Archive for September 16th, 2008

(CCHIT): An Invitation to Participate in Developing a Certification Program for Personal Health Records

September 16th, 2008 | Popularity: 16%
8 comments

I am posting this invitation from the Certification Commission for Health Information Technology in its entirety, because I am Co-Chair of the Personal Health Records Workgroup alongside Lory Wood from the Good Health Network. I’ve been very impressed with the experience and talent that the group has brought to this first step and I have learned a ton. The input of the public is the next step. I encourage everyone to get involved.

___

If you are thinking about using a personal health record (PHR) to better manage personal health but aren’t sure what you should look for, you may be asking questions such as these:

§ With PHRs offered by physicians, health insurers or online providers, how do I begin to make a choice that is right for me or my family?

§ Everyone is worrying about electronic data and privacy today, so how can I be sure that the PHR I choose has adequate security?

§ Will I be able to share access to my personal health information with those I trust such as my doctor or an emergency department?

There is a program developing to help you answer these questions. The Certification Commission for Healthcare Information Technology (CCHIT®) is an officially “recognized certification body” in the US for health information technology – a private, nonprofit organization that is to electronic health information products what Underwriters Laboratories is to electrical products. The Commission applies standards, tests products, and awards a “seal of compliance” to health information products. If you buy an electrical product, you should expect to see the UL® seal. If you choose a health information product, you should look for the CCHIT certification seal.

The Certification Commission already certifies electronic health records used in doctor’s offices and hospitals. The Commission will launch a new program for personal health records in mid-2009 that will emphasize privacy, security and the information sharing capabilities of PHRs.

The Commission has completed its first step, the creation of draft criteria for testing PHRs. Beginning Monday, Sept. 29, the criteria will be posted to http://cchit.org/participate/public-comment/ and available for a 30-day public comment period.

A new Web site and blog dedicated to furthering the conversation about PHRs, www.phrdecisions.com, will launch on that same date. A consumer’s guide to certification of PHRs will also be available there.

On Friday, Oct. 10, the Certification Commission will host a special free Town Call teleconference that will allow consumers and consumer representatives to gain a better understanding of PHR certification and how they can play a role in the process. The Town Call will include a presentation by Dr. Mark Leavitt, chair of the Commission, and Dr. Jodi Pettit, the staff leader of the PHR Work Group. It can be downloaded by Oct. 9 at www.phrdecisions.com.

Participants in the Town Call can ask questions during the call or online at www.phrdecisions.com. The questions and answers will be posted online following the teleconference.

The dial-in information for the Town Call is:
4:00 pm ET/ 3:00 pm CT/ 2:00 pm MT/ 1:00 pm PT

Participant Dial-In Number: 1 (877) 313-5342
Conference ID Number: 65204557



Now Reading: Does Diversity Pay? and Defining the Attributes and Processes that Enhance Effectiveness of Workforce Diversity Initiatives

September 16th, 2008 | Popularity: 31%
1 comment

The answer to the question in the post title is Yes.

In the last year or so, I have been challenged and challenged myself personally to understand the impact of workforce diversity, and these scholarly works helped a lot to understand it better. The impact is significant.

The first paper was written by Cedric Herring at the University of Illinois at Chicago and widely reported, both on NPR and in the Washington Post. It is a well-done regression and factor analysis of 251 for-profit business organizations’ performance dependency on racial diversity.

As defined in the paper:

Diversity is an all-inclusive term that extends beyond race and gender and incorporates people in many different classifications. It includes age, geographic considerations, personality, culture, sexual preferences, tenure issues, and a myriad of other personal, demographic, and organizational characteristics. Generally speaking, the term Aworkforce diversity refers to policies and practices that seek to include people within a workforce who are considered to be, in some way, different from those in the predominant group. In the 21st century, workforce diversity has become an essential business concern.

The paper represents a first-of-its kind analysis in that it controls for organization size, region, and age (with the idea that larger organizations typically have more racial diversity in them). And all of the tested hypotheses are statistically significant in the affirmative:

  1. The more racial workforce diversity a business organization has, the greater that business organization’s sales revenue will be.
  2. The more racial workforce diversity a business organization has, the more customers it will have.
  3. The more racial workforce diversity a business organization has, the larger market share it will have.
  4. The more racial workforce diversity a business organization has, the greater that business organization’s profits will be relative to its competitors

The second scholarly work is about the attributes of effective diversity initiatives. Not surprisingly, one of the cornerstones of effectiveness in this area is leadership, and leadership at the executive level. The intermediate outcome, that leads to the important outcomes above are the creation of an organization whose “population of underrepresented minorities experience the firm climate as being open to diversity and feel as if their race will not hinder them from career progression.”

Why is this important?

People like me are interested in the topic of diversity and disparities because we want to grow, learn, and do better every day. We also want to be in environments where we can succeed by performing well for the people we serve. Data shows that most people prefer to live in diverse environments. This information promotes the idea that people probably prefer to do business with organizations that create diverse environments. The data support the idea that leaders who are truly interested in organizational performance are interested in supporting diverse environments.

As mentioned in the second paper, the world’s best companies understand this:

Several Fortune 500 firms (e.g. IBM, Verizon, Pepsico, GE) have experienced sustained success in their efforts to recruit and retain a diverse workforce, making these firms exemplars in diversity management and ripe for future empirical research.

Why is this important for me?

Around the time that this blog post appeared, I was sitting in a Seattle Metro bus on the way home, in one of the front seats, looking at a poster of Rosa Parks placed overhead, celebrating her accomplishments. It was right after Martin Luther King, Jr’s birthday. I knew that in a different time or place, even in 2007, that I’d be sitting in one of the seats in the back. More importantly, those who would come after me would also be asked to sit in the back, if I did not make a sustained commitment. I realized at the moment that there’s a lot of good news out there – so many organizations have made clear commitments to diversity, and are able and willing to hire the best talent regardless of background. Those are the organizations I will always be a part of.

And yes, Kaiser Permanente is one of them.

(see: Kaiser Permanente’s score in the Corporate Equality Index (score: 100%)).


Medical Education 2.0 concept: – Google Docs

September 16th, 2008 | Popularity: 14%
2 comments

I just updated this sample “Medical Education 2.0″ curriculum, based on the Yale Medical School curriculum, by adding a subject called “Process Improvement in Ambulatory Care / Inpatient Care.” I then realized that I don’t know of a resource to link to that would help people who haven’t done this do it in undergraduate medical education. Anyone have ideas?

The skills I am thinking of are ones around looking at the entire process of care, figuring out how to serve the patient best utilizing all of the tools available (technology, people, business), along with some work on improving service. This would include something on teaching students how to write to patients (no medical school teaches this – they only teach verbal communication, am I wrong about this?)

Thanks to Bertalan Mesko for getting this ball rolling. Take a look at the Google Docs document – what do you think the medical students of tomorrow should be learning?

Medical Education 2.0 concept: – Google Docs