e-CareManagement blog

Chronic Disease Management • Technology • Strategy • Issues and Trends

Complimentary Webinar: Introduction to Clinical Groupware and the Clinical Groupware Collaborative

BrightTALK is sponsoring a complimentary Electronic Health Record Summit this Tuesday, October 20, 2009. David C. Kibbe MD, MBA and I will be presenting “Introduction to Clinical Groupware and the Clinical Groupware Collaborative” Clinical groupware is a new and evolving model for the development and deployment of health information technology (HIT) platforms and applications having the [...]

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HIT Policy Committee Recommends “Minimum” Certification of EHRs

At last Friday’s meeting, the HIT Policy Committee adopted the recommendations of the Certification and Adoption Workgroup. Between the initial recommendations in July and the adopted recommendations in August, one critical word was added to the definition of “certification”.  That one word is “minimum” — and this one word expresses the correct approach and philosophy for the government’s role [...]

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Privacy Law Showdown? Legal and Policy Analysis.

#2 in a series — Modifications to HIPAA Privacy Laws: Impact on Microsoft HealthVault, Google Health, and other PHRs.  by Deven McGraw JD, MPH, Center for Democracy & Technology Introduction There has been considerable discussion lately about whether or not the stimulus legislation (ARRA) extends HIPAA coverage to commercial vendors of personal health records (PHRs) any time they [...]

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Privacy Law Showdown? Setting the Stage

Today’s post is the first in a series entitled: Modifications to HIPAA Privacy Laws: Impact on Microsoft HealthVault, Google Health, and other PHRs.  We’ll explore how recent changes in privacy provisions of  ARRA/HITECH Federal stimulus legislation affect personal health information (PHI) platform companies (e.g., HealthVault, Google Health,  Dossia) and personal health record (PHR) companies. Health IT expert and journalist Neil Versel described the issue [...]

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Is the Health Data Liquidity Glass Half Empty or Half Full?

What a difference in attitude! Compare two press announcements from April 5: 1) CCHIT:  Interoperability Isn’t Doable With Today’s Technology . Certification Commission for Health Information Technology (CCHIT), Interoperability: Supplying the Building Blocks for a Patient-centered EHR , April 5, 2009 This report…(is)  also an attempt to inject a dose of reality into the discussion [...]

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Stand for Quality Group: “Link HIT Investment to Quality Improvement”

On March 24, Stand for Quality — a new group representing 165 diverse health care organizations — called for a new era of quality in health care. Their white paper is titled Building a Foundation for High Quality, Affordable Health Care: Linking Performance Measurement to Health Reform . The perspectives of Stand for Quality are a [...]

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Dorothy Tillman Update: Vindication!

About a year ago, we read about about Dorothy Tillman’s heroic efforts to get a copy of her aunt’s  medical records. Here’s a recap:  On a Saturday evening Dorothy took her 86 year old aunt to a hospital in Montgomery, Alabama. Frustrated after an overnight stay in the ER which she said yielded “little treatment”, she requested a [...]

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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 [...]

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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 [...]

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