e-CareManagement blog

Chronic Disease Management • Technology • Strategy • Issues and Trends

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 personal health [...]

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Goldilocks: “Markle’s Framework for Networked Personal Health Information is Just Right”

By Vince Kuraitis and David C. Kibbe, MD, MBA
Once upon a time, there was a little girl named Goldilocks. Like most Americans, Goldilocks had concerns about achieving just the right amount of data liquidity for her personal health information (PHI).
Until today Goldilocks felt between a rock and a hard place:
"I want my PHI [...]

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Is the Medical Establishment the Best Guardian of Your Medical Data?

David C. Kibbe, MD, MBA and Vince Kuraitis
Drs. Mandl and Kohane begin their recent article in NEJM with the statement that “large corporations are seeking an integral and transformative role in the management of health care information,” and then warn that this “will profoundly affect the biomedical research enterprise.”   
At issue for the authors is who [...]

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Healthcare Informatics Webinar: Google, Microsoft, & Dossia Create the Personal Health Information Network

What are companies like Google, Microsoft, and Dossia (sponsored by Intel, Wal-Mart, AT&T and others) hoping to accomplish in health care?
What is the emerging Personal Health Information Network (PHIN) and why should you care?
What’s the Continuity of Care Record (CCR) Standard, and how is it destined to become an initial focal point of data exchange initiatives?
Why is the PHIN potentially disruptive to [...]

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Search Engines Using Your Personal Health Information: Creepy or Cutting Edge?

When using a search engine, should results be customized based on your personal health information (PHI)?  Should your search engine of choice take into account your previous history of medical searches, or even provide results tailored from data about your personal medical history?
Two companies — Aetna and Microsoft — have come up with 180 degree different answers.
In [...]

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Going to the Mat for Dorothy

by Jill Kuraitis 
Vince gave me Dorothy’s story to read, and here’s what I said:  GO DOROTHY!   ::::goofy little happy dance:::   Dorothy is my new hero. I love people who are willing to go to the mat for a cause, especially one having to do with the elderly, children, the disabled and less fortunate than we.
Since [...]

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Birth Announcement: the Personal Health Information Network (PHIN)

Vince Kuraitis and David C. Kibbe, MD MBA 
The Internet and digital technologies have transformed many aspects of our lives over the past twenty years.  We can get cash at ATMs all over the world; we can book our own airline reservations; we can shop and get best prices over the Internet.
Why hasn’t this happened in [...]

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A First Comparison of Google Health and MS HealthVault

While details are thin, here’s a first pass at comparing and contrasting Google Health (GH) and Microsoft HealthVault (HV).  Overall, there are many common features, some differences, and many common challenges between these two platforms. 
A High Level Comparison
Google Health and Microsoft HealthVault Personal Health Information (PHI) Platforms

There’s still not much information available about the specifics of GH, although [...]

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The Wrong Way and the Right Way to Frame PHR Privacy/Confidentiality Issues

 Vince Kuraitis and David C. Kibbe, MD MBA 
During the past week two reports were released discussing privacy/confidentiality issues surrounding PHRs.  One of these reports did it the wrong way; one did it the right way.
The general public is just learning about Personal Health Records (PHRs).  We believe that the appropriate way to frame the dialogue [...]

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