e-CareManagement blog

Chronic Disease Management • Technology • Strategy • Issues and Trends

Is Hospital-Physician Integration Sustainable?

Reprinted courtesy of MCOL. Perspectives on a Selected Key Topic |     April 2011/May 2011     |   Volume Three Issue Two Will a material number of hospitals and their core medical staffs, that are relatively independent, evolve into highly integrated delivery systems during this decade, and why? William J DeMarco MA, CMC President and CEO, Pendulum HealthCare […]

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Through the Lens of Disruptive Innovation: Why Direct is a Hit and PCAST is an Outcast

(click on the graphics to link to original sources) Regular readers know that I find Professor Clay Christensen’s theory of disruptive innovation to be a useful lens to explain industry evolution. Let’s look at two recent health IT initiatives and see why one is working and the other is stalled. Tags: disruptive innovation, EHR, interoperability

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List of Top 10 Health Plan Issues — Out of Whack!

Healthcare IT News just published its list of top issues for health plans in 2011: 1. Administrative Mandates (Compliance HIPAA 5010, ICD-10, etc.). 2. Care Management, Data Analytics, and Informatics. 3. Health Insurance Exchanges and Individual Markets. 4. New Provider Payment & Delivery Systems (ACOs, PCMHs, etc.). 5. Bend the Cost Trend. 6. Medicare and […]

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Electronic Health Information Exchange — Way More Complicated Than Getting Money from an ATM

“If banks can exchange funds electronically through the ATM system, why can’t my doctor and hospital exchange information electronically?” Keith Boone’s concise article “A Doctor is Not a Bank” explains why this conclusion about healthcare interoperability is overly-simplistic. …and Keith’s article reminded me of an even deeper explanation presented in the National Academies’ Frontiers of Engineering […]

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Getting DIRECTly to the Point: The Role of the Direct Project in Fast-Tracking Health IT Interoperability

By Rich Elmore and Arien Malec. Rich Elmore is the Direct Project Communication Workgroup leader and Vice President, Strategic Initiatives at Allscripts.  Arien Malec is ONC’s Coordinator, Direct Project and Coordinator, S&I Framework. A patient’s health records are no longer confined to a doctor’s office, shelved inside a dusty file cabinet. With the advent of the […]

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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 […]

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Walled Gardens vs. the Open Web: A Central Debate in Tech Finally Coming to Healthcare

The September issue of Wired magazine and an article in last Sunday’s New York Times illustrate a central debate in technology circles. The debate is not new — it’s being going on for two decades — but it has newfound vibrancy. The essence of the debate is about competing tech/business models: walled gardens vs. the […]

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Six First-Take Reactions to Surescripts Network Expansion

Yesterday Surescripts announced their new Clinical Interoperability Services: Extended Network Connectivity – As a network of networks, Surescripts will support and enable the exchange of all types of clinical messages between EHRs, HIEs and health systems that, today, are not connected with each other. Net2Net Connect – Allows health systems and technology vendors that already support […]

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Healthcare IT News Highlights Mobile Health Expo Presentation

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 […]

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