On THCB This Month …

If the massive data breach affecting millions of Target customers taught us anything, writes THCB contributor Joe Flower, it’s that we’re really not as good at computer security as we thought we were.

Uber for Healthcare? Not so much.

Does your patient have the right to refuse a flu shot? Actually, yes.

What we really need is an electronic medical record that works like Wikipedia.

The numbers are in. And the EHR incentive program is on track, writes National Coordinator Karen DaSalvo .

Teach your EMR to do e-mail??? Unthinkable! Impossible! Or is it?

Why the SGR fix won’t work. And may make things a lot worse.

PCORI chief Joe Selby writes comparative effectiveness work on cardiovascular disease shows the potential of Affordable Care Act funding for research.

Last week’s announcement that pharmacies and major retailers have agreed to participate in the Blue Button initiative drew some notice. Is Washington’s much-talked about plan to get people sharing their health records about to start a revolution?

Are ACOs the delivery model of the future? Or a passing fad?

Ode to the fat man.

N=1. My experience with the new healthcare system.

News that the much reviled SGR formula may be on the way out, but it may be a little early to start cheering, writes former finance committee analyst Billy Wynne.

Apple may be getting ready to make a big healthcare move. Maybe.

Actually,  transparency doesn’t work

Actually, I love my EMR.

How can patients on Medicaid possibly be worse off than those who don’t have insurance?

Could Digital Rights Management help solve healthcare’s data crisis?

Dr. K is looking for a really usable PHR. Here’s how she’d design one.

Evernote is my EMR. And my EMR is godlike.

Are death spirals real? Has anybody actually seen one?

Twelve things we’re pretty sure we’ll see in healthcare in 2014.

Actually, we’d probably all be better off with our medical records on Facebook. Or something that feels like Facebook. Or something.

Ten Health and Wellness resolutions not to make in 2014. Really.


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  1. I think were going to have to go to something like Telnet, now modified using encryption–called SSH x –so that health data of all kinds can be interchanged betwixt all kinds of health systems and their different operating systems. Agreements to exchange data will have to be drawn up between providers, patients, and other financial stakeholders. And probably bonded third party agents will have to be the intermediaries operating the computers and servers. Patients may have to give blanket permissions.

    To suceed in gaining interoperability, without using the above, we are going to have to develop a common medical and administrative dictionary. How long will this take? E.g. what is hypertension? We have to define it for age groups, gender, perhaps race, how it is to be measured, perhaps geographic location and perhaps occupation. Too much work. It could be years before the industry could do this, if ever.