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Colleagues,

Please see this insightful post from Dr David Kibbe from the excellent and thoughtful Center for ConnectedHealth, "Get Connected Discussion", a must read blog from MedTech-IQ member Dr Joe Kvedar....

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Clinical Groupware: It's time for modular EHR technology

Friday, August 21, 2009 | David C. Kibbe, MD, MBA

About the Author - David C. Kibbe, MD, MBA is Senior Advisor, American Academy of Family Physicians; Chair, ASTM International E31Technical Committee on Healthcare Informatics; and Principal of The Kibbe Group

What’s happening in the EHR technology industry today is analogous to the move from mainframe computers to PCs. The vertically integrated, top tier companies – GE Centricity, NextGen, Allscripts – would like to continue to sell their comprehensive EHRs to their best customers, who will pay their highest prices, and at the maximum profit margins. But they are struggling to add value fast enough and at a price point that individual medical practices can afford. The proof of this can be found in many small practices across the country, as they try to get these vertically integrated vendors to respond quickly to needs for new functionality -- such as population registries, connectivity with local hospitals, and patient web portals -- but find the workarounds and awkward installations maddeningly frustrating. They’re screaming for the features they need, but getting a lot they don’t need, at prices that seem like extortion.

In brief, we doctors have arrived at a next stage of value definition for EHR technology, one at which faster response times, greater agility, convenience, and lower pricing have become as more important than a very long list of features and functions that are no longer as useful or desirable as they once were perceived to be.

Clinical Groupware is the term that I have used for the development and deployment of health IT platforms and applications, the characteristics of which include: use of the Internet and the Web as a platform; explicit design for health data exchange and online communication among providers and patients/consumers; a modular or component architecture upon which applications can be aggregated to meet specific clinical and workflow tasks; all while allowing interface standards and protocols for data exchange to emerge in a market-driven manner. Clinical Groupware applications can be distributed as software-as-as-service, and are intended to support today's mobile health care environment by supplying the right information, at the right time and the right place...

Read on at: http://www.connected-health.org/about-us/get-connected-discussion/d...

ENJOY!

CC

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Replies to This Forum Entry

Dr. Kibbe:

I would like to introduce you and others to what I consider "The Greatest Unknown" company in healthcare, www.offically.com As you can tell by the name they were formed over 10 years ago to help physicians be more efficient by being the first and only Claims clearinghouse to be FREE for all providers. They now have over 300,000 providers processing claims to over 2,500 payers. They then added a web based Practice Management System again for free followed by an EHR that was free although as it is now has to be CCHIT Certified (to be completed by fall) they are charging an almost free $29 per month usage. All of these services are with no long term contracts. We are upgrading our Personal Health Record Portal with "evisit" capabilities that is integrated directly with all of the other web based modules including a case management module for the use by Medical Home models or groups wanting to coordinate care from multiple providers. When we add wireless home patient monitoring for $29 per month and then web based video conferencing we have a complete web based Digital HealthCare System that is very low cost, high functional and totally interoperable. Steve Wheeler - steve@thewheelergroup.com

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