John Moore of Chilmark Research and I agree on things 90+ percent of the time. He even thanked me personally for our collegial relationship in a Thanksgiving Day essay on his blog.
However…I can’t help but comment on John’s misleading story “CCD Standard Gaining Traction, CCR Fading” in The Health Care Blog. He writes:
In a number of interviews with [...]
e-CareManagement blog
Chronic Disease Management • Technology • Strategy • Issues and Trends
Hospitals charge on a cost basis, which places no penalty on inefficient operations. Moreover, present systems of hospital management make it very difficult to maintain effective control over hospital costs. The Commission concluded:
“If the needs for health care are to be met, the health care system must be organized to employ its resources with more [...]
* = highly recommended
Descriptive Summaries and Documents
*Dissecting the Meaningful Use Proposed Rule PowerPoint
eHealth Initiative Policy Webinar; January 8, 2010
*What You Need to Know About the Meaningful Use Proposed Rule, Standards and Implementation Specification, and Interim Final Rule Certification Criteria PowerPoint
HIMSS Webinar; January 6, 2010
*Meaningful Use, Certification Criteria and Standards, and HHS Certification Process
HIMSS, frequently updated [...]
Atul Gawande’s most recent New Yorker article “Testing, Testing” addresses the critics who lament that there is no master plan to curb delivery system costs in pending health reform legislation.
Gawande retorts: “Is that a bad thing?”
…and he answers his own question by describing the value of pilot programs contained in both the Senate and House [...]
Last week I asked whether Medicare’s Biggest Change in 40 Years is on the horizon. That post described and discussed implications of Medicare’s new direction for the medical home — the shelving of Medicare Medical Home Demonstration (MMHD) and the refocusing on the recently announced Multi-Payer Advanced Primary Care Initiative (MAPCI).
In that post I touched briefly on the [...]
The King of the Cats has just acknowledged that indeed cats and dogs should co-exist peacefully.
Dr. John Halamka — Vice Chair of the HIT Standards Committee of the ONC and one of the most vocal and influential figures in health IT — writes a blog post this morning entitled “The Genius of AND”. Halamka reasonably summarizes the [...]
Earlier this week CMS issued a typically cryptic Announcement indicating that they were shelving the Medicare Medical Home Demonstration (MMHD) and instead would focus on the recently announced Multi-Payer Advanced Primary Care Initiative (MAPCI). My blog post from Tuesday provides details and asks the question “What does all this mean?”
Today’s blog post will tackle:
Medicare’s biggest change [...]
An article in today’s Washington Post links to a letter written by Senator Charles E. Grassley.
The letter is directed at 10 EMR (electronic medical record) vendors, and asks very pointed questions about whether the vendors have been negligent in not addressing patient safety issues in their technologies.
Senator Grassley, you have the scent and you’re on [...]
How big a network will the Health Internet (aka National Health Information Network) be?
My BOTE (back-of-the-envelope) calculation is that this network could consist of about 301 million nodes. Here’s my math (pls. clarify or amplify):
300 million individuals in U.S.
700 K doctors
5 K hospitals
295 K — other B2B healthcare entities
Very rough…but I hope you get the point.
So let’s put into perspective [...]


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