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E-CareManagement News

February 28, 2002

ADOPTION OF E-HEALTH TECHNOLOGIES--THE PACE OF A TURTLE, THE INTENSITY OF A STEAM ROLLER

"Taking the Pulse: Physicians and Emerging Information Technologies"
Deloitte Consulting, Deloitte & Touche; January 2002

Major Themes:

  • Time is Money. ...the rate of adoption of information technology by practicing physicians is dependent on the relative impact on productivity and, by extension, on the economics of their practice.

  • Point of Care Information Technologies Remain Elusive (For Now).

  • Infrastructure Matters. ...Value creation occurs when front-end applications and tools are integrated with robust backbone infrastructure--transaction systems and core databases.

  • Still Room to Master the Basics. ...there is an abundance of "low hanging fruit" in the category of administrative applications and functionality that must be addressed before the industry can move on the next stage of advanced services and applications.

  • Growing Prospect of a "Not-So-Gentle Outsider Push". The slow pace of adoption of automated tools and applications among physicians and the overall health care industry raises the possibility of intervention on the part of leading purchasers (government and employers).

  • The Challenge of Overcoming Multiple Fragmented Markets. The fragmented nature of the physician marketplace contributes significantly to the lack of robust technology infrastructure and the relatively low usage of emerging information technologies for core practice management.

  • Inch-By-Inch, Physician Adoption Will Take Time. ...there is no silver bullet.

  • "Strategy and e-Health: How to Harness the Power of the Internet for Competitive Advantage in Health Care"
    Deloitte Consulting, Deloitte & Touche, Fulcrum Analytics; January 2002

    Strategy Principles for Enhancing Organizational Performance:

    1) Every aspect of a health care organization's activity chain is a candidate for "Internet integration." 

    2) Successfully capturing and leveraging intellectual capital serves to empower employees and improve their productivity.

    3) The low cost and self-service nature of e-learning technologies are well-suited to health care settings.

    4) Migration to internet-based technologies is made simpler by first undertaking efforts to simplify business practices such as provider and purchases contracting.

    5) Industry collaboration is preferable to development of proprietary systems for transmitting administrative, clinical, and financial information.


    Strategy Principles for Responding to Consumerism:

    1) The physician-consumer relationship cannot be omitted from any e-Health "play."

    2) Health care consumers/patients value convenience above other value-added services.

    3) There is more to consumerism than just the Internet.

    4) The ability to earn and retain the trust of consumers, patients and health plan members can be an e-Health competitive advantage.

    PRESIDENT BUSH' HEALTH POLICY SUPPORTS INNOVATIVE DISEASE MANAGEMENT PROGRAMS

    Fact Sheet -- "Agenda for Improving Health Security"
    The White House, February 2002

    The President's framework would give seniors better health care options, including:

    ...Giving more reliable private health care options for seniors who prefer the lower out-of-pocket costs and innovative benefits like "disease management" services available in such programs.

    Commentary:
    Disease management is one topic that Bill Clinton and George Bush can agree on!

    CONFERENCE -- THE HEALTHCARE OUTSOURCING CONGRESS

    The Center for Business Innovation (TCBI) presents
    THE HEALTHCARE OUTSOURCING CONGRESS
    March 7-8, 2002, Hyatt Regency New Orleans, New Orleans, LA

    The Premier Conference & Exhibition for Leaders and Key Decision-Makers from Hospitals, Health Systems, Physician Groups and Managed Care Organizations. For additional information click here

    As an E-CareManagement News subscriber, you are entitled to $300 off the applicable registration fee (this discount cannot be combined with any other discounts). Please register by phone only (310-541-5932) to receive this special low rate and mention keycode BHT.

    GARTNER'S TOP 10 LIST FOR HEALTHCARE

    "The Hottest IT Issues Facing Healthcare Organizations in 2002"
    Gartner, Inc., January 2002

    Gartner provides advice on:

    1) Computerized physician order entry (POE)
    2) Healthcare web initiatives
    3) Application service providers (ASPs)
    4) IT's (information technology's) contribution
    5) Maximizing value from IT standards
    6) Customer relationship management (CRM) initiatives
    7) Impact of attention to homeland security
    8) Decreasing costs through enterprise resource planning (ERP) and supply chain management (SCP)
    9) Mobile health care devices
    10) Meeting HIPAA deadlines

    Commentary:
    Succinct, to-the-point perspectives....just needs a few more acronyms.

    CHRONIC CARE LEGISLATIVE REALITIES FOR THE 107th CONGRESS

    "Targets of Opportunity in Chronic Illness Care Policy"
    National Chronic Care Consortium (NCCC); February 4, 2002

    Discusses newly honed NCCC legislative strategies for the upcoming year:

  • Congress will talk about but not enact major Medicare reform legislation.

  • One or more of seven NCCC provisions could get folded into emerging bi-partisan legislation.

  • A listing of principles to maintain focus and maximize chances for success.

  • AN EVALUATION OF WEB-BASED DIABETES MANAGEMENT PROGRAMS

    "A Framework for the Evaluation of Internet-based Diabetes Management"
    Journal of Medical Internet Research, January-March 2002

    Results and Conclusion:
    The results of the evaluations indicate that LifeMasters is a more-complete solution than myDiabetes in all dimensions except information, where both sites were equivalent....The framework is based on the recognition that the management of diabetes via the Internet is based on several integrated dimensions: monitoring, information, personalization, communication, and technology.

    AN EVALUATION OF WEB-BASED PERSONAL HEALTH RECORDS (PHRs)

    "Personal Health Records: Evaluation of Functionality and Utility"
    Journal of the American Medical Informatics Association, March/April 2002

    Conclusions: 
    Currently available PHRs demonstrate limited functionality.

    CHRONIC CONDITIONS CHALLENGE LOW INCOME AMERICANS

    "Triple Jeopardy: Low Income, Chronically Ill and Uninsured in America"
    Center for Studying Health System Change, February 2002

    At least 7.4 million working-age Americans with chronic conditions--including diabetes, heart disease and depression--lacked health insurance in 1999, according to a new HSC study. And two-thirds also had low incomes, putting them in triple jeopardy.


    "Options for Expanding Health Insurance for People with Chronic Conditions"
    Center for Studying Health System Change, February 2002

    SENIOR PROFILES

    "A Profile of Older Americans: 2001"
    U.S. Department of Health and Human Services, Administration on Aging, January 2002

    Includes topics on 1) Health, Health Care, and Disability, and 2) Computer and Internet Access

    WORTH REVIEWING

    "The Coming E-volution in Health Care"
    Washington Post; February 12, 2002

    "A Nation Online: How Americans Are Expanding Their Use Of The Internet"
    U.S. Department of Commerce, February 2002

    Joint Commission Awards First Disease-Specific Care Certificate In Nation

    "Bedside Visits, on the Telephone"
    New York Times; February 17, 2002

    Disclosure -- No clients were mentioned this issue.



    E-CareManagement News is an e-newsletter that tracks a major change in health care and managed care—the paradigm shift from “managing cost” to “managing care”.  This e-newsletter is brought to you by Better Health Technologies, LLC (http://www.bhtinfo.com).  BHT provides consulting and business development services relating to disease management, demand management, and patient health information technologies.

    You may copy, reprint or forward this newsletter to friends, colleagues or customers, as long as the use is not for resale or profit and the following copyright notice is included intact. Copyright © 2002, Better Health Technologies, LLC. All rights reserved.


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