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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 […]
How Should Fed HIT Dollars Be Spent? Cat vs. Dog POV.
“Where’s the single best place to get up to speed on how the Feds should spend $20 billion to advance health information technology (HIT)?”
A colleague asked me this question a couple of days ago, and at first I hesitated. Then it struck me — Matthew Holt’s The Health Care Blog has become the focal point for discussion of this critical topic.
Matthew’s very recent article — Cats & dogs: Can we find unity on health care IT change? — summarizes the two […]
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 […]
Empowering Health IT for the Medical Home
by David C. Kibbe, MD MBA
The basic premise of the medical home concept is continuous, uninterrupted care that is managed and coordinated by a personal provider with the right tools that will lead to better health outcomes.
In 2007, the American Academy of Family Physicians, American Academy of Pediatrics, American College of Physicians, and American Osteopathic Association, released the Joint Principles of the Patient-Centered Medical Home. In this document they state the characteristics of the Patient Centered Medical Home:
Personal Relationship
Team Approach
Comprehensive
Coordination
Quality […]
Untangling the Electronic Health Data Exchange
by David C. Kibbe MD, MBA
The purpose of this post is to help a non-technical audience untangle some of the confusion regarding health data exchange standards, and particularly come to a better understanding of the similarities and differences between the Continuity of Care Record (CCR) standard and the CDA Continuity of Care Document (CCD). But what I’m most interested in is getting beyond the technical, political, or economic positions and interests of the proponents of any particular standard to arrive […]
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:
The Medical Home: Pull the RUC Out
This third and final post in the series addresses questions about the future of the Patient Centered Medical Home (PCHM):
What’s problematic about using the RUC methodology with the PCMH?
What’s the optimal level for a PCMH care management fee?
Should primary care leaders pull the RUC out? How?
What’s Problematic About Using the RUC Methodology with the PCMH?
There are at least two reasons for not having the RUC methodology seen anywhere in the same county country as the PCMH. First, the RUC methodology doesn’t […]
The Medical Home: Confusion Over Care Management Fees
The honeymoon is over.
Prior to April 29, 2008, reviews of the Patient Centered Medical Home (PCMH) model had been uniformly enthusiastic and positive.
Today the PCMH model is hitting reality — someone’s going to have to bring home money to pay the bills. On April 29 the American Medical Association/Specialty Society RVS Update Committee (RUC) released a  report making recommendations relating to payment levels of care management fees for the PCMH.
This report has stirred cries of confusion and outrage. I’ll elaborate on these cries in the second posting of […]
Healthcare Informatics Webinar: Google, Microsoft, & Dossia Create the Personal Health Information Network
What are companies like Google, Microsoft, and Dossia (sponsored by Intel, Wal-Mart, AT&T and others) hoping to accomplish in health care?
What is the emerging Personal Health Information Network (PHIN) and why should you care?
What’s the Continuity of Care Record (CCR) Standard, and how is it destined to become an initial focal point of data exchange initiatives?
Why is the PHIN potentially disruptive to many business models? What types of companies or organizations could be affected the most?
What are opportunities and threats to major health care players — hospitals, […]
Practice Fusion’s EHR: Can Google’s “Endorsement” Overcome a Weak Business Model?
Practice Fusion (PF) has announced a deal with Google to provide a free electronic health record (EHR) to physicians. The EHR will be supported by ad revenues from pharmaceutical companies, insurance companies and others. Read more here.
What’s the connection to care management and chronic disease? EHRs and personal health records (PHRs) are wildcards in the care management equation. You can look at this two ways: 1) The lack of EHRs and PHRs is a potential rate-limiting step […]
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