tag:blogger.com,1999:blog-2884798267408472642.comments2022-11-09T09:55:59.653-05:00Harmonious Health ITUnknownnoreply@blogger.comBlogger32125tag:blogger.com,1999:blog-2884798267408472642.post-32577698912249754452021-07-28T10:55:10.812-04:002021-07-28T10:55:10.812-04:00Im no expert, but I believe you just made an excel...Im no expert, but I believe you just made an excellent point. You certainly fully understand what youre speaking about, and I can truly get behind that. <a href="https://great-wonders-of-the-kingdom.blogspot.com/2021/07/esg-initiatives-to-carry-out-for-people.html" rel="nofollow">https://great-wonders-of-the-kingdom.blogspot.com/2021/07/esg-initiatives-to-carry-out-for-people.html</a>UNKNOWNhttps://www.blogger.com/profile/14679170424098816194noreply@blogger.comtag:blogger.com,1999:blog-2884798267408472642.post-16071318849452265562020-03-18T16:25:57.022-04:002020-03-18T16:25:57.022-04:00GSEC is the acronym for GIAC Security essentials c...GSEC is the acronym for GIAC Security essentials certification <a href="https://examclubs.com/juniper-jn0-102-dumps" rel="nofollow">Juniper JNCIA JN0-102 dumps</a>. This examination is designed for the security professionals who are responsible in handling important roles in IT systems related with security tasks. <br />Aslay Sinhttps://www.blogger.com/profile/00516165213732565803noreply@blogger.comtag:blogger.com,1999:blog-2884798267408472642.post-7881804432970020392013-03-14T05:41:52.392-04:002013-03-14T05:41:52.392-04:00The review found that the antipsychotic drugs risp...The review found that the antipsychotic drugs risperidone and aripiprazole reduce challenging behaviors in children with ASDs, but are associated with significant adverse effects.<br /><a href="http://www.dhsgroup.com/" rel="nofollow">cut healthcare costs</a>.Anonymoushttps://www.blogger.com/profile/02230448320308304996noreply@blogger.comtag:blogger.com,1999:blog-2884798267408472642.post-54564188728998316622013-02-28T08:23:08.524-05:002013-02-28T08:23:08.524-05:00The common factors are determining the level of ri...The common factors are determining the level of risk, finalization of documentation, identifying document potential threats and updating risk assessment. It is advisable to hire a local company to conduct <a href="http://www.healthsecuritysolutions.com/services-solutions/security-risk-analysis/" rel="nofollow">meaningful use risk assessment</a> as they will be able to offer highest level of personal attention!Harry Markhttps://www.blogger.com/profile/07557670238316561832noreply@blogger.comtag:blogger.com,1999:blog-2884798267408472642.post-73725024959840156852012-10-31T15:26:45.181-04:002012-10-31T15:26:45.181-04:00David:
All the best planning for the plan! Selfi...David:<br /><br />All the best planning for the plan! Selfishly from an HIT industry perspective I hope you'll continuee to have some HIT musings to share, but sticking just with music will make for some good reading as well! Enjoy!!Integrated Health IThttps://www.blogger.com/profile/00709403031756616562noreply@blogger.comtag:blogger.com,1999:blog-2884798267408472642.post-848479723114488552012-08-15T23:00:36.381-04:002012-08-15T23:00:36.381-04:00Thanks for reading my blog Mike. Electronic Health...Thanks for reading my blog Mike. Electronic Health Records are a very broad topic, and I encourage you to keep studying them. Patient engagement features such as PGHD is a comparatively small but significantly growing piece of EHR capabilities. <br />DavidDavidhttps://www.blogger.com/profile/13251393010554964308noreply@blogger.comtag:blogger.com,1999:blog-2884798267408472642.post-80584306861159781812012-08-15T14:24:18.545-04:002012-08-15T14:24:18.545-04:00This is a very interesting read about Electronic H...This is a very interesting read about <a href="http://www.chartlogic.com/electronic-health-records.php" rel="nofollow">Electronic Health Records</a>. I have been hearing a lot about this lately and decided to read up on it, that's how I came across your very informative blog. Thank you for sharing this with us David.Kate Dunkinhttps://www.blogger.com/profile/13662900147365599971noreply@blogger.comtag:blogger.com,1999:blog-2884798267408472642.post-68228569721575492042012-07-18T20:21:48.230-04:002012-07-18T20:21:48.230-04:00Steve,
Thanks for letting me know about your websi...Steve,<br />Thanks for letting me know about your website and for reading my blog. You're right that IT (whether EHR, PGHD, PHR, or any technology) doesn't guarantee more patient-centeredness by itself, any more than email or Facebook guarantee better relationships. I have ordered your "Holy Grail" whitepaper and look forward to further discussions. <br />DavidDavidhttps://www.blogger.com/profile/13251393010554964308noreply@blogger.comtag:blogger.com,1999:blog-2884798267408472642.post-20221356935392006522012-07-17T14:40:06.011-04:002012-07-17T14:40:06.011-04:00Great post! You are right on the money with respe...Great post! You are right on the money with respect to the importance of physician's "getting to know the patients" where they are. It is amazing to me (as a patient, care giver, and researcher and writer in the field)how provider- centric the tools and conversations pertaining to patients are. <br /><br />Even with PGHD tools however, there is no guarantee of more patient-centered communication or care. Change needs to occur in doctors and patients roles and these changes need to the be incorporated into the redesign of everyday medical encounters like the office visit and hospital visit. <br /><br />You might enjoy my writing in the physician-patient communication space. Perhaps we might exchange blog links.<br /><br />Steve Wilkins, MPH<br />www.healthecommunications.wordpress.comHealthMessaginghttps://www.blogger.com/profile/10192157400321072769noreply@blogger.comtag:blogger.com,1999:blog-2884798267408472642.post-52145483999039204872012-05-23T14:44:27.602-04:002012-05-23T14:44:27.602-04:00Brian and atif, thanks for commenting.
Brian, as...Brian and atif, thanks for commenting. <br /><br />Brian, as long as people are using whatever standard it is (Direct or XYZ) with "fitness to purpose" in mind, I'm glad. It's the "shoehorning" that worries me, along with the unintended consequences (silos, lack of patient-centeredness) that may result if that happens. <br /><br />NwHIN Exchange and XDS styles of HIE rely upon central services for record location/registry, patient matching, and often document repositories. Direct can be truly point-to-point but increasingly will rely upon some central services of a different sort, like HISPs and Certificate Discovery and Provider Directories. <br /><br />DavidDavidhttps://www.blogger.com/profile/13251393010554964308noreply@blogger.comtag:blogger.com,1999:blog-2884798267408472642.post-55519863493791281082012-05-23T10:04:33.877-04:002012-05-23T10:04:33.877-04:00I think you make some good points here regarding D...I think you make some good points here regarding Direct and HIE. I support DoD and their efforts on Direct Project and can tell you straight up that we are looking at this technology purely for the appropriate use cases, but have seen significant interest from some individuals to shoehorn this capability into use cases where another technology might be a better fit (i.e. NwHIN Exchange). I think Direct is an exciting option that gets people hyped up after being somewhat let down by the slow progressing Exchange. That being said it is a good step towards meaningful exchange between Federal partners and private health organizations, something that for DoD at this point is mostly fax based.Anonymoushttps://www.blogger.com/profile/09252212640603477933noreply@blogger.comtag:blogger.com,1999:blog-2884798267408472642.post-20420891876591202962012-05-11T11:42:23.681-04:002012-05-11T11:42:23.681-04:00I am pleased that I discovered this website , exac...I am pleased that I discovered this website , exactly the right information that I was searching for!. <a href="http://www.sybridmd.com/front-office-services" rel="nofollow">Patient Follow Up</a>atifhttps://www.blogger.com/profile/02453796015410168994noreply@blogger.comtag:blogger.com,1999:blog-2884798267408472642.post-81353152805696914542011-12-29T15:56:01.112-05:002011-12-29T15:56:01.112-05:00Thanks Glen. Can you tell me how you concluded tha...Thanks Glen. Can you tell me how you concluded that HITECH was really a down-payment and not just a stimulus? I didn't see promises that there would be more direct government investment in HIT beyond HITECH. While I believe that continuity and sustainability are important (item #2 in my list), that would be covered by funding for coordination and convening activities as performed by ONC, S&I Framework, etc., which is different (and orders of magnitude less investment) than giving billions in incentives to providers.Davidhttps://www.blogger.com/profile/13251393010554964308noreply@blogger.comtag:blogger.com,1999:blog-2884798267408472642.post-29796369687191335132011-12-06T11:17:24.606-05:002011-12-06T11:17:24.606-05:00Thanks, Mike. I can only speak to certification pr...Thanks, Mike. I can only speak to certification programs for EHRs, not all other types of product certifications. The best source of info about EHR certification is ONC's web site<br />http://healthit.hhs.gov/portal/server.pt?open=512&mode=2&objID=3120 which explains that there are six accredited certifying bodies. As a former co-chair in CCHIT, I know much more about them than the other groups, but I know all of them have to meet certain requirements to be accredited by ONC.<br />DavidDavidhttps://www.blogger.com/profile/13251393010554964308noreply@blogger.comtag:blogger.com,1999:blog-2884798267408472642.post-91172110954274738172011-12-06T10:51:02.488-05:002011-12-06T10:51:02.488-05:00Great post! do you have any more information on mo...Great post! do you have any more information on more product <a href="http://www.halperinassoc.com/" rel="nofollow">Certification Programs</a>?Mike Martihttps://www.blogger.com/profile/03005081046134848518noreply@blogger.comtag:blogger.com,1999:blog-2884798267408472642.post-58985358307413488672011-11-01T22:35:08.674-04:002011-11-01T22:35:08.674-04:00Larry, from your link, it appears that you are loo...Larry, from your link, it appears that you are looking at personal/professional certification programs, which are different than what I'm writing about, which is a PRODUCT certification program for electronic health records. If it's EHR product certification, reply to me and I could help you with more information about the five options there http://healthit.hhs.gov/portal/server.pt?open=512&mode=2&objID=3120, but I'm not knowledgeable about the personal/professional programs that you seem to be asking about.Davidhttps://www.blogger.com/profile/13251393010554964308noreply@blogger.comtag:blogger.com,1999:blog-2884798267408472642.post-64693288153274962612011-10-24T12:33:20.257-04:002011-10-24T12:33:20.257-04:00Thanks Glen for your comments. I think ONC views i...Thanks Glen for your comments. I think ONC views itself as more of a "motivator" but they also spoke of "levers" including Meaningful Use and payment reform that can incent better handling of transitions of care. Perhaps they will fund some innovations that allow consumers to participate better in their care plans and follow up. That would be consumers participating in their CARE, which is different than how they participate in shaping regulations (which, admittedly, is done mainly through interest groups today).<br />DavidDavidhttps://www.blogger.com/profile/13251393010554964308noreply@blogger.comtag:blogger.com,1999:blog-2884798267408472642.post-31755714475829672552011-09-14T09:23:47.770-04:002011-09-14T09:23:47.770-04:00Steffi, thanks so much for reading my blog and for...Steffi, thanks so much for reading my blog and for your two kind comments. Best wishes as you work on your certification and education projects.Davidhttps://www.blogger.com/profile/13251393010554964308noreply@blogger.comtag:blogger.com,1999:blog-2884798267408472642.post-61876557123306415202011-09-13T05:52:49.804-04:002011-09-13T05:52:49.804-04:00Thanks for sharing, I will bookmark and be back ag...Thanks for sharing, I will bookmark and be back again<br /><br /><a href="http://www.logicalsecurity.com/education/education_courses_cissp.html" rel="nofollow">CISSP Certification</a>Steffihttps://www.blogger.com/profile/06307240636561483902noreply@blogger.comtag:blogger.com,1999:blog-2884798267408472642.post-4484972391456734892011-09-13T05:43:31.244-04:002011-09-13T05:43:31.244-04:00Wonderful blog & good post.Its really helpful ...Wonderful blog & good post.Its really helpful for me, awaiting for more new post. Keep Blogging!<br /><br /><a href="http://www.logicalsecurity.com/education/education_courses_cissp.html" rel="nofollow">CISSP Certification</a>Steffihttps://www.blogger.com/profile/06307240636561483902noreply@blogger.comtag:blogger.com,1999:blog-2884798267408472642.post-64001432040932433172011-04-27T15:04:59.302-04:002011-04-27T15:04:59.302-04:00David - thanks for the kind words, and the trip do...David - thanks for the kind words, and the trip down memory lane. The opportunity to work with that "cast of characters" is something I will never forget and am very thankful for. You in particular provided outstanding leadership and dedication throughout it all.Unknownhttps://www.blogger.com/profile/05800676804280558235noreply@blogger.comtag:blogger.com,1999:blog-2884798267408472642.post-16016069015019433012011-02-23T08:30:25.510-05:002011-02-23T08:30:25.510-05:00Ted,
Excellent insights. That's why it's s...Ted,<br />Excellent insights. That's why it's so great to keep up our contact, because you think of things that I overlook. As you say, the "why" behind any regulation is important, and we agree that "the role of health care is for a patient and the family...and we exist to serve that relationship." <br /><br />I'm concerned if there's a trend for banks to close off their data to "tether" their customers, but if they want to offer their portals as an option, I have no problem with that. I happen to ALSO use my bank's web portal and do some transactions through it in addition to Quicken, but it's nice that they will still show up in my Quicken register.<br /><br />Regardless, being centered around the patient's needs is ultimately my "why" for suggesting an open flexible exchange from EHRs to patients (with PHRs being just one of several options).Davidhttps://www.blogger.com/profile/13251393010554964308noreply@blogger.comtag:blogger.com,1999:blog-2884798267408472642.post-15095223051852685162011-02-23T07:45:54.841-05:002011-02-23T07:45:54.841-05:00Hi David,
First of all, salutations to your blog,...Hi David,<br /><br />First of all, salutations to your blog, which I have been following via RSS and consider as a personal triumph both for you and for me - I have always, always appreciated your willingness to think expansively, even when the times didn't demand it!<br /><br />I always think it useful to ask "why?" or "what did the people want?" whenever any sort of regulation is created, because regulations are not regulations, they are people trying to solve a problem (and it actually was my lead in to my read to the first proposed rule : http://www.tedeytan.com/2010/01/10/4506 ).<br /><br />With that in mind, I am not sure the "why?" of MU1 was "because we need more linked PHRs"" I think the "why?" was probably, "because there's this EHR that has a lot of data and it's not being delivered to people." You and I both know that the freestanding PHR was not solving this problem before MU, because...it didn't have the data. <br /><br />My second comment is to look at what's happening in the banking industry, the "quicken" is becoming less and less the "quicken" - banks are turning off their OFX transactions and working to pull customers into their own portals, I saw a recent discussion on a software-vendor's site about this. This speaks to a natural human tendency to want to be the single owner of a relationship. I think our job is to point out that the role of health care is for a patient and the family to have a productive relationship with themselves and with their ability to achieve their life goals and we exist serve that relationship.<br /><br />-TedAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-2884798267408472642.post-11337925891407401912011-02-22T19:04:56.068-05:002011-02-22T19:04:56.068-05:00Thanks for your comment, Vince. I agree with the i...Thanks for your comment, Vince. I agree with the importance of open and interoperable platforms. I do acknowledge the possibility that a PHR could be tethered and still be open and interoperable, just as an EHR can be open and interoperable (that's one of the main point of MU standards after all) -- the proof will be in actually making it so.Davidhttps://www.blogger.com/profile/13251393010554964308noreply@blogger.comtag:blogger.com,1999:blog-2884798267408472642.post-23876515176941645502011-02-22T17:37:18.963-05:002011-02-22T17:37:18.963-05:00David, There's another scenario that I person...David, There's another scenario that I personally see as "most likely".<br /><br />Yes, you're right -- having multiple tethered and non-interoperable PHRs could be very confusing for patients.<br /><br />...which is exactly the reason why open, interoperable platforms, e.g., MSFT HealthVault and Google Health will thrive.<br /><br />The market will move providers and patients toward more open platforms.Vince Kuraitishttps://www.blogger.com/profile/09876753216316943489noreply@blogger.com