e-CareManagement blog

Chronic Disease Management • Technology • Strategy • Issues and Trends

Status Report: HITPC and Workgroup Activities on HITECH Stages 2 & 3

  OK, let me be the first to admit that today’s “just-the-facts-ma’am” post might be a little dry…but trust me, its really important stuff to know in understanding the process of how the Health IT Policy Committee (HITPC) and its workgroups are approaching formulating recommendations for HITECH Stages 2 and 3. At this point at least two different […]

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Is HITECH Working? #3: ONC got it right on the 3 major policy interpretations: Meaningful Use, Certification, Standards

We concluded our last post in this series with a blunt prediction that “key physicians will sit on the sidelines” and that clinician non-adoption of EHR technology is a potential “deal-breaker for the success of HITECH”. While this might sound like a criticism of the way HITECH has been implemented, it’s not intended that way — it’s a […]

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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 […]

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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 […]

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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 […]

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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” […]

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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 […]

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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 […]

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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). […]

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