e-CareManagement blog

Chronic Disease Management • Technology • Strategy • Issues and Trends

Care Coordination Metrics: One Can of Worms that NEEDS to be Opened

“Track who is on a care team — and share info with the patient.” That’s just one of the summary recommendations coming from expert testimony given in a recent public hearing on how to improve care coordination through the use of health information technology. The Meaningful Use workgroup and Quality Measures workgroups are now wrestling with how to translate this [...]

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The State-of-the-Art of Care Management Software: Disconnected

Care management software is intended to help patients make critical connections across the health care delivery system.  Today it’s used primarily by 3rd party care managers who are typically either employed directed or indirectly by payers. While not surprising, the state-of-the-art of care management software is that it continues to function as disconnected islands of information. The  2010 [...]

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Status Report: HITPC and Workgroup Activities on HITECH Stages 2 & 3

  OK, let me be the first to admit that today’s “just-the-facts-ma’am” post might be a little dry…but trust me, its really important stuff to know in understanding the process of how the Health IT Policy Committee (HITPC) and its workgroups are approaching formulating recommendations for HITECH Stages 2 and 3. At this point at least two different [...]

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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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Overview: Here Come Stages 2 and 3 of HITECH!

  We’ve spent the past year creating the MU (meaningful use) requirements for Stage 1 of the HITECH act.  As shown by the diagram above, Stage 1 focuses on Data Capture and Sharing. Now it’s time to begin to focus on Stage 2 (Advanced Clinical Processes) and Stage 3 (Improved Outcomes). The current generation of [...]

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Is HITECH Working? #7: Where’s Plan B? Congress and ONC need to address major flaws in HITECH.

by Vince Kuraitis JD, MBA and David C. Kibbe MD, MBA Pop quiz: Among early-stage companies that are successful, what percentage are successful with the initial business model with which they started (Plan A) vs. a secondary business model (Plan B)? Harvard Business School Professor Clay Christensen studied this issue.  He found that among successful companies, only 7% [...]

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Is HITECH Working? #6: HITECH and Health Reform Objectives are Synergistic

by Vince Kuraitis JD, MBA and David C. Kibbe MD, MBA . ….or to be more specific, HITECH is synergistic with payment reform that could come from the recently passed national health care reform legislation — the Patient Protection and Affordable Care Act (PPACA). We’ll keep this post fairly short and try to avoid many of the more [...]

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Is HITECH Working? #5: “Gimme my damn data!” The stage is being set to enable patient-driven disruptive innovation.

. by Dave deBronkart (e-PatientDave), Vince Kuraitis, and David C. Kibbe So far this series has looked at HITECH participation by hospitals (grumbling but in the game) and physicians (wary, on the sidelines), kudos for ONC’s three major policy points, and how HITECH is already moving the needle on the vendor side. Today we’re going [...]

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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 [...]

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