e-CareManagement blog

Chronic Disease Management • Technology • Strategy • Issues and Trends

Overview: Here Come Stages 2 and 3 of HITECH!

  We’ve spent the past year creating the MU (meaningful use) requirements for Stage 1 of the HITECH act.  As shown by the diagram above, Stage 1 focuses on Data Capture and Sharing. Now it’s time to begin to focus on Stage 2 (Advanced Clinical Processes) and Stage 3 (Improved Outcomes). The current generation of [...]

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Is HITECH Working? #7: Where’s Plan B? Congress and ONC need to address major flaws in HITECH.

by Vince Kuraitis JD, MBA and David C. Kibbe MD, MBA Pop quiz: Among early-stage companies that are successful, what percentage are successful with the initial business model with which they started (Plan A) vs. a secondary business model (Plan B)? Harvard Business School Professor Clay Christensen studied this issue.  He found that among successful companies, only 7% [...]

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“Meaningful Use” Criteria as a Unifying Force

by Vince Kuraitis, Steve Adams, and David C. Kibbe MD, MBA Over the past several years, many diverse initiatives have arisen offering partial solutions to systemic problems in the U.S. health care non-system.  We see Meaningful Use Criteria recommended by the HIT Policy Committee as a unifying force for these previously disparate initiatives. These initiatives have included: Patient [...]

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RHIOs Emerging From Coma

A subtle but profound shift is occurring in the world of RHIOs/HIEs (Regional Health Information Organizations/Health Information Exchanges). …and the title of the eHealth Initiative’s Sixth Annual Survey of Health Information Exchange says it all: Migrating Toward Meaningful Use What’s happening here? Tags: eHealth, EHR, EMR, HIE, HITECH, meaningful use, RHIO

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Will HITECH Lead to Innovation? The Continuing Cat/Dog Dialogue

Will the recently passed HITECH legislation — the federal stimulus funding for health IT — encourage innovation?  or will it lock in outdated electronic health record (EHR) technology? It’s a mixed bag — HITECH legislation  is both dog-like (innovative) and catlike (protecting incumbents).  I’ll refresh your memory below on more specific definitions of cats and dogs. Among many other [...]

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Why Clinical Groupware May Be the Next Big Thing in Health IT

by David C. Kibbe MD, MBA What would you call health care software that: Is Web-based and networkable, therefore highly scalable and inexpensive to purchase and use; Provides a ‘unified view’ of a patient from multiple sources of data and information; Is designed to be used interactively – by providers and patients alike – to [...]

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How Should Fed HIT Dollars Be Spent? Cat vs. Dog POV.

“Where’s the single best place to get up to speed on how the Feds should  spend $20 billion to advance health information technology (HIT)?” A colleague asked me this question a couple of days ago, and at first I hesitated.  Then it struck me — Matthew Holt’s The Health Care Blog has become the focal point for [...]

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Feds Call on Google and Microsoft to Breathe Life into the NHIN

Vince Kuraitis and David C. Kibbe, MD MBA Who is the federal  government calling on to breathe life into the Nationwide Health Information Network (NHIN)? Google and Microsoft. In our first article of this series describing the Personal Health Information Network (PHIN), we noted early entrants as Google Health, Microsoft HealthVault, and Dossia.  We also noted [...]

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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 [...]

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