From EMR 1.0 to EHR 2.0

EHR 2.0: HITECH Act Stimulus Funds Create Care Collaboration Opportunities In A Networked Health System eHealth Webcast July 2009 Vince Kuraitis JD, MBA Better Health Technologies, LLC www.e-CareManagement.com blog (208) 395-1197

Today’s Big Ideas Care Collaboration Is A “Must Have”; EHR 2.0 Is The Enabler Source: Michael R. Nelson, Georgetown Center for Culture, Communication, and Technology, 2009

Agenda ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

I. Electronic Medical Record 1.0 and Electronic Health Record 2.0: Basic Concepts

Key Distinction EMR v. EHR ,[object Object],[object Object],[object Object],[object Object]

What Are Some Of The Challenges With EMR 1.0? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Nutting Report: EHRs Need to Become Plug-and-Play ,[object Object],[object Object]

II A. “Collaboration” Through A Technology Lens: From EMR 1.0 to EHR 2.0 (Clinical Groupware)

There Are MANY Technologies Vying For Adoption, But They Don’t Interoperate ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

2 Schools of Thought HOW Best To Spend Fed HIT Stimulus $$ ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Modularity: Dis-integration Of The Computer Industry Source: Venkatraman, N. Winning in a Network Centric Era, 2006

EMR 1.0 to EHR 2.0 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

....To EHR 2.0/ Clinical Groupware – 2012

Even CCHIT Is Coming Around Source: CCHIT Town Hall Call 2/17/09

Current v. Future EMRs (Clinical Groupware) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Adapted from Lyle. Berkowitz MD, Improving EMRs PowerPoint, http://drlyle.blogspot.com/2009/04/improving-emrs-2009.html April 2009 For a more detailed explanation of clinical groupware, see: http://e-caremanagement.com/why-clinical-groupware-may-be-the-next-big-thing-in-health-it/

II B. “Collaboration” through a Business Lens: A New Ecosystem

Network Effects (Tipping Point) ,[object Object],[object Object],[object Object],Source: Shapiro, C. Varian, H. Network Effects 1998

Elements for Disruptive Innovation ,[object Object],[object Object],[object Object]

Clinical Groupware/EHR 2.0 Companies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

II C. “Collaboration” Through A Clinical Lens: Team Collaboration

The FedEx Phenomenon: Physician Non-Adoption Of Guidelines For a more detailed description of the FedEx Phenomenon, see: http://e-caremanagement.com/megatrend-spotting-collaborative-care-management-networks/

Explanation ,[object Object],[object Object],[object Object]

...Observe The Early Emergence Of Collaborative Care Management Networks ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Examine Current PHR Adoption ,[object Object],[object Object],[object Object],[object Object],[object Object]

Features/Functionality Of Kaiser & GHC PHRs (as of mid 2008)

Evidence on Value of Collaboration ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

III. Care Collaboration As A “MUST Have” In A Networked Healthcare System

Healthcare Enters the Network Economy A Fundamental Strategic Shift

Expanded View: Clinical Groupware/EHR 2.0 – 2012 (v. 1.1, June 2009)

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APPENDIX A Better Health Technologies, LLC

Better Health Technologies, LLC ,[object Object],[object Object],[object Object],[object Object]

BHT Clients ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

From EMR 1.0 to EHR 2.0

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Editor's Notes