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by Neil VerselPodcasts from <a href=http://clinicalit.blogspot.com" target= "new">Neil Versel's Healthcare IT Blog
Recent podcasts
Dr. David Brailer on his new venture and progress in health IT
20/09/2007
SAN FRANCISCO--Dr. David Brailer is a very popular man these days. Having $700 million of Other Peopleâs Money to invest, as his company, Health Evolution Partners does, tends to do that. At the Health 2.0 Conference today, it took an hour and 15 minutes for him to fend off the suitors and finally sit down with me for this brief but lively podcast about his new venture and about the current state of health information technology in America. I think it was worth the wait.
(Everyone else is blogging this event live. I canât keep up, so thought Iâd try something different.)
Podcast details: Interview with Dr. David Brailer on Health Evolution Partners and progress in health IT. MP3, mono, 64 kbps, 4.5 MB. Running time 9:53.
0:34 Investment strategy
1:05 Surprise since he started the fund
1:40 About the company
2:25 Why heâs not looking at biotechnology
2:55 Health 2.0
3:35 Investing through venture partners
3:45 Assessment of national health IT adoption
4:35 Health IT hasnât become politicized
5:05 Tough issues still unsettled
6:13 RHIOs
6:50 Shakeout in health IT (and interruption from siren outside the window)
7:50 Advice to people involved in RHIOs
8:08 Personal health records and consumerism
Robert Kolodner's MedInfo speech
18/09/2007
I guess technically this isn't really a podcast, or at least not my podcast, since I'm not in this at all. But I'm pretty sure it's a worldwide Internet exclusive, U.S. National Coordinator for Health Information Technology Dr. Robert Kolodner's keynote address to the MedInfo 2007 conference on Aug. 23 in Brisbane, Australia. Kolodner's office even asked me for a copy. I wanted to plug my recorder into the sound board. The sound techs there told me don't bother, they'd burn me a CD of the speech. So here you have it, a pristine recording, ripped from that CD. (Please, no flames from BitTorrent purists who believe that there's no such thing as a "pristine mp3" file.) I've uploaded it in stereo and at 128 kbps, double my normal, mono podcast rate. I'm not going to bother with detailed podcast info for this one, since it took me almost a month to get this posted in the first place, but I'll link once again to the story I wrote from Brisbane about Kolodner's remarks and my interview with him. As a special bonus, I've included Kolodner's presentation slides so you can follow along at home. I'll also say that the "cuddling a koala" he refers to in the first minute is exactly what I'm doing in the picture in my Sept. 9 post. That was from Lone Pine Koala Sanctuary on the outskirts of Brisbane, if you're ever in the neighborhood. Good thing Brisbane is in Queensland, because apparently it's illegal to touch a koala in the Australia state of Victoria. I have a couple more podcasts in the pipeline, so check this space later this week. Podcast details: Keynote speech by Dr. Robert Kolodner to MedInfo 2007, Aug. 23, 2007, in Brisbane, Australia. MP3, stereo, 128 kbps, 43.5 MB. Running time 47:30.
Presentation slides (PDF, 2.4 MB)
SureScripts COO Rick Ratliff on proposed Medicare e-Rx changes
05/07/2007
Right before America effectively shut down for an Independence Day that fell on a Wednesday and surely prompted some very long weekends, the Centers for Medicare and Medicaid Services proposed some modifications to various Medicare payment and provider eligibility rules. Among the proposals is a plan to remove computer-generated faxing from the CMS definition of electronic prescribing.
alter the Medicare Part D electronic prescribing regulations.
This move is bound to make some e-prescribing advocates very happy, particularly on the pharmacy side and among the patient-safety crowd. Case in point is Rick Ratliff, chief operating officer of e-prescribing connectivity network SureScripts, who joins me for this podcast to discuss the CMS proposal and the future of e-prescribing.
Podcast details: Interview with SureScripts COO Rick Ratliff on proposed Medicare Part D e-prescribing regulations. MP3, 64 kbps, 10.2 MB, running time 22:14.
1:00 What SureScripts does
2:08 Fax exemption in existing rule
3:07 What CMS is proposing
4:02 Impact of the proposed change
4:26 What vendors might have to do
5:37 Lack of financial incentives in Medicare e-prescribing rules
6:35 Why it's a "potentially enormous" change
7:45 Two-way communication in e-prescribing
8:35 Savings from efficiency gains
9:33 Private payers following the lead of CMS
10:00 True electronic prescribing vs. electronic faxing
11:30 Public comment period for the proposal
12:43 What SureScripts might tell CMS
13:22 How to encourage physicians to adopt e-prescribing
15:02 Physician attitudes toward patient suggestions
16:45 The tipping point
17:50 Is this a competitive battleground for pharmacies?
18:37 How retail pharmacies view e-prescribing
19:30 Effect of e-prescribing on patient and physician expectations
20:07 New SureScripts technology to report back to physicians on fill rates
21:25 E-prescribing effect on healthcare quality
HIT consultant Denise Silber on European initiatives
22/06/2007
Last month, I blogged about the "personal" nature of electronic health records in France, based on a blog post by American-born, Paris-based health IT consultant Denise Silber. Well, Denise read my post and e-mailed me, or maybe it was I who sent the link to her. I've been in Vegas the last three days and the memory is a bit fuzzy at this stage. A few e-mails later, I had her on the phone for this podcast. Enjoy.
Podcast details: HIT consultant Denise Silber on European initiatives. MP3, mono, 64 kbps, 10.3 MB, running time 22:36
1:00 Background on her e-health consulting and marketing work
2:40 France's "personal medical record"
3:40 Fears of Big Brother on both sides of the Atlantic and French data privacy laws
4:25 Patient control of records in France
5:15 HIPAA confusion in the U.S.
6:00 Conflicts between French law and European standards for physicians, and patient concealment of personal health information
6:55 Usage and costs of French health system, including electronic insurance cards
8:25 Differences between French system and other European health systems
9:42 Physician use of EMRs and computers in France
10:25 Current status of French EMR projects
11:47 Standards
12:28 Purpose of the French PMR
13:05 Accuracy and quality of consumer health information
14:45 Physician shortage in France
15:47 HON Code
16:47 New organization for health information improvement in France
18:45 Consumerism in healthcare and transparency
21:10 Other forms of information accreditation
Dr. David Kibbe on personal health information, medical homes, value in healthcare and more
30/05/2007
This podcast pretty much covers the entire field. Dr. David Kibbe, senior advisor to the Center for Health Information Technology of the American Academy of Family Physicians, weighs in on health IT in primary care, consumerism, data standards, value-based healthcare purchasing and national IT policy, among many topics we cover in just over half an hour. We recorded this at the 2007 TEPR conference in Dallas last week.
Podcast details: Interview with Dr. David Kibbe at 2007 TEPR conference. MP3, mono, 64kbps, 16 MB, running time 35:090:40 Background on AAFP's Center for Health IT and what he's doing.1:40 Personal health records and mobilization of personal health information
2:10 Continuity of Care Record
4:11 Continuity of Care Document and Clinical Document Architecture
5:25 CCR, PHRs and the Internet 6:20 Growth in CCR interest
7:00 PHRs based on XML
7:40 Google's healthcare plans
8:55 Reliability of health information on the Internet
10:00 Consumers having access to the same information as health professionals
10:45 Revolution Health
11:50 Web information and the physician/patient relationship
12:45 Higher expectations among patients
13:45 Consumerism and retail health clinics
15:00 AAFP's involvement in retail clinics
16:28 Concept of the medical home
18:00 Health information and the elderly
19:12 Model of information homes in other service industries
20:20 Asynchronous communication to help manage patient care
20:46 Reimbursement problems with asynchronous care
21:20 Employers becoming more aware of value in healthcare
22:15 Advice to major healthcare purchasers
23:00 When major changes might happen
23:45 Framing the national debate
25:15 Stark exemption and primary care
26:57 AAFP advice to small practices on the Stark exemption
28:40 Awareness of Stark exemption
30:30 Awareness of the benefits of EHRs
31:42 Certification
33:57 Are products improving because of certification?
