(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 [...]
e-CareManagement blog
Chronic Disease Management • Technology • Strategy • Issues and Trends
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 [...]
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 [...]
This post is a foundational overview of characteristics of network industries. Much of the terminology will deserve deeper discussion, but we have to start somewhere.
In his book The Economics of Network Industries, Professor Oz Shy lists four characteristics of network industries.
The main characteristics of these markets which distinguish them from the market for grain, dairy products, apples, and treasury bonds [...]
“We need to make care linkages a core competency of American health care.”
George Halvorson, Chairman and CEO, Kaiser Foundation Health Plan, Kaiser Foundation Hospital
There’s a double meaning to the title of this new series: Healthcare Crosses the Chasm to the Network Economy
At the level of technology, it’s a reference to Geoffrey Moore’s bestselling business/technology book [...]
Economists call it “The Penguin Problem” — No one moves unless everyone moves, so no one moves.
The role of user expectations is crucial in getting penguins to move off of ice floes and in the successful adoption of new network technologies. I’ll cover two main points in today’s essay:
How “The Penguin Problem” Helps Explain Low EHR (electronic [...]
“Qualcomm pulls the plug on LifeComm” announced Brian Dolan of mobihealthnews recently.
As demonstrated by e-CareManagement blog readership, there has been a lot of interest in LifeCOMM. My first blog post on LifeCOMM in 2007 has been single the most commented on post and the second most widely read blog post.
It’s taken me a while to sift through [...]
by David C. Kibbe MD, MBA
The purpose of this post is to help a non-technical audience untangle some of the confusion regarding health data exchange standards, and particularly come to a better understanding of the similarities and differences between the Continuity of Care Record (CCR) standard and the CDA Continuity of Care Document (CCD). But [...]




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