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Collaborative Care Management Networks
Will ACO IT Models Be Walled Gardens or Open Platforms?
Will ACO (accountable care organization) IT models be walled gardens or open platforms? i.e., will ACO IT platforms focus on exchanging information within the provider network of the ACO, or will they also be able to exchange information with providers outside the ACO network? (If the question still isn’t clear, click here for a further explanation.).
“Does This ACO Thing Really Mean We Need to be ‘Accountable’”
The American College of Physicians (ACP) just released a well-reasoned and thorough position paper, The Patient-Centered Medical Home Neighbor: The Interface of the Patient-Centered Medical Home with Specialty/Subspecialty Practices.
As I’ve written before, the Big Idea behind ACOs (Accountable Care Organizations) is the notion of accountability, not the specifics of organizational structure.
The purpose of the ACP position paper is to address the gaps that exist in care coordination when a physician refers a patient to a specialist. The obvious and logical answer proposed is to develop […]
Megatrend Spotting: Health Plan Role of Having “Best Data About YOUR Medical Conditions” is Up for Grabs
Who has the most comprehensive data about YOUR clinical conditions?
For most people, the answer today is “your health plan”, but it’s not at all clear that health plans will continue to have this role in the future.
As physicians and hospitals adopt EHRs, it’s foreseeable that clinical data about patients will be far more available and accessible.
Will patient data become:
A jockeying point for control and business advantage between health plans and care providers,
A collaborative opportunity to optimize clinical care and care […]
16 Capabilities Physicians Will Need to Implement New Payment Models
(click on the graphic to download the document)
Depending on the nature of the payment changes which are made, physicians may need to enhance their capabilities in some or all of the following sixteen areas:
Achieving sufficient patient volume to support a new or improved service.
Having sufficient upfront capital to design and implement a new or improved service.
Having the skills/experience to efficiently/effectively implement a new/improved service.
Having the ability to obtain and analyze data on the quality of services.
Having the skills/experience to […]
Is Gawande Right? Are Pilot Programs the Key to Delivery System Cost Reductions?
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 versions of health reform legislation.
Is Gawande correct? Yes and no….
The Real Secret Sauce of Medicare’s Participation in Regional Collaboratives — Network Effects
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 potential for MAPCI to create effective networks at multiple levels — contracting networks, health IT networks, social and collaborative care networks. I’d like to expand […]
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 following characteristics:
Use of the Internet and the web for EHR technology.
Explicit design for information sharing and online communication among providers and patients/consumers.
A modular […]
The Big Idea in Understanding “Accountable Care Organizations”
Here’s the big idea: accountable care organizations (ACOs) are about creating accountability.
ACOs of various types are being proposed in national health reform legislation. For all you ever wanted to know about ACOs, read How to Create Accountable Care Organizations from the Center for Healthcare Quality and Payment Reform. I spent an hour and a half poring over the details of this excellent report written by Harold Miller.
My mistaken impression has been to focus on the organizational form of ACOs, rather than their objectives. Organizational form is relevant […]
Meeting Announcement: “Introduction to the Clinical Groupware Collaborative”
by Steve Adams, CEO, RMD Networks and Acting President, Clinical Groupware Collaborative
I’m writing to extend a warm personal invitation to learn more about the Clinical Groupware Collaborative (CGC). To-date, purely through word-of-mouth over 40 companies have expressed interest in the CGC, and we expect that you’ll be hearing a lot more about us over the coming months.
Our meeting will take place next Tuesday, September 22, 6 PM in conjunction with The Forum 09, the annual meeting of DMAA: […]
Intro to a New Series
“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 — “Crossing the Chasm”. The Chasm here is the huge gap between early adopters of technology and mainstream users. The book describes the process of bringing […]
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