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EHRs/PHRs
Is HITECH Working? #5: “Gimme my damn data!” The stage is being set to enable patient-driven disruptive innovation.
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by Dave deBronkart (e-PatientDave), Vince Kuraitis, and David C. Kibbe
So far this series has looked at HITECH participation by hospitals (grumbling but in the game) and physicians (wary, on the sidelines), kudos for ONC’s three major policy points, and how HITECH is already moving the needle on the vendor side. Today we’re going to look at the reason the whole system exists: patients.
It’s possible to look at the patients issue from a moral or ethical perspective, or from a business […]
Is HITECH Working? #4: While most attention has been focused on demand side incentives (will doctors and hospitals buy EHRs?), the supply (vendor) side of HIT is already transforming.
by Vince Kuraitis JD, MBA and David C. Kibbe MD, MBA
Most of the press coverage and attention to HITECH has been to the “buy” side of the market: The central question here has been: “Will doctors and hospitals buy and use EHR technology?”
Meanwhile — and much more quietly — the sell (vendor) side of the EHR market is already dramatically different than it was a year ago. We observe change occurring at at least three levels:
HITECH […]
Is HITECH Working? #3: ONC got it right on the 3 major policy interpretations: Meaningful Use, Certification, Standards
We concluded our last post in this series with a blunt prediction that “key physicians will sit on the sidelines” and that clinician non-adoption of EHR technology is a potential “deal-breaker for the success of HITECH”.
While this might sound like a criticism of the way HITECH has been implemented, it’s not intended that way — it’s a commentary on 1) the complexity and scope of change that will be required to make HITECH successful, and 2) the level of protective entrenchment existing American […]
Chilmark Needs to Chill Out on CCR/CCD Findings
John Moore of Chilmark Research and I agree on things 90+ percent of the time. He even thanked me personally for our collegial relationship in a Thanksgiving Day essay on his blog.
However…I can’t help but comment on John’s misleading story “CCD Standard Gaining Traction, CCR Fading” in The Health Care Blog. He writes:
In a number of interviews with leading HIE [Health Information Exchange] vendors, it is becoming clear that the clinical standard, Continuity of Care Document (CCD) will be the dominant standard in […]
I’ve Been Fired By My PHR. Now What?
I received this email in my inbox this morning:
Thank you for being a loyal user of the Revolution Health Personal Health Record. Unfortunately we will be discontinuing this service as of the end of February 2010 and removing all records, information, and data from the Revolution Health Web site.
So that you don’t lose the information you’ve entered into the system, we strongly suggest that you download your personal records as a PDF to print and save for future reference. To do […]
Medicare Extends PHR Pilot — Big Mistake!
Medicare announced today that it is extending its Personal Health Record (PHR) pilot project for residents of Utah and Arizona.
This is a waste of time and taxpayer dollars. Those of you who read my blog know that I’m a big fan of PHRs, but you have to know when you’re backing the wrong approach.
What’s wrong with this pilot project? A lot:
Feedback Rolls in on Halamka’s New Stance on Standards: Cats Pissed, Dogs Thrilled
Continuing his stunning reversal of long held perspectives, Dr. John Halamka’s blog post today suggests Guiding Principles for HIT Standards Committee:
Keep it simple; think big, but start small; recommend standards as minimal as possible to support the business goal and then build as you go
Don’t let “perfect” be the enemy of “good enough”; go for the 80% that everyone can agree on; get everyone to send the basics (medications, problem list, allergies, labs) before focusing on the more obscure
Keep the implementation […]
Dr. Blumenthal, I Mistakenly Received Your Email Intended for Judy Faulkner, CEO, Epic
David Blumenthal, M.D., M.P.P. National Coordinator for Health Information Technology U.S. Department of Health & Human Services
Dear Dr. Blumenthal,
I was honored to receive a personal email from you today. However, after reading it, I conclude that you must have intended to send this email to Judith Faulkner, CEO of Epic Systems.
I really liked what you said about working toward interoperability:
The HITECH Act calls for the “development of a nationwide health information technology infrastructure that allows for the electronic use and […]
John Halamka’s Stunning 180: “Dogs and Cats Should Live in Harmony”
The King of the Cats has just acknowledged that indeed cats and dogs should co-exist peacefully.
Dr. John Halamka — Vice Chair of the HIT Standards Committee of the ONC and one of the most vocal and influential figures in health IT — writes a blog post this morning entitled “The Genius of AND”. Halamka reasonably summarizes the essence of the debate about standards and interoperability as being between “the healthcare informatics crowd” (cats) and the “Internet crowd” (dogs):
He notes that the debate […]
Senator Grassley: You’re on Track About EMR Problems, But Here Are Some More Questions to Ask
An article in today’s Washington Post links to a letter written by Senator Charles E. Grassley.
The letter is directed at 10 EMR (electronic medical record) vendors, and asks very pointed questions about whether the vendors have been negligent in not addressing patient safety issues in their technologies.
Senator Grassley, you have the scent and you’re on the trail. There are several other questions you should be asking these vendors: