e-CareManagement blog

Chronic Disease Management • Technology • Strategy • Issues and Trends

Part II — The Medicare Medical Home Demonstration: Crawling Out From Under the Rock

In Part I of my guest post on The Collaborative Forum blog, I wrote that the Medicare Medical Home Demo is in BIG Trouble. Here’s a recap:

Political reality dictates that the MMHD must save costs.
As currently structured, the MMHD cannot achieve cost savings

In any given year, only a small percentage of patients account for the vast [...]

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SPEAKING

Frequent keynoter, speaker, panel moderator at 40+ industry conferences in the past 3 years
Opening keynote speaker – 2004-2009 Healthcare Unbound Conferences
Speaker at corporate events sponsored by:

Guidant
Roche Diagnostics
Centocor
Arizona Hospital Association
Gateway Computer
Connecticut Hospital Association,
Walgreens National Advisory Board
Blue Cross Blue Shield Association
HomMed Honeywell
Spacelabs
…and others

Facilitation/consulting experience leading strategic planning sessions for management, Boards and physicians
 
TOPICS – Healthcare Enters the [...]

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What’s a Network Industry? Is Healthcare One?

This post is a foundational overview of characteristics of network industries.  Much of the terminology will deserve deeper discussion, but we have to start somewhere.
In his book The Economics of Network Industries, Professor Oz Shy lists four characteristics of network industries.
The main characteristics of these markets which distinguish them from the market for grain, dairy products, apples, and treasury bonds [...]

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“Meaningful Use” Criteria as a Unifying Force

by Vince Kuraitis, Steve Adams, and David C. Kibbe MD, MBA
Over the past several years, many diverse initiatives have arisen offering partial solutions to systemic problems in the U.S. health care non-system. 
We see Meaningful Use Criteria recommended by the HIT Policy Committee as a unifying force for these previously disparate initiatives. These initiatives have included:

Patient Centered Medical Homes [...]

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Overcoming The Penguin Problem: Setting Expectations for EHR Adoption

 
 
 
 
 
 
 
 
Economists call it “The Penguin Problem”  — No one moves unless everyone moves, so no one moves. 
The role of user expectations is crucial in getting penguins to move off of ice floes and in the successful adoption of new network technologies.  I’ll cover two main points in today’s essay:

How “The Penguin Problem” Helps Explain Low EHR (electronic [...]

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“EHR 2.0″ Complimentary Webcast Presentation — BrightTALK e-Health Summit

BrightTALK is sponsoring a complimentary series of e-Health Summit webcasts this Wednesday, July 8.
Here’s a full listing of the six eHealth Summit topics (Eastern Time).  Click on the links to attend any or all of the webcasts.  The series will be recorded for future on-demand access. 
EHR 2.0: Federal HITECH Act Creates Opportunities Beyond EMRs
 

8 Jul 2009 11:00 am
Presenting Vince Kuraitis, [...]

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EHR 2.0: Thinking Outside the Cat Box

One of the potential dangers of limiting $17 B HITECH federal stimulus funds to electronic health records (EHRs) is the risk of locking-in outdated technologies. Let’s consider what this might mean.
If you think of today’s EHR technology as EHR 1.0, what might EHR 2.0 look like? This post presents a number of innovative ways to conceptualize [...]

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Dogged Optimism: Five Innovative Aspects of HITECH

If you’re a dog (an innovator), what’s there to smile about over HITECH?  Quite a bit.
In the first post of this series, I suggested that HITECH favors cats by about 60/40 and noted that the single most cat-like feature of HITECH is providing incentives for physicians and hospitals to acquire and implement EHRs  — [...]

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Obama Budget: Hospitals Should Warrantee Admissions for 30 Days

Warrantee
War`ran*tee"\, noun. A written assurance that some product or service will be provided or will meet certain specifications.
Today when we buy practically any consumer item we expect a warrantee.
What’s the “warrantee” after you are discharged from a hospital?
Last September I wrote a post posing the question “What’s the Best Way to Get Hospitals Involved [...]

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