Tuesday, November 18, 2008

A Milestone for Personal Health Records

On November 12, Acting CMS administrator Kerry Weems and HHS Secretary Michael Leavitt made an announcement that has not been widely covered in the press, yet has deep significance.

The Center for Medicare and Medicaid Services (CMS) has embraced personal health records and will enable Medicare members in Arizona and Utah to access their own data from CMS databases via Google Health , NoMoreClipBoard , HealthTrio , and PassportMD . CMS pushes the data to the beneficiary's personal health record account upon the request of the beneficiary, rather than giving PHR vendors direct access to CMS databases.

Having worked with CMS for many years on transactions for treament/payment/operations and having worked with the CMS contracted Research Data Assistance Center (ResDac) for research datasets, I can say that CMS is very conservative about sharing its data and embracing new technologies.

The fact that CMS has linked the Medicare database to Google Health and other PHRs implies that CMS has embraced Healthcare 2.0 approaches to infrastructure and has validated the importance of personal health records. It also signifies that CMS has accepted secure transmission of healthcare data over the internet using HTTPS as secure enough. In the past, it's been challenging to transmit data from/to CMS via the public internet.

CMS, the funder of more than half of the healthcare in the US, generally drives adoption and change through reimbursement policy. In this case, by offering patients access to their own claims data, CMS will create patient expectations that will motivate the private payer community to do the same.

Linking Medicare over the internet to PHRs may be one of Secretary Leavitt's greatest accomplishments. Let's hope the Arizona and Utah pilots are successful.

10 comments:

Johnnysmooth said...

Yes John, agree with you that it is good to see CMS begin experimenting with the use of PHRs by beneficiaries, but note, that this is not the first time. For over a year now, they have been conducting a similar demonstration in South Carolina with Healthtrio, who just happens to be one of the "winners" of the AZ/UT demo.

And I use the term winners lightly as CMS has put absolutely no $$$ into the AZ/UT demo - all costs are to be covered by the PHR vendors. Sure, the PHR vendors will get some publicity, but am troubled that CMS does not see enough value to put their money where their mouth is.

Sachi said...

This is indeed a remarkable achievement by CMS!

I was curious as to your views on universal IDs like the Voluntary Universal Healthcare Identification (VUHID) system, and their applicability in PHRs and HIEs.

brian said...

There were earlier stories about this.

See http://www.govhealthit.com/online/news/350508-1.html

The Medical Quack said...

I post quite a bit about both Google Health and the MS HealthVault, almost of late where the blog is beginning to resemble a PHR blog, but it's not. I also would like to see some outreach programs to help the seniors with the PHR pilot programs.

My 84 year old mother in AZ does fine with hers but helped her a little to set it up, so someone along the line somewhere has to help get people started.

I agree too that hopefully we are over the bump about security here too as who provides and helps protect the enterprise, none other than Google and Microsoft.

I particularly like the TrialX for clinical trials as an add on to locate trials quickly and eventually with an API it could be brought down to the point of care with an EHR to include alerts, and even integrated with more sophisticated research systems if the need was there.

On the HealthVault I signed up for the $9.00 a year free incoming fax number so if I am in a "low tech MD office" with a fax only, it can still go direct to the vault, and shoot I could send my grocery list there too if I wanted:)

Somewhere along the line there needs to be something done in the education portion though as I walk in to doctor's offices that have no clue what a PHR is and the value of helping prevent medical errors too.

Until we have systems all connected and talking to each other, the PHRs are the way to to go to get credible medical information in the hands of clinicians who need it to diagnose and treat. Have one ER physician who is a believer now and the post made it up to Reuters, good one to see his formulas used!

http://www.reuters.com/article/blogBurst/domestic?bbPostId=BAfMYODD5A1mB4i22hiR9pHlAGnc1gB3GpoCz44mZ9Jm5eVO

Here's a general search on my site link on PHRs, there's quite a few graphics and you might find yourself mentioned I believe a couple times within the posts.

http://ducknetweb.blogspot.com/search?q=personal+health+records&x=0&y=0

Hopefully if enough keep talking it up on the web perhaps it will take hold. I keep advising those folks who want to just talk about PHRs and ask questions to go sign up for one and get started, that's the best way to see how the a PHR works and the power to share information.

I just hate to see software capabilities just somewhat thrown out there without education and some kind of instruction as it loses so much of the impact and usefulness that could be taken advantage of.

Jeremy Engdahl-Johnson said...

This is a good market for GE and others; electronic medical records can increase efficiency and only about 10% - 15% of hospitals -- and about the same percent of doctors -- have adopted EMR systems.

What’s tougher is the big price tag: Will electronic records really decrease healthcare costs? We know there will be a spike in costs at the outset, and that the systems are likely to cost more than anticipated. The ROI is still unclear.

Even trickier is the underlying logic of these systems, especially around the need to assure and deliver quality, consistent care. Do they incorporate the smartest diagnostic and quality care guidelines? Do they make evidence-based clinical information available at the bedside, along with the patient’s individual and historical information? Not all EMRs are created equal.

Possibilities? www.healthcaretownhall.com

Deborah said...

It will be interesting to watch events as they develop, but overall, this is good news!

平平 said...

^^Thanks!!

婚前徵信婚姻感情大陸抓姦外遇抓姦法律諮詢家暴婚前徵信尋人感情挽回大陸抓姦離婚工商徵信婚前徵信外遇抓姦感情挽回尋人大陸抓姦離婚家暴工商徵信法律諮詢跟蹤工商徵信婚前徵信感情挽回外遇抓姦法律諮詢家暴尋人大陸抓姦離婚大陸抓姦外遇尋人家暴工商徵信法律諮詢家暴感情挽回大陸抓姦外遇婚前徵信離婚尋人工商徵信外遇抓姦法律諮詢家暴婚前徵信大陸抓姦尋人感情挽回外遇抓姦婚前徵信感情挽回尋人大陸抓姦工商徵信法律諮詢離婚家暴工商徵信外遇抓姦法律諮詢家暴婚前徵信尋人感情挽回大陸抓姦離婚婚前徵信工商徵信外遇抓姦尋人離婚家暴大陸抓姦感情挽回法律諮詢離婚感情挽回婚前徵信外遇抓姦家暴尋人工商徵信外遇抓姦法律諮詢家暴婚前徵信尋人感情挽回">徵大陸抓姦離婚婚前徵信工商徵信外遇抓姦尋人離婚家暴大陸抓姦感情挽回法律諮詢

kiss said...

Weekends to peopleig2tmean that they can have a two-day wowgold4europe good rest. For example, people gameusdcan go out to enjoy themselves or get meinwowgoldtogether with relatives and friends to talk with each storeingameother or watch interesting video tapes with the speebiewhole family.
Everyone spends agamegoldweekends in his ownmmoflyway. Within two days,some people can relax themselves by listening to music, reading novels,or watchingogeworld films. Others perhaps are more active by playing basketball,wimming ormmorpgvipdancing. Different people have different gamesavorrelaxations.
I often spend weekends withoggsalemy family or my friends. Sometimes my parents take me on a visit to their old friends. Sometimesgamersell I go to the library to study or borrow some books tommovirtexgain much knowledge. I also go to see various exhibition to broadenrpg tradermy vision. An excursion to seashore or mountain resorts is my favorite way of spending weekends. Weekends are always enjoyable for me.

租車公司 said...

租車公司,行易花蓮租車旅遊網,花蓮,租車,花蓮,花蓮旅遊景點,花蓮,一日遊,一日遊,溯溪,賞鯨,泛舟,花莲租车,租车,花莲,花莲旅游,花莲租车,租车,花莲,花莲旅游,租车,花莲,花莲旅游,租车,花莲租车,花莲,花莲旅游,花蓮,花東,租車,花蓮,花蓮,旅遊,花東,租車,花蓮,花蓮,租車,花東,花蓮,旅遊,花東,租車,花蓮,旅遊租車,花蓮旅遊,花蓮租車,花東旅遊,花蓮租車,花蓮租車,花蓮旅遊,租車,花蓮旅行社,花蓮旅遊景點,花蓮旅遊行程,花蓮旅遊地圖,花蓮一日遊,花蓮租車,花蓮租車旅遊網,花蓮租車,花蓮租車,花蓮租車,花東旅遊景點,租車,花蓮旅遊,花東旅遊行程,花東旅遊地圖,花蓮租車公司,花蓮租車,花蓮旅遊租車,花蓮租車,花蓮旅遊,花蓮賞鯨,花蓮旅遊,花蓮旅遊,租車,花蓮租車,花蓮租車 ,花蓮 租車,花蓮,花蓮旅遊網,花蓮租車網,花蓮,租車,花東 旅遊,花蓮 租車,花蓮,旅遊,租車公司,花蓮,花蓮旅遊,花東旅遊,花蓮地圖,包車,花蓮,旅遊租車,花蓮 租車,租車,花蓮租車資訊網,花蓮旅遊,租車,花東,花東地圖,租車公司,租車網,花蓮租車旅遊,租車,花蓮,賞鯨,花蓮旅遊租車,花東旅遊,租車網,花蓮海洋公園,租車 ,花蓮 租車,花蓮,花蓮旅遊,花蓮租車公司,租車花蓮旅遊,花蓮租車,花蓮租車公司,花蓮一日遊,花蓮包車,花蓮租車網,花蓮旅遊,花蓮租車,花蓮旅行社,花東旅遊,花蓮包車,租車,花蓮旅遊,花蓮租車,花蓮一日遊,租車服務,花蓮租車公司,花蓮包車,花蓮旅遊,花蓮租車,花蓮租車公司,花蓮一日遊,花蓮包車,花蓮租車網,花蓮旅遊,花蓮租車,花蓮旅遊,花蓮租車,花蓮租車公司,花蓮一日遊,花蓮租車,租車網,花蓮租車公司,花蓮旅遊,花蓮旅遊,花蓮租車,花蓮租車公司,花蓮租車公司,花蓮一日遊,租車,租車服務,花蓮旅遊,花蓮租車,花蓮租車公司,花蓮一日遊,花蓮旅遊,花蓮賞鯨,花蓮旅遊,花蓮租車,花蓮租車公司,花蓮一日遊,花蓮包車,花蓮租車網,花蓮旅遊,花蓮租車,花蓮租車公司,花蓮一日遊,租車花蓮,花蓮租車,花蓮旅遊,花蓮租車,花蓮租車公司,花蓮一日遊,租車花蓮,花蓮租車,花蓮旅遊,花蓮租車,花蓮租車公司,花蓮一日遊,花蓮包車,花蓮,花蓮旅遊,花蓮租車,花蓮租車公司,花蓮一日遊,花蓮包車,花蓮租車,花蓮旅遊,花蓮租車,花蓮租車公司,花蓮一日遊,花蓮包車,花蓮租車,花蓮旅遊,花蓮租車,花蓮租車公司,花蓮一日遊,花蓮包車,花蓮租車網,租車公司,花蓮租車,花蓮租車公司,花蓮一日遊,花蓮旅遊,花蓮旅遊租車,花蓮租車網,花蓮租車,花蓮一日遊,租車花蓮,花蓮租車,花蓮旅遊租車,花蓮租車,花蓮租車旅遊,花蓮租車,花蓮旅遊,花蓮旅遊,花蓮包車,花蓮溯溪,花蓮泛舟,花蓮溯溪,花蓮旅遊,花蓮旅遊,花蓮租車,租車公司,花蓮旅遊租車,花蓮租車,租車,花蓮旅遊,花蓮租車,花東旅遊,花蓮賞鯨,花蓮旅遊,花蓮泛舟,花蓮賞鯨,花蓮溯溪,花蓮泛舟,花蓮泛舟,花蓮溯溪,花蓮旅遊,花蓮旅遊,花蓮租車,花東旅遊,花蓮,花東,花蓮旅遊,花東旅遊,花蓮租車,花蓮,花東,花蓮旅遊,花蓮租車,花東旅遊,花蓮旅遊,花蓮租車,租車,花蓮旅遊,花蓮租車,花蓮旅遊租車,花蓮旅遊,花蓮租車,花蓮,花東旅遊萬事通,花蓮旅遊,租車,花蓮旅遊,花蓮租車,花蓮旅遊,花蓮租車,花蓮租車,花蓮租車,花蓮旅遊,花蓮租車,花蓮旅遊,花蓮租車,花蓮旅遊,花蓮租車,花蓮旅遊,花蓮租車,花蓮租車,花蓮包車,花蓮旅遊,花蓮租車,花蓮太魯閣,花蓮包車,花東旅遊,花蓮旅遊行程,花蓮旅遊,花蓮 租車,花蓮租車,花蓮租車旅遊,花蓮旅遊租車,租車,花蓮旅遊推薦,花蓮旅遊包車,花蓮租車,花蓮,花蓮租車,花蓮地圖,花蓮旅遊,花蓮旅遊資訊網,花蓮旅遊景點,賞鯨,花蓮旅遊行程,花蓮旅遊,花蓮旅遊租車,花東旅遊景點,花東旅遊行程,花蓮旅遊,花蓮租車,租車,花東旅遊,花蓮旅遊,花蓮租車,花蓮,旅遊達人,旅遊達人blog,花蓮租車旅遊資訊網,花蓮,租車,花蓮,花東旅遊,地圖,租車,賞鯨泛舟溯溪,租車,[ 芝麻店家 ] 花蓮租車旅遊資訊網,花蓮租車-花蓮旅遊租車資訊網 ,旅遊網,旅遊景點,花蓮行程,花蓮,花東,旅遊租車,旅遊,花蓮,租車,花東旅遊,花蓮租車旅遊,行易旅遊民宿資訊網,花蓮,旅遊,花蓮,一日遊,花蓮好玩的地方,花蓮,,一日遊,花東,租車,旅遊,花蓮旅遊,花東旅遊,花蓮租車,花蓮租車,花蓮旅遊-花東旅遊萬事通

Affordable Luxurious Wedding Dress Blog said...

cheap wedding gowns,
discount bridal gowns,
China wedding dresses,
discount designer wedding dresses,
China wedding online store,
plus size wedding dresses,
cheap informal wedding dresses,
junior bridesmaid dresses,
cheap bridesmaid dresses,
maternity bridesmaid dresses,
discount flower girl gowns,
cheap prom dresses,
party dresses,
evening dresses,
mother of the bride dresses,
special occasion dresses,
cheap quinceanera dresses,
hot red wedding dresses