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Search Results: "Medical Home"

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 coordinate care and create continuity;
Offers evidence-based guidance and coaching, personalized by access to a person’s health data as it changes;
Collects, for analysis and reporting, quality and performance measures as […]

Medicare Health Support: 8 Takeaways on Building Better Bridges

by Thomas Wilson, PhD, DrPH and Vince Kuraitis

What’s the right metaphor for Medicare Health Support (MHS), CMS’ major experiment with disease management for Medicare beneficiaries?  We prefer to look it as a bridge failure that presents an opportunity to improve future engineering and design.

We’ve now had the time to read, reread, and reread again the very recent report from Research Triangle Institute (RTI) — Evaluation of Phase I of the Medicare Health Support Pilot Program Under Traditional Fee-for-Service Medicare: […]

“The Innovator’s Prescription”: Christensen’s Book Offers Insightful Dx, Unrealistic Rx

by Vince Kuraitis and David C. Kibbe MD, MBA

Being big fans of Clay Christensen and his theory of disruptive innovation (DI), we have been awaiting his just-released book The Innovator’s Prescription: A Disruptive Solution for Healthcare .  The book is co-authored by Dr. Jerome Grossman and Dr. Jason Hwang.

We have mixed reactions.

The book is mistitled. It should have been titled "The Innovator’s Diagnosis". The book does a fantastic job at diagnosis (Dx) of problems in the U.S. health care […]

An Open Letter to the Obama Health Team on Health IT Spending

By David C. Kibbe, MD MBA and Brian Klepper, PhD

It seems likely that the Obama administration and Congress will spend a significant amount on health IT by attaching it as a first-order priority to the fiscal stimulus package. We take the President-elect at his word when he recently said:

"…we must also ensure that our hospitals are connected to each other through the Internet. That is why the economic recovery plan I’m proposing will help […]

Health Wonk Review — The “Just the Facts, Ma’am” Edition

The story you are about to read is true. The names have been changed to protect the innocent.

This is the city: Los Angeles, California. I work here. I carry a badge blog. My name’s Friday.

Click here (short) or here (long) for Dragnet theme music.

A crime of disorderly conduct has been committed. The U.S. health care system is the prime suspect. My partner Gannon and I will investigate.

Megatrend Spotting: Collaborative Care Management Networks

“Why can’t we all just get along?”  Rodney King

The Megatrend: Collaborative Care Management Networks (CCMNs)

It’s been quite a while since I spotted a new Disease Management Megatrend, but here’s one that’s long overdue:

Collaborative Care Management Networks will be necessary to achieve optimal care coordination.

The trend in a nutshell:  payers (and others) are recognizing that optimal care coordination will require collaboration among health care stakeholders. This CANNOT be achieved with yesterday’s proprietary IT and business models.

CCMNs will share many — perhaps all — […]

Attend the Best DM/Population Health Conference of the Year!

In a little less than three weeks, DMAA: The Care Continuum Alliance will open its 10th annual meeting , in Hollywood, Fla. – a notable milestone for an organization that has evolved with its membership over the past decade.

I’ll be there, presenting with Dr. Victor Villagra on the "March toward Data Interoperability" and the outlook for disease management.

The content this year promises to be among the best yet, with a new track on […]

Extra: Will $87 Per Hour Rescue Primary Care?

Since the AMA has issued some “real” numbers relating to the RUC’s recommendations for valuing the Patient Centered Medical Home (PCMH), I’ve added a fourth part to this series.

The June 2 issue of American Medical News provides payment scenarios for a medical home:

4 Reasons Why Health Plans Struggle with PHRs

Aetna recently made another big announcement relating to their PHR.  While the concept of what they’re doing is very appealing, it strikes me that health plans in general face an uphill battle in getting consumers to adopt and use personal health records (PHRs).

I’ll describe 4 factors behind my thinking:

Lack of Trust
Lack of Access to Clinical Data
Lack of Permission
Lack of Convenience in Consumer Workflow

21 Surprising Ways Wal-Mart Clinics Will Affect US Healthcare

Jessica Hupp at RN Central writes a thought provoking article titled 20 Surprising Ways Wal-Mart Clinics Will Affect US Healthcare.

#20 is “Decreased Continuity of Care”.  I think this one is debatable, and I’ll offer as #21 “Increased Continuity of Care”.  

Jessica writes:

With traditional doctors, patients have charts and medical records, but at in-store clinics, diagnosis is a one-off deal. Problems that could be caught over multiple visits and diagnosis could go unearthed unless the patient works to inform practitioners.

I’m picking up […]