HealthQuilt Blog http://www.healthquilt.org/medical-home-blog This is the HealthQuilt blog daily 1 HealthQuilt Blog http://www.healthquilt.org/medical-home-blog http://www.healthquilt.org/logo.png Perspective David Kibbe on Why the EMR has not succeeded to support the medical home. http://www.healthquilt.org/medical-home-blog/archive/2009/01/16/perspective-david-kibbe-on-why-the-emr-has-not-succeeded-to-support-the-medical-home http://www.thehealthcareblog.com/the_health_care_blog/2008/12/confessions-of.html#more One of our students, Joe Ring, found this and it is an interesting perspective and one with which I agree. It is inline with emerging notions of it is more communication technology than information technology that is needed.

]]> 2009-01-16T15:31:15-06:00 2009-01-16T15:31:15-06:00 Kim Dunn Medical Home JAMA article "Improving the Quality of Health Care- Who is responsible for what?" JAMA Jan 14 301(2),2009 http://www.healthquilt.org/medical-home-blog/archive/2009/01/15/jama-article-improving-the-quality-of-health-care-who-is-responsible-for-what-jama-jan-14-301-2-2009 Perspective on developing a framework for a patient/physician/delivery system roles for quality. Interesting paper that provides a framework that tries to tease out the issues. The challenges will be moving from a theoretical framework to collecting data to implementing the data into processes that can demonstrate improvement in quality. I think there will still need to be an overall quality manager within the proposed framework. It makes a good comment that "balancing carefully designed incentives that promote professionalism mibht ultimately lead to the highest quality of care. ". I agree.

]]> 2009-01-15T14:39:53-06:00 2009-01-15T14:39:53-06:00 Kim Dunn Quality and Incentives Medical Home Improving communication for Preparedness, Management, and Recovery http://www.healthquilt.org/medical-home-blog/archive/2008/12/11/improving-communication-for-preparedness-management-and-recovery Every time a major event occurs, in the after action report, communication problems are identified as a top issue to fix the next time. Then, the next event occurs and it is like the movie Ground Hog Day. It happens all again.

In a post-Ike meeting hosted by HealthQuilt on December 10, representatives from City of Houston, Harris County, the State, health care groups, and housing recovery groups committed to a pilot to test interoperability of information to support evacuation, medical management at community locations in the immediate post event time, and housing recovery. The timeline is a pilot test in February 2009 for a small group of organizations with the hope that there will be a system in place that could be utilized starting this summer and tested as part of the Fourth Annual Summer Research Program.

]]> 2008-12-11T11:35:00-06:00 2008-12-23T14:07:33-06:00 Kim Dunn Preparedness American Medical Association adds support for Medical Home http://www.healthquilt.org/medical-home-blog/archive/2008/12/11/american-medical-association-adds-support-for-medical-home Medical Home concept gaining additional organized medicine support. The American Medical Association has added its support for the Medical Home concept. http://http://www.ama-assn.org/ama/pub/category/20279.html. It joins a growing number of physician organizations advocating for new models of payment to support the tenets of the medical home concept. A good history of the medical home can be found at http://http://en.wikipedia.org/wiki/Medical_home.

]]> 2008-12-11T11:32:53-06:00 2008-12-11T11:32:53-06:00 Kim Dunn Medical Home American Medical Informatics Association (AMIA) posts White Paper on Open Source http://www.healthquilt.org/medical-home-blog/archive/2008/12/11/american-medical-informatics-association-amia-posts-white-paper-on-open-source The AMIA Working Group lead by UT SHIS Faculty Member, Ignacio Valdes, MD, MS has approved and posted a White Paper in support of Open Source technology in healthcare. The link to the website is www.amia.org/files/Final-OS-WG%20White%20Paper_11_19_08.pdf. HealthQuilt has, since its' inception, adopted and supporte open source approaches to health information technology as a mechanism to decrease the barriers to interoperability.

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