More information about connecting California’s Consumers, tip from Larry Leisure, President of iMetrikus:

This is from the 2008 Deloitte Survey of Health Care Consumers, page 14 of the report:

• 13 indicate prior use of one or more medical devices for monitoring a condition for themselves or a family member.
• 7% of consumers report expressing a preference to their physician about a specific branded device.
• 88% of consumers say they would be interested in using a self-monitoring device at home if they were to develop a health condition that required regular monitoring. 33 % said they were extremely interested.
• Reasons for consumers’ interest include the elimination of trips to the doctor’s office (75%), the convenience of reporting results to the doctor electronically (69%) and the ability of the device to help in adjusting their medications (67%)

Interesting to see that consumers recognize the costs that come with (potentially) unnecessary visits to the office to monitor chronic conditions. I am next going to look at consumer costs for managing blood pressure. If anyone has articles handy, please post them below….

I was excited to present at the Medicaid Medical Directors’ Learning Network, invited by Amanda Brodt, MPP, from AcademyHealth, in St. Paul, MN. The Network is coordinated by Academy Health and Sponsored by the Agency for Healthcare Research and Quality.

I had not heard about the network before Amanda told me about it, so it was great to sit in on the round robin as these medical leaders shared their perspectives on serving Medicaid recipients across the United States. Their jobs are challenging to be sure, at the same time they bring a lot of energy and interest into serving well, which includes supporting the medical communities they work and practice in.

The topic of the session I attended was the Patient Centered Medical Home (PCMH) and how concepts are already being deployed in Medicaid populations. I was invited to give a private sector perspective and in that vain, gave a presentation entitled, “4 1/2 reasons why patients and families should be involved in their care, and 2 1/2 things you can do to help,” covering my experience implementing health information technology and visiting practices across the US over the past 7 months.

I expected to find an innovative group of physicians with a perspective on improving health care from a societal perspective, and I was not disappointed. Many of the States are grappling with the implementation of electronic health records locally and across large geographies - HIT is no longer the domain of a single health care organization. This means patient access is also a possibility across organizational and provider boundaries, which is really good news. Oregon, I believe, is now reimbursing for online visits within its program.

There was a comment made about the fact the Group Health has not experienced the same penetration of its online services in its contracted network, as demonstrated in this paper. I think this should be seen as a great opportunity, rather than an unchangeable reality, because the data indicates that patients at all levels of income and education are online and want to be involved in their care. The challenge is to outfit smaller practices with EHRs, and this is happening in places like New York and California, in what I think is a replicable model. At the same time, it was pointed out that the most vulnerable patients probably have the lowest level of access relative to their less vulnerable peers. It’s an excellent point to be made that populations with 40 % Internet penetration may benefit most from greater involvement.

Several of the Medical Directors expressed a belief that I share, which is that the leadership role is about enabling the best care, and awakening the desire on the part of all health professionals to be the best for their patients. I think this group and the programs they represent have the potential to support patient centered care for every patient in every system, and I like being in rooms where that’s the case, of course!

One thing I couldn’t find online is a web site (or blog :)) describing this group’s activities. I know that they are all extremely busy - I think their communities, though, should be impressed with the work these physicians do on their behalf.

Thanks again to Amanda, AcademyHealth, AHRQ, and my sponsors, California Healthcare Foundation and Center for Information Therapy, for the conversation.

I may be late in finding this, but I have been living it for about 3 years now. Inbox Zero is great for everyone, and programs like Apple Mail and GMail make it easy because you can Archive messages in a single folder and search them easily. It’s interesting to peek at another person’s Inbox (without looking at the content) to see if they are an Inbox Zero person or not.

I think half the fun of watching this video is tracking the GenX/GenY speak of Merlin Mann, who operates 43 Folders. “The default state of an e-mail should not be ‘keep sitting here until I start weeping’.”