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Integrated Electronic Health Records – iEHR Business Case – Part 1

Posted by timmreardon on 10/22/2013
Posted in: Uncategorized. Tagged: Business, Business case, Business Process Analysis, Certification Commission for Healthcare Information Technology, Electronic health record, Health information technology, IPad, Management. Leave a comment

iEHR Business Case Analysis – 21 Oct 13 – Final – Part 1

Since 2001, the Nation has embarked on several Health Information Exchange initiatives, yet to date, a Business Case has not yet been developed that addresses integrated Electronic Health Records (iEHRs) and Health Information Exchange (HIE) from the Patient perspective.

The following examines:

What is the Business Case for iEHRs and Health Information Exchange?

What is the long term approach that’s going to make sure that there is not only the technology in place but also the willingness to exchange/integrate information?

How did we get to where we are today with HIE?

Is where we are today where we should be with HIE?

Is HIE viable a path forward?

If so, what form of HIE will scale to a population of 300 million and beyond?

If not, what, if any, alternatives are there?

Integrated Electronic Health Records - iEHR Business Case - Part 2

Integrated Electronic Health Records – iEHR Business Case – Part 2

Posted by timmreardon on 10/22/2013
Posted in: Uncategorized. Tagged: Electronic health record, Health, Health Information Exchange, Health system, HIE, Informatics, Integrated electronic health record, Medicine, United States. Leave a comment

iEHR Business Case Analysis – 21 Oct 13 – Final – Part 2

Since 2001, the Nation has embarked on several Health Information Exchange initiatives, yet to date, a Business Case has not yet been developed that addresses integrated Electronic Health Records (EHRs) and Health Information Exchange (HIE) from the Patient perspective.

The following examines:

What is the Business Case for iEHRs and Health Information Exchange?

What is the long term approach that’s going to make sure that there is not only the technology in place but also the willingness to exchange/integrate information?

How did we get to where we are today with HIE?

Is where we are today where we should be with HIE?

Is HIE viable a path forward?

If so, what form of HIE will scale to a population of 300 million and beyond?

If not, what, if any, alternatives are there?

Integrated Electronic Health Records - iEHR Business Case - Part 2

2013 Evaluation of the TRICARE Program – Report to Congress

Posted by timmreardon on 10/22/2013
Posted in: Uncategorized. Tagged: Beneficiary, Fiscal year, MHS, Military Health System, National Defense Authorization Act, Out-of-pocket expenses, TRICARE, United States Department of Defense. Leave a comment

2013 Evaluation of the TRICARE Program - Report to Congress

Section 717 of the National Defense Authorization Act (NDAA) for FY 1996 directed the Department of Defense to conduct an ongoing evaluation of the TRICARE program, requiring that the evaluation explicitly address the following issues: (1) the impact of the TRICARE program on military retirees with regard to access, costs, and quality of health care services; and (2) identify noncatchment areas in which the health maintenance organization option of the TRICARE program is available or is proposed to become available. Additional objectives of this task are: (3) examine the trends in beneficiary population demographics and utilization and DoD costs under TRICARE and compare them with civilian-sector benchmarks, (4) identify possible determinants of changes in health care utilization and costs, (5) examine the trends in beneficiary satisfaction and other MHS performance metrics and compare them with civilian-sector benchmarks, and (6) determine the impact of TRICARE on the out-of-pocket expenses of Military Health System (MHS) beneficiaries.

http://tricare.mil/tma/dhcape/program/evaluation.aspx

Military Health System(MHS) Quadruple Aim – Strategic Framework

Posted by timmreardon on 10/22/2013
Posted in: Uncategorized. Tagged: Better Health, Combat readiness, Fiscal year, Health, IHI Corporation, Population health, Total cost, Unwarranted variation. 1 Comment

MHS QUADRUPLE AIM AND STRATEGIC DIRECTION AND PRIORITIES IN FY 2013 AND BEYOND

Since the fall of 2009, the Quadruple Aim, adopted from the unifying construct of the Triple Aim from the Institute for Healthcare Improvement(IHI; http://www.ihi.org/offerings/Initiatives/TripleAim/Pages/default.aspx),
has served as the MHS strategic framework, and remains relevant in describing our priorities and strategies for the coming years.  During FY 2012, senior MHS leaders agreed to begin FY 2013 by explicitly emphasizing in the Quadruple Aim the desired direction of improvement: toward increased readiness, better care, better health in our population and at lower costs to the Department and the MHS.
The MHS Quadruple Aim:
➤
Readiness
Increased Readiness
Readiness means ensuring that the total military force is medically ready to deploy and that the medical force is ready to deliver health care anytime, anywhere in support of the full range of military operations, including humanitarian missions.
➤
Population Health
Better Health
Our goal is to reduce the frequency of visits to our military hospitals and clinics by keeping the people we serve healthy. We are moving “from health care to health” by reducing the generators of ill health by encouraging healthy behaviors and decreasing the
likelihood of illness through focused prevention and the development of increased resilience.
➤
Experience of Care
Better Care
We are proud of our track record—but there is more to accomplish. We will provide a care experience that is safe, timely, effective, efficient, equitable, and patient- and family-centered.
➤
Per Capita Cost
Lower Cost
To lower costs, we will create value by focusing on quality, eliminating waste, and reducing unwarranted  variation; we will consider the total cost of care over
time, not just the cost of an individual health care activity. There are both near-term opportunities to become more agile in our decision making and
longer-term opportunities to change the trajectory of  cost growth through a healthier population.

Triple AIM for Improving Healthcare

Posted by timmreardon on 10/22/2013
Posted in: Uncategorized. Tagged: Cambridge Massachusetts, Donald Berwick, Health care in the United States, IHI Corporation, Integrator, Macro (computer science), Population health, Primary care. 1 Comment

Triple AIM for Improving Healthcare

The Triple Aim: Care, Health, And Cost

Donald M. Berwick,
Thomas W. Nolan and
John Whittington

Healthcare Improvement (IHI) in Cambridge,
Massachusetts.

Donald Berwick (dberwick1@ihi.org)

Abstract

Improving the U.S. health care system requires simultaneous pursuit of three aims: improving the experience of care, improving the health of populations, and reducing per capita costs of health care. Preconditions for this include the enrollment of an identified population, a commitment to universality for its members, and the existence of an organization (an “integrator”) that accepts responsibility for all three aims for that population. The integrator’s role includes at least five components: partnership with individuals and families, redesign of primary care, population health management, financial management, and macro system integration.

ESCAPE FIRE The Fight to Rescue American Healthcare

Posted by timmreardon on 10/21/2013
Posted in: Uncategorized. Tagged: Business, Facilities, Health, Health Systems, Medicine, Patient Protection and Affordable Care Act, People, United States. Leave a comment

ESCAPE FIRE exposes the perverse nature of American healthcare, contrasting the powerful forces opposing change with the compelling stories of pioneering leaders and the patients they seek to help. The film is about finding a way out. It’s about saving the health of a nation.

mail

What Future Healthcare Technology Might Look Like

Posted by timmreardon on 10/21/2013
Posted in: Uncategorized. Leave a comment

envisioning-the-future-of-healthRead more: http://envisioningtech.com/health/

This visualization was researched and designed by Michell Zappa and Patrick Schlafer with assistance from Colin Popell of Prokalkeo.

Envisioning New Approaches for a New Century and the Information Age

Posted by timmreardon on 10/19/2013
Posted in: Uncategorized. Leave a comment

There’s general agreement and consensus that the current costs of and approach to health care in the U.S. are unsustainable and threaten the economic health and well being of the nation.  It has also been characterized as a threat to National, Economic, and Homeland Security.*  This initiative will review, analyze, discuss, and comment on the various aspects of today’s healthcare delivery systems and propose alternative approaches for providing value-added care to patients, easing the burdens on providers, improving quality outcomes, and reducing costs.

* Revolutionizing Health Care Through Information Technology President’s Information Technology Advisory Committee June 2004

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