Archive for September 29th, 2008

Public Comment – CCHIT Certification Commission for Healthcare Information Technology

September 29th, 2008 | Popularity: 20%
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Welcome to the very first public comment period for Personal Health Records draft criteria for certification:

Public Comment – CCHIT Certification Commission for Healthcare Information Technology

There is an introductory document that accompanies the PHR criteria that I encourage all commenters to read.

In getting to this point, I was trying to remember why I applied to be a part of this first workgroup, because I was initially skeptical about its utility. That changed when I saw the Advisory Task Force recommendations, and when I reflected on my first year of service, in the Foundations Workgroup.

The great thing about serving on this group for me was listening to a diversity of experience and role in health care and personal health records. I learned that personal health records can be more than a supplement to the patient-physician relationship – they can support health in a variety of situations. I wrote about their value in emergency situations previously, which is something I really didn’t envision in my previous work.

I also learned that some of the dreams we have had for personal health records, that they could integrate information from multiple sources, and be controllable and manageable by patients could come true. This would require that we decide what the most important building blocks are, and create an environment where experts across organizations could share best practices and create a 3-5 year vision for products, rather than a 6 month – 1 year vision, which sometimes happens within individual organizations. I think this is what CCHIT is supporting in its leadership.

The public comment period is intended to get us there, because the criteria are still draft. See what you think and thanks for your comments about the criteria (on the CCHIT Website, please).

How Business Pays for its View of Human Nature

September 29th, 2008 | Popularity: 17%
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As I just got done finished reading the column in Businessweek with the title of this post, I received the following link from Hilary Worthen, MD, about the value of good customer service:

Writing – Cooking – Life » Blog Archive » I Heart Zappos

These ideas must be on the minds of a lot of people these days, as Jack and Suzy Welch also wrote about it in their column “The Importance of Being Sticky.”

The best companies understand that a relationship of trust and engagement pays off handsomely, and this includes empowering staff closest to customers with abilities to correct errors and manage inconveniences.

Think about the analogies we use in health care without even thinking about it….

I recently had the experience of an editor doing a really great job improving an article I am writing for a peer-reviewed publication. One of the suggested edits, though, started with the sentence, “Armed with information, the doctor can….” They gladly accepted my re-edit and commentary that we are not war with our patients, we are at peace with them.

What is our view of human nature within the health care system and should we change it?

Halo Telepresence (Videoconferencing)

September 29th, 2008 | Popularity: 16%
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HP Halo: Listen to what people are saying about Halo

This seems very interesting in a Results-Only Work Environment – a lifelike telepresence (also known as videoconferencing) system, Halo, made by HP. I used to think that these were not useful, but I had read about Halo before after trying video meetings, which were useful, when the setup was easy.

See what you think.

Video: Bringing the world to your table |HP

…and Businessweek just wrote another article about this (telepresence) last week, as well.

BYOC: Company gives workers unusual laptop leeway – Yahoo! News

September 29th, 2008 | Popularity: 11%
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Electronic prescribing of controlled substances – National Governors Association STATE ALLIANCE FOR e-HEALTH

September 29th, 2008 | Popularity: 19%
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National Governors Association STATE ALLIANCE FOR e-HEALTH -

It seems that the people discussing this rule are hesitant to give their true opinions on how they feel about it.  Isn’t this a great opportunity to involve patients in the discussion to share their need for adequate pain control, and the community’s need for protected prescribing without diversion?  Here’s John Halamka’s discussion of this ruling, and the linked video provides more clues. Maybe, with patient involvement, a workable solution could be developed that allows these substances to be dispensed safely using electronic systems.

The State Alliance members will continue their discussions from their May 2008 meeting on ways that state policymakers can help facilitate electronic prescribing. A representative from DEA will present the proposed rule issued in June to allow electronic prescribing of controlled substances. A CMS representative will share information on current and future activities to support electronic prescribing in Medicare. The Alliance will provide NGA staff guidance on how the organization should implement the statement adopted in May by the State Alliance.
•Tony Trenkle, Director, Center for Medicare and Medicaid Services Office of E-Health Standards and Services
•Mark Caverly, Chief, Liaison and Policy Section, Drug Enforcement Administration Office of Diversion Control (Invited)

The High Concentration of U.S. Health Care Expenditures

September 29th, 2008 | Popularity: 19%
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