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E-CareManagement News

March 2, 2000

RWJF REPORT FORECASTS HEALTH CARE IN THE U.S. THROUGH 2010

A report entitled "Health and Health Care 2010" has been released by the Robert Wood Johnson Foundation and the Institute for the Future.

Here are a few summary findings from the section of the Executive Summary entitled "Care Processes and Medical Management":

  • Medical management -- the active management of the care of patients and populations -- is currently applied sporadically, if at all. There are two main issues in the future of medical management. The first is the debate over which care processes are used. Many groups are developing guidelines and practice protocols, but none has agreed how, where, or when to use them. The second is the need to reduce variations in practice, thereby reducing costs and improving clinical outcomes.

  • Because medical management will depend on information systems to monitor and track both processes and outcomes, we forecast that putting these medical management processes in place will take closer to 15 years than 5 years.

  • In the interim, disease and demand management programs for the well population -- advice nurses working with patients using the telephone and the Internet -- will be commonplace. The advent of disease management programs and the adoption of clinical guidelines will have a significant impact on medical practice and patient management by 2005 and a sporadic but discernible effect on practice variation a few years later.

  • An editorial review of the disease management section of Health and Health Care 2010 was written by Molly Mettler, Senior Vice President at Healthwise. Read thought provoking essay -- "That Patient is Not Diabetes Case #1155491. She's Me. The Need for Disease Management to Become Consumer-Centric".

    DMAA SPONSORING CONFERENCE ON EMERGING PATIENT CONFIDENTIALITY CHALLENGES TO DM

    The Disease Management Association of America (DMAA) is sponsoring a seminar in Washington DC on March 29, 2000.

    Senator Bill Frist is headlining this full-day seminar. The conference will take an in-depth look at the major, emerging state and federal legislative and regulatory issues surrounding patient privacy initiatives which will likely affect the practice of disease management in the coming year. Other speakers will include: 

    Janlori Goldman -- Georgetown Privacy Project 
    James Jacobson -- Gardner, Carton, and Douglas 
    Vincent Kerr -- General Electric Corporation
    Vince Kuraitis -- Better Health Technologies 
    Richard Vance MD -- Humana, Inc. 

    Additional information and registration information can be seen at the DMAA website

    TOP 10 DEVELOPMENTS ON THE PHARMACEUTICAL LANDSCAPE

    Express Scripts, a pharmacy benefit management (PBM) company, has issued it's list of Top 10 Trends. You can download the full 10 page report at Express-Scripts homepage. The list:

    1) COX-2 inhibitors gained 21% share Of $2.3 billion musculo-skeletal market within first six months

    2) Two new drugs join arsenal to fight influenza

    3) Clinton Medicare prescription benefit proposal draws media attention to the challenging pharmaceutical landscape

    4) Direct-to-consumer drug ads surpass $1.8 billion, with no end in sight

    5) Breakthrough may lead to Alzheimer's treatment

    6) Advancements improve outcomes for patients with congestive heart failure

    7) Report reveals that medical errors kill thousands annually

    8) Vaccines gain ground in the battle against infectious diseases

    9) Surgeon General's report focuses public attention on mental health

    10) New rheumatoid arthritis drugs offer relief for patients

    ALLIANCE OF COMMUNITY HEALTH PLANS ADVANCES NEW SYSTEM FOR MEASURING HEALTH IMPROVEMENT

    The Alliance of Community Health Plans announced a new population-based approach to address patients' risks for developing specific diseases. Read their press release

    Organizations that contributed to shaping the process included the American College of Physicians, the Centers for Disease Control and Prevention, the employers' Managed Health Care Association, and the Washington Business Group on Health.

    COMPREHENSIVE REPORT EXPLORES APPLICATIONS AND LIMITATIONS OF THE INTERNET IN HEALTH AND HEALTH CARE

    The National Research Council and the Computer Science and Telecommunications Board have released a comprehensive report -- "Networking Health: Prescriptions for the Internet"

    Major sections of the report cover:

  • Health Applications of the Internet (Consumer health, clinical care, financial and administrative transactions, public health, professional education, and biomedical research)

  • Technical Challenges

  • Organizational Challenges

  • Issues for Public Policy

  • Conclusions and Recommendations

  • For the Internet to be used widely and effectively in the health community, the report identifies four areas that should be addressed: (1) research, development, and deployment of technologies needed to support health-related applications of the Internet; (2) demonstrations and evaluations of health applications on the Internet; (3) educational programs to help health organizations and their employees adopt Internet applications and develop effective policies for doing so; and (4) efforts to resolve policy issues that impede use of the Internet for health applications.

    INTERNET MORE POWERFUL THAN TV OR PRINT AT DRIVING PRESCRIPTION DRUG REQUESTS

    A new analysis from Cyber Dialogue of the return on investment (ROI) from sector expenditures reveals a dramatic difference in online versus offline effectiveness. According to Cyber Dialogue's model, the amounts spent to drive a single specific drug request by a consumer differ greatly across the three media studied. The model found that the cost to pharmaceutical companies amount to:

  • $220 per specific drug request for print ads

  • $197 per specific drug request for television ads

  • $14 per specific drug request for the Internet

  • OTHER ENGAGING ARTICLES AND JOURNALS

    MCO Executives is a constantly-updated online magazine that routinely features articles relating to disease management and managed care.

    Informatics-Review is a timely e-journal that reviews issues relating to medical informatics, ehealth, physician use of the Internet, etc. 

    Finally, the latest issue of the British Medical Journal features a half dozen up-to-the-minute articles on DM. 

    BOOK RECOMMENDATION
    E-HEALTHCARE: HARNESS THE POWER OF INTERNET E-COMMERCE AND E-CARE

    Internet health care expert Doug Goldstein has authored his 5th book: "e-Healthcare: Harness the Power of Internet e-Commerce & e-Care". Doug provocatively predicts: "Ten years from now 50% of all health services will be delivered through some variation of Web and Internet technology!"

    Doug and co-authors highlight 10 e-Trends:

    #1: More and More e-Patients Do More and More On-line
    #2: From Information and Medical Decision Support to Online e-Care 
    #3: Everything is Connected to the Net 
    #4: Beyond Web Portals(Health and Medical Online e-Services 
    #5: e-Care is the Next Generation of Disease and Demand Management
    #6: Biz-2-Biz: Better, Cheaper, Faster Online 
    #7: Surf + Shop + Ship = Rapidly Accelerating Online Spending
    #8: e-Medical Category Killers 
    #9: e-Healthcare @Home 
    #10: Being MedDigital

    The book is available from Aspen Publishers 

    5th HON SURVEY ON INTERNET USE FOR HEALTH PURPOSES

    Results of the 5th Annual Survey on the Evolution of Internet Use for Health Purposes are available. The study was conducted by the Health on the Net Foundation (HON). Top line findings include:

  • The usefulness of medical cyberspace continues to grow.

  • Less than half of all doctors in the U.S. and Europe are actively using the Internet.

  • Evidence on access patterns, however, suggests a major reason is lack of time while on the job. 74% of North American doctors and 55% of the European colleagues say they access the Internet "primarily" from home.

  • Of all healthcare professionals, nurses appear to be the most active users of the Internet.

  • Women have steadily grown into a clear majority of medical-Internet users.

  • Note: this survey uses "non-probabilistic sampling." In plain old English, this means that respondents were those who chose who take the survey at the HON website. Be careful in making comparisons. HON Surveys 1997-2000. © Health On the Net Foundation.


    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 © 2000, Better Health Technologies, LLC. All rights reserved.


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