In 2013 we made progress on the seismic shift from fee-for-service to value-based care models. The industry has taken the first steps so that everyone – patient, provider and payer – has the same agenda. And everyone profits from the same outcomes. Some of the best industry trends I’ve seen in 2013 include: 1. Accountable Care Organizations (ACOs) I like this model because everyone’s incentives are aligned. ACOs have to find the patients they should be treating. They need to reach those patients before there’s a problem, before a trip to the ER, or worse. 2. Population health management I like this trend because it means caregivers are being more proactive. They are reaching the patients most likely to need healthcare and aggressively managing their health. Strangely, population health means that we treat the patient more individually. 3. Open, a […]

2013 – my first year at Allscripts – has been a year of execution, building confidence with all stakeholders and creating momentum in the marketplace.  We have not only transformed our company, we have transformed health care by focusing on population health management and transitioning to value-based care. Although this transformation of Allscripts is not yet complete, clients are telling me they are more confident than ever in our direction. Clients inspire our vision, inform our actions Our vision of an Open, Connected Community of Health remains our clear destination, and we took major steps this year to make the vision a reality. Here are just a few of the steps: the strategic acquisitions of dbMotion and FollowMyHealthTM, the delivery of our Meaningful Use 2 (MU2) and ICD-10 commitments, the expansion of our international business, and helping found the CommonWell Health Alliance. Insights […]

Does your organization use the calendar year as its Meaningful Use (MU) attestation period? That means your reporting year is drawing to a close in just a few weeks. Auditors require a time-stamped date on several items that you must complete during the reporting period.  Not doing it before December 31 may put your organization at risk of failing a potential audit of its 2013 attestation. If you haven’t already done so, here are six things you should do before December 31:  1. Complete a HIPAA Security Risk Assessment.   Not completing this task is the number one reason organizations receive audit failure notice. 2. Take a screenshot of the EHR version number. To record which version you are closing the year out with. 3.  Record transmissions of clinical data and results. Some menu measures only require an attempted transmission […]

New York City’s famous Times Square seems an unlikely place to find inspiration for Health IT folks. But it’s where we find a great example of a different kind of Open – building architecture. A recent TEDxTimesSquare video features architect Guy Geier discussing some of the projects his firm designed on Times Square, including The New York Times Building. I recognized that Open building architecture has distinct parallels to an Open approach to Health IT software. “Open architecture, like in software design, is approachable, understandable, and comprehendable (sic) by the people that are engaged with the building,” said Geier. That’s exactly what UNITY and Allscripts Open Application Programming Interface (API) does for developers. It helps make our Electronic Health Record (EHR) systems become more approachable, understandable and comprehensible. They can more easily integrate and add value for our clients Open […]

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HL7 is as Open as a fax machine

I’ve blogged a lot about Open from a technical perspective. But there is a market perspective of Open, too. As international standards bearer for interoperability, HL7 plays a vital role in health care today. But that doesn’t mean that HL7 fosters an Open marketplace. Why? Because transactions in an Open system shouldn’t be so costly. Open can help solve two of the chief complaints about Health IT 1) the cost of interfaces, and 2) the lack of scalability. There’s more to Open than standard forms Let’s think about transactions as they occur out in the marketplace. Suppose you owned an office supply store, and I wanted to buy things from you every week. We agree to use fax machines to conduct our transactions. I’ll fax you my orders on your order sheet. If you’re out of something, you’ll fax the […]

A pilot program to improve primary care is showing signs of success at SAMA Healthcare, a family practice serving southern Arkansas. Centers for Medicare & Medicaid Services (CMS) selected SAMA as one of 497 practices to participate in its Comprehensive Primary Care Initiative (CPCI). Funding from the program enabled SAMA to make several improvements, including new color-coordinated care teams.   What the CMS is doing to improve primary care CPCI is a four-year pilot project. It is a collaboration among public and private payers to strengthen primary care. By investing more in primary care practices, the partners hope to achieve better health, better care and lower healthcare costs. The CPCI aims to improve primary care in two ways: 1)      Practice redesign. These providers must comprehensively address five primary care functions: risk-stratified care, access and continuity, population health management, patient engagement, […]