The following is the link to a hand-held video from the “ACO Breakfast” event on February 21, 2011 at the annual Health Information Management Systems Society convention in Orlando.
The panel discussion was kicked off by Eric Dishman, Director of Health Innovation for Intel, and featured:
- Aneesh Chopra, the Chief Technology Officer of the US Government, who explained the government’s approach to creating an “innovation management pipeline” using an Innovation Center, emphasizing interoperability to create opportunities for private innovators to create “apps” that connect to a common platform, and using Medicare and Medicaid as early adopters. His approach sounded very much like a description of an “open source” software ecosystem, although he did not use that terminology in the proprietary vendor-dominated crowd.
- John Mattison, MD, Chief Medical Informatics Officer for Kaiser Permanente. I worked with John years ago when I was at Oceania and he was the Kaiser Permanente Southern California lead for KP’s EMR efforts at the time. John emphasized the importance of working with primary care physicians, and proposed that the shortage of primary care physicians will be offset by the reduced need for specialists. Presumably, he is theorizing that medical sub-specialists will morph their practices to emphasize primary care and deemphasize procedures.
- Steven Waldren, MD, Director of the Center for Health IT for the American Academy of Family Practice. I worked with Steve when I was at Blue Cross Blue Shield of Michigan to adapt the Continuity of Care Record (CCR) standard for use in care management and health plan member health record. Steven emphasized the challenge of scaling EMR technology down to small independent primary care practices that lack IT infrastructure, and described clinicians disappointment with the inability of commercial EMR software to do chronic disease registry functions.
- Michael Young, CEO of Grady Memorial Hospital. Michael used the example of Kodak’s lack of success in transitioning from a profitable film-based photography business to the “next curve” of digital photography, despite having pioneered digital photography technology. He used this example to explain the challenge facing health care leaders in moving from the current profitable fee-for-service volume-driven model to the next curve of performance and outcomes-based reimbursement. He expressed some optimism by noting that the timeline for developing useful health car “apps” has decreased from 5 years to 5 days.