Volume to Value: it ’ s about the caboose
In his post last week, John Halamka expressed optimism:
I left HIMSS this year with great optimism. Vendors, technologies, and incentives are aligned for positive change. 2016 will be a great year.
Perhaps we were seeing different sides of HIMSS.
Yes. there is a “buzz” around the migration from volume to value. Walking the floor of the exhibit hall, it was hard to avoid companies – old and new – describing their population health / care coordination / analytics tools.
Yet I didn’t see very much that was really new – really focused on value. I saw re-configured versions of old stuff. One company has ...
Source: Docnotes - March 12, 2016 Category: Primary Care Authors: Jacobr Tags: Value Source Type: blogs
New York ’ s SHIN-NY Regulation
Posted today. PDF: SHIN-NY rule.
I’ll add narrative later today. (Source: Docnotes)
Source: Docnotes - March 9, 2016 Category: Primary Care Authors: Jacobr Tags: Uncategorized Source Type: blogs
Are follow-up visits necessary?
I've spent two afternoons precepting with the residents recently. It's good to get back into clinical work – and after spending 3 years in Washington – separated by the Beltway from the real world – I've really felt the need to get back to the front lines of health care delivery to make sure I still understand the real world. I'm also seeing a window into how these physicians have been trained, and that is different from my life as a family physician in a small suburban practice – which was my reality pre – DC.
I've witnessed two themes that seem t...
Source: Docnotes - February 7, 2016 Category: Primary Care Authors: Jacobr Tags: Uncategorized Source Type: blogs
Are follow-up visits necessary?
I've spend two afternoons precepting (Source: Family Medicine Notes)
Source: Family Medicine Notes - February 7, 2016 Category: Primary Care Authors: Jacob Source Type: blogs
CMS RFI on MACRA
I’m a few weeks short of the 1 year anniversary of my departure from federal service. I loved my time in Washington, and loved the people, the passion, the sense of purpose, and of course the focus on doing what’s right for the nation. What was intended to be a 1-2 year adventure became a 3 years of commuting to DC from my home in Albany, New York.
Stepping away from government has given me the opportunity to get back to the front lines of the intersection of information technology and health. Notice that I didn’t say “health care.” Sure – “care” is part of what hap...
Source: Docnotes - October 24, 2015 Category: Primary Care Authors: Jacobr Tags: Uncategorized Source Type: blogs
Dad ’ s Eulogy
It’s been a few months that I’ve been writing this. Well, not quite writing it. Crafting would be more like it. In my head. Over and over. Today I needed to write it.
The waves of sadness we have felt the past few days are calmed by an undercurrent of peace.
We know that dad was ready to go. He had talked about it for weeks. He wanted his life to be rich and full and warm and happy right up until the instant he departed. And it was.
I’ve wanted to capture the message. The message that dad sent me for fifty two years, and which I hope can be heard by you – those of you here sharing this ti...
Source: Docnotes - August 18, 2015 Category: Primary Care Authors: Jacobr Tags: Uncategorized Source Type: blogs
Dad's Eulogy
(Source: Family Medicine Notes)
Source: Family Medicine Notes - August 18, 2015 Category: Primary Care Authors: Jacob Source Type: blogs
My Dad
Dad's traverse is complete. He did it his own way. Of course.
To be published in various newspapers ..
——-
Arthur Elliot (Pete) Reider, MD
——
Arthur Elliot (Pete) Reider, MD, died peacefully at home in San Francisco of lymphoma on Thursday August 13th 2015. Janet Sampson Reider, his wife of 57 years, and all three of his children were by his side. Dr. Reider and Janet divided their time for the last few years between their family home in Newton Massachusetts, a home in Vermont and San Francisco where they grew up.
A graduate of Harvard Medical School, Pe...
Source: Docnotes - August 17, 2015 Category: Primary Care Authors: Jacobr Tags: Uncategorized Source Type: blogs
My Dad
Dad's traverse is complete. He did it his own way. Of course. (Source: Family Medicine Notes)
Source: Family Medicine Notes - August 16, 2015 Category: Primary Care Authors: Jacob Source Type: blogs
Avoid ICD-10! Yes you can!
Lots of news/talk about ICD-10 these days. Most organizations are spending time and money training care providers on it. Software developers are busy implementing it – often by changing diagnosis selection search menus from ICD-9 to ICD-10.
They're missing a fantastic opportunity.
ICD-9-CM and ICD-10-CM are administrative coding systems. They're used to code diagnoses. Clinicians have (unfortunately) been forced to learn many ICD-9 codes and are being told that we need to shift to ICD-10. Some of our colleagues are hoping that they can just use ICD-9 and "someone else" wi...
Source: Docnotes - July 23, 2015 Category: Primary Care Authors: Jacobr Tags: Uncategorized Source Type: blogs
Avoid ICD-10! Yes you can!
Lots of news/talk about ICD-10 these days. Most organizations are spending time and money training care providers on it. Software developers are busy implementing it - often by changing diagnosis selection search menus from ICD-9 to ICD-10. (Source: Family Medicine Notes)
Source: Family Medicine Notes - July 23, 2015 Category: Primary Care Authors: Jacob Source Type: blogs
Is it Disruptive?
It’s hard to hear a pitch, listen to a speech, or read blogs without hearing/seeing a claim that some cool new thing is distruptive. Most innovations are sustaining innovations. Here’s a good checklist for whether something is a disruptive innovation (via this post in HBR):
Does the product either target overserved customers (by offering lower performance at a lower price) or create a new market (by targeting customers who couldn’t use or afford the existing product)?
Does it create “asymmetric motivation,” meaning that while the disrupter is motivated to enter higher performance segments over time, existing...
Source: Docnotes - April 22, 2015 Category: Primary Care Authors: Jacobr Tags: Uncategorized Source Type: blogs
Is it Disruptive?
It’s hard to hear a pitch, listen to a speech, or read blogs without hearing/seeing a claim that some cool new thing is distruptive. Most innovations are sustaining innovations. Here’s a good checklist for whether something is a disruptive innovation (via this post in HBR):Does the product either target overserved customers (by offering lower performance at a lower price) or create a new market (by targeting customers who couldn’t use or afford the existing product)? Does it create “asymmetric motivation,” meaning that while the disrupter is motivated to enter higher performance segments over time, existing pla...
Source: Family Medicine Notes - April 22, 2015 Category: Primary Care Authors: Jacob Source Type: blogs
3rd Platform for Health IT
For the low-low price of $4500 (that's $500 per page) you can buy this 9 page report on how the athenahealth-BIDMC alignment is evidence that cloud-based information technology will form the basis of tomorrow's health IT solutions. Obviously, I've not read the report. It's not clear if Bernie Monegan has either, but she's written an article about it, which has generated some buzz on the Internet in recent days. (One wonders about a relationship between HIMSS – which owns Healthcare IT News – and ICD – but I don't recall that there is one) ..
Let me save ...
Source: Docnotes - April 1, 2015 Category: Primary Care Authors: Jacobr Tags: Uncategorized Source Type: blogs
3rd Platform for Health IT
For the low-low price of $4500 (that's $500 per page) you can buy this 9 page report (Source: Family Medicine Notes)
Source: Family Medicine Notes - April 1, 2015 Category: Primary Care Authors: Jacob Source Type: blogs
