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care coordination

Another portal

Today’s Patient Portals CAN NOT Work: Friction ACROSS Portals

This entry is part 3 of 4 in the series Patient Portal #FAIL

by Vince Kuraitis and Jody Ranck

Friction across multiple patient portals dramatically limits their usefulness—there’s no practical way for patients OR providers to reconcile and integrate information and workflow.

This is the third post in our series on patient portals. We’ve used platform terminology and concepts to explain why today’s patient portals are doomed to mediocrity. Let’s recap:

The first post in this series introduced the platform terminology of single-homing vs.multihoming. Patients strongly would prefer to have as few portals as possible — ideally one, i.e., a single “home”.

The second post described the difference between stand-alone value and network value. Today’s patient portals can provide some stand-alone value, but they provide minimal network value.

In this post we’ll discuss the pitfalls of friction across multiple portals. Your mom having seven portals is more than just inconvenient—it’s dangerous.

Healthcare’s Transformation into the “Pinnacle” Platform Industry

A “Platform Revolution” is sweeping America. Platforms like Google, Facebook, Amazon, Apple, and Airbnb are turning existing industries inside-out and creating new landscapes never yet dreamed of.

…but healthcare hasn’t been affected much…yet. Below, I’ll briefly explain:

Why healthcare has been slow to adopt platforms
What’s changing
Why in the long-run healthcare promises to become the pinnacle platform industry.

Read the rest of this story on Tincture…

The 100 Year Shift? Introduction and Overview

by Vince Kuraitis JD, MBA and Jaan Sidorov MD, MHSA, FACP

Gazing at the horizon, we foresee the potential for a tectonic realignment among physicians, hospitals and payers. Here’s a quick visual representation:

This essay is the first of a seven part series. In this first post we will capsulize our vision of this potential 100 Year Shift, answer initial FAQs, and lay out the structure for the rest of the series.

The Lynchpin — Changing Economic Incentives

In the past, physicians and hospitals […]

Could Facebook Be Your Platform for Care Coordination?

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 […]

A One in a Hundred Whitepaper: “Better to Best” Transcends PCMH, Care Coordination, Access, HIT, and ACO Payment Reform

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 […]

Is Economic Credentialing A Tool for Primary Care to Lead ACOs?

Is economic credentialing — the use of economic factors such as loyalty and utilization rates in the physician credentialing process — a potential tool for primary care physicians to lead ACOs?   and reestablish the vitality of primary care in American health care?

Keith Wright and Gregory Drutchas’ incisive article Economic Credentialing: A Prescription To Secure Shared Savings Under Accountable Care provides useful history and context about economic credentialing:

For many years, the use of economic factors by hospitals in making medical staff credentialing decisions […]

Getting DIRECTly to the Point: The Role of the Direct Project in Fast-Tracking Health IT Interoperability

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 […]

Updates on Proposed Stage 2 and 3 Meaningful Use Criteria

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 […]

Will ACO IT Models Be Walled Gardens or Open Platforms?

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.).

HITPC Meaningful Use Workgroup Offers First Draft of HITECH Stage 2 & 3 Objectives

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 […]