Millennial Health Care Delivery
Millennial (mə-lĕn’–əl) adj. 1. Of or pertaining to the millennium, or to a thousand years 2. Generation of Americans younger than 29 in 2007 with unique social, cultural, and market identity * This is a companion piece to an article called Millenial Patients that will appear in MDNG shortly * The highlight of last months […]
Gatekeepers vs. Quarterbacks: Primary Care Gets Back in the Game
Quarterback (kwôr‘tər-băk‘) n. 1. The backfield player whose position is behind the line of scrimmage and who usually calls the signals for the plays. 2. To lead or direct the operations of an enterprise. I have been reading with interest all the recent articles (here, here, here, and here) regarding the decline of primary care […]
The Lawrie Dowry: Misys Acquires Allscripts in Shotgun Wedding
Dowry (dou’rē) n. Money or property brought by a bride to her husband at marriage. A sum of money required of a postulant at a convent. A natural endowment or gift; a talent. Misys PLC has offered to acquire struggling Allscripts “the leading provider of clinical software, connectivity, and information solutions that physicians use to […]
Health 2.0: The Long Tail of Health Care
Long Tail (lông tāl) New business phenomenon in which low distribution and storage cost enable significant profits to be realized by selling small volumes of niche items instead of large numbers of popular items. The potential for online retailers to make more money than their bricks and mortar counterparts because there is virtually unlimited “shelf
Misys Makes Good – Transparency has it privileges
Privileges (prĭv’ə-lĭj) n. 1. A special advantage, immunity, permission, right, or benefit granted to or enjoyed by an individual, class, or caste. 2. The principle of granting and maintaining a special right or immunity. Tomorrow I will be speaking at the annual SCALE conference in Los Angeles. Last year, I introduced the theme of “Value [&he
Collective Intelligence: The Network is Nirvana
Collective Intelligence (kə-lĕk’tĭv ĭn-tĕl’ə-jəns) n. 1. Collective intelligence is a form of intelligence that emerges from the collaboration and competition of many individuals. 2. Collective intelligence appears in a wide variety of forms of consensus decision making in bacteria, animals, humans, and computers. 3. The study of collectiv
The New Network – Hello, Carol!
Medical Network (mĕd’ĭ-kəl nĕt’wûrk‘) 1. A group of health care providers who have organized themselves to provide care 2. Provider organizations who voluntarily group together and are utilized by insurance companies to seek discounted pricing in exchange for additional volume of patients for the provider. I am pleased to comment on th
Overtreated and Underinformed: Too Much Medicine, Not Enough Evidence
Overtreated (ō’vər trēt ĭd) n. The act, manner, or method of handling or dealing with someone or something. Administration or application of remedies to a patient or for a disease or injury; medicinal or surgical management; therapy The substance or remedy so applied. Over the holidays, I was able to read a raft of some […]
Dyscoordinated: Healthcare’s Line Item Problem
Dyscoordinated (dĭs-kō-ôr‘dn-āt‘ĭd) n. To purposefully prevent harmoniously working together To purposefully prevent pleasing combinations; or matches of form and function To purposefully prevent harmony of common actions or efforts In addition to doing a little Health 2.0 Experiment in my last post, I have to followup with the actual delive
Reality Check: From Headlines to Prime Time
Reality Check (rē-ăl’ĭ-tē chĕk) n. 1. An assessment to determine if one’s circumstances or expectations conform to reality. 2. The act of letting a real user try out prototype software. 3. Conversationally, saying “sanity check” means you are requesting a check of your assumptions. My wife recently notified me that one of my sons was [&h