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Technology Stocks : The *NEW* Frank Coluccio Technology Forum -- Ignore unavailable to you. Want to Upgrade?

To: Frank A. Coluccio who wrote (18416)	12/15/2006 7:51:23 PM
From: Lhn5	Respond to of 46821

Looks very ambitious. It's on my list for the weekend.

To: Frank A. Coluccio who wrote (18416)	12/16/2006 12:22:15 AM
From: Lhn5	Read Replies (2) \| Respond to of 46821

So far, shockingly, I am impressed by some of their ideas and the comprehensive goals as well as the focus on interoperability. I am also impressed that it seems like almost anyone can fax data into someone's file if they have a pin code...but in that regard the crucial question is once the fax gets into the record, how does the software know WHERE in the heck to put it? Interestingly...look at this mess! See what they/all of us are up against: centerforhit.org By targeting the patient instead of the primary care physician as the target or centerpiece or 'owner' of the records, it increases the chances that if it is a good and complete product, that if physicians etc are REQUIRED to access it then they are more likely to be able to add all the info they generate TO the record. If a physician's office can fax the office visit info to Medcommons instead of mailing it to another physician who might be interested in it...that is a pretty even trade-off. Not too much barrier to cooperation maybe. In addition to getting results...is it possible to also ORDER and schedule tests through medcommon? On the downside, the workings of the demo was far from intuitive and I didn't really find instructions on how to best utilize the demo. I see more potential with this approach than the pie in the sky info we saw earlier in the week from the industrial/tech group of corps. It was also quite difficult to find any way of contacting the company but finally I did and made some further inquiries...will report the results.

To: Frank A. Coluccio who wrote (18416)	12/21/2007 4:48:58 AM
From: Frank A. Coluccio	Respond to of 46821

Private Health Records and the Health URL [FAC: This is a follow-up item to an earlier discussion of last December [uplinked #msg-23106912] concerning online patient health records. It was sent to me this evening by the same friend who put me/us on to MedCommons last year. One may wish to first read this short blog entry of 12-06-06 entitled "Google working on your Health URL?" prior to proceeding with the main article below: blogs.zdnet.com Comments welcome. ] A patient-centered care team approach to health information management Older, More Active, More Mobile, and More Sophisticated Healthcare Consumers demand an ever more diverse healthcare team. Specialty hospitals, retail clinics, networked home care devices, house calls, health advice Web sites, and medical tourism represent the leading edge of innovation in healthcare delivery. Yet, the current, first generation of electronic health records (EHR) continues to focus on information capture and workflow within a particular medical practice as it moves to paperless processes. The drawbacks of this institutional focus are now becoming apparent. Today’s EHRs force all physicians in a practice to use the same tools and user interface. At the same time, they can make communication among unaffiliated members of the healthcare team even more difficult than the paper and fax they aim to replace. As current EHRs struggle to meet the growing expectations of an Internet-savvy public while controlling user interfaces, logins, database structure, and external interfaces, they confine the customer and hamper innovation in both treatment and business methods. This continuing focus of EHRs on the practice instead of the patient limits healthcare delivery as well as evaluation of outcomes, patient safety, and payment. First, it is increasingly difficult to get a complete picture of the patient’s situation, as many members of the care team are affiliated with different and sometimes competing institutions. For the chronically ill, health coaches are increasingly sought as arbitrators across uncoordinated providers isolated in their own information silos. Objective evaluation of outcome, and therefore patient safety, also suffer from a lack of patient focus.Practices are justifiably reluctant to release information that will be used to compare them to other practices and could put them at a disadvantage in contract or pay-for-performance negotiations. In contrast, patient-centered private health records do not cause practices to release information to anyone other than the patient, and that release is already legally mandated by HIPAA. In contrast to information exchange through vast regional bureaucracies, sometimes called health information exchanges, private health records provide better outcomes measures at lower cost with fewer privacy concerns. Private health records are conceived as Internet-era bank accounts and ATM networks for patient-controlled information disclosure. Today’s user-centered, second-generation Web technologies and Web collaboration (Web 2.0) can now be applied to the problem of improving the quality and value of healthcare. Support the Physician Continued at: medcommons.net ------