Comments on: Now Reading: Electronic Health Records in Ambulatory Care — A National Survey of Physicians http://www.tedeytan.com/2008/06/19/1116 e-Health. Patient empowerment. Washington, DC. Sat, 22 Nov 2008 00:18:36 +0000 http://wordpress.org/?v=2.6.3 By: Alex Sicre http://www.tedeytan.com/2008/06/19/1116#comment-1543 Alex Sicre Thu, 26 Jun 2008 14:15:14 +0000 http://www.tedeytan.com/2008/06/19/1116#comment-1543 One interesting facet about Hello Health is that everything from Day 1 will be electronic, patient and MD driven. With Dr. Parkinson's solo practice, he has no office, only the charts on his server, which (I believe) his patients can access. From my understanding, his hope is to build out their first HH practice to serve 5K patients, then roll it out as a franchise. They do not take insurance, so the patient really has a financial stake in their own healthcare, and the transparent technology supporting it. As you saw in the Myca demo, the MD really has a great tool and UI to review each patient's chart anywhere at any time. My PCP pulls out his old paper file, reviews the last few visits, discusses everything, makes more pencil scribbles, then I am on my way, with no way to follow-up on the care we have determined! I assume HH falls into a type of concierge practice that not everyone can afford, but down the line the same technology can be adopted for larger practices that will reduce the costs? Or an insurer can adopt the platform as well? I don't know all the specifics, but it will be interesting to see how a small practice with a lot of press can change the industry. One interesting facet about Hello Health is that everything from Day 1 will be electronic, patient and MD driven. With Dr. Parkinson’s solo practice, he has no office, only the charts on his server, which (I believe) his patients can access. From my understanding, his hope is to build out their first HH practice to serve 5K patients, then roll it out as a franchise.

They do not take insurance, so the patient really has a financial stake in their own healthcare, and the transparent technology supporting it. As you saw in the Myca demo, the MD really has a great tool and UI to review each patient’s chart anywhere at any time. My PCP pulls out his old paper file, reviews the last few visits, discusses everything, makes more pencil scribbles, then I am on my way, with no way to follow-up on the care we have determined!

I assume HH falls into a type of concierge practice that not everyone can afford, but down the line the same technology can be adopted for larger practices that will reduce the costs? Or an insurer can adopt the platform as well? I don’t know all the specifics, but it will be interesting to see how a small practice with a lot of press can change the industry.

]]> By: electronic medical records http://www.tedeytan.com/2008/06/19/1116#comment-1542 electronic medical records Thu, 26 Jun 2008 08:06:55 +0000 http://www.tedeytan.com/2008/06/19/1116#comment-1542 The management of medical transcription, medicare billing, and other medical records has typically consisted of wall to wall files of paper records. According to a recent survey conducted by Accenture, most health care consumers feel that switching to the electronic medical record would improve the quality of health care and the security of their records.But, most of the physicians said that they are not good.Because, sometimes the numerical errors may happened. The management of medical transcription, medicare billing, and other medical records has typically consisted of wall to wall files of paper records. According to a recent survey conducted by Accenture, most health care consumers feel that switching to the electronic medical record would improve the quality of health care and the security of their records.But, most of the physicians said that they are not good.Because, sometimes the numerical errors may happened.

]]> By: Ted Eytan http://www.tedeytan.com/2008/06/19/1116#comment-1514 Ted Eytan Tue, 24 Jun 2008 10:36:22 +0000 http://www.tedeytan.com/2008/06/19/1116#comment-1514 Kathleen, Why don't we do it right here on this blog - it's as good a place as any. I will create a new post to start the conversation. Thanks for being interested in this question, it means to me that there are organizations that want to compete on involving patients and families in their care, Ted Kathleen,

Why don’t we do it right here on this blog - it’s as good a place as any. I will create a new post to start the conversation. Thanks for being interested in this question, it means to me that there are organizations that want to compete on involving patients and families in their care,

Ted

]]> By: Kathleen Furtado http://www.tedeytan.com/2008/06/19/1116#comment-1511 Kathleen Furtado Tue, 24 Jun 2008 00:13:41 +0000 http://www.tedeytan.com/2008/06/19/1116#comment-1511 Regarding your comment: 'maybe we should get together to figure out what patients consider “access to data that allows them to fully participate in their care.”' Where can patient portal or PHR managers discuss this important question? Suggestions? Regarding your comment:
‘maybe we should get together to figure out what patients consider “access to data that allows them to fully participate in their care.”’
Where can patient portal or PHR managers discuss this important question? Suggestions?

]]> By: Ted Eytan http://www.tedeytan.com/2008/06/19/1116#comment-1444 Ted Eytan Fri, 20 Jun 2008 16:17:14 +0000 http://www.tedeytan.com/2008/06/19/1116#comment-1444 One more thing...Alex Sicre reminded me that at least one group of physicians is trying to go a different way, by starting <a href="http://www.myca.com/hello_health/pages/see.html" rel="nofollow">HelloHealth</A>. They've got a very patient-centered approach down to the EHR they've developed - how will that manifest itself or change the broader healthcare (specialty, hospital) community where they work - it's worth watching, Ted One more thing…Alex Sicre reminded me that at least one group of physicians is trying to go a different way, by starting HelloHealth. They’ve got a very patient-centered approach down to the EHR they’ve developed - how will that manifest itself or change the broader healthcare (specialty, hospital) community where they work - it’s worth watching,

Ted

]]> By: Ted Eytan http://www.tedeytan.com/2008/06/19/1116#comment-1426 Ted Eytan Thu, 19 Jun 2008 23:44:02 +0000 http://www.tedeytan.com/2008/06/19/1116#comment-1426 Thanks for the great comment and alternate way to look at this issue, Matt. I <a href="http://www.hschange.org/CONTENT/941/" rel="nofollow">pulled the latest data on consolidation of practices</a> - it's happening but very slowly, Ted Thanks for the great comment and alternate way to look at this issue, Matt. I pulled the latest data on consolidation of practices - it’s happening but very slowly,

Ted

]]> By: Matt Handley http://www.tedeytan.com/2008/06/19/1116#comment-1410 Matt Handley Thu, 19 Jun 2008 12:44:57 +0000 http://www.tedeytan.com/2008/06/19/1116#comment-1410 It is interesting that the discussion remains in many ways focused on "the box" - the tool, rather than the larger issues of how we organize to provide care. This is another study that demonstrates that the organization of care delivery in America is fundamentally flawed. In addition the the lag in adoption of EHRs by small practices, we can add studies of quality of care to the data that demonstrate that it is not feasible to provide high quality affordable care if the model is the small business owner. While there exist a small number of very innovative small practices (the barriers to innovation are often lower in small practices), there is not a scalable spread strategy. As an optimist, I have always hoped that incentives for EHR adoption would be structured to help physician practices merge to help them get to the next level of medicine's Mazlo's hierarchy of needs - past food and shelter (billing and revenue) and on to quality and affordability. It is interesting that the discussion remains in many ways focused on “the box” - the tool, rather than the larger issues of how we organize to provide care. This is another study that demonstrates that the organization of care delivery in America is fundamentally flawed. In addition the the lag in adoption of EHRs by small practices, we can add studies of quality of care to the data that demonstrate that it is not feasible to provide high quality affordable care if the model is the small business owner. While there exist a small number of very innovative small practices (the barriers to innovation are often lower in small practices), there is not a scalable spread strategy.

As an optimist, I have always hoped that incentives for EHR adoption would be structured to help physician practices merge to help them get to the next level of medicine’s Mazlo’s hierarchy of needs - past food and shelter (billing and revenue) and on to quality and affordability.

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