incentives
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Senate Hearing: EHRs Still Falling Short
Developing an effective framework for driving healthcare quality improvements proves a multifaceted, complex endeavor, and although EHR systems can play a positive role in the task, much of the technology still misses the mark. Read More »
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Session To Focus On EHR-Billing Controversy
The controversy over the appropriate use of health information technology systems to streamline workflow while not fraudulently increasing healthcare claims will get a public airing early next month. Read More »
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Seven Ways For Health Services Research To Lead Health System Change
With the implementation of the Affordable Care Act now at hand — and with it, the formation of accountable care organizations (ACOs) — health services research (HSR) has an especially important role to play. As ACOs take steps that will substantially change health care delivery, the ability to measure and improve health system performance and acquire this data efficiently will be in greater demand. Is HSR up to the challenge? Read More »
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Slow Ideas
Why do some innovations spread so swiftly and others so slowly? Consider the very different trajectories of surgical anesthesia and antiseptics, both of which were discovered in the nineteenth century... Read More »
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Society for General Internal Medicine Calls For End To Fee-For-Service
Fee-for-service medicine is a financially unsustainable payment model that should be phased out by the end of the decade, a study commissioned by the Society for General Internal Medicine recommends. Read More »
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Some Doctors Refusing To Adopt Electronic Records
Under a plan first endorsed by President George W. Bush and signed into law by President Obama, the health care industry in the United States has started to change one of the signature elements in doctor's offices — switching chicken-scratched hand-written notes and records to electronic forms. Read More »
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The $2.7 Trillion Medical Bill: Colonoscopies Explain Why U.S. Leads The World In Health Expenditures
Deirdre Yapalater’s recent colonoscopy at a surgical center near her home here on Long Island went smoothly [...]. The test, which found nothing worrisome, racked up what is likely her most expensive medical bill of the year: $6,385. Read More »
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The (So Far) Failed Promise Of Electronic Medical Records
Remember how Obamacare was going to "Bend the cost curve" for health care spending? That was OMB director Peter Orszag, back when Obamacare was being debated. There were a number of theories about how it would accomplish this... Read More »
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The Challenges For Medical Device Interoperability
Hospitals have complicated and connected technology ecosystems. Few places have such a diverse array of machines, skills and information, all attempting to coexist in a stressful decision making environment. Each department has an array of devices and a staff with highly specialised skills. Read More »
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The Costly Darkside Of EMR Implementations
Dr. Billings explores the costly darkside of EMR implementations significant maintenance, development and consultancy costs after implementing an EMR system Read More »
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The Dubious Promise Of Digital Medicine
GE, Google, and others, in a stimulus-fueled frenzy, are piling into the business. But electronic health records have a dubious history Read More »
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The Golden Age Of Health Informatics?
So much attention is paid to the problems in the trenches that it is easy to forget just how far we've come in the past few years. It was only 2008 when the oft-cited DesRoches NEJM survey showed that 4 percent of physicians had a clinically active electronic medical records system (my term for what they called fully functional EMRs). [...] Read More »
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The Long Con - "Charitable" Hospitals Make Multimillionaires Out Of Their CEOs
The CEOs of ostensibly charitable hospitals founded to serve the poor continue to become rich. The latest reminders are in two articles from Maryland, from DelMarVaNow, and from the Baltimore Sun,.and one from the Boston Globe. Read More »
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The Next Generation: A Comprehensive Electronic Health Record
The Network for Public Health Law is holding their 2012 Public Health Law conference this week in Atlanta, focusing on the Practical Approaches to Critical Challenges in Public Health Law, and I have been in attendance...But what struck me, was how little we really take time to think about the impact the work we are doing has upon our individual lives and those of our families. Read More »
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The Obama Crony In Charge Of Your Medical Records
Who is Judy Faulkner? Chances are, you don't know her -- but her politically connected, taxpayer-subsidized electronic medical records company may very well know you. Top Obama donor and billionaire Faulkner is founder and CEO of Epic Systems, which will soon store almost half of all Americans' health information. If the crony odor and the potential for abuse that this "epic" arrangement poses don't chill your bones, you ain't paying attention.
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