkkpoguZg%2F Last May Fred Trotter wrote a brilliant blog post entitled The Power of Push. His essay described the latent power of the Direct Project (known then as NHIN-Direct). At that time, the Direct Project was still being incubated and was not widely known or understood. Since then, it’s gone from being an idea to a project in full-speed implementation. The simplest conceptualization of the Direct Project has been as a secure email alternative to medically-related transactions that today typically occur by fax, e.g., Dr. A faxes a medical record to Dr. B. The functionality of the Direct Project has been described as “push-only”. Fred notes that Push-only means that A can send messages to B, but B cannot automatically get data  from A (that would be pulling). Email and Faxes are push m... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=4517228 Thu, 24 Feb 2011 23:27:33 +0100 4517228 http://www.medworm.com/index.php?rid=4495284&cid=t_118539_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2Fjq53TQcTWYo%2F By Rich Elmore and Arien Malec. Rich Elmore is the Direct Project Communication Workgroup leader and Vice President, Strategic Initiatives at Allscripts.  Arien Malec is ONC’s Coordinator, Direct Project and Coordinator, S&I Framework. A patient’s health records are no longer confined to a doctor’s office, shelved inside a dusty file cabinet. With the advent of the Nationwide Health Information Network, a framework of standards, services and policies that allow health practitioners to securely exchange health data, medical records digitized to be easily shared between doctor’s offices, hospitals, benefit providers, government agencies and other health organizations, all across America. This health information exchange is dramatically enhanced by the Direct Project. Launched i... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=4495284 Fri, 18 Feb 2011 16:49:43 +0100 4495284 http://www.medworm.com/index.php?rid=4455330&cid=t_118539_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2Fu0KNW3vFHmc%2F Many Physicians and Clinical Service Providers Will Not Be In Your ACO Contracting Network. Expect Significant Patient Leakage (Migration) Out of Your ACO Network Expect Patient Demands for Sharing Records. Minimize Anti-Trust Concerns. Expect Continuing Government Pressure for Broad Data Exchange. (more…) Article Series - Accountable Care Organizations: Cure-du-Jour or Real Collaborative Care?The Big Idea in Understanding “Accountable Care Organizations”The Achilles Heel of ACOs? Shared Savings Payment Model Unlikely to Motivate HospitalsA Dark Horse in ACO Formation: Large Physician Groups“Does This ACO Thing Really Mean We Need to be ‘Accountable’”Will ACO IT Models Be Walled Gardens or Open Platforms?10 Reasons Why an Open IT Platform Strate... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=4455330 Wed, 09 Feb 2011 19:46:29 +0100 4455330 http://www.medworm.com/index.php?rid=4455331&cid=t_118539_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FA49jXUh59R8%2F Click here for a complimentary copy of of the February 2011 issue of Accountable Care News. Click here for more information about subscribing to Accountable Care News. No tag for this post. (Source: e-CareManagement) e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=4455331 Wed, 09 Feb 2011 19:28:44 +0100 4455331 http://www.medworm.com/index.php?rid=4429079&cid=t_118539_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=4405855&cid=t_118539_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FXGQzNuEv3Zo%2F Deven McGraw is the Director of the Health Privacy Project at the Center for Democracy & Technology.  The Health 2.0 movement has seen incredible growth recently, with new tools and services continuously being released. Of course, Health 2.0 developers face a number of challenges when it comes to getting providers and patients to adopt new tools, including integrating into a health system that is still mostly paper-based. Another serious obstacle facing developers is how to interpret and, where appropriate, comply with the HIPAA privacy and security regulations.  Questions abound when it comes to Health 2.0 and HIPAA, and it’s vital we get them answered, both for the sake of protecting users’ privacy and to ensure people are able to experience the full benefits of innova... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=4405855 Thu, 27 Jan 2011 03:33:07 +0100 4405855 http://www.medworm.com/index.php?rid=4389233&cid=t_118539_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_118539_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=4265923&cid=t_118539_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FMJs5VvLnXPs%2F Will ACO (accountable care organization) IT models be walled gardens or open platforms?  i.e., will ACO IT platforms focus on exchanging information within the provider network of the ACO, or will they also be able to exchange information with providers outside the ACO network? (If the question still isn’t clear, click here for a further explanation.). (more…) Article Series - Accountable Care Organizations: Cure-du-Jour or Real Collaborative Care?The Big Idea in Understanding “Accountable Care Organizations”The Achilles Heel of ACOs? Shared Savings Payment Model Unlikely to Motivate HospitalsA Dark Horse in ACO Formation: Large Physician Groups“Does This ACO Thing Really Mean We Need to be ‘Accountable’”Will ACO IT Models Be Walled Ga... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=4265923 Thu, 16 Dec 2010 00:45:16 +0100 4265923 http://www.medworm.com/index.php?rid=4258996&cid=t_118539_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_118539_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_118539_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=4125105&cid=t_118539_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=4119190&cid=t_118539_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FvlXfojwrFQs%2F Yesterday Surescripts announced their new Clinical Interoperability Services: Extended Network Connectivity – As a network of networks, Surescripts will support and enable the exchange of all types of clinical messages between EHRs, HIEs and health systems that, today, are not connected with each other. Net2Net Connect – Allows health systems and technology vendors that already support clinical information sharing within their network to connect to Surescripts in order to receive and send clinical information outside their network (December 2010). Message Stream – Secure messaging tools for health systems and technology vendors to enable their physicians to electronically exchange clinical information (December 2010). Clinical Message Portal – Simple connectivity tools intended f... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=4119190 Wed, 27 Oct 2010 00:04:26 +0100 4119190 http://www.medworm.com/index.php?rid=4105797&cid=t_118539_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FqLHwUHsaESo%2F by Mateusz Mucha. Mateusz is a freelance web application developer from Krakow, Poland.  31 y.o., married, enjoys rock climbing, sailing, skiing and having 6 meals a day. Contact him at muszek@gmail.com This is a short story about Blood Pressure Chart – a web-based tool used to manage, analyze and share blood pressure records. The old saying, “necessity is a mother of invention”, is almost applicable here. Almost, because coming up with an idea to store whatever records in a web app is hardly inventive. Certainly not in 2010. Strangely, a moderate set of requirements could not be satisfied by any preexisting solution. For at least the past decade, I’ve been hearing about my country’s health care going digital. Millions (billions?) of taxpayers’ dollar... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=4105797 Sun, 24 Oct 2010 20:01:02 +0100 4105797 http://www.medworm.com/index.php?rid=4098122&cid=t_118539_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FPhoA0bPGIvk%2F Tuesday, Oct. 26, 1-2 p.m. Eastern Time — Presented by the Care Continuum Alliance Federally supported “Beacon Communities” are at work now defining how health information technology will support accountable, evidence-based care in communities – especially for care of chronic conditions. Backed by $235 million in federal grants, 15 communities across the country are serving as Beacon Community pilots for eventual wide-scale, performance-based use of technology to improve our health care delivery system. The goal of the webinar is to address The fundamental nature and vision of the Beacon Community Program How the Beacon Program will influence nationwide delivery system reform and be a guide-path toward developing community infrastructures Other implications for the fu... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=4098122 Fri, 22 Oct 2010 22:09:34 +0100 4098122 http://www.medworm.com/index.php?rid=4098123&cid=t_118539_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FW60X2LSWk_g%2F Mike Miliard did a great job in capturing highlights and key points of my presentation at the Mobile Health Expo conference earlier this week. You can read his story here. Please write me at vincek@bhtinfo.com in you’d like a copy of the PowerPoint presentation. Tags: EHR, HITECH, interoperability, mHealth (Source: e-CareManagement) e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=4098123 Fri, 22 Oct 2010 05:10:12 +0100 4098123 http://www.medworm.com/index.php?rid=4065439&cid=t_118539_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=4040639&cid=t_118539_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FIylw5SfKtIQ%2F Wha…?  why are we talking about Verizon…isn’t is a healthcare blog? When a major, multinational company does a complete turnaround on its operating and business model, it’s worth noting and examining the reasons behind the switch. Wireless Week reported on a presentation made at the CTIA conference this week by Verizon COO, Lowell McAdam: In a nod to the future, McAdam also said Verizon Wireless will scratch its “walled garden” approach because “in a 4G world, we need to turn that guarded model inside out.” The operator will transform its business model, he said, because it realizes that innovation in applications and use will come from outside the company.  Verizon will open its network, applications and location technologies to outside develope... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=4040639 Thu, 07 Oct 2010 23:30:46 +0100 4040639 http://www.medworm.com/index.php?rid=4018247&cid=t_118539_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FMFllEgfzgTU%2F Care management software is intended to help patients make critical connections across the health care delivery system.  Today it’s used primarily by 3rd party care managers who are typically either employed directed or indirectly by payers. While not surprising, the state-of-the-art of care management software is that it continues to function as disconnected islands of information. The  2010 Health Information Technology Survey (available at no charge) provides an insightful yet sobering snapshot of care management software. The study was sponsored by TCS Healthcare Technologies, the Case Management Society of America, and the American Board of Quality Assurance and Utilization Review Physicians. The study consists of answers from 670 respondents who chose to fill out to a ... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=4018247 Thu, 30 Sep 2010 00:37:07 +0100 4018247 http://www.medworm.com/index.php?rid=3972978&cid=t_118539_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2Fw608xz99gTs%2F   OK, let me be the first to admit that today’s “just-the-facts-ma’am” post might be a little dry…but trust me, its really important stuff to know in understanding the process of how the Health IT Policy Committee (HITPC) and its workgroups are approaching formulating recommendations for HITECH Stages 2 and 3. At this point at least two different workgroups are involved in developing recommendations for HITECH Stages 2 and 3. A newly formed Quality Measures Workgroup. This group will “produce initial recommendations on quality measure prioritization and the quality measure convergence process pertaining to measure gaps and opportunities for Stage 2 Meaningful Use”. The group is chaired by Dr. David Blumenthal and held its first meeting on September 10. The Me... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=3972978 Thu, 16 Sep 2010 00:21:03 +0100 3972978 http://www.medworm.com/index.php?rid=3965524&cid=t_118539_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_118539_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=3767160&cid=t_118539_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FfDqZP73IPvI%2F fyi, here’s a copy of my PowerPoint presentation at today’s Healthcare Unbound conference. The Twitter hashtag for the event is #HCU10. No tag for this post. (Source: e-CareManagement) e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=3767160 Mon, 19 Jul 2010 18:29:09 +0100 3767160 http://www.medworm.com/index.php?rid=3729960&cid=t_118539_113_f&fid=36670&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fmsdn%2Fhealthblog%2F%7E3%2F3pA3jRe95KE%2Fmake-sure-your-health-organization-has-enough-power-when-you-flip-the-switch.aspx My favorite health futurist and commentator, Ian Morrison, offers another provocative essay in this week’s online edition of Hospitals and Health Networks .  In “ Flip the Switch ” he explores two prominent themes in the healthcare industry, both...(read more) (Source: HealthBlog) HealthBlog blogs http://www.medworm.com/rss/comments.php?id=3729960 Tue, 06 Jul 2010 20:28:12 +0100 3729960 http://www.medworm.com/index.php?rid=3595686&cid=t_118539_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=3538242&cid=t_118539_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=3515486&cid=t_118539_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_118539_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_118539_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=3437761&cid=t_118539_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FMI5cgf3s2m4%2F (click on any of the above graphics to be linked to the orginal source) by Vince Kuraitis JD, MBA and David C. Kibbe MD, MBA In the previous post in this series on “Is HITECH Working?”, we straightforwardly noted that hospitals are playing in the HITECH game. The issue of whether physicians will play is MUCH thornier. As the headlines above succinctly convey — we conclude that for now there is too much fear, uncertainty, and doubt (FUD) to expect significantly increased EHR technology adoption by most physicians from the HITECH incentives and penalties. Here are topics we’ll cover today: Fear, Uncertainty, Doubt Little Risk by Waiting a Year or Two A More Granular View — Segmenting Physicians Is There Another Side to the Story? How Important is Physician Adoption to the Succ... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=3437761 Mon, 05 Apr 2010 14:41:44 +0100 3437761 http://www.medworm.com/index.php?rid=3432994&cid=t_118539_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FXOreo-ruc8w%2F by Vince Kuraitis JD, MBA and David C. Kibbe MD, MBA  The rationale for hospitals having to play in the HITECH game is straightforward: the financial carrots through 2015 are helpful, and the financial sticks after 2015 will be very painful. We’ll discuss: Financial Impacts on Hospitals Survey Data Showing Hospitals Will Play Why Success is Not Guaranteed Financial Impacts on Hospitals Even prior to HITECH, most hospital executives already had passed the threshold decision and concluded that they need to implement EHR technology. Thus, the issue for most hospitals isn’t “whether” to implement EHR technology, but “when”, “at what cost”, and “how”. (more…) Article Series - Is HITECH Working?Is HITECH Working? #1: Hospitals are grumbling but are playing in th... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=3432994 Fri, 02 Apr 2010 14:00:53 +0100 3432994 http://www.medworm.com/index.php?rid=3432995&cid=t_118539_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FKdyi_Esnz6E%2F “Make everything as simple as possible, but not simpler.” Albert Einstein by Vince Kuraitis JD, MBA and David C. Kibbe MD, MBA If you’re like many folks we talk with, you understand the importance of the HITECH Act legislation — yet feel overwhelmed by the complexity and details. This series of blog posts is for you. We address the question “Is HITECH working?” with seven straightforward observations. We’ve worked hard to boil down the complexity and make it understandable to the casual industry observer. Is HITECH Working? Summarizing the Seven Observations Our 7 Observations are: (more…) Tags: HITECH (Source: e-CareManagement) e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=3432995 Thu, 01 Apr 2010 17:20:16 +0100 3432995 http://www.medworm.com/index.php?rid=3420584&cid=t_118539_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FZSns8-ibqg0%2F Tomorrow, March 30, 1 pm EST (archived version also will be available). More information and registration here. I’m honored to be a guest presenter, along with collaborators Lyle Berkowitz MD, Brian Klepper PhD, and Matthew Holt.   No tag for this post. (Source: e-CareManagement) e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=3420584 Mon, 29 Mar 2010 18:59:40 +0100 3420584 http://www.medworm.com/index.php?rid=3346543&cid=t_118539_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FdV8NiFM3Ynw%2F Just the Facts  Certification Programs NPRM (Notice of Proposed Rulemaking) Health IT, U. S. Department of Health and Human Services; March 2, 2010 Certification NPRM Facts-At-A-Glance FAQ   Bookmarked version of Certification NPRM (much easier to navigate) U. S. Department of Health and Human Services; March 2, 2010 Via OCCAM Practice Management blog, March 3, 2010   Commentary and Analysis   Proposed EHR Certification Rule Changes Game HDM Breaking News; March 2, 2010 “The rule mentions the Certification Commission for Health Information Technology, but does not grant it any grandfather status…. So, while CCHIT appears to be able to continue its operations under the proposed temporary certification program, its future isn’t clear in the proposed permanent program.”  ... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=3346543 Tue, 09 Mar 2010 01:48:54 +0100 3346543 http://www.medworm.com/index.php?rid=3335445&cid=t_118539_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FTqjuWKK5y8A%2F There’s a great discussion going on on The Healthcare IT Guy’s blog:  Innovation in healthcare IT is dead (hopefully only temporarily). Read BOTH the essay by Shahid Shah and the comments. No tag for this post. (Source: e-CareManagement) e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=3335445 Thu, 04 Mar 2010 19:56:26 +0100 3335445 http://www.medworm.com/index.php?rid=3298420&cid=t_118539_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=3239672&cid=t_118539_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FoZP2uakT3yg%2F My wife Jill loves her  iPhone…she raves about it. Last night she showed me an application she had recently acquired for her iPhone. She was able to explain and demonstrate the app and its functionality to me (yes, to ME!) in about 30 seconds.  I’d describe the app as Garmin-like but running on the iPhone. You type in the address at which you’re going to start your drive and then you type in the address of the location where you want to drive to. The iPhone displays a map and step-by-step directions. Want to zoom in on a section of the map? …just put your fingers on the screen, spread them, and instantly you see the map in greater detail. The app uses the GPS built into the iPhone to display your current location and progress on the map. A few years ago you would have had to pu... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=3239672 Thu, 04 Feb 2010 16:19:46 +0100 3239672 http://www.medworm.com/index.php?rid=3159819&cid=t_118539_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FkWsx2carqaU%2F * = highly recommended   Descriptive Summaries and Documents    *Dissecting the Meaningful Use Proposed Rule PowerPoint eHealth Initiative Policy Webinar; January 8, 2010   *What You Need to Know About the Meaningful Use Proposed Rule, Standards and Implementation Specification, and Interim Final Rule Certification Criteria PowerPoint HIMSS Webinar; January 6, 2010   *Meaningful Use, Certification Criteria and Standards, and HHS Certification Process HIMSS, frequently updated material, some members-only   Source Documents (Bookmarked) Notice of Proposed Rulemaking (NPRM), Medicare and Medicaid Programs; Electronic Health Record Incentive Program; December 30, 2009 Warning: 536 pages of barely intelligible gobbledygook; stay away from this unless you are a lawyer, accountant, actuary,... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=3159819 Mon, 11 Jan 2010 01:38:30 +0100 3159819 http://www.medworm.com/index.php?rid=2981183&cid=t_118539_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_118539_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_118539_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=2871810&cid=t_118539_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=2832251&cid=t_118539_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_118539_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=2741456&cid=t_118539_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_118539_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=2705195&cid=t_118539_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_118539_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_118539_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_118539_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=2641350&cid=t_118539_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FsdbX7BfA2F8%2F “Qualcomm pulls the plug on LifeComm”  announced Brian Dolan of mobihealthnews recently.  As demonstrated by e-CareManagement blog readership, there has been a lot of interest in LifeCOMM.  My first blog post on LifeCOMM in 2007 has been single the most commented on post and the second most widely read blog post. It’s taken me a while to sift through my thoughts and feelings about saying “Goodbye” to LifeCOMM. At first I was deeply disappointed, but after further reflection think that LifeCOMM wasn’t the right type of platform for today’s consumer mobile health market. Disappointment My first reaction was one of disappointment. (more…) Tags: business model, Google Health, HealthVault, HIE, HITECH, interoperability, LifeCOMM, network effect, platform, wireless (So... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2641350 Sun, 26 Jul 2009 16:44:23 +0100 2641350 http://www.medworm.com/index.php?rid=2639627&cid=t_118539_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=1290981&cid=t_118539_113_f&fid=34637&url=http%3A%2F%2Fgaggio.blogspirit.com%2Farchive%2F2008%2F03%2F10%2Fnooron-a-platform-for-collaboration-on-a-global-scale.html From the project website    Nooron is free (LGPLed) software which aims to provide a platform for collaboration on a global scale. The theory behind this effort is that a way to achieve such inclusiveness while also promoting quality is to create the mother-of-all-peer-review-systems and apply it to flexible, distributed knowledge representation. Unlike the majority of collaborative filtering systems, Nooron is based on user-extensible criteria (dimensions along which evaluations -- ratings -- may occur.) An unprecedented (except in biology) level of self-organization is expected to result from diligent application of criteria-based filtering to nearly every aspect of the system.   learn more: http://nooron.org/  (Source: Positive Technology Journal) Positive Technology Journal blogs http://www.medworm.com/rss/comments.php?id=1290981 Mon, 10 Mar 2008 17:50:00 +0100 1290981 http://www.medworm.com/index.php?rid=1222502&cid=t_118539_113_f&fid=36670&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Fmsdn%2Fhealthblog%2F%7E3%2F233129929%2Fhopping-along-toward-better-health-in-western-australia.aspx Regular HealthBlog readers know that I often find symbolism in things that I see as I travel the world.  In Japan it was a wooden bridge in a serene garden.  In Switzerland it was the Swiss Army Knife.  In Banff Canada it was a ladder reaching toward a star on top a Christmas tree.  Here in Australia, I saw symbolism in a bronze sculpture of kangaroos that I came across in downtown Perth just in front of the Halls of Justice.   (Downtown Perth as seen from King's Park)   Some of the most progressive and innovative healthcare organizations in the world are often those that are perfectly aligned between those paying for healthcare services and those who provide healthcare services.  Under the most ideal circumstances the recipients of care are have skin in ... HealthBlog blogs http://www.medworm.com/rss/comments.php?id=1222502 Mon, 11 Feb 2008 11:02:22 +0100 1222502 http://www.medworm.com/index.php?rid=1034975&cid=t_118539_113_f&fid=36670&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Fmsdn%2Fhealthblog%2F%7E3%2F184363140%2Fscience-and-technology-in-society-forum-how-software-could-help-save-the-planet.aspx Today I attended the opening of the 4th Annual Science and Technology in Society (STS) Forum in Kyoto, Japan.  I'm here at the invitation of Mr. Koji Omi, Member of the House of Representatives and former Finance Minister for Japan.  Mr. Omi is also notable as the founder of the STS Forum.  It is a genuine honor to be here; both to attend the conference and be invited to speak during one of the sessions.  I say it's an honor because the attendees at this conference are amazing; world famous scientists, educators, Nobel Prize winners, captains of industry and high-ranking government officials.  On one panel discussion alone this afternoon there were three Nobel Laureates among the speakers. The day started with a short address from Japan's new Prim... HealthBlog blogs http://www.medworm.com/rss/comments.php?id=1034975 Sun, 07 Oct 2007 08:33:00 +0100 1034975 http://www.medworm.com/index.php?rid=786751&cid=t_118539_133_f&fid=35090&url=http%3A%2F%2Faspiehomeeducation.blogspot.com%2F2007%2F08%2Fdj-talks.html DJ: "I used Movie Maker to split the movie in 3 parts, uploaded the movie to a file hosting website, sent the links to the person who runs the site and he put them there. To watch movies, get DX Codex, a program that allows you to watch things in very high quality. Oh, and I can convert MP4s to AVIs, a very common file format with Media Player. And I learned about ISPs!" (Source: Aspie Home-Education) Aspie Home-Education blogs http://www.medworm.com/rss/comments.php?id=786751 Wed, 08 Aug 2007 12:18:00 +0100 786751 http://www.medworm.com/index.php?rid=716635&cid=t_118539_133_f&fid=35090&url=http%3A%2F%2Faspiehomeeducation.blogspot.com%2F2007%2F07%2Fict-adventures_05.html It looks like someone has learned how to upload stuff onto Youtube, which in turn involved learning how to use Windows Movie Maker. (Source: Aspie Home-Education) Aspie Home-Education blogs http://www.medworm.com/rss/comments.php?id=716635 Thu, 05 Jul 2007 14:14:00 +0100 716635 http://www.medworm.com/index.php?rid=655406&cid=t_118539_113_f&fid=34649&url=http%3A%2F%2Ftechnhealth.blogspot.com%2F2007%2F06%2Fintel-co-founders-view-on-it-in-health.html Intel co-founder's view on IT in health careUnfortunately I wasn't able to embed this video so you will have to visit CNET to watch but well worth it.Intel co-founder, Andy Grove talks with ZDNet about his views on the current use of IT in health care. It will probably come as no suprise to hear that he believes there is still a long way to go before IT is well established in health and gives his thoughts as to what might prompt pickup in the future.Watch video - will take you to the ZDNet site.tags technorati : INTEL Andy Grove health care ICT (Source: Tech 'n' Health) Tech 'n' Health blogs http://www.medworm.com/rss/comments.php?id=655406 Mon, 04 Jun 2007 04:00:00 +0100 655406 http://www.medworm.com/index.php?rid=655407&cid=t_118539_113_f&fid=34649&url=http%3A%2F%2Ftechnhealth.blogspot.com%2F2007%2F06%2Fmission-2007-brining-ict-to-india.html Mission 2007 - Brining ICT to IndiaAnother informative video for those with an interest in ICT and rural or remote regions throughout the world.Several dozen Indian government, civil society and private sector organisations have joined hands as the National Alliance for Mission 2007 to take the benefits of ICT-led development to 600,000 villages across India. tags technorati : ICT Mission 2007 (Source: Tech 'n' Health) Tech 'n' Health blogs http://www.medworm.com/rss/comments.php?id=655407 Sun, 03 Jun 2007 04:00:00 +0100 655407 http://www.medworm.com/index.php?rid=611374&cid=t_118539_113_f&fid=34649&url=http%3A%2F%2Ftechnhealth.blogspot.com%2F2007%2F05%2Freflect-ict-project-i-have-another.html Reflect ICT ProjectI have another great video from the CNN Global Challenges program.It shows the fantastic work being done in rural communities from Western Uganda. Utilising solar power, communities are now able to utilise computers and telecommunications to help with literacy, education and health including HIV and AIDS programs.Although the video does not talk in detail about telehealth, I felt it was worth posting about as it is clear how easy it would be to establish telehealth solutions.The great thing about the project (Reflect ICT Project) is that the computers and other services are made available to everyone in the community. The staff (only a few people manage these centres) help everyone to learn how to use the computers including advice on using search tools, like Google. Whe... Tech 'n' Health blogs http://www.medworm.com/rss/comments.php?id=611374 Sun, 13 May 2007 04:00:00 +0100 611374