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NHIN

Direct Project: Revisiting the Innovative Power of Push

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., […]

Six First-Take Reactions to Surescripts Network Expansion

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 […]

Digital Medical Office of the Future Conference. Las Vegas, Sept. 9-10

CLICK HERE FOR THE CONFERENCE WEBSITE

Healthcare providers face critical choices in selecting and implementing Electronic Health Records (EHRs). In addition, physicians and hospitals will need to develop the capacity to exchange clinical information in order to meet Meaningful Use requirements. This program will offer detailed and practical information on EHR selection and implementation, as well as strategies for creating a sustainable health information exchange (HIE). The program also features sessions on legal/regulatory issues, clinical platforms and applications as […]

Is HITECH Working? #7: Where’s Plan B? Congress and ONC need to address major flaws in HITECH.

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, […]

Is HITECH Working? #4: While most attention has been focused on demand side incentives (will doctors and hospitals buy EHRs?), the supply (vendor) side of HIT is already transforming.

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 […]

Is HITECH Working? #3: ONC got it right on the 3 major policy interpretations: Meaningful Use, Certification, Standards

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 […]

Feds Call on Google and Microsoft to Breathe Life into the NHIN

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, […]

Birth Announcement: the Personal Health Information Network (PHIN)

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.  […]

Ruminations on the 2007 Healthcare Unbound Conference

Although a bit late, I’d like to share perspectives from the latest Healthcare Unbound conference. The conference took place in San Francisco on July 16 and 17 and attracted 400 attendees with a rich blend of business, information technology, and clinical backgrounds.

PowerPoint from Opening Keynote

Here’s a copy of the PowerPoint for my opening keynote presentation. My colleague and fellow blogger Tim Gee did a great job summarizing key points on his blog.  THANKS, Tim.

In a nutshell, my main theme is that the adoption of Healthcare Unbound […]