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HIE
“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 […]
Complimentary Webinar on Comparative Effectiveness Sponsored by Population Health Impact Institute (PHII)
The message is clear from Washington – “Comparative Effectiveness” has been proposed as the foundation for coverage decisions in Medicare. As the feds lead – this will more than likely "trickle down" to the commercial sector.
The Population Health Impact Institute (PHII) has convened national experts to develop a practical, comparative-based system to help purchasers and payers evaluate the methods and results used in all kinds of population health management programs – including medical, case and disease management, benefit design, value-based […]
CCHIT Should Support BOTH the HL7 CCD and the ASTM CCR for PHRs.
The federal government sponsored Certification Commission for Healthcare Information Technology (CCHIT ) is undertaking a certification process for personal health records (PHRs) . The CCHIT PHR Work Group has invited public comment on the First Draft of the PHR Certification Criteria .
The current draft of the PHR Certification Criteria specifies use of the HL7 Continuity of Care Document (CCD) as the only endorsed standard for interoperable exchange of information to and from PHRs. This is extremely short-sighted.
I wrote a comment to […]
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 […]
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 — […]
Doctors Bat A Thousand in Year Two of PGP Medicare Demo
CMS announced today that all 10 participating groups in the Physician Group Practice (PGP) demonstration achieved quality targets, and that the groups are sharing $16.7 million in incentive payments. The program rewards providers for improved outcomes delivered to Medicare patients with congestive heart failure, coronary artery disease, and diabetes.
This goes a long way in explaining Medicare’s seeming lack of enthusiasm for past or future disease management demos with DM companies and/or health plans.
Congratulations doctors!
UPDATE: The doctors might have batted […]
Goldilocks: “Markle’s Framework for Networked Personal Health Information is Just Right”
By Vince Kuraitis and David C. Kibbe, MD, MBA
Once upon a time, there was a little girl named Goldilocks. Like most Americans, Goldilocks had concerns about achieving just the right amount of data liquidity for her personal health information (PHI).
Until today Goldilocks felt between a rock and a hard place:
"I want my PHI to be appropriately liquid — just the right viscosity. My PHI should be viscous enough to flow to my trusted […]
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 […]
Washington Edition of the Health Wonk Review…
….is posted at the Health Affairs blog. Jane Hiebert-White does a great job with a focus on current public policy issues.
(Apologies to any chimps offended by the comparison).
Cerner Disses Google Health. Surprised?
Vince Kuraitis and David C. Kibbe, MD, MBA
We’re not.
From the Kansas City Business Journal :
Google Inc. has approached Cerner Corp. about a partnership, but Cerner officials don’t sound eager to entangle themselves with the Web-search Goliath.
That’s because […]