e-CareManagement blog

Chronic Disease Management • Technology • Strategy • Issues and Trends

Megatrend Spotting: Health Plan Role of Having “Best Data About YOUR Medical Conditions” is Up for Grabs

Who has the most comprehensive data about YOUR clinical conditions? For most people, the answer today is “your health plan”, but it’s not at all clear that health plans will continue to have this role in the future. As physicians and hospitals adopt EHRs, it’s foreseeable that clinical data about patients will be far more […]

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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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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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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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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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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  — but […]

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Goldilocks: “Markle’s Framework for Networked Personal Health Information is Just Right”

By Vince Kuraitis and David C. Kibbe, MD, MBA Once upon a time, there was a little girl named Goldilocks. Like most Americans, Goldilocks had concerns about achieving just the right amount of data liquidity for her personal health information (PHI). Until today Goldilocks felt between a rock and a hard place: "I want my […]

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NEJM and NYT Discuss “Tectonic Shifts” of a Personal Health Information Economy

Vince Kuraitis and David C. Kibbe, MD MBA  Tomorrow’s edition of the New England Journal of Medicine contains an article entitled “Tectonic Shifts in the Health Information Economy”.  While we have not yet fully digested this article, it’s clear that the authors’ description of the “Health Information Economy” closely parallels our initial description of the Personal Health Information Network […]

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Feds Call on Google and Microsoft to Breathe Life into the NHIN

Vince Kuraitis and David C. Kibbe, MD MBA Who is the federal  government calling on to breathe life into the Nationwide Health Information Network (NHIN)? Google and Microsoft. In our first article of this series describing the Personal Health Information Network (PHIN), we noted early entrants as Google Health, Microsoft HealthVault, and Dossia.  We also noted […]

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