e-CareManagement blog

Chronic Disease Management • Technology • Strategy • Issues and Trends

Archive for the "EHRs/PHRs" category

Is the Medical Establishment the Best Guardian of Your Medical Data?

David C. Kibbe, MD, MBA and Vince Kuraitis
Drs. Mandl and Kohane begin their recent article in NEJM with the statement that “large corporations are seeking an integral and transformative role in the management of health care information,” and then warn that this “will profoundly affect the biomedical research enterprise.”   
At issue for the authors is who […]

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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 […]

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Search Engines Using Your Personal Health Information: Creepy or Cutting Edge?

When using a search engine, should results be customized based on your personal health information (PHI)?  Should your search engine of choice take into account your previous history of medical searches, or even provide results tailored from data about your personal medical history?
Two companies — Aetna and Microsoft — have come up with 180 degree different answers.
In […]

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4 Reasons Why Health Plans Struggle with PHRs

Aetna recently made another big announcement relating to their PHR.  While the concept of what they’re doing is very appealing, it strikes me that health plans in general face an uphill battle in getting consumers to adopt and use personal health records (PHRs).
I’ll describe 4 factors behind my thinking:

Lack of Trust
Lack of Access to Clinical Data
Lack […]

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Going to the Mat for Dorothy

by Jill Kuraitis 
Vince gave me Dorothy’s story to read, and here’s what I said:  GO DOROTHY!   ::::goofy little happy dance:::   Dorothy is my new hero. I love people who are willing to go to the mat for a cause, especially one having to do with the elderly, children, the disabled and less fortunate than we.
Since […]

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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 […]

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“Give me Auntie’s medical records or put me in the slammer!”

We underestimate how much people REALLY want medical infomation about themselves and their loved ones. 
Dorothy Tillman wanted it so badly that she was arrested!  Read more at Jaz-Michael King’s blog, A Scanner Brightly.
 
Hat tip to Jen McCabe Gorman for spotting this amazing story.
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A First Comparison of Google Health and MS HealthVault

While details are thin, here’s a first pass at comparing and contrasting Google Health (GH) and Microsoft HealthVault (HV).  Overall, there are many common features, some differences, and many common challenges between these two platforms. 
A High Level Comparison
Google Health and Microsoft HealthVault Personal Health Information (PHI) Platforms

There’s still not much information available about the specifics of GH, although […]

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The Wrong Way and the Right Way to Frame PHR Privacy/Confidentiality Issues

 Vince Kuraitis and David C. Kibbe, MD MBA 
During the past week two reports were released discussing privacy/confidentiality issues surrounding PHRs.  One of these reports did it the wrong way; one did it the right way.
The general public is just learning about Personal Health Records (PHRs).  We believe that the appropriate way to frame the dialogue […]

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UnitedHealth a First Mover for “PHRs for Life”. Way to go!

CONGRATULATIONS to UnitedHealth!  They’ve announced that they are making their personal health records (PHRs) transportable:
The OptumHealth and UnitedHealthcare units of Minneapolis-based UnitedHealth Group have made their personal health records service accessible for life.
That means an individual covered by UHC insurance or OptumHealth’s outsourced health and wellness services will be able to access their PHR–and continue to […]

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Four Misconceptions About HealthVault and the Emerging Personal Health Information Ecosystem (PHI-Ecosystem)

by Vince Kuraitis and David C. Kibbe, MD MBA 
The health care and technology worlds are still trying to figure out what Microsoft’s HealthVault (HV) is all about.  We believe that there are a number of misconceptions out there about what HV is and isn’t:
Misconception #1: HealthVault is a personal health record (PHR).
Misconception #2: People don’t trust Microsoft, […]

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Microsoft’s HealthVault: User Manual = C-, Strategy to Create a New Ecosystem = A

Would you like to have the experience of being parachuted into a deep forest with no map of where you are or clues about how to get out?  If so, I suggest that you go directly to Microsoft’s new PHR at www.healthvault.com and just TRY to figure out where you are or where you’re headed.
Initial […]

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Connecting the Dots…Google Health Promises to Create AND Dominate Next Generation PHRs

Google Health (GH) could be the event of the decade in advancing health care reform — not just healthcare information technology (HIT) reform, but health care system reform. GH promises simultaneously to create AND dominate the market for next generation personal health records (PHRs). There is nothing else in our solar system or in the […]

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Physician EHR Implementation Is Doggone Difficult

Now that Medicare’s future direction for chronic care management has become murky, I’ve started to pay more attention to the many other demonstration/pilot projects that Medicare has in the works relating to chronic care.

In April Medicare announced roll out of its DOQ-IT U (Doctor’s Office Quality — Information Technology University), as a part of the […]

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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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