e-CareManagement blog

Chronic Disease Management • Technology • Strategy • Issues and Trends

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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CCHIT’s Latest Gambit

by Glen Laffel MD, PhD Many of us have enjoyed a few good minutes of fun having our fortunes told by soothsayers who claim they can predict our future based on patterns of tea leaves in a cup or the playing cards we’ve pulled from a deck. We pay a few dollars for the entertainment [...]

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HIT Policy Committee Recommends “Minimum” Certification of EHRs

At last Friday’s meeting, the HIT Policy Committee adopted the recommendations of the Certification and Adoption Workgroup. Between the initial recommendations in July and the adopted recommendations in August, one critical word was added to the definition of “certification”.  That one word is “minimum” — and this one word expresses the correct approach and philosophy for the government’s role [...]

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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 [...]

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Markle v. HIMSS: Differing Views of “Meaningful Use” and “Certification”

            The forthcoming definition of the “meaningful use” of health information technology will set the direction of the Obama administration’s strategy for health IT adoption, said David Blumenthal, the new national coordinator for health IT. Government HealthIT, April 28, 2009 …but not everyone sees eye-to-eye on the definitions of “meaningful use” and [...]

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Stunning Announcement: AMA Goes to the Dogs in Deal With Physician Web Portal Company

What’s stunning about this deal is who its NOT with.  The AMA chose NOT to partner with any of the incumbent electronic medical record (EMR) companies, e.g., Allscripts, GE, Epic, NextGen, or many others. For those of you who have not seen earlier posts in this series, please understand that the reference to “goes to the dogs” is [...]

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Is the Health Data Liquidity Glass Half Empty or Half Full?

What a difference in attitude! Compare two press announcements from April 5: 1) CCHIT:  Interoperability Isn’t Doable With Today’s Technology . Certification Commission for Health Information Technology (CCHIT), Interoperability: Supplying the Building Blocks for a Patient-centered EHR , April 5, 2009 This report…(is)  also an attempt to inject a dose of reality into the discussion [...]

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Wait and See: What’s Unclear or To-Be-Determined (TBD) About HITECH.

Sometimes laws are passed and the statute itself represents 95% of the work — there aren’t many details to figure out or loose ends to tidy up. That isn’t the case with HITECH. The HITECH statute is just the beginning. Whether you’re a cat or a dog, you’ll have hopes and fears about aspects of HITECH that are unclear or yet [...]

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Feline Foot-Dragging: Three Non-Innovative Aspects of HITECH

What do cats (incumbent EHR vendors and their supporters) have to smile about over HITECH? A lot. …and it’s not very complicated.  HITECH directs $17 B to the cat community, and leaves scraps for the dogs. (As a refresher, the cat POV is that HITECH stimulus funds should simply pay directly for electronic health record [...]

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