October 9, 2001
Are you familiar with the TV quiz
show "Jeopardy" -- the one where contestants are shown an answer and
then have to come up with the right question?
Here's today's answer:
This recent government sponsored
report makes recommendations in the following areas of online
Better management of clinical
information to support care
Increased availability of online
health services to provide direct clinical care
Increased use of online
applications to support clinical practice
Facilitating the greater adoption
of electronic commerce to produce a more efficient health system
Further develop information
management practices to improve the availability of
confidentialised health data for research, policy and planning
purposes to provide a more efficient and effective health system
Do these recommendations look
familiar? So what's the right question? If you guessed this report
came from the US, you're wrong!
The right question? "What is.....
Online: A Health Information Action Plan for Australia"
Second Edition, September 2001
National Health Information Management Advisory Council
TELEMEDICINE EVIDENCE -- MIXED FINDINGS
British Medical Journal; September 8, 2001
Reviews recent evidence and describes clinical applications where
there is early evidence that telemedicine is not only of clinical
benefit but cost effective too.
Telemedicine: A Systematic Review of the Literature"
Canadian Medical Association Journal; September 18, 2001
Evidence regarding the effectiveness or cost-effectiveness of
telemedicine is still limited. Based on current scientific evidence,
only a few telemedicine applications can be recommended for broader
DISEASE MANAGEMENT PROGRAMS IN GERMANY
Model for Disease Management"
McKinsey Quarterly, September 2001
Emerging technologies that support the patient-management process --
the trickiest part of disease management -- may remedy the problem.
Germany is likely to be a test bed for these programs, since its
government plans to compensate insurers for some of the cost of
NEW BOOK --
EMPLOYEE HEALTH AND PRODUCTIVITY
Productivity: A Guide to Self-Assessment Tools"
by Wendy Lynch, Ph.D. and John E. Riedel, MPH, MBA
Institute for Health & Productivity Management, September 2001
This book provides a map for answering key concerns:
Determining the size and scope of
health issues on work performance
Comparing different health issues
Detecting changes in performance
Determining overall productivity
loss from workforce health issues
Building the business case for
health & productivity management
IS HEALTH CARE ON
THE VERGE OF DISRUPTIVE INNOVATION?
"Good Health is Just a Costly Way to Die"
Red Herring, September 2001
"It may be difficult for U.S. health care to back away from
aggressive and costly diagnostics and therapeutics now that it has
created a veritable health-pharma-legal-financial complex, perhaps
driven more by self-interest than by any realistic assessment of
"There are signs that U.S. medicine
is nearing the end of its golden age of health care spending. Even
health maintenance organizations could go only so far in trimming
fat and reducing consumption. Now more difficult decisions must be
made about long-term, population-wide benefits and costs, and not
only how much we will spend, but which conditions are worth treating
at all. Money can always be made in health care, but expect it to be
made in new ways. Rather than seeking high-tech breakthroughs that
yield incremental gains at inordinate cost, entrepreneurs may focus
on developing cheaper alternatives to existing treatments."
IS THE GREATEST CONTRIBUTOR TO RISING HEALTH CARE COSTS
"Tracking Health Care Costs:
Hospitals Surpass Drugs as Key Cost Driver"
Center for Health System Change
Health Affairs, September 2001
Click here for an
Abstract and link to full article, or go to
Contrary to conventional wisdom,
hospital spending -- not prescription drugs -- accounted for the
largest share of increased health care costs in 2000.
USING THE INTERNET
TO IMPROVE RURAL HEALTH CARE
"Rural Health Care and the Internet: Issues and Opportunities for
Using Interactive Communications to Improve Rural Health Care
A Report on a Meeting Convened by: The Center for Health Policy,
Research and Ethics, George Mason University; Health Resources and
Services Administration; Milbank Memorial Fund Office of Rural
Health, University of Arizona; Summer 2001
Internet technologies offer the promise of a more viable alternative
to previously developed telecommunication technologies because of
its lower costs, widespread availability, and relative ease of use.
Meeting participants recognized the
need to promote national pilot programs that strive toward
systematic change, in which processes are reengineered in favor of
needs-driven, sustainable efforts.
SENIORS' USE OF
WEB SIMILAR TO OTHER INTERNET USERS
"Wired Seniors: A Fervent Few, Inspired By Family Ties"
Pew Internet and American Life Project, September 2001
While 56% of all Americans go
online, only 15% of Americans over the age of 65 have access to
Wired seniors are as engaged as
the general Internet population in pursuing medical advice online.
53% of online seniors have sought health information online,
compared to 56% of the general online population.
SURVEY ON CONSUMER
EXPERIENCES WITH HEALTH PLANS
"National Survey on
Consumer Experiences With and Attitudes Toward Health Plans"
The Kaiser Family Foundation/Harvard School of Public Health
Health Benefits Survey"
The Kaiser Family Foundation and the Health Research and Educational
Trust, September 2001
Premiums for employer-sponsored health insurance increased an
average 11 percent in 2001, the largest increase in premiums since
"Maximizing the Return on Health Benefits"
Watson Wyatt, September 2001
LATEST "STATE OF MANAGED CARE QUALITY"
"State of Managed Care Quality 2001"
National Committee for Quality Assurance (NCQA); September 2001
REVIEW FEATURES INNOVATIVE HOME CARE TECHNOLOGIES
"Upstream: Smart Home Care"
Technology Review, September 2001
UPDATE ON JCAHO
DISEASE-SPECIFIC CARE CERTIFICATION PROGRAM
Developing Disease-Specific Care Certification program
JCAHOnline, August 2001
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,
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