By John Halamka MD – In my previous writing, I’ve suggested that the federal government co-opted our Clinical IT agenda over the past three years with Meaningful Use Stage 2, ICD-10, the HIPAA Omnibus Rule, and the Affordable Care Act (ACA).
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By Matthew Fisher – Concierge medicine is a term and concept often discussed, but at the same time often not fully understood. It is not necessarily a new model of practice, but it has gained significantly increased attention since passage of the Affordable Care Act.
The healthcare industry has endured more than 20 years of research, hearings, testimony, proposed rules, comment periods, final rules, and three ICD-10 delays. Nearly $30 billion in costs have been incurred to plan, train, convert systems, test, and prepare for ICD-10.
By William Hersh – Many of us in the informatics field, myself included, sometimes believe that the value proposition of informatics is so intuitively obvious that we do not need to explain it to the rest of the world. API-based interoperability? Secondary use of clinical data? Standardized terminology? Their value is so certain that we need not explain it. Not!
By Ken Edwards – The value of ICD-10 testing is deeper than confirming that your software is up-to-date and your vendors are tuned in and ready to support you throughout the transition. Testing is a time-sensitive training and learning opportunity for you, your vendors, and your payers—invaluable for key front-line staff in particular.
By Susannah Fox – When I left the Pew Research Center to advise companies and organizations that share my vision for health care, I thought life couldn’t get better.
By Robert Rowley & David Harlow – The lack of coordinated delivery of healthcare is widespread in this country. It might even be called the norm. Most people in the U.S. receive their care in a disjointed way, where each clinician, and each facility, has her/his own system.
By John Halamka MD – The use of the term interoperability is being tossed around in ways that makes it seem like the test for obscenity used by Supreme Court Justice Potter Stewart in 1964.
By William Hyman – The premise of Clinical Decision Support (CDS) is that automated patient specific “advice” can guide clinician practice toward improved patient care and ultimately better outcomes. A related value is better utilization of resources by avoiding unnecessary clinical activities that are potentially harmful, and/or expensive.