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EHR 2.0:  HITECH Act Stimulus Funds Create Care Collaboration Opportunities In A Networked Health System   eHealth Webcast  July 2009 Vince Kuraitis JD, MBA  Better Health Technologies, LLC www.e-CareManagement.com  blog  (208) 395-1197
Today’s Big Ideas Care Collaboration Is A “Must Have”;  EHR 2.0 Is The Enabler Source: Michael R. Nelson, Georgetown Center for Culture, Communication, and Technology, 2009
Agenda ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
I. Electronic Medical Record 1.0 and Electronic Health Record 2.0: Basic Concepts
Key Distinction EMR v. EHR ,[object Object],[object Object],[object Object],[object Object]
What Are Some Of The Challenges With  EMR 1.0? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Nutting Report: EHRs Need to Become Plug-and-Play ,[object Object],[object Object]
II A.  “Collaboration” Through A Technology Lens: From EMR 1.0 to EHR 2.0 (Clinical Groupware)
There Are MANY Technologies Vying For Adoption, But They Don’t Interoperate ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
2 Schools of Thought   HOW  Best To Spend Fed HIT Stimulus $$  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Modularity: Dis-integration Of The Computer Industry Source: Venkatraman, N. Winning in a Network Centric Era, 2006
EMR 1.0 to EHR 2.0 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
From EMR 1.0 -- 2008...
....To EHR 2.0/ Clinical Groupware –  2012
Harmony Is Possible
Even CCHIT Is Coming Around Source: CCHIT Town Hall Call 2/17/09
Current v. Future EMRs (Clinical Groupware) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Adapted from Lyle. Berkowitz MD, Improving EMRs PowerPoint,  http://drlyle.blogspot.com/2009/04/improving-emrs-2009.html  April 2009 For a more detailed explanation of clinical groupware, see:  http://e-caremanagement.com/why-clinical-groupware-may-be-the-next-big-thing-in-health-it/
II B. “Collaboration” through a Business Lens:  A New Ecosystem
Network Effects (Tipping Point) ,[object Object],[object Object],[object Object],Source: Shapiro, C. Varian, H.  Network Effects  1998
Elements for Disruptive Innovation ,[object Object],[object Object],[object Object]
Clinical Groupware/EHR 2.0 Companies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
II C. “Collaboration” Through A Clinical Lens:  Team Collaboration
The FedEx Phenomenon: Physician Non-Adoption Of Guidelines For a more detailed description of the FedEx Phenomenon, see:  http://e-caremanagement.com/megatrend-spotting-collaborative-care-management-networks/
Explanation ,[object Object],[object Object],[object Object]
...Observe The Early Emergence Of Collaborative Care Management Networks ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Examine Current PHR Adoption ,[object Object],[object Object],[object Object],[object Object],[object Object]
Features/Functionality Of Kaiser & GHC PHRs  (as of mid 2008)
Explanation ,[object Object],[object Object],[object Object]
Evidence on Value of Collaboration ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
III. Care Collaboration As A “MUST Have” In A Networked Healthcare System
Healthcare Enters the Network Economy A Fundamental Strategic Shift
Expanded View:  Clinical Groupware/EHR 2.0 – 2012 (v. 1.1, June 2009)
[object Object],[object Object]
APPENDIX A Better Health Technologies, LLC
Better Health Technologies, LLC ,[object Object],[object Object],[object Object],[object Object]
BHT Clients ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
END

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From EMR 1.0 to EHR 2.0

Notas del editor

  1. Stand-alone value: grain, dairy products, treasury bonds Network effect markets: telephone, email, fax Mixed (both stand-alone and network effect value): PCs, PHRs
  2. Moving from “medicine as individual heroism” to “medicine as a team sport” http://e-patients.net/archives/2009/01/moving-from-%e2%80%9cmedicine-as-individual-heroism%e2%80%9d-to-%e2%80%9cmedicine-as-a-team-sport%e2%80%9d.html
  3. BCG Epiphany Both a business opportunity and right thing to to 3 National HC Mgmt Consulting Co. 2 FP Hospital Mgmt 10 Regional DS Pres. Medical Call Ctr Venture 3 BHT