Comments on: Monday Morning Update 5/4/09

By: disbelieving doc

disbelieving doc — Tue, 05 May 2009 01:42:05 +0000

re: PDF Healthcare— PDF H is a great resource and toolset for the ‘endusers’ in HIT ….. doctors, nurses, patients; these are the people that are forgotten by all the Ivory Tower and Regulatory people. Big Vendor world thrives on the latest regulatory crisis (currently RAC)….. and the recent IOM study faces the hard reality that HIT is all about billing, coding, malpractice and regulation;….. these issues largely get in the way of patient care in the trenches of healthcare delivery ……. remember people…. this is what it is all about: healthcare delivery! From exposure to PDF healthcare committee there are many great practical things brewing of a grassroots nature to help these endusers involved in the REAL world of actually delivering the care. Non clinical people just fail to see that much of what we deal with is ‘unstructured’ data, and must remain so for practical recording as well as other reasons. Personal experience with development work in PDF shows it to be a fabulous ‘currency’ for unstructured data…. able to meet any requirement thrown its way; PDF H is one of those practical things that needs major attention if we are to get things done in a practical manner to digitize Healthcare data exchange

By: Reno Raines

Reno Raines — Mon, 04 May 2009 15:44:16 +0000

I also wonder where Quicken Health Expense Tracker will fit. The bigger question is how long is the implementation time. If you look at the dates for press releases announcing the partnerships and then the “go live” dates the data suggests it takes too long to implement for ever gain traction.

By: Mrs. Tollbooth

Mrs. Tollbooth — Mon, 04 May 2009 15:39:05 +0000

Re: Googling “swine flu” you are incorrect; a 23-month old boy died in Texas.

[From Mr. HIStalk] He was a visitor from Mexico. I said “US citizens.”

By: John@Chilmark

John@Chilmark — Mon, 04 May 2009 14:47:27 +0000

For Curiously Underfunded the challenge for reimbursement is that we still do not have clear definitions of what constitutes “meaningful use” or “certified EHR”. Do know that the folks at HHS are working feverishly, burning the midnight oil to get the terms defined and out on the street for public comment. Predict we’ll see something out of HHS/ONC no later than mid-June.

FWIW, did a post on the “meaningful use” topic last week that may give you some idea of what to expect. http://chilmarkresearch.com/2009/04/30/making-meaningful-use-well-meaningful/

As for Jay P. well Mr. H, do not quite share your strong feelings about this as I do like pretty much anyone who is trying new things in this staid industry sector, and Jay and his team are definitely doing something different. That being said, the hype regarding Myca & Hello Health is far far ahead of reality and would be good to see the press take just a bit more of an investigative approach rather than fawning over the new doc on the block.

By: Cassis

Cassis — Mon, 04 May 2009 13:47:06 +0000

I used to think that Jay Parkinson’s model of providing access to inexpensive primary health care for uninsured New Yorkers was terrific. Then he decided to stop practicing medicine, jump into entrepreneurship, make a whole whack of money with speaking engagements (where he, very rudely, disrespects “old people” and affronts the notion that universal access to basic health care should be a right) and uses his mouth to dig himself a giant grave. The lack of primary care physicians is a huge problem, and Jay leaving after a paltry year in practice to fulfill his capitalist aspirations is not helping. Thanks, Mr. HIStalk, for being open-minded and calling it as it is despite last year’s glowing profile on JP.