Categoris

WV's Dancing Revolution

Friday, February 2, 2007

More news coming out on the Dance Dance Revolution in West Virginia. Here is my previous post on the pilot project in West Virginia.

Reuters reports some of the preliminary results of the pilot project in W.Va. To Use Dance Dance Revolution To Slim Kids. I'll plan to look for more detailed statistics and post what I find.

Plan To Attend: Healthcare Blogging Summit 2007

The details and program agenda are now up for the Healthcare Blogging Summit 2007 (Spring) to be held in Las Vegas on April 30, 2007 at the Venetian Hotel and Resort. The event will again be held in conjunction with Consumer Health World.

The event is billed as, ". . .the premier professional networking and education platform, devoted to examining the impact of blogs and social media on consumer health and healthcare industry." After having attended the first Healthcare Blogging Summit in DC in December 2006, I would agree.

I will be participating in a panel with a group that should make for some lively discussion and debate (see below). For a complete listing of the sessions and speakers check out the full agenda at TrustedMD.


Panel: Open Healthcare – Learning to Live in the Brave New World

Openness, Controversy and Crisis Management in Blogs and Social Media


UPDATE:
Dmitriy Kruglyak was recently interviewed as a part of an article, Kaiser Sizing up blogs, 'social media' (subscription required), by the East Bay Business Times. The article appears to discuss the Justen Deal matter and the invitation extended to both Kaiser and Justen Deal to appear on a panel discussion at the Healthcare Blogging Summit.


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Thoughts On Transforming Health Care In West Virginia

Monday, January 29, 2007

Included in the handout materials at last week's WVHIN board meeting was a copy of a article appearing in Health Care's Most Wired Magazine by fellow board member, Sarah Chouinard, M.D.

The article, Transforming Health Care In West Virginia, provides a glimpse of the efforts to improve the health status of rural West Virginia residents in Clay County, West Virginia (on West Virginia's poorest counties) where Dr. Chouinard practices. The article mentions the West Virginia Medicaid Redesign Program, which builds on a 2005 demo project based on a modified version of the Chronic Care Model developed by Ed Wagner, M.D. Dr. Chouindard was involved in the 2005 demo project at her facility, Primary Care Systems in Clay, West Virginia.

The article provides a "real life" example of what one physician (here in West Virginia) is doing to create and change the focus of health care to a preventative model with a patient-centered focus and incorporating technology in the process.

Dr. Chouinard and I had some initial discussion after the board meeting about the project and I'm interested to learn more. I'm also interested to explore with Dr. Chouinard and others how we can team up with resources like those of U.S. Preventive Medicine and Revolution Health to offer even more to those who are most disadvantaged in a health system that fails to focus on prevention and maintenance of chronic conditions.

As Nick Jacobs says, "we are spending 2.2 trillion dollars this year on health care in the United States and only about 4% of those monies are being spent on preventative medicine." I don't know the "chance of diabetes" stats for West Virginia (or Clay County) but I suspect they are much higher than those cited by Nick.

The article is a must read for those interested in seeing a change in the approach we take to health care in the United States and a need to refocus the system to pay for prevention.

(Photo above, courtesy of Flickr, shows a rustic (rusting) bridge leading into Clay WV. Seemed like an appropriate visual analogy since we are talking about prevention)

WVHIN Board Meeting (January 2007)

On Friday the board of the West Virginia Health Information Network (WVHIN) met and covered a variety of topics and continued its efforts to coordinate the creation of a successfully integrated health information system. (Note: The WVHIN board is still in the search phase for an Executive Director).

Topics of the board included the following:

1. A status report on the submission of Interim Report of the West Virginia Solutions Group under Health Information and Security and Privacy Collaborative (HISPC). A motion was made and passed to integrate and continue to carry on the HISPC project work under the auspices of the WVHIN after the project grant is completed in 2007.

2. Update and approval of the WVHIN Bylaws, including a letter from the State Ethics Commission approving the form and substance of the Bylaws and indicating that the Bylaws meet the open meeting law requirements in West Virginia.

3. An update on the pending e-prescribing legislation (Senate Bill 69) introduced by Governor Manchin to address the current restrictions on allowing e-prescribing by physician and pharmacists in West Virginia. There were also a number of e-prescribing presentations providing the details of how such systems will work and current statistics on e-prescribing in West Virginia and nationally.

4. An update on the FCC Broadband Grant application process.

Included in the handout materials for the board meeting was a copy of a recent article appearing in Health Care's Most Wired Magazine by my fellow board member, Sarah Chouinard, M.D. Interesting article (see next post).

An Example of Transparency In Health Care

Fard Johnmar and I today had a discussion about the post, Running a hospital: Do I get paid too much?, by Paul Levy, CEO at Beth Israel Deaconness Medical Center in Boston. Fard mentioned that this is a great example of transparency in health care (Note: Mr. Levy raises an interesting note in the comments -- I cited to the transparency summary to give readers unfamiliar with the concept some background. Here is another interesting read on transparency that I found when looking for a link to "transparency in health care.)

I've not met Mr. Levy and only know him through his online blogging persona, but I'm impressed with his candid post and willingness to discuss the topic. If I was involved with the hiring of a CEO for one of my hospital clients I'd look for a person with Mr. Levy's communication skills. I'll be interested to check his comments section.

New WV Blog: Lincoln Walks At Midnight

A new West Virginia blog, courtesy of Oncee, who has the uncanny ability to sniff out and spot Mslogs (Mountain State Blogs).

Lawrence Messina, who covers the Statehouse beat for the AP, is now blogging at Lincoln Walks At Midnight: A Just-The-Facts Approach to Politics and Government in the Moutain State of West Virginia. Great URL: MyWVHome.

On behalf of the Wild and Wonderful bloggers of the Mountain State -- Welcome!

Bootstrapping HIPAA Into Breach of Privacy Claim

Sunday, January 28, 2007

Jeff Drummond over at the HIPAA Blog reports on a recent North Carolina Court of Appeals decision in Acosta v. Byrum indicating that a private cause of action is not allowed under HIPAA, but that a HIPAA breach is evidence that the standard of care was not met in a common law claim for breach of privacy and negligent infliction of emotional distress.

The decision of the Court states:

. . . Plaintiff contends that no claim for an alleged HIPAA violation was made and therefore dismissal on the grounds that HIPAA does not grant an individual a private cause of action was improper. We agree.

In her complaint, plaintiff states that when Dr. Faber provided his medical access code to Byrum, Dr. Faber violated the rules and regulations established by HIPAA. This allegation does not state a cause of action under HIPAA. Rather, plaintiff cites to HIPAA as evidence of the appropriate standard of care, a necessary element of negligence. Since plaintiff made no HIPAA claim, HIPAA is inapplicable beyond providing evidence of the duty of care owed by Dr. Faber with regards to the privacy of plaintiff's medical records. . .
UPDATE: An interesting followup post on federal preemption under HIPAA and use of HIPAA in intentional infliction of emotional distress type cases prompted by a question from John Dascoli, a West Virginia attorney at The Segal Law Firm and fellow law school classmate of mine.
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WVHIN Executive Director Wanted

Saturday, January 20, 2007

In 2006 I was appointed to serve a four year term as a Board Member of the new West Virginia Health Information Network (WVHIN). The WVHIN was created in 2006 to help guide the state's efforts and oversee the implementation of a private/public interoperable health information system for West Virginia.

Last week I was speaking with Sallie Hunt, Chief Privacy Officer for the State of West Virginia, who has been instrumental in overseeing the initial activities and assisting with the startup of the WVHIN. She advised that they are now in the process of searching for a full time Executive Director. If you are interested in applying for the position or know of someone who might be interested, please contact Sallie Hunt at (304) 558-7000 Ext. 252.

Sallie provided me with the following summary of the Executive Director job description being used by the search committee.

The Executive Director (ED) is the primary executive officer of the WVHIN, reporting to the WVHIN Board of Directors. As such, the incumbent is responsible for assisting the Board to develop the policies and procedures of the Health Information Network (the WVHIN), for implementing these policies and procedures, and for initiating a periodic review of these policies and procedures.

The ED is responsible for the overall administration and management of the WVHIN. This responsibility includes planning and evaluation, policy development and administration, personnel and fiscal management, public education, provider recruitment, business model development, and media and public relations. The successful candidate will have excellent problem-solving skills, be a self-starter, have an entrepreneurial spirit, and be able to function with minimal supervision.

This position will be the "public face" of the WVHIN and, as such, the incumbent will have to have strong speaking, presentation development and writing skills, with the ability to convey highly technical issues in a clear and compelling manner. The incumbent will have to interact regularly with a wide variety of audiences—healthcare providers, potential and existing funders, policy-makers and executive leaders, consumers, and vendors—and will need the skill to drive and balance a multi-stakeholder constituency group.

The ED will be responsible for developing, maintaining, and engaging in a relationship with the vendor directly providing the technology services of the WVHIN. Thus, the incumbent should have contract management skills and preferably the ability to manage a highly technology-dependent project.

Finally, the ED will have the personal qualities that enable him/her to work comfortably in an environment characterized by significant uncertainty. With the possibility of the governance structure changing and ongoing fund development needs, the ED will spend significant time and energy assisting the Board of Directors and other state stakeholders to arrive at decisions that assure the WVHIN a clear strategic direction and long-term viability. The incumbent must be comfortable working with diverse organizations and in maintaining a balance among competing interests. This balance sometimes requires making difficult decisions to keep the project on track.


Steve's Blog at Revolution Health and Wisdom of Crowd

Wednesday, January 17, 2007

While exploring Revolution Health last week I happened upon Steve Case's blog on the site and signed up for the new post alert feature since the RSS feature has not been fully activated. A recent post by Case caught my attention because is addresses some things that I have been thinking about as I prepare a presentation on Healthcare Blogging and Web 2.0 Health 2.0 for the AHLA Hospital and Health System program next month. The concept I've been thinking about is the power of consumer involvement in health care and what Case calls "wisdom of crowds".

Steve'post, A waiting room comes to life, provides a real life example of what patients, their families and friends (and even groups of strangers) go through everyday -- trying to better understand the complexity of (and often being frustrated by) the health care and insurance system.

Excerpt from Case's post:

Last week I spent a couple hours in a hospital waiting room. It was nothing urgent, just a planned procedure for somebody in my family. I expected to wait, so brought some things to read.

Initially, there was one other person sitting nearby, reading the newspaper. A few minutes later another person sat down. Then, not long after, a third.

The new arrival seemed to want to chat, so leaned over to the woman sitting near her and asked why she was there . . .

Suddenly, these three woman, who clearly had never met each other before, started getting into specifics - sharing details about their medical situations (or, in one case, their husbands situation, as he was having a procedure done while she waited).

They compared perspectives on doctors, treatment options, insurance plans, information they had gleaned from various sources - all related to the health issues they were wrestling with. Indeed, two of them started making notes, writing down some of the ideas and insights they heard from the others. . .

Watching this from afar reminded me of the power that comes from people engaging with each other, particularly when it comes to health. . .


Tonight my wife and I had a similar experience -- probably not unlike many people across the U.S. after getting the kids to sleep. We sat down to go over outstanding bills from providers, insurance premiums, health reimbursement account statements and EOBs trying to make sense of it all.

Two and 1/2 hours later we got through some of the issues that we needed to better understand. What's frightening to me is that its difficult for a health care lawyer and his lawyer spouse to understand the complexity of health care -- yet alone those across the country who are less educated, older, sicker or otherwise at the mercy of the health care and insurance system.

We would have liked to have the "wisdom of others" available tonight to help us better understand some of the things we tried to figure out.

As I reflect on 2006 our family has become more engaged in understanding our health coverage and attempt to oversee the process and manage the cost. The need to do this was largely driven by the fact that the benefits of our health coverage has been reduced over the last couple of years requiring us to now pay more of the cost associated with care/treatment. This along with the introduction of a health reimbursement account have made us more aware of the costs of care. I suspect this is a trend that is not dissimilar to many others in the country. This might be one of the motivating factors that comes into play as companies, like Revolution Health, and others try to engage the public on their health care.