HealthCamp Oregon, Oct 22 — Hope to See You There!

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by Nate DiNiro

HealthCamp Oregon is organizing 2 events during the 3rd week of October in Portland, Oregon. The events will focus on Healthcare, Health IT, the ePatient & Participatory Medicine movement and all-things Healthcare Transformation!

 

The first event, a panel that will focus on the impact of social media in healthcare, is scheduled for Thursday 10/20. We’re also helping to promote the annual Kaiser Center for Health Research Saward Lecture, scheduled for Friday 10/21. More information on that event can be found below. The second event we’re planning is a HealthCamp unconference, scheduled on Saturday 10/22 and to be held at the offices of Urban Airship. If you’re unfamiliar with either of the previous terms “HealthCamp” or “unconference”, please read on and we’ll fill you in below.

Comments to ONC: PCAST HIT Report Becomes a Political Piñata

The PCAST Report on Health IT has become a political piñata. 

Early Feedback on PCAST 

Like many of my colleagues, I was taken aback by the release of the Report in early December 2010 — I didn’t know quite what to make of it. Response in the first week of release was: 
  • Limited. The first commentaries were primarily by technical and/or clinical bloggers. The mainstream HIT world had remarkably little initial reaction to the Report. 
  • Respectful of the imprimatur of “The President’s” Report and noting some of the big names associated with the report (e.g., Google’s Eric Schmidt and Microsoft’s Craig Mundie.)
  • Focused on technical and/or clinical perspectives around two broad themes.
    • The vision is on target:  “extraordinary”, “breathtakingly innovative”.
    • These guys didn’t do all their technical homework. The range varies, but the message is consistent. 

Today’s POV on PCAST 

What  a difference a six weeks makes. 

MGH Medicare Disease/Care Management Demo Shows Home Run Results!

Medicare has (finally) recently released a report showing home run results for a disease/care management demonstration project!

Evaluation of Medicare Care Management for High Cost Beneficiaries (CMHCB) Demonstration: Massachusetts General Hospital and Massachusetts General Physicians Organization (MGH)

Remind Me Again About the CMHCB Medicare Demo…

The CMHCB started in 2005. My recollection is that the demo requirements were extremely similar to the Medicare Health Support (MHS) project, with a few exceptions: 1) Applicants had to include direct care providers (delivery systems, physicians) in their program design, 2) patient populations were significantly smaller than MHS.  Please comment on anything I’m missing.

I’ve included an addendum at the bottom providing more info about this little known and not widely discussed Medicare demo.

…and what was the MGH CMP project for the CMHCB?

Things we are grateful for this year

This post was written by Alexandra Drane and the Engage With Grace team. To learn more please go to www.engagewithgrace.org.

For three years running now, many of us bloggers have participated in what we’ve called a “blog rally” to promote Engage With Grace – a movement aimed at making sure all of us understand, communicate, and have honored our end-of-life wishes.

The rally is timed to coincide with a weekend when most of us are with the very people with whom we should be having these unbelievably important conversations – our closest friends and family.

At the heart of Engage With Grace are five questions designed to get the conversation about end-of-life started. We’ve included them at the end of this post. They’re not easy questions, but they are important — and believe it or not, most people find they actually enjoy discussing their answers with loved ones. The key is having the conversation before it’s too late.

This past year has done so much to support our mission to get more and more people talking about their end-of-life wishes. We’ve heard stories with happy endings … and stories with endings that could’ve (and should’ve) been better. We’ve stared down political opposition. We’ve supported each other’s efforts. And we’ve helped make this a topic of national importance.

So in the spirit of the upcoming Thanksgiving weekend, we’d like to highlight some things for which we’re grateful.

Healthcare IT News Highlights Mobile Health Expo Presentation

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Mike Miliard did a great job in capturing highlights and key points of my presentation at the Mobile Health Expo conference earlier this week. You can read his story here.

Please write me at vincek@bhtinfo.com in you’d like a copy of the PowerPoint presentation.

Update:  Neil Versel of FierceEMR also wrote up the presentation.  Here’s a link to his concise, on-target article “HIE, mobility, open platforms start to knock down ‘walled gardens’ of proprietary EMRs.”

Digital Medical Office of the Future Conference. Las Vegas, Sept. 9-10

CLICK HERE FOR THE CONFERENCE WEBSITE

Healthcare providers face critical choices in selecting and implementing Electronic Health Records (EHRs). In addition, physicians and hospitals will need to develop the capacity to exchange clinical information in order to meet Meaningful Use requirements. This program will offer detailed and practical information on EHR selection and implementation, as well as strategies for creating a sustainable health information exchange (HIE). The program also features sessions on legal/regulatory issues, clinical platforms and applications as well as strategies for optimizing workflow in order to accelerate clinical transformation.

Distinguished Speakers Include:

Steve Adams, Executive Vice President, Collaborative Care, Alere & President, Clinical Groupware Collaborative
Mark R. Anderson, FHIMSS, CPHIMS, CEO & Healthcare IT Futurist, AC Group, Inc.
Beverly Bell, RN, MHA, CPHIMS, FHIMSS, Partner, Clinical Implementation Practice Director, CSC Healthcare Group
Soma Bulusu, MS, CIO, Marin General Hospital
Proteus Duxbury, Managing Consultant, PA Consulting Group
Andrew Ganti, MSIE, Principal, Workflow IT Solutions
Kennedy Ganti, MD, Virtua Lumberton Family Physicians & Chair, New Jersey Health Information Technology Commission
Arthur Gasch, Founder, Medical Strategic Planning, Inc. & Author of Successfully Choosing Your EMR: 15 Crucial Decisions (Wiley Press)
David C. Kibbe, MD MBA, Senior Advisor, American Academy of Family Physicians & Principal, The Kibbe Group LLC
Vince Kuraitis, JD, MBA, Principal, Better Health Technologies, LLC
Arien Malec, Coordinator, NHIN Direct, Office of the National Coordinator for Health Information Technology
Debbie Newman, MBA, CPHIMS, Director of Process Improvement, Licking Memorial Health Systems
Gordon Norman, MD, MBA, EVP & Chief Innovation Officer, Alere
Keith Parker, Regional Extension Center, Nevada
Deborah Smith, PhD, Chief Strategic Planning and Quality Officer, Alaska Native Tribal Health Consortium
Carlos Vigil, DO, Internal Medicine Physician & CEO, United Hospitalist Group

Platinum Sponsor: Ingenix
Silver Sponsors: AC Group, Inc., Medical Strategic Planning, Inc., NextGen Healthcare
Bronze Sponsors: Cerner Ambulatory, EHS

CLICK HERE FOR THE CONFERENCE WEBSITE

For additional information, please contact TCBI:
Ph: 310-265-2570               Email: info@tcbi.org

Is HITECH Working? #4: While most attention has been focused on demand side incentives (will doctors and hospitals buy EHRs?), the supply (vendor) side of HIT is already transforming.

by Vince Kuraitis JD, MBA and David C. Kibbe MD, MBA

Most of the press coverage and attention to HITECH has been to the “buy” side of the market:  The central question here has been: “Will doctors and hospitals buy and use EHR technology?”

Meanwhile — and much more quietly — the sell (vendor) side of the EHR market is already dramatically different than it was a year ago. We observe change occurring at at least three levels:

  1. HITECH as Policy Change
  2. HITECH as Mindset Change
  3. HITECH as Technology/Business Model Change

Is HITECH Working? #2: Key physicians will sit on the sidelines (at least for now).

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(click on any of the above graphics to be linked to the orginal source)

by Vince Kuraitis JD, MBA and David C. Kibbe MD, MBA

In the previous post in this series on “Is HITECH Working?”, we straightforwardly noted that hospitals are playing in the HITECH game. The issue of whether physicians will play is MUCH thornier.

As the headlines above succinctly convey — we conclude that for now there is too much fear, uncertainty, and doubt (FUD) to expect significantly increased EHR technology adoption by most physicians from the HITECH incentives and penalties.

Here are topics we’ll cover today:

  • Fear, Uncertainty, Doubt
  • Little Risk by Waiting a Year or Two
  • A More Granular View — Segmenting Physicians
  • Is There Another Side to the Story?
  • How Important is Physician Adoption to the Success of HITECH?

Is HITECH Working? 7 Observations Mom Could Understand

“Make everything as simple as possible, but not simpler.” Albert Einstein

by Vince Kuraitis JD, MBA and David C. Kibbe MD, MBA

If you’re like many folks we talk with, you understand the importance of the HITECH Act legislation — yet feel overwhelmed by the complexity and details.

This series of blog posts is for you. We address the question “Is HITECH working?” with seven straightforward observations. We’ve worked hard to boil down the complexity and make it understandable to the casual industry observer.

Is HITECH Working? Summarizing the Seven Observations

Our 7 Observations are: