e-CareManagement blog

Chronic Disease Management • Technology • Strategy • Issues and Trends

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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Joe the Doctor: “…’scuse me, why do I want to bet-my-practice on an EMR?”

Blogger Fred Pennic writes a review of the (HIMSS) Healthcare Information and Management Systems Society 2008 Book of the Year Award. The book is entitled Keys to EMR Success: Selecting and Implementing an Electronic Medical Record and is written by Ronald Sterling, CPA, MBA. There is no question,” says Sterling “that the selection and implementation of [...]

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Blueprint for Change: From EMR 1.0 to Clinical Groupware (EHR 2.0)

by Vince Kuraitis JD, MBA and David C. Kibbe MD, MBA The last article in this series — Time for EHRs to Become Plug-and-Play — used words to describe a major industry shift underway in health IT. Sometimes pictures help to make a point. Here are several diagrams that you can also download as PowerPoint slides.  Computer [...]

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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dangers of limiting $17 B HITECH federal stimulus funds to electronic health records (EHRs) is the risk of locking-in outdated technologies.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 EHR [...]

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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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Why Clinical Groupware May Be the Next Big Thing in Health IT

by David C. Kibbe MD, MBA What would you call health care software that: Is Web-based and networkable, therefore highly scalable and inexpensive to purchase and use; Provides a ‘unified view’ of a patient from multiple sources of data and information; Is designed to be used interactively – by providers and patients alike – to [...]

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