Subscribe if you want to be notified of new blog posts. You will receive an email confirming your subscription.
EHRs/PHRs
Comments to ONC: PCAST HIT Report Becomes a Political Piñata
The PCAST Report on Health IT has become a political piñata.Â
Early Feedback on PCASTÂ
Like many of my colleagues, I was taken aback by the release of the Report in early December 2010 — I didn’t know quite what to make of it. Response in the first week of release was:Â
Limited. The first commentaries were primarily by technical and/or clinical bloggers. The mainstream HIT world had remarkably little initial reaction to the Report.Â
Respectful of the imprimatur of “The President’s” Report and noting some of the big names associated with the […]
Updates on Proposed Stage 2 and 3 Meaningful Use Criteria
The Health IT Policy Committee has published proposed Stage 2 and 3 Meaningful Use Recommendations and they’re open for public comment until February 25.
I’ll share a couple of particularly useful and well written analyses and commentaries by colleagues.
Health IT guru and thought leader Dr. John Halamka writes about The Proposed Stage 2 and 3 Meaningful Use Recommendations in his blog.
This is a great article to get a thumbnail overview of all the proposed recommendations. John lists 38 criteria and provides a quick […]
HITPC Meaningful Use Workgroup Offers First Draft of HITECH Stage 2 & 3 Objectives
At the December 13 meeting of the HITPC (Health IT Policy Committee), the MU (Meaningful Use) Workgroup proposed a first draft of HITECH Stage 2 and 3 objectives.
A full list of objectives for Stages 1, 2 & 3 is available in the PowerPoint presented to HITPC.
The proposed objectives contain a mix of items that are:
Unchanged from Stage 1
Similar MU criteria with higher implementation goals, e.g.,
Stage 1: CPOE for Rx orders 30%
Stage 2: CPOE for 60% of Rx, lab and radiology […]
Summarizing Early PCAST HIT Critiques: “Brilliant, but they didn’t do all their technical homework.”
Last week PCAST (The President’s Council of Advisors on Science and Technology) issued a major report — “Realizing the Full Potential of Health Information Technology to Improve Healthcare for Americans: The Path Forward”.Â
The reviews are filtering in and I’m seeing two major themes:Â
The vision is on target: “extraordinary”, “breathtakingly innovative”.
These guys didn’t do all their technical homework. The range varies, but the message is consistent.Â
Here are some early critiques of the PCAST report. Let the debate continue!
Is Physician EHR Adoption Getting Past the Penguin Problem?
Remember the penguin problem described by economists?
No one moves unless everyone moves, so no one moves.Â
Overcoming the penguin problem has a lot to do with creating expectations. A recent writing by Dr. James O’Connor in Physician Practice expresses a voice from the physician community that I’ve never heard before.  His essay is entitled “Meaningful Use — Doctors Have No Choice”.
Overview: Here Come Stages 2 and 3 of HITECH!
Â
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 EMRs (electronic medical records) were designed primarily to assist care providers with clinical documentation, billing, and maximizing revenues. They were not designed to enable care coordination and […]
Digital Medical Office of the Future Conference. Las Vegas, Sept. 9-10
CLICK HERE FOR THE CONFERENCE WEBSITE
Healthcare providers face critical choices in selecting and implementing Electronic Health Records (EHRs). In addition, physicians and hospitals will need to develop the capacity to exchange clinical information in order to meet Meaningful Use requirements. This program will offer detailed and practical information on EHR selection and implementation, as well as strategies for creating a sustainable health information exchange (HIE). The program also features sessions on legal/regulatory issues, clinical platforms and applications as […]
91% of Citizens Want All Their Healthcare Data Stored in One Place, in an EHR…
…Australian citizens, that is…not U.S. citizens. See Dr. David Moore’s writeup in Australian Health Information Technology.
Of course, you’d never see this type broad support for centralized EHRs in the U.S.
Is this good or bad? You can decide for yourself…but at the very least this caught my attention as illustrating communitarian vs. individualistic tendencies in different world nations.
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% succeeded with their initial business model, while 93% evolved into a different business model.
So let’s take this finding and reexamine our human nature. In light of these statistics, […]
Is HITECH Working? #6: HITECH and Health Reform Objectives are Synergistic
by Vince Kuraitis JD, MBA and David C. Kibbe MD, MBA
.
….or to be more specific, HITECH is synergistic with payment reform that could come from the recently passed national health care reform legislation — the Patient Protection and Affordable Care Act (PPACA).
We’ll keep this post fairly short and try to avoid many of the more divisive aspects of this topic. The need for healthcare payment reform is well understood on both sides of the aisle:
Realizing the full potential of health IT depends in […]