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Posts Tagged ‘policy’
ICMCC Blog: Observations 29 September 2009: Kennedy takes the wrong turn on EHR
October 2nd, 2009 | Popularity: 3% 1 commentICMCC Blog: Observations 29 September 2009: Kennedy takes the wrong turn on EHR – “I do understand the reason why Patrick Kennedy made this proposal, but it should not be about excluding information. The discussion should be about access.”
Now Reading: Delivery System Reform: Action Steps and Pay-Per-Value Approaches
December 8th, 2008 | Popularity: 25% 3 comments
This is a white paper published on the Mayo Clinic Health Policy blog about approaches to delivery system reform, with a significant focus on reimbursement. I read it because I’m joining colleagues from Kaiser Permanente at the World Healthcare Innovation and Technology Congress (and if you’d like, you can hear a podcast of CEO George Halvosron here).
The reason I decided to post this paper on my blog is I think it’s an accessible (easy to read), basic and reasoned approach to changing the way we deliver care in our patients’ interest. It goes beyond medical home thinking (while including those principles) to include more aspects of care, including inpatient and outpatient care, and includes what I think is a pretty reasonable timeline for this happening.
There is a section on “Patient-Centered Use of Information Technology” that says information must be made available to “doctors and patients.” I think the people who read this blog and others can further flesh out the details of a fully accountable health care system. I also really liked the discussion of “Episode-Based Payments for Hospitalized Patients.” I think this would enhance care coordination, and I have seen the impact of hospital care reimbursement being isolated from the overall hospital care episode, which doesn’t end when the patient leaves the hospital.
Some of the recommendations are to be expected considering the organizations who provided the perspective, such as support for group medical practice. At the same time, I think the paper has good relevance and offers realistic ideas for all care environments, which is why I’m posting it here. It’s pretty manageable lengthwise, so I’d encourage others to read it and post their thoughts on it – do the ideas look reasonable/rational in whatever care system you work in/ get care from?
Here’s the link to the post on the Mayo Clinic Health Policy blog if you’d like to post your comments there (and feel free to post there instead of here)
Adding more voices to “HIT before HIE”; Free samples Do Not Support the Safety Net
January 5th, 2008 | Popularity: 46% 0 comments | Leave a reply- RIAA Unfairly Maligned? Give Me a Break. – More on the RIAA and attempts to manage disruption, from Mashable.
- Characteristics of Recipients of Free Prescription Drug Samples: A Nationally Representative Analysis — Cutrona et al., 10.2105/AJPH.2007.114249 — American Journal of Public Health – Study demonstrating that free drug samples are not a safety net. In my practice career I have never used samples (and I’ve never prescribed celecoxib or rofecoxib, either).
- Health Affairs — eLetters for Walker et al., 0 (2005) 5101 – Comment on interoperable HIT being a net gain/loss for physicians, by Peter Basch, MD, of Medstar Health. I agree that we have to be cautious of theorized benefit in this case.
- Health Affairs — eLetters for Adler-Milstein et al., 0 (2007) 271601 – Comment from Peter Basch, MD, about the sequencing and business case for RHIOs not being ready yet.
- Dupont Circle Citizens Association – Learning more about my community. There has been an uptick in crime, unfortunately.
Background on health plans and small practices; Working on our special report
December 27th, 2007 | Popularity: 24% 0 comments | Leave a replyToday’s links are representative of the fact that we aren’t doing observations right now. Instead, we are preparing our first 90 day interim report for our partners. This means looking back on the last 90 days, and putting together our impressions at the interface between patient and health system, along with relevant background and policy information. We’ll post that here, of course.
PCHIT links for December 24th through December 26th:
- U.S. healthcare payers to limit IT investments in 2008 –
- ACGroup, Inc. Whitepapers – Nice overviews of the EHR market and physician practices
- PHRs: From Evolution To Revolution by Liz Boehm – Forrester Research – Interesting commentary on health plans, PHRs, and adoption. Are health plans ready?
