With so much transition ahead of us at the Federal, state, and local levels in 2017, it is important to begin to plan for what the Health IT landscapes will look like for the coming year (and beyond). Several key reports have come out – mostly from government sources – which are worth serious consideration for any Health IT planner...There are no easy answers here, and it’s easy to get overwhelmed by the information presented in these reports. But they cannot be ignored and can help form the basis of a solid organizational or governmental strategy.
HITECH
See the following -
HIMSS To Unveil HIT Value Model
Kicking off the Government Health IT Conference and Exhibition here on Tuesday, HIMSS executive vice president Carla Smith announced that HIMSS is poised to delver a value model measuring the return on health information technology investments. Read More »
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HIMSS13: A Fork in the Road - How Patients & Payment Are Forcing 'Open' Health IT
This year feels like a fork in the road at HIMSS13, with disruptive forces of patients, digital health, mobility and open standards driving innovation and renewed energy at the annual conference...Without transparency (in health IT and health finance) and data liquidity, bending the cost curve will continue to elude the U.S. health system. At the recently concluded annual Healthcare Information and Management Systems Society conference in New Orleans, 34,696 got to experience a yin and yang vibe that embodies the disruption that the health care IT industry is undergoing. That is, the full-on face-off between developers of health IT that have been long-closed to data liquidity and those vendors innovating on open standards and cloud-based platforms. Read More »
Is all the MU data “meaningful”?
We interrupt these dog days of summer for a bit of a doctors’ food fight. At issue is what this doctor refers to as the “meaningless data” required under the Meaningful Use regulations. Not bashful about throwing the first piece of pie, she begins by announcing that “Race is a medically meaningless concept.” Read More »
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Legal Barriers Project Launches HealthInfoLaw.org
Researchers at The George Washington University Hirsh Health Law and Policy Program today announced the launch of Health Information and the Law (HealthInfoLaw.org), a website designed to serve as a practical, online resource regarding federal and state laws governing access, use, release, and publication of health information.
Meaningful Use: How Patient Should Patients Be?
I mean no disrespect to the people who crafted the 800-plus pages of the HITECH meaningful use regulations, but I am only half-joking when I offer a slightly abbreviated vision of MU: Read More »
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On the Road to Retail Health: HealthcareDIY and Primary Care, Everywhere
Signs of retail health are all around us, popping up as the primary care shortage/maldistribution drives pent-up demand among consumers for accessible, convenient, well-priced quality services and products. This is HealthcareDIY. 52% of U.S. Read More »
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Poor Integration Between Hospital EHRs And NICUs
Responding to my story about lack of funding for electronic health records for pediatric nursing homes, Brian Carter, a superb neonatologist at Children's Mercy Hospital in Kansas City, notes... Read More »
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Preparing for 2017: Four Important Reports
Problems with Health Information Exchange Resist Cures (Part 1)
Given that Office of the National Coordinator for Health Information Technology (ONC) received 564 million dollars in the 2009 HITECH act to promote health information exchange, one has to give them credit for carrying out a thorough evaluation of progress in that area. The results? You don’t want to know. There are certainly glass-full as well as glass-empty indications in the 98-page report that the ONC just released. But I feel that failure dominated. Basically, there has been a lot of relative growth in the use of HIE, but the starting point was so low that huge swaths of the industry remain untouched by HIE...
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Standards Alone are not the Answer for Interoperability
Today I have the honor of presenting a guest blog by David McCallie MD, SVP Medical Informatics, Cerner. He summarizes the collective feeling of the industry about the trajectory of interoperability..."I have been honored to have served on the HIT Standards Committee from its beginning in 2009. As I reach my term limits, I have reflected on what we have all learned over the past six years of helping to define the standards for the certified EHR technology that lies behind the Meaningful Use program...
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Tapping Big Data for Early Identification of Preventable Conditions
The cost to the U.S. healthcare system from preventable conditions and avoidable care has been estimated in the range of $25-50 billion annually. Preventable conditions are a significant component of the $600-850 billion surplus in healthcare spending ultimately increasing cost and decreasing the overall quality of public health.
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The Next Generation: A Comprehensive Electronic Health Record
The Network for Public Health Law is holding their 2012 Public Health Law conference this week in Atlanta, focusing on the Practical Approaches to Critical Challenges in Public Health Law, and I have been in attendance...But what struck me, was how little we really take time to think about the impact the work we are doing has upon our individual lives and those of our families. Read More »
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The Politics of the EHR: Why we’re not where we want to be and what we need to do to get there
By now, it seems abundantly clear that the vast potential offered by universal adoption of electronic health records (EHR) has not been achieved. Indeed, the fulfillment of that potential seems a long way off. Unsolved problems with interoperability, usability, safety, and security, to name a few, remain, and continue to pose barriers to universal adoption. There is ample evidence in the medical literature, of the unsolved problems of the EHR. Indeed, two recent reports that offer (probably inadequate) solutions highlight the difficulties that exist with the EHR. The proliferation of these problems has only increased with the increase in adoption of the EHR by physicians and institutions. The Texas Medical Association has asked the (at the time) ONC, Farhad Mostashari, MD, to establish a health IT patient safety czar.1 Read More »
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The State of Health IT in America: Thinking About the Bipartisan Policy Center Report on Health IT
Just how solid is political support for health IT these days, then? An important report, Transforming Health Care: The Role of Health IT, from the Bipartisan Policy Center Task Force on Delivery System Reform and Health IT published in January 2012, talks about the gaps and obstacles to achieving an interoperable, accessible health IT infrastructure.
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Three Areas Where Health Information Technology Needs to Get its House in Order
Health reform is taking off, thanks to pressure from insurers, the promise with which innovative technologies tease us for low-cost treatments, and regulatory mandates dating back to the HITECH act of 2009. Recent hopeful signs for wider adoption of health technologies include FDA forebearance from regulating consumer health apps, calls for more support for telemedicine, and new health announcements from tech giants such as Apple and Google. While technologists push forward in all these areas, we need to keep in mind that several big unsolved problems remain. Let's not get lost in the details--these major issues have to be tackled head on. Read More »