e-CareManagement blog

Chronic Disease Management • Technology • Strategy • Issues and Trends

Chilmark Needs to Chill Out on CCR/CCD Findings

John Moore of Chilmark Research and I agree on things 90+ percent of the time. He even thanked me personally for our collegial relationship in a Thanksgiving Day essay on his blog.
However…I can’t help but comment on John’s misleading story “CCD Standard Gaining Traction, CCR Fading” in The Health Care Blog. He writes:
In a number of interviews with [...]

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Feedback Rolls in on Halamka’s New Stance on Standards: Cats Pissed, Dogs Thrilled

Continuing his stunning reversal of long held perspectives, Dr. John Halamka’s blog post today suggests Guiding Principles for HIT Standards Committee:

Keep it simple; think big, but start small; recommend standards as minimal as possible to support the business goal and then build as you go
Don’t let “perfect” be the enemy of “good enough”; go for the [...]

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John Halamka’s Stunning 180: “Dogs and Cats Should Live in Harmony”

The King of the Cats has just acknowledged that indeed cats and dogs should co-exist peacefully.
Dr. John Halamka — Vice Chair of the HIT Standards Committee of the ONC and one of the most vocal and influential figures in health IT — writes a blog post this morning entitled “The Genius of AND”. Halamka reasonably summarizes the [...]

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The Third Rail in HITECH Implementation: “Please Don’t Make Us All Speak Latin”

By Vince Kuraitis and Steven Waldren MD, MS.  Dr Waldren is Director of the Center for Health Information Technology at the American Academy of Family Practice (AAFP).
Two issues have rightfully surfaced front and center in the public’s understanding of HITECH Act implementation:

” definition of “Meaningful Use” of EHRs, and
” definition of “certification” process for EHRs

…and [...]

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Leavitt’s Framework Shoehorns the HIPAA Privacy Rule onto Your Personal Health Information

by Vince Kuraitis and David C. Kibbe MD, MBA
Have you ever heard anyone tell a happy story of how easy it is to get a copy of their paper medical records?
Departing Health and Human Services Secretary Mike Leavitt is laying the groundwork for this same story to apply to access to YOUR electronic personal health [...]

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CCHIT Should Support BOTH the HL7 CCD and the ASTM CCR for PHRs.

The federal government sponsored Certification Commission for Healthcare Information Technology (CCHIT ) is undertaking a certification process for personal health records (PHRs) . The CCHIT PHR Work Group has invited public comment on the First Draft of the PHR Certification Criteria .
The current draft of the PHR Certification Criteria specifies use of the HL7 Continuity [...]

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Untangling the Electronic Health Data Exchange

by David C. Kibbe MD, MBA
The purpose of this post is to help a non-technical audience untangle some of the confusion regarding health data exchange standards, and particularly come to a better understanding of the similarities and  differences between the Continuity of Care Record (CCR) standard and the CDA Continuity of Care Document (CCD). But [...]

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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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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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