e-CareManagement blog

Chronic Disease Management • Technology • Strategy • Issues and Trends

PR Blunder of the Year: Federation of American Hospitals Says Meaningful Use Should Not Tie to Quality Improvement

These guys really don’t get it, and they need to be called on the carpet, taken to the woodshed, or pick your own favorite cliche. The Federation of American Hospitals (FAH) sent a letter to Dr. David Blumenthal (National Coordinator for Health IT) arguing that “Meaningful Use” funding should not be tied to achievement of [...]

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Microsoft HealthVault is a Serious Business Strategy. Will Google Health Become More than a Hobby?

Google Health…please stick around….but please also get your stuff together. Over the past few days, several of my respected colleagues have written excellent blog posts essentially asking “Does Google Health have life?” Scott Shreeve — CLEAR! Shocking Google Health Back to Life John Moore — Is Google Health Irrelevant? Will Crawford — Future of Google Health I [...]

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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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Will HITECH Lead to Innovation? The Continuing Cat/Dog Dialogue

Will the recently passed HITECH legislation — the federal stimulus funding for health IT — encourage innovation?  or will it lock in outdated electronic health record (EHR) technology? It’s a mixed bag — HITECH legislation  is both dog-like (innovative) and catlike (protecting incumbents).  I’ll refresh your memory below on more specific definitions of cats and dogs. Among many other [...]

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“The Innovator’s Prescription”: Christensen’s Book Offers Insightful Dx, Unrealistic Rx

by Vince Kuraitis and David C. Kibbe MD, MBA Being big fans of Clay Christensen and his theory of disruptive innovation (DI), we have been awaiting his just-released book The Innovator’s Prescription: A Disruptive Solution for Healthcare .  The book is co-authored by Dr. Jerome Grossman and Dr. Jason Hwang. We have mixed reactions. The [...]

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The Medical Home: Confusion Over Care Management Fees

The honeymoon is over. Prior to April 29, 2008, reviews of the Patient Centered Medical Home (PCMH) model  had been uniformly enthusiastic and positive. Today the PCMH model is hitting reality — someone’s going to have to bring home money to pay the bills. On April 29 the American Medical Association/Specialty Society RVS Update Committee (RUC) released a  report making [...]

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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 [...]

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The Medical Home: Advancing, But Still Many Questions

Paul Keckley and colleagues at the Deloitte Center for Health Solutions have released an important contribution to advance the dialog about the medical home (MH).  It’s entitled The Medical Home: Disruptive Innovation for a New Primary Care Model.  The report offers a strategic perspective on the potential for the MH to address the challenge of chronic care [...]

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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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