Archive for March, 2009

Walgreen’s Giving Free Medical Care to Jobless and Uninsured

Tuesday, March 31st, 2009

Walgreen Co.
Image via Wikipedia
Walgreen’s announced today that it will be giving free medical care to the jobless and uninsured at its 351 Take Care clinics around the country.  Read the press release here.

I think this is an incredibly magnanimous gesture that couldn’t come at a better time. It’s further evidence that Americans, and at least one American corporation, are pulling together to help one another through these difficult times. With this kind of cooperation and generosity, we will surely succeed and move on to more prosperous times.  This is truly some of the best news I have heard in months!

If this makes you happy, too, sound off below.  You DO NOT HAVE TO REGISTER in order to leave a comment.  If you do not see a COMMENTS WINDOW below, click on this post’s title above.

  Subscribe in a reader

Reblog this post [with Zemanta]

HIT Trends – Clinical Groupware

Tuesday, March 31st, 2009

Interesting post by David C. Kibbe over at The Health Care Blog entitled “Why Clinical Groupware May Be the Next Big Thing in Health IT”. You can view the post here.

Could the Clinical Groupware movement produce meaningful small scale optimization of health information (less expensive, easier to use, rich portability) that would replace today’s large scale mayhem (prohibitively expensive, difficult to use and maintain, no portability)?

Sound off below.  You DO NOT HAVE TO REGISTER in order to leave a comment.  If you do not see a COMMENTS WINDOW below, click on this post’s title above.

  Subscribe in a reader

Charter Communications Bankruptcy

Tuesday, March 31st, 2009

Charter Communications, Inc.
Image via Wikipedia
Charter Communications, Inc. and its subsidiaries (finally, and quietly) filed bankruptcy last Friday. Charter filed its “Pre-Arranged Plan” and Chapter 11 petitions in the United States Bankruptcy Court for the Southern District of New York.

If the necessary approvals are received along the way, a pre-arranged plan for reorganization can move along quickly, save substantial fees associated with the bankruptcy process, and minimize disruption to the debtor’s continuing operations.

You can view Charter’s press release here.

Reblog this post [with Zemanta]

Health Care IT and SOA – Lessons From Amazon

Monday, March 30th, 2009

The California HealthCare Foundation and Forrester Group have just released the following issues brief: “Lessons from Amazon for Health Care and Social Service Agencies”.

In my opinion, if we’re going to make any rapid progress toward meaningful exchange of health care information, including interoperability considerations, we need to continue to think along these lines. What do you think?

You can view the document here.

Sound off below.  You DO NOT HAVE TO REGISTER in order to leave a comment.  If you do not see a COMMENTS WINDOW below, click on this post’s title above.

  Subscribe in a reader

Expansion of EMRmatch – Indpendent EMR Consultants

Thursday, March 19th, 2009

EMRmatch™, the only comprehensive and 100% objective EMR evaluation and selection tool will now include EMRintegrator™, a roster of local, regional and national EMR consultants who can help you implement and integrate your EMR solution.

For more information about EMRmatch™, go here.

CCHIT Truly Independent?

Monday, March 9th, 2009

blind-justice1The Certification Commission for Health Information Technology (CCHIT) came under fire again in February.  Blogs were buzzing about its board’s conflicts of interest and the fact that its certification process favors large EMR vendors (because only they can afford the hefty certification fees).

You can find some of these posts and comments on the Clinical IT Blog, The Health Care Blog, and the Health Care Renewal Blog.

So, What Do You Think? – Is CCHIT too conflicted to do a proper job of certifying EMR vendor offerings?  Should CCHIT revise is certification fees (lower fees for all vendors, adopt scaled fees tied to trailing-year vendor revenue, etc.), thereby leveling the playing field for EMR vendors?  Is all of this discussion moot because CCHIT is now irrelevant (ONCHIT and NIST will take the lead to develop HIT infrastructure and EMR certification standards)?

Sound off below.  You DO NOT HAVE TO REGISTER in order to leave a comment.  If you do not see a COMMENTS WINDOW below, click on this post’s title above.

  Subscribe in a reader

HIT/EHR Canada – Lessons for the United States

Friday, March 6th, 2009

Sierra Systems (British Columbia) has issued a white paper comparing the national health care information technology initiatives of Canada and the United States.  Worth a read.

You can view the white paper here.

  Subscribe in a reader

Yes, Google Is Getting Too Big For Its Britches – Case In Point: Google Health

Thursday, March 5th, 2009

Image representing Google as depicted in Crunc...
Image via CrunchBase
Love-Hate Relationship – I’ve had a love-hate relationship with Google for several years now.  I love Google because its page indexing is the quickest among all of the search engines, and it consistently delivers the most relevant search results by a wide margin.  Google is also fair.  If you play by Google’s search engine optimization (SEO) rules, over time your web content will gain visibility within Google search results.  I certainly cannot say the same of Yahoo and MSN.  Over 90% of my web traffic comes through Google.  For these reasons, and probably many others, I truly love Google.

On the hate side of the equation, I (and of course, others) feel Google is simply becoming too big.  Various estimates place Google’s web search market share at 70-72%, with its closest rival, Yahoo, holding about 18% of the market.  Admittedly, Google probably deserves its disproportionately large market share for the reasons stated above.  It’s simply the best search engine out there.  However, given Google’s market dominance and the clear lack of any true competition, I feel we all need to start thinking about the “m-word”:  monopoly.

Size Alone – We in the U.S. have a strong aversion to monopolies.  They have no place in our capitalist economy that emphasizes free markets and open competition among buyers and sellers of products and services.  Whether Google is presently an actual or de facto monopoly is open to debate.  But for me, if the debate is confined just to web search market share, I really don’t care whether Google is a monopoly or not.  In purely the search engine realm, Google’s size is apparently working to its advantage, and I dare say to the advantage of everyone who uses Google and enjoys the pre-eminently relevant search results it delivers. But I find I have to get off the giant-search-engine-is-okay train when I start to think about Google’s various extracurricular activities, including most importantly, its data collection activities.

Extracurricular Activities – We all know Google collects all sorts of information about our internet habits: sites we visit and for how long, what we download, what we buy online, etc.  But what Google does with this information, and what inferences Google and others with whom it shares this information draw from it (and for what purpose), we don’t know.  And Google isn’t telling.  This is what disturbs me about Google: its raw size and dominance coupled with its questionable data collection practices.

For example, have you ever had the strange suspicion that your search results within Google were somehow influenced by that Gmail message you sent to a friend a few minutes earlier?  Well, I have.  At first I thought I was just being paranoid. But then did a little testing on my own, and I asked a few freinds to do the same.  Maybe we were the last people on the planet to figure this out, but yes, Google does track the content of your Gmail messages.  The benevolent corporate giant is even forthcoming about this practice (provisions from Gmail Terms of Use):


    Google maintains and processes your Gmail account and its contents to provide the Gmail service to you and to improve our services.

    The Gmail service includes relevant advertising and related links based on the IP address, content of messages and other information related to your use of Gmail.

    Google’s computers process the information in your messages for various purposes, including formatting and displaying the information to you, delivering advertisements and related links, preventing unsolicited bulk email (spam), backing up your messages, and other purposes relating to offering you Gmail. (emphasis added)

What, exactly, is “other information related to [my] use of Gmail’, and what, exactly, are the “other purposes relating to offering [me] Gmail”?  All of Google’s various Terms of Use contain similar catch-all phrases and hedges.  Quite honestly, this lack of transparency frightens me.

Over The Top – Google Health – When I first learned about Google Health–a tool that let’s you create a personal health profile online and share that information with whom you decide (e.g., your physician), I cringed.  I don’t know just why.  It was an emotional reaction.  I guess the notion of sharing my personal health information with Google was bad enough.  But the thought of transferring and sharing that information over the Wild Wild Web was even worse–ridiculous.  But wait, there’s more.

Last week Google announced an alliance with IBM to offer a new feature within Google Health. Thanks to IBM, Google Health will now be able to pull data directly from various medical devices (heart rate monitors, scales, blood-sugar measurement devices, and so on) and post them within your Google Health profile.

So, let’s get this straight.  Google already knows a bunch of personal stuff about me just from my internet use (and it won’t tell me exactly what it does with that information).  Now I’m going to sign on to Google Health and feed a bunch of very personal information to Google–voluntarily.  And then, when I’m done with that, I’m going to wire up my blood-sugar monitor to my PC–voluntarily– so that Google can pull personal information directly from my body!  I don’t think so.

The New Relevant Question – The question, “Has Google gotten too big for its britches?” is no longer relevant.  Fact is, Google has gotten too big for its britches.  And Google Health, together with its remote medical device monitoring capability, proves it.  The relevant question now is, what do we do about it?  What do we do about Google’s size and questionable data collection practices?  How do we end this Orwellian nightmare?

Your thoughts and comments are welcome (below). You DO NOT NEED TO REGISTER in order to leave a comment.  If you do not see a COMMENTS window below, click on this post’s title (above).

  Subscribe in a reader

Reblog this post [with Zemanta]