e-CareManagement blog

Chronic Disease Management • Technology • Strategy • Issues and Trends

Archive for March, 2007

Google Gets It: Personal Health Information is Really Complex

Google gets it. Adam Bosworth, Google Vice President, ruminates over the question “How do you know you’re getting the best care possible?”
I give Adam a lot of credit for this posting:

He acknowledges that health care is really complicated
He understands the dangers — that providing less than perfect information has the possibility of [...]

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Does Ron Also Have an EHR?

This story by David Williams made my morning!

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AARP On the Fence About Care Coordination Roles

Just in case this particular item hasn’t yet reached the top of your own to read pile, let me bring to your attention recent testimony to the Senate Finance Committee on Medicare Payment of Physician Services.
The testimony was presented on March 1 by Byron Thames, MD, an AARP Board member. With over 35 million members, [...]

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Porter/Teisberg JAMA Article: Out-of-the-Box or Out-of-Touch?

“In theory, there is no difference between theory and reality. In reality, there is.”  Yogi Bera

Out-of-the-box thinking is good; out-of-touch thinking is not. Dr. Porter and Teisberg’s (PT’s) recent article in JAMA “How Physicians Can Change the Future of Health Care” is disappointing, unrealistic and dangerous.

Disappointing: Please Answer the Challenges About Why [...]

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Today’s BFO: How can P4P Work W/O a QB?

Translation  Todays blinding flash of the obvious (BFO): How can you expect pay-for-performance (P4P) programs in Medicare to work with out a designated physician quarterback (QB)?
Please allow me to elaborate.
P4P programs are based on two assumptions:

Patients are assigned to a physician or a practice that will have primary responsibility for their care, and
That a meaningful [...]

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Practice Fusion’s EHR: Can Google’s “Endorsement” Overcome a Weak Business Model?

Practice Fusion (PF) has announced a deal with Google to provide a free electronic health record (EHR) to physicians. The EHR will be supported by ad revenues from pharmaceutical companies, insurance companies and others. Read more here.

What’s the connection to care management and chronic disease? EHRs and personal health records (PHRs) are wildcards [...]

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The Cats are Herding!

We’ve all heard the saying that getting doctors to agree is like herding cats.
Well, it’s happening.
Four physician organizations representing 330,000 doctors issued a press release voicing their support for Joint Principles of a Patient-Centered Medical Home. The four groups are the American Academy of Family Physicians (AAFP), the American Academy of Pediatrics (AAP), the American [...]

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Japan: On the Treadmill, Buddy

In the U.S. we’ve debated for years whether health care should be a right. Why aren’t we also having a debate about whether maintaining health is a responsibility?

Should maintaining our health also be viewed as a moral responsibility? …or take this even further — a legal responsibility?

If this sounds far fetched, consider [...]

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