Healthcare IT News - February 2009 - (Page 18) 18 HIMSS Insider I February 2009 www.himss.org t has become de rigueur for all observers of Congress. And because healthcare is deeply the national healthcare scene to read Tom personal, unpopular change could become a Daschle's book Critical - What We Can Do political firestorm. About the Health-Care Crisis. What does the As a result of these observations, Daschle book portend about the policies and philoso- has made the centerpiece of his proposed phy of the HHS Secretary nominee? Even the reform establishment of the Federal Health hyphenated “health-care” gives Board, which he pointedly modone pause. the Federal STANDARDS els afterHe notes the Reserve Critical is an interesting read Board. United for several reasons. First, it is States is virtually alone in the closely aligned with President industrial world in not having an Obama's healthcare reform proindependent, central health posals–showing the influence authority to analyze issues, alloby Ed Larsen Secretary-designate Daschle and cate resources, determine costthe Center for American Progress have already effective coverage and make policy recommenhad on future directions. Second, it is an unusu- dations. An independent FHB, like the Federal ally telling prism to view Daschle's approach to Reserve Board, would be staffed by politically healthcare reform. It is as much a political insulated experts to make the tough decisions commentary and history of healthcare policy Congress and the Executive branch want to reform as it is a statement of future directions. avoid. Daschle recommends four major It is important to understand Secretary-des- responsibilities for the board, which we outline ignate Daschle defines the “health-care crisis” in this month's complete Standards Insight, in terms of the lack of universal coverage of all located at www.himss.org/membercenter. Americans to accessible, affordable, quality We find clear indications Secretary-designate care. He traces the steps toward universal cov- Daschle will encourage fast action on healtherage back to the turn of the last century care reform, he will seek to transform health through the efforts of Presidents Franklin insurance into a social insurance compact, and Roosevelt, Harry Truman, Lyndon Johnson the proposal will be a hybrid of public and priand Bill Clinton. He analyzes the reasons for vate sectors, but with a new central Federal some advances but more failures in reform. Health Board. First, healthcare is exceedingly complex. But what else does Critical tell us? The fact so Second, it is fragmented and populated by much of the proposal is devoted to financing many special interests with specialized knowl- reform and not care delivery reform is telling. edge. Third, healthcare is politically unsolvable Dependence on a central planning authority because the complexity and special interests ignores the lessons of certificate of need prorequire knowledge much deeper than found in grams and state planning boards, as well as the I Critical - A Look at Secretary Daschle's Reform Proposals INSIGHT performance of current federal agencies, in making decisions to approve new treatments, extend coverage and promulgate guidelines. The consumer has a less central role than we would expect in 21st century healthcare reform. Finally, there is a political edge, not unexpected or necessarily inappropriate, for this strong advocate of social insurance. We are invested in the success of the new administration and Secretary-designate Daschle in leading healthcare reform. This analysis is in the spirit of constructive criticism based on years of experience. We cannot expand the financing of health insurance coverage without serious reform of the provider side and without deep involvement of the consumer. Providerside reform that takes the path of regulating “science” will not be effective, whether determined by an insurance company or a national board. Expanded coverage without providerside reform will lead to repeats of the Balance Budget Amendment. Provider-side reform must address the fractured, uncoordinated system of care. That will require hard, detailed work among the special interests Secretary-designate Daschle wants to delegate to the Federal Health Board. While we know health IT and interoperable EHRs will be integral to any provider-side reform, and necessary for insurance reform, we need a strategy and roadmap. I PUBLICATIONS STAFF VICE PRESIDENT, COMMUNICATIONS Fran Perveiler MANAGER, PUBLICATIONS Nancy Vitucci SENIOR MANAGER, CORPORATE COMMUNICATIONS Joyce Lofstrom SENIOR EDITOR Matt Schlossberg COORDINATOR, COMMUNICATIONS Cari McLean BOARD OF DIRECTORS CHAIR Charles E. Christian, FCHIME, FHIMSS Director, Information Systems/ Chief Information Officer Good Samaritan Hospital VICE CHAIR Liz Johnson, RN, MSN, FHIMSS Vice President, Applied Clinical Informatics Tenet Healthcare Corp. CHAIR ELECT Barry P. Chaiken, MD, MPH, FHIMSS Chief Medical Officer DocsNetwork, Ltd. VICE CHAIR ELECT For the complete article, see the February Standards Insight at www.himss.org/membercenter. Ed Larsen is an independent strategy consultant who tracks interoperability standards for HIMSS. Comments or questions can be sent to erlarsen@erlinc.com. H IMSS and Modern Healthcare have announced the recipients of this year's CEO IT Achievement Award. The following three healthcare CEOs received the award that recognizes the strategic use of health IT to improve healthcare delivery: Michael B. Green, president, Concord Hospital, Concord, NH; Edward G. Murphy, president & CEO, Carilion Clinic, Roanoke, Va.; and Anthony L. Spezia, president and CEO, Covenant Health, Knoxville, Tenn. Announce 2009 CEO IT Achievement Award Recipients HIMSS and Modern Healthcare The 2009 recipients will be honored during this month's Modern Healthcare Leadership Forum. The honorees also will be profiled in a special supplement of Modern Healthcare . For information on HIMSS, visit www.himss.org; visit www.modernhealthcare.com for more information on Michael B. Green Modern Healthcare. I Liz Johnson, RN, MSN, FHIMSS Vice President, Applied Clinical Informatics Tenet Healthcare Corp. John H. Daniels, FACHE, CPHIMS, CHPS, FHIMSS Chief Information Officer Evolvent Technologies Inc. David Finn Vice President/Chief Information Officer/ Privacy and Information Security Officer Texas Children's Hospital C. Martin Harris, MD, MBA, FHIMSS Chief Information Officer and Chairman, IT Division The Cleveland Clinic Foundation Executive Director eCleveland Clinic Joy G. Keeler, MBA, FHIMSS Principal Health Information Technology The MITRE Corp. Holly D. Miller, MD, MBA, FHIMSS Principal Miller Health Information Technology Solutions Carol R. Selvey, MHSA, FHIMSS Associate Vice President, Business Development Iatric Systems Inc. Jay Srini, FHIMSS Chief Innovation Officer UPMC Insurance Services Division Jonathan M. Teich, MD, PhD, FHIMSS Chief Medical Informatics Officer Elsevier Health Sciences Charlene S. Underwood, MBA, FHIMSS Director, Government and Industry Affairs Siemens Medical Solutions ADVISORY BOARD MEMBERS Edward G. Murphy Anthony L. Spezia Learn More About T HIMSS' Grants Advantage he HIMSS Grants Advantage is a new subscription service that provides HIMSS Members with access to a reliable resource for valuable and timely health IT grant information along with a grants management database. Grants Advantage gives subscribers exclusive, unlimited access to an extensive database of federal, state, local and foundation grants, updated daily; monthly webinars; a moderated listserv to facilitate discussion; a SharePoint portal for additional collaboration; discounts for Grants Office grants writing services; mentoring and collaboration; help desk support; and much more. The Grants Advantage Web site, www.himss.org/grantsadvantage, features a FAQ document for those interested in subscribing or want to learn more, as well as an overview webinar of the service. Contact HIMSS Senior Director Healthcare Information Systems Edna Boone at eboone@himss.org or 703-5628815 for more information. I CONTRIBUTING TO THE The following individuals generously contributed to the HIMSS Foundation in November and December 2008. Thank you for your support. Regular THANK YOU FOR STAGE 7 AWARD [continued from page 17] Margret K. Amatayakul, RHIA, CHPS, FHIMSS Leroy E. Baker, CPHIMS, FHIMSS Brian J. Compas, FHIMSS Brenda A. Duncan, SPHR Lawrence E. Dux, CPHIMS, FHIMSS David Finn Charles E. Kramer H. Stephen Lieber, CAE Gerald C. Macks, FACHE, LFHIMSS Michael McGill Amanda G. Mewborn R. Norris Orms, FACHE, CAE Carla M. Smith, NCMN, FHIMSS John L. Templin Jr., FACHE, LFHIMSS John C. Wade, FCHIME, FHIMSS Jacquelyn Wilkerson Belle Oaks of America Meyer Health Consulting, LLC For more information or to make a contribution, please contact Erica Pantuso, VP Member Services, HIMSS, at epantuso@himss.org or 312-915-9277. support, technologies for closed loop medication administration, and CCD or other interoperability standard transactions. • Percent of medical orders entered by physicians via CPOE. • Percent of the EMR that is paperless. • Closed loop medication administration processes. Organizations eligible for the Stage 7 Award must contribute data to the HIMSS Analytics annual hospital study and complete a site visit. Hospitals can update their data as frequently as they desire to ensure they have the most accurate EMRAM score. The Stage 7 Award is a separate honor from the HIMSS Davies Awards of Excellence. (For a comparison between the Stage 7 Award and the Davies Awards, see the article that begins on page 17). Look for more information on the Stage 7 Award by visiting HIMSS online. Learn more about HIMSS Analytics and the EMR Adoption Model online at www.himssanalytics.org. I Mike McGill, PhD Internet2 Howard A. Burde, Esquire Blank Rome LLP A. John Blair, III, MD President and CEO Taconic IPA Sunny Sanyal Chief Operating Officer McKesson Provider Technologies H In Kuala Lum http://www.himss.org http://www.himss.org/membercenter http://www.himss.org/membercenter http://www.himss.org http://www.modernhealthcare.com http://www.modernhealthcare.com http://www.himss.org/grantsadvantage http://www.himssanalytics.org http://www.himssasiapac.org http://www.himssanalytics.org
For optimal viewing of this digital publication, please enable JavaScript and then refresh the page. If you would like to try to load the digital publication without using Flash Player detection, please click here.