Showing posts with label rhio. Show all posts
Showing posts with label rhio. Show all posts

Friday, February 7, 2014

Feeling the Pain ? ACO ACA HIX HIE HHS CMS ICD10


We physicians have some difficulty objectively measuring pain.  Even subjectively it becomes a challenge when your patient asks for pain medications.

The standard of medical practice now is to ask, "What is your pain level from 1-10 if 10 would be the worst pain  you have ever felt, and 0 is no pain whatsoeverl.  Even this scale is very subjective and is based upon what that patient considers his worst pain.  That depends on many factors. Patients who have never had any pain would not know what the worst pain would be.  Pain thresholds differ greatly from one patient to ano ther.  Comparing one patient to another with  this metric is meaningless.  Perhaps we should set a standard as labor pains. This standard however would only apply to women.

All of the above acronyms are a feature of health reform, which is not painless. The medical lexicon includes countless three letter or four letter acronyms, which are too lengthy to describe here.

ACOICD-10, MU, PCMH, and PQRS are more than just an acronym soup. 

Karen DeSalvo now the head of ONC and a former primary care physician from Louisana is the lady for the job of reducing our pain. (perhaps hypnosis, denial, or retirment would be better than the narcotic of acceptance and/or major revision of how government interacts with healthcare.




Diana Manos of Health IT News describes DeSalvo's background: 

To advance America’s triple aim of improving the experience of care, improving the health of populations, and reducing per capita costs of healthcare, DeSalvo outlined five key goals, which ONC will be focused on over this, the second decade of its work.



They are:
  1. Increase end user adoption of health IT
  2. Establish standards so the various technologies can speak to each other
  3. Provide the right incentives for the market to drive this advancement
  4. Make sure personal health information remains private and secure
  5. Provide governance and structure for health IT


DeSalvo believes interoperability remains the most important issue as a framework for Health Reform.

Despite more than half a decade of progress, Interoperability appears to have stalled.

Michael Schatzlein MD 

of Asencio Health describes the current status of interoperabillity and it's future in the world of the internet.  It's greatest hope is the present generation of internet enabled patients who will demand interoperability, perhaps at the ballot box if bureaucrats cannot accomplish the goal..  The federal government has already invested billions of dollars of your tax money toward this goal.
















Tuesday, July 3, 2007

Google me

Google Health (GH) could be the event of the decade in advancing health care reform — not just healthcare information technology (HIT) reform,
The "ultimate" PHR????
Google Health (GH) could be the event of the decade in advancing health care reform — not just healthcare information technology (HIT) reform, but health care system reform. GH promises simultaneously to create AND dominate the market for next generation personal health records (PHRs). There is nothing else in our solar system or in the entire universe like it.
II. GH’s Anticipated Technology Model
We’ve been provided a number of clues about the technology model that GH is likely to develop:
Patient centric
A personal health URL
Automated data mechanisms to gather and store PHI
Interoperable technical standards: XML and the Continuity of Care Record (CCR) standard
A user interface
Appropriate security and confidentiality measures
Value added functionality (over time)
What do you think???

Saturday, December 30, 2006

The Cusp of 2006

As we end 2006 I want to thank Dimitriy for involving me with The Medical Blog Network.
For the past two years my involvement with a RHIO and Health Information Technology have given me the opportunity to meet and learn from other professionals about improving healthcare.
A fresh outlook is always a good thing. I am convinced that patients must have involvement and ownership of their healthcare "system"; it is in fact an essential element to move forward.
Government alone, nor payors nor employers can perform this great task alone.

So I wish all of you a happy and health 2007, and hope that we all do not "pay for performance".

I invite you to read my further comments at healthtrain express www.healthtrain.blogspot.com

Gary Levin

Sunday, November 26, 2006

What's New??

Okay, I have submitted to my urge to upgrade the RHIO blog to something a bit more diverse and expand the scope of it to include other interesting health related information. With this transition to ver 2.0 of blogger.com, comes the ability to do some fancier things such as RSS feeds and other techno-marvels I can name but clearly go beyond the capability of my 1943 CPU. This is merely a test posting you have found after being referred from the old blog site.
All future posts will be made to "Health Train Express".