Parsing eCW’s $155M payment to the government

Parsing eCW’s $155M payment to the government

UPDATE:  Here are the public records for the case.  More details there about the original complaint.  Excerpt: @eClinicalWorks to pay $155M fine: https://t.co/RngioK62SX But what’s it mean? Certification The purpose of any certification program is to create a method for the purchasers of a product to have confidence that the product safely and reliably does what it is supposed to do.  One example from USDA: Turning Point for Meat Inspection   In 1905, author Upton Sinclair published the novel titled The…

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National Coordinator 6.0: A Blueprint for Success

National Coordinator 6.0: A Blueprint for Success

  1.0 Brailer 2.0 Kolodner 3.0 Blumenthal 4.0 Mostashari 4.1 me 5.0 DeSalvo 5.1 Washington 5.2 White 6.0 Rucker Now that it’s public, I’ll offer my thoughts on the next steps for Don and ONC.  Don Rucker is a good pick for the nation, and will be a great National Coordinator.  I’ve gone on record as saying that some others are not qualified, and as many of you know – I don’t mince words.  Don is smart, focused, thoughtful, intentional, and…

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Career Transitions

Career Transitions

I had lunch yesterday with an industry colleague who was recently let go from his job with a big company.  He is now doing what everyone told him to do:  network, network, network – to find the next big thing.  Our lunch was of course part of that networking.  Who do I know?  Which companies might be hiring people with his skills?  His sense of urgency (despite the generous severance package) was palpable. Initially, I answered his questions:  we brainstormed about this company…

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Why do I run marathons?

Why do I run marathons?

That’s me over there in the white shirt.  Six days ago.  It was a day that I had worked toward since ~ March.  I’ve done this every year since 2010.  For about 15 minutes after the marathon, I was sure that it was my last.  I ran a 1/2 marathon about 3 weeks ago, and it was amazing.  I loved it.  I was downright gleeful afterward.  Not so after 26.2 – especially NYC, which has a very difficult last 5…

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Service Innovation

Service Innovation

“Shift the business models” “Re-align the incentives” “Fee-for-value” These phrases are not new. Nor are the concepts they represent. Yet we’re starting to see new experiments from the federal government, from states, and even small communities that demonstrate a new willingness to deeply engage in understanding and overcoming the barriers to true change in how we improve health. Notice that I said “improve health.”  I didn’t say “Improve health care.”  This not just an insignificant semantic nuance.  When we conflate…

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Advice to the new National Coordinator

Advice to the new National Coordinator

Two and a half years ago, John posted an entry with this title – and I recall that it was a good summary of the state of the industry.  While I didn’t agree with all of his suggestions, I enjoyed the review and it offered a good set of guiding principles.  Since I was Acting National Coordinator for about the same duration as Vindell will serve, (Fall of 2013 – after Farzad Mostashari departed, and before Karen DeSalvo arrived) I’ll offer…

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Self-Driving Health

Self-Driving Health

Lots of news about this recently.  Five years ago, you would shake your head and say “no way – not in my lifetime.”  Now you know that this is our future.  It will be safer, will save billions of dollars, and will be have positive consequences we can barely imagine.  The kids need to go to soccer practice?  Send them.  Get the dog to the vet for his check-up?  Plop him in the car and off he goes. It’s real. It…

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Volume to Value: it’s about the caboose

Volume to Value: it’s about the caboose

In his post last week, John Halamka expressed optimism: I left HIMSS this year with great optimism. Vendors, technologies, and incentives are aligned for positive change. 2016 will be a great year. Perhaps we were seeing different sides of HIMSS. Yes. there is a “buzz” around the migration from volume to value. Walking the floor of the exhibit hall, it was hard to avoid companies – old and new – describing their population health / care coordination / analytics tools….

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