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	<title>Comments on: Monday Morning Update 11/24/08</title>
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	<link>http://histalk2.com/2008/11/22/monday-morning-update-112408/</link>
	<description>Healthcare IT News and Opinion</description>
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		<title>By: Tim Clover</title>
		<link>http://histalk2.com/2008/11/22/monday-morning-update-112408/comment-page-1/#comment-2741</link>
		<dc:creator>Tim Clover</dc:creator>
		<pubDate>Sat, 06 Dec 2008 20:57:29 +0000</pubDate>
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		<description>Regarding inaccurate comments about &quot;hospitals dropping t+&quot; infact one secondary care general hospital did not proceed to a full implementation two years ago as the nurses in the hospital were unwilling to log on to the website to manage patients. Now the t+ system incorporates an inhouse nurse call centre to combat this specific issue and is much more suited to primary care and avoidance of acure admissions / reduction of costs. Uniquely these have been proven in a collection of 20 validatory clinical trials in areas as diverse as Oncology, Cystic Fibrosis, COPD, Diabetes, Drug Titration and Asthma.

In reality the use of any telemetry based system is most effectively utilised as primary care triage not acute management. We believe we are one of the most widely deployed systems in the world with patients in Singapore, Dubai, France, Egypt, UK and US and currently have 24 centres in the UK and several in the US through partners like J&amp;J using the system and literally thousands of patients managed every day. One pilot out of 24 not proceeding to full implementation is not a phenomenal success rate and does not deserve the loose comments expressed on this blog. 

I would invite Patient101 to contact me directly through the T+ website at info@tplusmedical.com if they are seeking any assurances about our viability. Better still try the system - as many leading organisations have. Also watch the press in the next two weeks for details of a major new player in this market who have done substantial due diligence of every current player and chosen T+ as their launch technology.

If anyone is interested in low cost, high volume, super scalable telemedicine on the world&#039;s most accessible data infrastructure then give T+ a call. 

Tim Clover

CEO - T+ Medical.</description>
		<content:encoded><![CDATA[<p>Regarding inaccurate comments about &#8220;hospitals dropping t+&#8221; infact one secondary care general hospital did not proceed to a full implementation two years ago as the nurses in the hospital were unwilling to log on to the website to manage patients. Now the t+ system incorporates an inhouse nurse call centre to combat this specific issue and is much more suited to primary care and avoidance of acure admissions / reduction of costs. Uniquely these have been proven in a collection of 20 validatory clinical trials in areas as diverse as Oncology, Cystic Fibrosis, COPD, Diabetes, Drug Titration and Asthma.</p>
<p>In reality the use of any telemetry based system is most effectively utilised as primary care triage not acute management. We believe we are one of the most widely deployed systems in the world with patients in Singapore, Dubai, France, Egypt, UK and US and currently have 24 centres in the UK and several in the US through partners like J&amp;J using the system and literally thousands of patients managed every day. One pilot out of 24 not proceeding to full implementation is not a phenomenal success rate and does not deserve the loose comments expressed on this blog. </p>
<p>I would invite Patient101 to contact me directly through the T+ website at <a href="mailto:info@tplusmedical.com">info@tplusmedical.com</a> if they are seeking any assurances about our viability. Better still try the system &#8211; as many leading organisations have. Also watch the press in the next two weeks for details of a major new player in this market who have done substantial due diligence of every current player and chosen T+ as their launch technology.</p>
<p>If anyone is interested in low cost, high volume, super scalable telemedicine on the world&#8217;s most accessible data infrastructure then give T+ a call. </p>
<p>Tim Clover</p>
<p>CEO &#8211; T+ Medical.</p>
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		<title>By: Patient101</title>
		<link>http://histalk2.com/2008/11/22/monday-morning-update-112408/comment-page-1/#comment-2736</link>
		<dc:creator>Patient101</dc:creator>
		<pubDate>Fri, 05 Dec 2008 22:22:25 +0000</pubDate>
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		<description>Please tell more about the t+ medical situation.  Is this company viable or just having too many issues???</description>
		<content:encoded><![CDATA[<p>Please tell more about the t+ medical situation.  Is this company viable or just having too many issues???</p>
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		<title>By: Al Borges MD</title>
		<link>http://histalk2.com/2008/11/22/monday-morning-update-112408/comment-page-1/#comment-2694</link>
		<dc:creator>Al Borges MD</dc:creator>
		<pubDate>Tue, 25 Nov 2008 05:15:10 +0000</pubDate>
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		<description>&gt;&gt;&gt; Face it, you have the most expensive application on the market...

You&#039;re probably right, but I love to program- it&#039;s time off from seeing patient complaints and it makes me feel like Pavarotti leading a VBA orchestra. A good sized minority of docs program too- just check out the growth of my website in its first 5 months dedicated to making the perfect MS Office EMR ( http://i38.photobucket.com/albums/e103/alborgmd/Miscellaneous/websitegrowth.png ).

So there is interest. Some of the programming knowledge can be used to augment a traditional vendor-supplied EMR too.

Al</description>
		<content:encoded><![CDATA[<p>&gt;&gt;&gt; Face it, you have the most expensive application on the market&#8230;</p>
<p>You&#8217;re probably right, but I love to program- it&#8217;s time off from seeing patient complaints and it makes me feel like Pavarotti leading a VBA orchestra. A good sized minority of docs program too- just check out the growth of my website in its first 5 months dedicated to making the perfect MS Office EMR ( <a href="http://i38.photobucket.com/albums/e103/alborgmd/Miscellaneous/websitegrowth.png" rel="nofollow">http://i38.photobucket.com/albums/e103/alborgmd/Miscellaneous/websitegrowth.png</a> ).</p>
<p>So there is interest. Some of the programming knowledge can be used to augment a traditional vendor-supplied EMR too.</p>
<p>Al</p>
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		<title>By: John</title>
		<link>http://histalk2.com/2008/11/22/monday-morning-update-112408/comment-page-1/#comment-2691</link>
		<dc:creator>John</dc:creator>
		<pubDate>Mon, 24 Nov 2008 16:20:44 +0000</pubDate>
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		<description>No market is perfect, at least that I am aware of.  In healthcare, find it particularly challenging as you not only have the base issue of technology, you layer that with a tradition-bound set of practices that date to the mid 19th century, some even earlier, government regulations, numerous stakeholders and a highly fragmented market.  Some real challenges here if you are a vendor trying to take a product to market, or a buyer trying to ascertain what is best for their facility/practice.

In my initial comment, referenced what I perceived as reluctance on Al&#039;s part o adopt HIT and  only adopt it if someone was willing to foot the entire bill.  This attitude, which I have found pervasive in this market is demented.

However, if Al was simply referring to the future where in P4P programs would only be supported if the practice was using a CCHIT-certified EMR, well that is just plain silly and am in full agreement with Al.

As for why did various parties support the formation of CCHIT, that is really quite simple - Control.  Those parties saw the writing on the wall - HHS/ONCHIT were goin to put a certification process in place.  Therefore, instead of waiting for the govt to push something unpalatable upon them, usurp the process by becoming a part of it, directing its outcome(s) in favor of major sponsors etc.</description>
		<content:encoded><![CDATA[<p>No market is perfect, at least that I am aware of.  In healthcare, find it particularly challenging as you not only have the base issue of technology, you layer that with a tradition-bound set of practices that date to the mid 19th century, some even earlier, government regulations, numerous stakeholders and a highly fragmented market.  Some real challenges here if you are a vendor trying to take a product to market, or a buyer trying to ascertain what is best for their facility/practice.</p>
<p>In my initial comment, referenced what I perceived as reluctance on Al&#8217;s part o adopt HIT and  only adopt it if someone was willing to foot the entire bill.  This attitude, which I have found pervasive in this market is demented.</p>
<p>However, if Al was simply referring to the future where in P4P programs would only be supported if the practice was using a CCHIT-certified EMR, well that is just plain silly and am in full agreement with Al.</p>
<p>As for why did various parties support the formation of CCHIT, that is really quite simple &#8211; Control.  Those parties saw the writing on the wall &#8211; HHS/ONCHIT were goin to put a certification process in place.  Therefore, instead of waiting for the govt to push something unpalatable upon them, usurp the process by becoming a part of it, directing its outcome(s) in favor of major sponsors etc.</p>
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		<title>By: Grizzled Veteran</title>
		<link>http://histalk2.com/2008/11/22/monday-morning-update-112408/comment-page-1/#comment-2688</link>
		<dc:creator>Grizzled Veteran</dc:creator>
		<pubDate>Mon, 24 Nov 2008 15:38:36 +0000</pubDate>
		<guid isPermaLink="false">http://histalk2.com/2008/11/22/monday-morning-update-112408/#comment-2688</guid>
		<description>Al,

Face it, you have the most expensive application on the market. Your support and research and development comes from a physician, you, with either too much time on his hands or one that is seeing has to fewer patients to tinker with an EMR application. Either way it is your call, but not every physician has the time, skills or inclination to do it themselves.</description>
		<content:encoded><![CDATA[<p>Al,</p>
<p>Face it, you have the most expensive application on the market. Your support and research and development comes from a physician, you, with either too much time on his hands or one that is seeing has to fewer patients to tinker with an EMR application. Either way it is your call, but not every physician has the time, skills or inclination to do it themselves.</p>
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