e-CareManagement blog

Chronic Disease Management • Technology • Strategy • Issues and Trends

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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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  or will it lock in outdated electronic health record (EHR) technology?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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HITECH Overlap: Medical Home, Telehealth, Health IT/Exchange

What’s the commonality among Medical Home, Telehealth, and Health IT/Information Exchange initiatives? They all relate to care coordination.  As shown in the diagram below from the Kansas Health Policy Authority (KHPA), there’s a lot of overlap. A larger copy of the slide is available in this March 2 PowerPoint presentation by Marcia Neilsen , Executive [...]

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How Should Fed HIT Dollars Be Spent? Cat vs. Dog POV.

“Where’s the single best place to get up to speed on how the Feds should  spend $20 billion to advance health information technology (HIT)?” A colleague asked me this question a couple of days ago, and at first I hesitated.  Then it struck me — Matthew Holt’s The Health Care Blog has become the focal point for [...]

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HWR @ THCB

The latest Health Wonk Review is at The Health Care Blog.  Brian Klepper ably hosts. Tags: eHealth

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Medicare Health Support: 8 Takeaways on Building Better Bridges

by Thomas Wilson, PhD, DrPH and Vince Kuraitis What’s the right metaphor for Medicare Health Support (MHS), CMS’ major experiment with disease management for Medicare beneficiaries?  We prefer to look it as a bridge failure that presents an opportunity to improve future engineering and design. We’ve now had the time to read, reread, and reread again [...]

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Leavitt’s Framework Shoehorns the HIPAA Privacy Rule onto Your Personal Health Information

by Vince Kuraitis and David C. Kibbe MD, MBA Have you ever heard anyone tell a happy story of how easy it is to get a copy of their paper medical records? Departing Health and Human Services Secretary Mike Leavitt is laying the groundwork for this same story to apply to access to YOUR electronic [...]

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Health Wonk Review — The “Just the Facts, Ma’am” Edition

The story you are about to read is true. The names have been changed to protect the innocent. This is the city: Los Angeles, California. I work here. I carry a badge blog. My name’s Friday. Click here (short) or here (long) for Dragnet theme music. A crime of disorderly conduct has been committed. The U.S. health care [...]

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