Featured Interview

This week I had an unplanned interview with Heather McGuire of Within3.   It started out for me as a "show and tell" regarding RHIO development and my "new" self sustaining business model, which frankly still is not a proven model.  Heather reciprocated and introduced me to  Within3. The site is based upon social networking of research scientists and clinicians. In order to gain access one must be recommended by a peer.  Members are thoroughly vetted to be listed on their site.  You can see their site by clicking on Within3 above.  The site has a search function as well.  You can search by disease and it will take you to a number of authorities on the subject, not only that but it will search Pubmed and bring up their articles as well under their name....

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Part II - Science of Spread Change

I left off last time.....Sarah Fraser is a consultant to health care organizations in the U.K. She points out "that innovators are not normal people, and look for and enjoy change, while most people are wary of change. " For this reason innovators are poor messengers for spread change. The majority of the people are those that hold the organizaton together, go to work at 7AM and not to a conference. They care for patients from day-to-day. If innovators cast aspersions on this group, then spread change is dead. Spreading innovation must also reduce costs, and there must be a return on investment for the organization that is making change. The organization (or stakeholder) must see financial gain for adopting the "new thing".The article (which I highly recommend to IT people, vendors, RHIO developers...

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The Science of Spread

Quote of the Day:Resentment is like taking poison and hoping the other person dies.--St. Augustine   Batten down the hatches....this post is going to be rather long, not a sound byte.  Thomas Bodenheimer  M.D.wrote for the California Health Care Foundation a treatise on this subject which bears reexamination at this juncture in the development of Health IT and the proposed NHIN. Dr Bodenheimer is on the faculty at UCSF. He summarizes the literature on "spread theory" by Everett Rogers (1962), and Malcom Gladwell's "Tipping Point" . Paul Plesk cites Rogers and Gladwell "to argue that once 10-20% of the target population has adopted an innovation the tipping point has been reached."  Plesk than goes on to discuss "stages of change", "precontemplation", contemplation and action,...

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Health 2.0 Conference Results

Three years ago I had no idea how blogging would provide a platform for everyone and anyone interested in health care. The spectrum of participants ranges from physicians, payors, patients, political pundits, and others.This forum lies outside the framework of "officialdom"; It has become the water cooler and allows much intercourse. Early on there were some disputes and "retaliation" against employees when their opinions reached "management".....However I believe freedom of speech issues prevailed as long as there was no libel or slander involved.This year's Health 2.0 was planned for 200 participants, and over 400 registered. The introduction piece was very impressive. I am providing the link here. Health 2.0 Intro-http://www.icyou.com/events/health-2-0-conference?folder=AllThe video by...

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Alternate Road to Health Information Exchange

Saturday, September 22, 2007Roadmap (Alternate) to Health Information ExchangesRHIO and HIE development is a highly complex undertaking and not for the weak of heart. As I was driving into Los Angeles the other morning I encountered one of the routine "sigalerts". For those of you who have never been in California and live in a rural area I will explain this is a system of alerts from the Callifornia Transit Authority whereby notifications are sent out by television, radio and internet about blocks in traffic due to "events" such as accidents, toxic waste, police activities, construction activites, etc. Recently my oldest son, who has rapidly passed me by in the world of high tech (he has smaller thumbs than I do) and I were in the car together and as we bogged down and did not move for several...

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The view from Here

Just a reminder to take a look at my "parallel blog" at http://anyviewfromhere.blogspot....

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Health Train Express is Slowing Down

As I travel on the health train express I have noticed the "local trains" which are stopping along the way at each station. Of course I am on the express track, or the high occupancy vehicle lane. In my 'rush' to reach my destination I am missing a lot of interesting places.I may be posting less here and if you miss my meanderings you may find me at my new blog,The View from Here (http://anyviewfromhere.blogspot.com/ It seemed apropos for a name for an ophthalmologist's commentary about matters of "great significance"For those of you going to Health 2.0 enjoy!!And thank you to Dimitriy for his great expose on Google....

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EverythingHealth: Katrina Nursing Home Owners Aquited

EverythingHealth: Katrina Nursing Home Owners Aqui...

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Roadmap (Alternate) to RHIO and HIE

  RHIO and HIE development is a highly complex undertaking and not for the weak of heart.  As I was driving into Los Angeles the other morning I encountered one of the routine "sigalerts". For those of you who have never been in California and live in a rural area I will explain this is a system of alerts from the Callifornia Transit Authority whereby notifications are sent out by television, radio and internet about blocks in traffic due to "events" such as accidents, toxic waste, police activities, construction activites, etc.  Recently my oldest son, who has rapidly  passed me by in the world of high tech (he has smaller thumbs than I do) and I were in the car together and as we bogged down and did not move for several minutes, the GPS asked if we wanted to plot...

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Surfing on the Labor Day Weekend

The long labor day weekend is upon us all. I plan to spend mine with my feet up, and with a cold drink sightseeing on the hot sands of the Southern California beach.  I even invested in a cell card, so I can now find the internet whether I am floating on my raft, in a dark hole, in a green swamp, or whatever. I realize I am surrounded by   the "can you hear me now" guy and the helicopter flying overhead (Verizon). As far as health information exchange goes, this weekend, my network is down....

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