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Showing posts from December, 2012

Game Changing Healthcare Information Exchange

Evolving HIE Beyond just replacing the fax machine HIE can be more of a game changer for healthcare than just being a replacement for the fax machine. The route to being a game changer is to be an enabler of care management. That care management can come from a health plan (managed care organization), an Accountable Care Organization (ACO) like a Patient Centered Medical Home or Medicaid Health Home, or from the patient/consumer as care manager for themselves or as the caretaker of another. To do this, I think the HIE needs to serve the following customers and their use cases. These are the healthcare providers for care coordination, the care manager in the role of managing care, the care management at a program management or quality improvement level, and the care management at a financial management level.
HIE must Support Provider-Patient Coordination Use Cases Send patient data between providers This is the primary purpose of the HIE PUSH functionality. This is great for planned …

The Audacity of Tenacity

A Lesson in Strategic Management of HIE Recently I was awarded "The Game Changer" award by the HIXNY collaborative RHIO, where I am the current COO. It was a very nice presentation including a letter of recognition from Senator Charles Schumer.

In reflection though, I didn't "change the game". What I did was I continued to play the game long after the other regions around the state abandoned the statewide strategy for other pursuits. As a result, HIXNY is the only real implementation of the SHIN-NY standards. Strategic Management Many years ago, in a class on strategic management, we studied the varied aspects of strategy. Most of it was fairly basic common sense, but a couple of the more unusual aspects of strategic management that stuck with me were serendipity and sticktoitiveness. Thus, I try to never miss an opportunity that falls in my lap, and I try to be tenacious and never give up too soon.

Managing Stakeholders and Expectations If I had given up on t…