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EHR
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 […]
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.).
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”.
Walled Gardens vs. the Open Web: A Central Debate in Tech Finally Coming to Healthcare
The September issue of Wired magazine and an article in last Sunday’s New York Times illustrate a central debate in technology circles. The debate is not new — it’s being going on for two decades — but it has newfound vibrancy. The essence of the debate is about competing tech/business models: walled gardens vs. the open world wide web (web).
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vs.
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The debate is highly controversial and nuanced. There are “experts” on both sides.
My point today is not to take sides […]
Six First-Take Reactions to Surescripts Network Expansion
Yesterday Surescripts announced their new Clinical Interoperability Services:
Extended Network Connectivity – As a network of networks, Surescripts will support and enable the exchange of all types of clinical messages between EHRs, HIEs and health systems that, today, are not connected with each other.
Net2Net Connect – Allows health systems and technology vendors that already support clinical information sharing within their network to connect to Surescripts in order to receive and send clinical information outside their network (December 2010).
Message Stream – Secure messaging […]
Webinar: Beacon Communities Reshaping Landscape for HIT and Population Health
Tuesday, Oct. 26, 1-2 p.m. Eastern Time — Presented by the Care Continuum Alliance
Federally supported “Beacon Communities” are at work now defining how health information technology will support accountable, evidence-based care in communities – especially for care of chronic conditions. Backed by $235 million in federal grants, 15 communities across the country are serving as Beacon Community pilots for eventual wide-scale, performance-based use of technology to improve our health care delivery system.
The goal of the webinar is to address
The fundamental nature […]
Healthcare IT News Highlights Mobile Health Expo Presentation
Mike Miliard did a great job in capturing highlights and key points of my presentation at the Mobile Health Expo conference earlier this week. You can read his story here.
Please write me at vincek@bhtinfo.com in you’d like a copy of the PowerPoint presentation.
Update: Neil Versel of FierceEMR also wrote up the presentation. Here’s a link to his concise, on-target article “HIE, mobility, open platforms start to knock down ‘walled gardens’ of proprietary EMRs.”