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Status Report: HITPC and Workgroup Activities on HITECH Stages 2 & 3
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OK, let me be the first to admit that today’s “just-the-facts-ma’am” post might be a little dry…but trust me, its really important stuff to know in understanding the process of how the Health IT Policy Committee (HITPC) and its workgroups are approaching formulating recommendations for HITECH Stages 2 and 3.
At this point at least two different workgroups are involved in developing recommendations for HITECH Stages 2 and 3.
A newly formed Quality Measures Workgroup. This group will “produce initial recommendations on […]
Megatrend Spotting: Health Plan Role of Having “Best Data About YOUR Medical Conditions” is Up for Grabs
Who has the most comprehensive data about YOUR clinical conditions?
For most people, the answer today is “your health plan”, but it’s not at all clear that health plans will continue to have this role in the future.
As physicians and hospitals adopt EHRs, it’s foreseeable that clinical data about patients will be far more available and accessible.
Will patient data become:
A jockeying point for control and business advantage between health plans and care providers,
A collaborative opportunity to optimize clinical care and care […]
Is HITECH Working? #7: Where’s Plan B? Congress and ONC need to address major flaws in HITECH.
by Vince Kuraitis JD, MBA and David C. Kibbe MD, MBA
Pop quiz: Among early-stage companies that are successful, what percentage are successful with the initial business model with which they started (Plan A) vs. a secondary business model (Plan B)?
Harvard Business School Professor Clay Christensen studied this issue. He found that among successful companies, only 7% succeeded with their initial business model, while 93% evolved into a different business model.
So let’s take this finding and reexamine our human nature. In light of these statistics, […]
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 […]
Is HITECH Working? #1: Hospitals are grumbling but are playing in the game; success is not guaranteed.
by Vince Kuraitis JD, MBA and David C. Kibbe MD, MBAÂ
The rationale for hospitals having to play in the HITECH game is straightforward: the financial carrots through 2015 are helpful, and the financial sticks after 2015 will be very painful.
We’ll discuss:
Financial Impacts on Hospitals
Survey Data Showing Hospitals Will Play
Why Success is Not Guaranteed
Financial Impacts on Hospitals
Even prior to HITECH, most hospital executives already had passed the threshold decision and concluded that they need to implement EHR technology. Thus, the issue for most […]
Complimentary Webinar: Introduction to Clinical Groupware and the Clinical Groupware Collaborative
BrightTALK is sponsoring a complimentary Electronic Health Record Summit this Tuesday, October 20, 2009.
David C. Kibbe MD, MBA and I will be presenting “Introduction to Clinical Groupware and the Clinical Groupware Collaborative”
Clinical groupware is a new and evolving model for the development and deployment of health information technology (HIT) platforms and applications having the following characteristics:
Use of the Internet and the web for EHR technology.
Explicit design for information sharing and online communication among providers and patients/consumers.
A modular […]
HIT Policy Committee Recommends “Minimum” Certification of EHRs
At last Friday’s meeting, the HIT Policy Committee adopted the recommendations of the Certification and Adoption Workgroup.
Between the initial recommendations in July and the adopted recommendations in August, one critical word was added to the definition of “certification”. That one word is “minimum” — and this one word expresses the correct approach and philosophy for the government’s role in the certification process for EHRs.
In this post I’ll address why a “minimum” approach toward certification makes […]
Privacy Law Showdown? Legal and Policy Analysis.
#2 in a series — Modifications to HIPAA Privacy Laws: Impact on Microsoft HealthVault, Google Health, and other PHRs.Â
by Deven McGraw JD, MPH, Center for Democracy & Technology
Introduction
There has been considerable discussion lately about whether or not the stimulus legislation (ARRA) extends HIPAA coverage to commercial vendors of personal health records (PHRs) any time they contract with entities already covered by HIPAA like hospitals, health plans or physicians groups. (For those of you who don’t know, HIPAA is the Health Insurance Portability and […]
Privacy Law Showdown? Setting the Stage
Today’s post is the first in a series entitled:
Modifications to HIPAA Privacy Laws: Impact on Microsoft HealthVault, Google Health, and other PHRs.Â
We’ll explore how recent changes in privacy provisions of  ARRA/HITECH Federal stimulus legislation affect personal health information (PHI) platform companies (e.g., HealthVault, Google Health, Dossia) and personal health record (PHR) companies.
Health IT expert and journalist Neil Versel described the issue in the April 7 issue of BNET Healthcare:
Although Google and Microsoft have gotten plenty of attention for their Web-based personal health records, both companies have long […]
Is the Health Data Liquidity Glass Half Empty or Half Full?
What a difference in attitude! Compare two press announcements from April 5:
1) CCHIT: Interoperability Isn’t Doable With Today’s Technology .
Certification Commission for Health Information Technology (CCHIT), Interoperability: Supplying the Building Blocks for a Patient-centered EHR , April 5, 2009
This report…(is) also an attempt to inject a dose of reality into the discussion of interoperability – from practical expectations for the near term and future years to the challenges of developing software architecture and implementation guides that can execute new […]
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