Rush to Reform

I haven’t posted for awhile — mostly because I have been busy with customers, development projects, and the impact of the economic crisis — but also because I’ve felt that there has been so much noise and anticipation around the priorities of the incoming Administration that reading seemed more valuable than posting. It is clear…

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Election Day

Today is Election Day in the United States — I hope eligible citizens perform their civic duty and vote!   The headlines and pundits are calling this an historic election and many of us are wondering what the election results will mean for the future of health care.   Will there actually be ‘real’ efforts at broad…

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Political Jousting

The election sure is increasing the spotlight on various health reform options — unfortunately I am less confident that the spotlight is illuminating the fundamental drivers or choices.   The last Presidential debate sure wasn’t helpful in educating or informing the viewers. Zeke Emanuel — a very smart and informed physician/researcher has been blogging over at…

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The language of rights applied to health in the U.S.

Last night there was a question in the Presidential Debate on whether healthcare should be a privilege, a right or a responsibility in the U.S.    McCain gave a nuanced answer — but said it was a responsibility and Obama said he considers it a right for U.S. residents since we are a wealthy society.    It…

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Health Reform

I have spent some time over the past several weeks to read and get educated about various health reform proposals.   As can be expected – there is a lot of dialog on this topic given the political season.    Health Affairs has some good articles up if you want to get informed about the Presidential candidates…

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Healthy Debate

I love the fresh debate about standards and the evolution of Health IT raised by the three Health Affairs articles.    I agree wholeheartedly with the perspectives of Carol and Clay – and frequently reinforce these comments to customers, policy makers and audiences alike.  It’s about the patient – not about the standards. Value in the…

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A different type of health networking

I had the good fortune of participating in an Allen and Co. health ‘event’ last week.   They brought together a small number of entrepreneurs and big company folk such as myself (and spouses) for an intimate few days of conversation, networking and recreation.    Their formula really works for forming relationships and developing deeper understanding of…

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Diverse real world problems

Last week, we hosted around 20 physicians from one of our Amalga early adopters for a two day, two-way conversation around what the most important challenges in health delivery are and how software can help address them.    It was a very instructive conversation — from which I learned a lot and met some talented, accomplished…

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Can technology help the doctor/patient relationship?

Today Tara Parker-Pope had a thought provoking column about the strains in the doctor/patient relationship — and there are some good additional anecdotes and discussion on her blog, Well. I have maintained for a couple of years that doctors are missing an opportunity to leverage their "trusted brand" (a.k.a the trusted relationship) by embracing basic…

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Doctor fees – where is the innovation?

Today the MSM had a good article from one of the premier journalists covering health, Milt Freudenheim about a CMS pilot project around the “medical home” — which is simply a vehicle to motivate primary care doctors to provide ‘better’ care to patients with chronic or complex diseases.    The basic premise is that physicians can…

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