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	<title>Comments on: I&#8217;ve Been Fired By My PHR. Now What?</title>
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	<link>http://e-CareManagement.com/ive-been-fired-by-my-phr-now-what/</link>
	<description>Chronic Disease Management • Technology • Strategy • Issues and Trends</description>
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		<title>By: Devon Devine, J.D.</title>
		<link>http://e-CareManagement.com/ive-been-fired-by-my-phr-now-what/comment-page-1/#comment-12580</link>
		<dc:creator>Devon Devine, J.D.</dc:creator>
		<pubDate>Mon, 15 Mar 2010 19:40:15 +0000</pubDate>
		<guid isPermaLink="false">http://e-CareManagement.com/?p=1371#comment-12580</guid>
		<description>One lesson is that national strategies with the right strategy with the right leadership team and strong funding fail consistently. Maybe the lesson here is go local, don&#039;t get VC funding, and don&#039;t hire celebrities. Steve Case as founder seemed pretty exciting at the inception of Revolution Health. Colin Powell&#039;s keynote address at the national credit union conference plugging Revolution Health was pretty exciting, too. He was gunning to intermediate the financial institutions to a custodial role for health data. Arguably a great strategy but what Main Street actor cares? And what do Colin Powell and credit unions have to do with health care? A lot, in theory, but only if they can get local engagement in these very personal issues.

As for a remedy for you, Vince, maybe you can contact some of your law school alums and get involved in a class action. Given that legislatures have deferred to courts rather than addressing these kinds of harms head-on,  I would expect to see a new string of class actions developing around breach of duty in failure to maintain an EHR. Each individual&#039;s harm isn&#039;t that great, but the interests of justice do seem to favor some remedy.

Same kind of thing happened with Canopy Financial earlier this year. They had all the tricked out PHR tools, and then blew up and reportedly had their deposits frozen by the FBI. Not fun to have creditors poking around your PHI looking creatively on some way to satisfy a claim. If the VCs can&#039;t do adequate due diligence, how are the Main St. people going to do it? 

Certification of some sort would be good. Regulation helps, too, but maybe not much. There could be an FDIC-insured equivalent assurance of proper back-ups in an escrow account accessible by the consumer.</description>
		<content:encoded><![CDATA[<p>One lesson is that national strategies with the right strategy with the right leadership team and strong funding fail consistently. Maybe the lesson here is go local, don&#8217;t get VC funding, and don&#8217;t hire celebrities. Steve Case as founder seemed pretty exciting at the inception of Revolution Health. Colin Powell&#8217;s keynote address at the national credit union conference plugging Revolution Health was pretty exciting, too. He was gunning to intermediate the financial institutions to a custodial role for health data. Arguably a great strategy but what Main Street actor cares? And what do Colin Powell and credit unions have to do with health care? A lot, in theory, but only if they can get local engagement in these very personal issues.</p>
<p>As for a remedy for you, Vince, maybe you can contact some of your law school alums and get involved in a class action. Given that legislatures have deferred to courts rather than addressing these kinds of harms head-on,  I would expect to see a new string of class actions developing around breach of duty in failure to maintain an EHR. Each individual&#8217;s harm isn&#8217;t that great, but the interests of justice do seem to favor some remedy.</p>
<p>Same kind of thing happened with Canopy Financial earlier this year. They had all the tricked out PHR tools, and then blew up and reportedly had their deposits frozen by the FBI. Not fun to have creditors poking around your PHI looking creatively on some way to satisfy a claim. If the VCs can&#8217;t do adequate due diligence, how are the Main St. people going to do it? </p>
<p>Certification of some sort would be good. Regulation helps, too, but maybe not much. There could be an FDIC-insured equivalent assurance of proper back-ups in an escrow account accessible by the consumer.</p>
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		<title>By: EB</title>
		<link>http://e-CareManagement.com/ive-been-fired-by-my-phr-now-what/comment-page-1/#comment-12464</link>
		<dc:creator>EB</dc:creator>
		<pubDate>Tue, 02 Feb 2010 16:49:55 +0000</pubDate>
		<guid isPermaLink="false">http://e-CareManagement.com/?p=1371#comment-12464</guid>
		<description>Anybody know why Revolution Health just now let me sign up for a new account? There is no notice whatsoever on their site of this change, and nothing on my &quot;My Revolution&quot; page that suggests anything but business as usual. I even got a really nice &quot;welcome&quot; email. I can blindly use all the features, enter all my health data...  yikes.</description>
		<content:encoded><![CDATA[<p>Anybody know why Revolution Health just now let me sign up for a new account? There is no notice whatsoever on their site of this change, and nothing on my &#8220;My Revolution&#8221; page that suggests anything but business as usual. I even got a really nice &#8220;welcome&#8221; email. I can blindly use all the features, enter all my health data&#8230;  yikes.</p>
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		<title>By: Joseph Cafazzo</title>
		<link>http://e-CareManagement.com/ive-been-fired-by-my-phr-now-what/comment-page-1/#comment-13333</link>
		<dc:creator>Joseph Cafazzo</dc:creator>
		<pubDate>Thu, 28 Jan 2010 20:31:35 +0000</pubDate>
		<guid isPermaLink="false">http://e-CareManagement.com/?p=1371#comment-13333</guid>
		<description>&lt;span class=&quot;topsy_trackback_comment&quot;&gt;&lt;span class=&quot;topsy_twitter_username&quot;&gt;&lt;span class=&quot;topsy_trackback_content&quot;&gt;I’ve Been Fired By My PHR. Now What?: http://is.gd/7emcj (via @arthurwlane)&lt;/span&gt;&lt;/span&gt;</description>
		<content:encoded><![CDATA[<p><span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">I’ve Been Fired By My PHR. Now What?: <a href="http://is.gd/7emcj" >http://is.gd/7emcj</a> (via @arthurwlane)</span></span></span></p>
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		<title>By: Rebecca Woodcock</title>
		<link>http://e-CareManagement.com/ive-been-fired-by-my-phr-now-what/comment-page-1/#comment-13334</link>
		<dc:creator>Rebecca Woodcock</dc:creator>
		<pubDate>Thu, 28 Jan 2010 16:58:21 +0000</pubDate>
		<guid isPermaLink="false">http://e-CareManagement.com/?p=1371#comment-13334</guid>
		<description>&lt;span class=&quot;topsy_trackback_comment&quot;&gt;&lt;span class=&quot;topsy_twitter_username&quot;&gt;&lt;span class=&quot;topsy_trackback_content&quot;&gt;Revolution Health shutting down.  RT @arthurwlane: I’ve Been Fired By My PHR. Now What?: http://is.gd/7emcj&lt;/span&gt;&lt;/span&gt;</description>
		<content:encoded><![CDATA[<p><span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">Revolution Health shutting down.  RT @arthurwlane: I’ve Been Fired By My PHR. Now What?: <a href="http://is.gd/7emcj" >http://is.gd/7emcj</a></span></span></span></p>
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		<title>By: arthurwlane</title>
		<link>http://e-CareManagement.com/ive-been-fired-by-my-phr-now-what/comment-page-1/#comment-13335</link>
		<dc:creator>arthurwlane</dc:creator>
		<pubDate>Thu, 28 Jan 2010 16:42:36 +0000</pubDate>
		<guid isPermaLink="false">http://e-CareManagement.com/?p=1371#comment-13335</guid>
		<description>&lt;span class=&quot;topsy_trackback_comment&quot;&gt;&lt;span class=&quot;topsy_twitter_username&quot;&gt;&lt;span class=&quot;topsy_trackback_content&quot;&gt;I’ve Been Fired By My PHR. Now What?: http://is.gd/7emcj&lt;/span&gt;&lt;/span&gt;</description>
		<content:encoded><![CDATA[<p><span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">I’ve Been Fired By My PHR. Now What?: <a href="http://is.gd/7emcj" >http://is.gd/7emcj</a></span></span></span></p>
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		<title>By: JT</title>
		<link>http://e-CareManagement.com/ive-been-fired-by-my-phr-now-what/comment-page-1/#comment-12452</link>
		<dc:creator>JT</dc:creator>
		<pubDate>Wed, 27 Jan 2010 23:48:39 +0000</pubDate>
		<guid isPermaLink="false">http://e-CareManagement.com/?p=1371#comment-12452</guid>
		<description>the real question is why are the exiting the business and what does this mean for other standalone PHR vendors? could they not have a business model that works? will others follow this exit?</description>
		<content:encoded><![CDATA[<p>the real question is why are the exiting the business and what does this mean for other standalone PHR vendors? could they not have a business model that works? will others follow this exit?</p>
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		<title>By: Steve Hards</title>
		<link>http://e-CareManagement.com/ive-been-fired-by-my-phr-now-what/comment-page-1/#comment-12451</link>
		<dc:creator>Steve Hards</dc:creator>
		<pubDate>Wed, 27 Jan 2010 19:29:00 +0000</pubDate>
		<guid isPermaLink="false">http://e-CareManagement.com/?p=1371#comment-12451</guid>
		<description>Incredible! 
 
Apart from any business lessons, I&#039;m amazed that they are only offering a PDF version of the record. This means that most people will have to get information re-typed, with all the confidentiality issues and scope for errors that introduces. The least they should do is offer a text-friendly output of the record so that someone, sometime, can attempt to load it into another PHR.</description>
		<content:encoded><![CDATA[<p>Incredible! </p>
<p>Apart from any business lessons, I&#8217;m amazed that they are only offering a PDF version of the record. This means that most people will have to get information re-typed, with all the confidentiality issues and scope for errors that introduces. The least they should do is offer a text-friendly output of the record so that someone, sometime, can attempt to load it into another PHR.</p>
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		<title>By: Vince Kuraitis</title>
		<link>http://e-CareManagement.com/ive-been-fired-by-my-phr-now-what/comment-page-1/#comment-12450</link>
		<dc:creator>Vince Kuraitis</dc:creator>
		<pubDate>Wed, 27 Jan 2010 18:05:07 +0000</pubDate>
		<guid isPermaLink="false">http://e-CareManagement.com/?p=1371#comment-12450</guid>
		<description>see John Moore&#039;s always astute commentary at:
http://chilmarkresearch.com/2010/01/27/the-phr-risk-revolution-health-axes-phr/</description>
		<content:encoded><![CDATA[<p>see John Moore&#8217;s always astute commentary at:<br />
<a href="http://chilmarkresearch.com/2010/01/27/the-phr-risk-revolution-health-axes-phr/" >http://chilmarkresearch.com/2010/01/27/the-phr-risk-revolution-health-axes-phr/</a></p>
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		<title>By: SusanCarr</title>
		<link>http://e-CareManagement.com/ive-been-fired-by-my-phr-now-what/comment-page-1/#comment-13336</link>
		<dc:creator>SusanCarr</dc:creator>
		<pubDate>Wed, 27 Jan 2010 16:00:31 +0000</pubDate>
		<guid isPermaLink="false">http://e-CareManagement.com/?p=1371#comment-13336</guid>
		<description>&lt;span class=&quot;topsy_trackback_comment&quot;&gt;&lt;span class=&quot;topsy_twitter_username&quot;&gt;&lt;span class=&quot;topsy_trackback_content&quot;&gt;RT @VinceKuraitis: I&#039;ve Been Fired by My #PHR Now What?  Plz comment. http://bit.ly/b4wcth #healthit #ehr #hitpol #hcit [more on Rev Hlth]&lt;/span&gt;&lt;/span&gt;</description>
		<content:encoded><![CDATA[<p><span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">RT @VinceKuraitis: I&#39;ve Been Fired by My #PHR Now What?  Plz comment. <a href="http://bit.ly/b4wcth" >http://bit.ly/b4wcth</a> #healthit #ehr #hitpol #hcit [more on Rev Hlth]</span></span></span></p>
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		<title>By: cddirks</title>
		<link>http://e-CareManagement.com/ive-been-fired-by-my-phr-now-what/comment-page-1/#comment-13337</link>
		<dc:creator>cddirks</dc:creator>
		<pubDate>Wed, 27 Jan 2010 15:58:28 +0000</pubDate>
		<guid isPermaLink="false">http://e-CareManagement.com/?p=1371#comment-13337</guid>
		<description>&lt;span class=&quot;topsy_trackback_comment&quot;&gt;&lt;span class=&quot;topsy_twitter_username&quot;&gt;&lt;span class=&quot;topsy_trackback_content&quot;&gt;@VinceKuraitis  http://bit.ly/b4wcth - standards are your friend, and we needed the gov to enforce it.....  they obviously are avoiding regs&lt;/span&gt;&lt;/span&gt;</description>
		<content:encoded><![CDATA[<p><span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">@VinceKuraitis  <a href="http://bit.ly/b4wcth" >http://bit.ly/b4wcth</a> &#8211; standards are your friend, and we needed the gov to enforce it&#8230;..  they obviously are avoiding regs</span></span></span></p>
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		<title>By: Don Seamons</title>
		<link>http://e-CareManagement.com/ive-been-fired-by-my-phr-now-what/comment-page-1/#comment-13338</link>
		<dc:creator>Don Seamons</dc:creator>
		<pubDate>Wed, 27 Jan 2010 15:37:35 +0000</pubDate>
		<guid isPermaLink="false">http://e-CareManagement.com/?p=1371#comment-13338</guid>
		<description>&lt;span class=&quot;topsy_trackback_comment&quot;&gt;&lt;span class=&quot;topsy_twitter_username&quot;&gt;&lt;span class=&quot;topsy_trackback_content&quot;&gt;RT @VinceKuraitis: I&#039;ve Been Fired by My #PHR. Now What?  Please comment. http://bit.ly/b4wcth #healthit #ehr #hitpol #hcit&lt;/span&gt;&lt;/span&gt;</description>
		<content:encoded><![CDATA[<p><span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">RT @VinceKuraitis: I&#39;ve Been Fired by My #PHR. Now What?  Please comment. <a href="http://bit.ly/b4wcth" >http://bit.ly/b4wcth</a> #healthit #ehr #hitpol #hcit</span></span></span></p>
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		<title>By: Vince Kuraitis</title>
		<link>http://e-CareManagement.com/ive-been-fired-by-my-phr-now-what/comment-page-1/#comment-13339</link>
		<dc:creator>Vince Kuraitis</dc:creator>
		<pubDate>Wed, 27 Jan 2010 15:31:56 +0000</pubDate>
		<guid isPermaLink="false">http://e-CareManagement.com/?p=1371#comment-13339</guid>
		<description>&lt;span class=&quot;topsy_trackback_comment&quot;&gt;&lt;span class=&quot;topsy_twitter_username&quot;&gt;&lt;span class=&quot;topsy_trackback_content&quot;&gt;I&#039;ve Been Fired by My #PHR. Now What?  Please comment. http://bit.ly/b4wcth #healthit #ehr #hitpol #hcit&lt;/span&gt;&lt;/span&gt;</description>
		<content:encoded><![CDATA[<p><span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">I&#39;ve Been Fired by My #PHR. Now What?  Please comment. <a href="http://bit.ly/b4wcth" >http://bit.ly/b4wcth</a> #healthit #ehr #hitpol #hcit</span></span></span></p>
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