Next week, 50,000 of our closest friends will gather together in Orlando to learn about the latest trends in the healthcare IT industry. I’ll be giving a few keynote addresses, trying to predict what the Trump administration will bring, identify those technologies that will move from hype to reality, and highlighting which products are only “compiled” in Powerpoint - a powerful development language that is really easy to modify! The Trump administration is likely to reduce regulatory burden but is unlikely to radically change the course of value-based purchasing. This means that interoperability, analytics, and workflow products that help improve outcomes while reducing costs will still be important...
patient generated healthcare data
See the following -
Creating Beth Israel's FY16 Information Systems Strategic Plan
By John D. Halamka, MD | July 15, 2015
I recently wrote about the process of setting FY16 Clinical Information System Priorities for the next year. That project is proceeding well and in parallel I’ve created my own contribution. I do not want to influence the stakeholder consensus at all, but members of the IS Governance committee asked for my opinion. Here’s my thinking...Each year, Beth Israel Deaconess Medical Center (BIDMC) Information Systems works with business owners to support BIDMC annual goals with information technology tactics. This ensures that the mission of BIDMC is supported by suitable operational tools. From 2012-2015, all hospitals in the US were compelled to focus their attention on Meaningful Use, ICD-10, the HIPAA Omnibus Rule, and the Affordable Care Act. Since those projects are nearly completed, it is important for BIDMC stakeholders to enumerate the new technology priorities which will best support their activities in the coming year. Read More »
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Halamka Gears Up for HIMSS 2017
By John D. Halamka, MD | February 15, 2017
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Halamka on Why he Disagrees with the "Snake Oil" Analogy
By John D. Halamka, MD | June 14, 2016
Earlier this week, the American Medical Association CEO called digital healthcare products modern-day "snake oil." As a provider and a technologist, I think we need a deeper dive to understand the issues, avoiding the kind of hyperbole that’s so common in politics today. Paul B. Batalden, MD, Senior Fellow, Institute for Healthcare Improvement (IHI), once said “Every system is perfectly designed to get the results it gets”. Let’s take a brief look at the history of national healthcare IT efforts from 2004-2016 to understand how we’ve achieved exactly the results we designed.
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Halamka Summarizes the CMS Meaningful Use Final Rule
By John D. Halamka, MD | October 20, 2015
I’ve been asked to summarize the 752 page CMS Meaningful Use Final Rule...Between the Notice of Proposed Rulemaking and the publication of the CMS Final Rule, the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) passed to include sunsetting the Meaningful Use payment adjustment for professionals at the end of 2018. Also, MACRA requires the establishment of a Merit-Based Incentive Payment System (MIPS) which would incorporate Meaningful Use. The comment period will be used in an attempt to align the Meaningful Use program and the MIPS program...Stage 3 is more controversial and I will focus on that.
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Not All Snake Oil Is Digital
By Kim Bellard | June 14, 2016
A different take on "snake oil" in health care was a thoughtful piece in Health Affairs, by David Newman and Amanda Frost, discussing the quality measurement morass in health care. They cite a study that estimated we spend some $15.4b annually collecting several thousand different quality measures, few of which have any meaning to consumers and all-too-few of which seem to be used to actively improve quality. It isn't that they don't think we should be measuring quality -- far from it -- but, rather: "Patients should not be able to choose substandard quality care, and substandard quality care should not be allowed to be offered in the market." Now, there's a novel concept!
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