Saturday, April 18, 2009

Uwe Reinhardt: The German Model

More Uwe here. This time on the German system.

Sunday, April 12, 2009

The Buck Stops Here: Health Care Costs

More on this post later. Nuff now to say it points to the ethical choices it will be tough for Health Care reform to get its arms around.

Bob Brewin: Army medical center successfully tests health records system

From Bob Brewin's What's Brewin.
CHICAGO--The Madigan Army Medical Center in Tacoma, Wash., has completed a successful test of personal health record systems that allowed patients to access information contained in the Defense Department's AHLTA electronic health record system. Now the pilot project will be extended to the Navy National Medical Center in Bethesda, Md., and a civilian hospital system serving military patients in Virginia, Madigan officials told the annual Healthcare Information and Management Systems Society conference here this week.
He's been all over this.

Uwe Reinhardt: Defining ‘Health Care Reform’

Reinhardt brings his usual clarity to the dismal science. This time on Health Care Reform,
As a vertical economist, however, I naturally think of health care as just another economic sector with the following distinct facets:

1. a demand side (by which I mean patients or their agents, private and public health insurers, who procure health care and pay for that care)

2. a supply side (the providers of health care and of health care products)

3. a health-insurance system, intended to protect individuals and households from excessive financial loss due to medical bills, and also to help patients procure health care at negotiated prices

4. an information infrastructure supporting and linking patients, insurers and providers of care with one another, and

5. a regulatory infrastructure intended to keep transactions in this market honorable, fair to both sides, and oriented toward the ultimate social goals of a health system.

Ambitious as he is, the president would like to reform all of these facets of the health sector.
Read all of him.

More EHR

UPDATE 1-New military electronic records to be model for US includes the helpful paragraph chock full of links.

The White House did not say whether a commercial company would help design the electronic medical record system.

There are many that design such systems, including Cerner Corp (CERN.O), Eclipsys Corp (ECLP.O), Global Med Technologies Inc (GLOB.OB), Quality Systems Inc (QSII.O) and Allscripts-Misys Healthcare Solutions Inc (MDRX.O), IBM (IBM.N), General Electric Co (GE.N), Siemens AG (SIEGn.DE) and McKesson Corp (MCK.N).

Wal-Mart Inc's (WMT.N), Sam's Club unit is offering individual doctors a package including software and Dell (DELL.O) computers.

Experts say any national system would have to connect easily to other systems while protecting privacy.
...and now we know the vendors we'll be investing in.

Geek Doctor

Added a new informatics blog: Geek Doctor. He has a nice post on the elements of an EHR.

Helps to know what we're going to be investing a bundle into.