New-Wave Medical Quality Resources

Beyond Traditional Administrative Databases

Staff Reporters

ho-journal15Physician blogger, and Harvard University CTO, John Halamka MD recently opined about some emerging new medical quality data sources for the industry.

Traditional Sources

As all ME-P subscribers know, traditional data sources are derived from, and usually include, administrative claims data information aggregated from many sources and silos.

www.HealthcareFinancials.com

Emerging Sources

But, newer sources of data for medical quality analysis go beyond administrative data and includes electronic repositories like eHRs, PHRs, eMRs and Healthcare Information Exchange [HIE] resources, where available.

www.HealthDictionarySeries.com

Assessment

For a few more examples:

Link: http://www.thehealthcareblog.com/the_health_care_blog/2009/02/index.html

Conclusion

And so, your thoughts and comments on this Medical Executive-Post, and original post, are appreciated.

Are these database silos secure, and do patients know that, or how, their hopefully blinded information is redacted and used?  Will the health insurance industry use this information to further “slice and dice” ratings levels for their insured’s? Will it then be securitized, re-aggregated and resold again for non-healthcare related purposes like home, auto or life insurance; or other yet to be developed risk-management products and services?

Is this transparent and fair to patients? What are the legal and ethical implications, if any? Thought leaders please opine?

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3 Responses

  1. Pay Docs for Value; not Volume

    According to Chelsey Ledue of Healthcare Finance News, on March 2, 2009, a national healthcare quality coalition is urging major reforms in the way Medicare, Medicaid and private health insurance plans pay primary care physicians.

    As noted in her report, Harold D. Miller, president and CEO of the Network for Regional Healthcare Improvement, said.

    “Healthcare leaders from across the country agreed that better methods of paying for primary care are needed in order to prevent illnesses and unnecessary hospitalizations and to help control the growth in healthcare costs”.

    Rather than rewarding physicians for how many services they deliver, we should reward them for improving patient outcomes.

    Dexter

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  2. Hello Dexter

    “If our patients are not absolutely satisfied with any aspect of their inpatient service or overnight stay in a DMC hospital, we will credit their patient pay balance up to $100.”

    Guarantee from: http://doctorandpatient.blogspot.com/2007/01/29-minute-er-guarantee.html

    James

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  3. Halamka to resign from Harvard Med School CIO post

    The ME-P has learned that John Halamka, chief information officer at both Beth Israel Deaconess Medical Center (BIDMC) and Harvard Medical School (HMS), is stepping down from his post at HMS. He announced the news last week on his blog, “Life as a Healthcare CIO.”

    http://geekdoctor.blogspot.com/2011/07/preparing-for-future-of-it-at-hms.html

    In his own words, “I believe that Harvard Medical School requires a full time dedicated CIO with a skill set in highly scalable infrastructure and the tools needed to support emerging science.”

    Ann Miller RN MHA

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