Friday, February 02, 2007

Plan To Attend: Healthcare Blogging Summit 2007

The details and program agenda are now up for the Healthcare Blogging Summit 2007 (Spring) to be held in Las Vegas on April 30, 2007 at the Venetian Hotel and Resort. The event will again be held in conjunction with Consumer Health World.

The event is billed as, ". . .the premier professional networking and education platform, devoted to examining the impact of blogs and social media on consumer health and healthcare industry." After having attended the first Healthcare Blogging Summit in DC in December 2006, I would agree.

I will be participating in a panel with a group that should make for some lively discussion and debate (see below). For a complete listing of the sessions and speakers check out the full agenda at TrustedMD.


Panel: Open Healthcare – Learning to Live in the Brave New World

Openness, Controversy and Crisis Management in Blogs and Social Media

UPDATE:
Dmitriy Kruglyak was recently interviewed as a part of an article, Kaiser Sizing up blogs, 'social media' (subscription required), by the East Bay Business Times. The article appears to discuss the Justen Deal matter and the invitation extended to both Kaiser and Justen Deal to appear on a panel discussion at the Healthcare Blogging Summit.


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Tuesday, January 30, 2007

Thoughts On Transforming Health Care In West Virginia

Included in the handout materials at last week's WVHIN board meeting was a copy of a article appearing in Health Care's Most Wired Magazine by fellow board member, Sarah Chouinard, M.D.

The article, Transforming Health Care In West Virginia, provides a glimpse of the efforts to improve the health status of rural West Virginia residents in Clay County, West Virginia (on West Virginia's poorest counties) where Dr. Chouinard practices. The article mentions the West Virginia Medicaid Redesign Program, which builds on a 2005 demo project based on a modified version of the Chronic Care Model developed by Ed Wagner, M.D. Dr. Chouindard was involved in the 2005 demo project at her facility, Primary Care Systems in Clay, West Virginia.

The article provides a "real life" example of what one physician (here in West Virginia) is doing to create and change the focus of health care to a preventative model with a patient-centered focus and incorporating technology in the process.

Dr. Chouinard and I had some initial discussion after the board meeting about the project and I'm interested to learn more. I'm also interested to explore with Dr. Chouinard and others how we can team up with resources like those of U.S. Preventive Medicine and Revolution Health to offer even more to those who are most disadvantaged in a health system that fails to focus on prevention and maintenance of chronic conditions.

As Nick Jacobs says, "we are spending 2.2 trillion dollars this year on health care in the United States and only about 4% of those monies are being spent on preventative medicine." I don't know the "chance of diabetes" stats for West Virginia (or Clay County) but I suspect they are much higher than those cited by Nick.

The article is a must read for those interested in seeing a change in the approach we take to health care in the United States and a need to refocus the system to pay for prevention.

(Photo above, courtesy of Flickr, shows a rustic (rusting) bridge leading into Clay WV. Seemed like an appropriate visual analogy since we are talking about prevention)

WVHIN Board Meeting (January 2007)

On Friday the board of the West Virginia Health Information Network (WVHIN) met and covered a variety of topics and continued its efforts to coordinate the creation of a successfully integrated health information system. (Note: The WVHIN board is still in the search phase for an Executive Director).

Topics of the board included the following:

1. A status report on the submission of Interim Report of the West Virginia Solutions Group under Health Information and Security and Privacy Collaborative (HISPC). A motion was made and passed to integrate and continue to carry on the HISPC project work under the auspices of the WVHIN after the project grant is completed in 2007.

2. Update and approval of the WVHIN Bylaws, including a letter from the State Ethics Commission approving the form and substance of the Bylaws and indicating that the Bylaws meet the open meeting law requirements in West Virginia.

3. An update on the pending e-prescribing legislation (Senate Bill 69) introduced by Governor Manchin to address the current restrictions on allowing e-prescribing by physician and pharmacists in West Virginia. There were also a number of e-prescribing presentations providing the details of how such systems will work and current statistics on e-prescribing in West Virginia and nationally.

4. An update on the FCC Broadband Grant application process.

Included in the handout materials for the board meeting was a copy of a recent article appearing in Health Care's Most Wired Magazine by my fellow board member, Sarah Chouinard, M.D. Interesting article (see next post).

An Example of Transparency In Health Care

Fard Johnmar and I today had a discussion about the post, Running a hospital: Do I get paid too much?, by Paul Levy, CEO at Beth Israel Deaconness Medical Center in Boston. Fard mentioned that this is a great example of transparency in health care (Note: Mr. Levy raises an interesting note in the comments -- I cited to the transparency summary to give readers unfamiliar with the concept some background. Here is another interesting read on transparency that I found when looking for a link to "transparency in health care.)

I've not met Mr. Levy and only know him through his online blogging persona, but I'm impressed with his candid post and willingness to discuss the topic. If I was involved with the hiring of a CEO for one of my hospital clients I'd look for a person with Mr. Levy's communication skills. I'll be interested to check his comments section.

Monday, January 29, 2007

New WV Blog: Lincoln Walks At Midnight

A new West Virginia blog, courtesy of Oncee, who has the uncanny ability to sniff out and spot Mslogs (Mountain State Blogs).

Lawrence Messina, who covers the Statehouse beat for the AP, is now blogging at Lincoln Walks At Midnight: A Just-The-Facts Approach to Politics and Government in the Moutain State of West Virginia. Great URL: MyWVHome.

On behalf of the Wild and Wonderful bloggers of the Mountain State -- Welcome!

Sunday, January 28, 2007

Bootstrapping HIPAA Into Breach of Privacy Claim

Jeff Drummond over at the HIPAA Blog reports on a recent North Carolina Court of Appeals decision in Acosta v. Byrum indicating that a private cause of action is not allowed under HIPAA, but that a HIPAA breach is evidence that the standard of care was not met in a common law claim for breach of privacy and negligent infliction of emotional distress.

The decision of the Court states:
. . . Plaintiff contends that no claim for an alleged HIPAA violation was made and therefore dismissal on the grounds that HIPAA does not grant an individual a private cause of action was improper. We agree.

In her complaint, plaintiff states that when Dr. Faber provided his medical access code to Byrum, Dr. Faber violated the rules and regulations established by HIPAA. This allegation does not state a cause of action under HIPAA. Rather, plaintiff cites to HIPAA as evidence of the appropriate standard of care, a necessary element of negligence. Since plaintiff made no HIPAA claim, HIPAA is inapplicable beyond providing evidence of the duty of care owed by Dr. Faber with regards to the privacy of plaintiff's medical records. . .
UPDATE: An interesting followup post on federal preemption under HIPAA and use of HIPAA in intentional infliction of emotional distress type cases prompted by a question from John Dascoli, a West Virginia attorney at The Segal Law Firm and fellow law school classmate of mine.
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Saturday, January 20, 2007

WVHIN Executive Director Wanted

In 2006 I was appointed to serve a four year term as a Board Member of the new West Virginia Health Information Network (WVHIN). The WVHIN was created in 2006 to help guide the state's efforts and oversee the implementation of a private/public interoperable health information system for West Virginia.

Last week I was speaking with Sallie Hunt, Chief Privacy Officer for the State of West Virginia, who has been instrumental in overseeing the initial activities and assisting with the startup of the WVHIN. She advised that they are now in the process of searching for a full time Executive Director. If you are interested in applying for the position or know of someone who might be interested, please contact Sallie Hunt at (304) 558-7000 Ext. 252.

Sallie provided me with the following summary of the Executive Director job description being used by the search committee.

The Executive Director (ED) is the primary executive officer of the WVHIN, reporting to the WVHIN Board of Directors. As such, the incumbent is responsible for assisting the Board to develop the policies and procedures of the Health Information Network (the WVHIN), for implementing these policies and procedures, and for initiating a periodic review of these policies and procedures.

The ED is responsible for the overall administration and management of the WVHIN. This responsibility includes planning and evaluation, policy development and administration, personnel and fiscal management, public education, provider recruitment, business model development, and media and public relations. The successful candidate will have excellent problem-solving skills, be a self-starter, have an entrepreneurial spirit, and be able to function with minimal supervision.

This position will be the "public face" of the WVHIN and, as such, the incumbent will have to have strong speaking, presentation development and writing skills, with the ability to convey highly technical issues in a clear and compelling manner. The incumbent will have to interact regularly with a wide variety of audiences—healthcare providers, potential and existing funders, policy-makers and executive leaders, consumers, and vendors—and will need the skill to drive and balance a multi-stakeholder constituency group.

The ED will be responsible for developing, maintaining, and engaging in a relationship with the vendor directly providing the technology services of the WVHIN. Thus, the incumbent should have contract management skills and preferably the ability to manage a highly technology-dependent project.

Finally, the ED will have the personal qualities that enable him/her to work comfortably in an environment characterized by significant uncertainty. With the possibility of the governance structure changing and ongoing fund development needs, the ED will spend significant time and energy assisting the Board of Directors and other state stakeholders to arrive at decisions that assure the WVHIN a clear strategic direction and long-term viability. The incumbent must be comfortable working with diverse organizations and in maintaining a balance among competing interests. This balance sometimes requires making difficult decisions to keep the project on track.


Thursday, January 18, 2007

Steve's Blog at Revolution Health and Wisdom of Crowd

While exploring Revolution Health last week I happened upon Steve Case's blog on the site and signed up for the new post alert feature since the RSS feature has not been fully activated. A recent post by Case caught my attention because is addresses some things that I have been thinking about as I prepare a presentation on Healthcare Blogging and Web 2.0 Health 2.0 for the AHLA Hospital and Health System program next month. The concept I've been thinking about is the power of consumer involvement in health care and what Case calls "wisdom of crowds".

Steve'post, A waiting room comes to life, provides a real life example of what patients, their families and friends (and even groups of strangers) go through everyday -- trying to better understand the complexity of (and often being frustrated by) the health care and insurance system.

Excerpt from Case's post:
Last week I spent a couple hours in a hospital waiting room. It was nothing urgent, just a planned procedure for somebody in my family. I expected to wait, so brought some things to read.

Initially, there was one other person sitting nearby, reading the newspaper. A few minutes later another person sat down. Then, not long after, a third.

The new arrival seemed to want to chat, so leaned over to the woman sitting near her and asked why she was there . . .

Suddenly, these three woman, who clearly had never met each other before, started getting into specifics - sharing details about their medical situations (or, in one case, their husbands situation, as he was having a procedure done while she waited).

They compared perspectives on doctors, treatment options, insurance plans, information they had gleaned from various sources - all related to the health issues they were wrestling with. Indeed, two of them started making notes, writing down some of the ideas and insights they heard from the others. . .

Watching this from afar reminded me of the power that comes from people engaging with each other, particularly when it comes to health. . .


Tonight my wife and I had a similar experience -- probably not unlike many people across the U.S. after getting the kids to sleep. We sat down to go over outstanding bills from providers, insurance premiums, health reimbursement account statements and EOBs trying to make sense of it all.

Two and 1/2 hours later we got through some of the issues that we needed to better understand. What's frightening to me is that its difficult for a health care lawyer and his lawyer spouse to understand the complexity of health care -- yet alone those across the country who are less educated, older, sicker or otherwise at the mercy of the health care and insurance system.

We would have liked to have the "wisdom of others" available tonight to help us better understand some of the things we tried to figure out.

As I reflect on 2006 our family has become more engaged in understanding our health coverage and attempt to oversee the process and manage the cost. The need to do this was largely driven by the fact that the benefits of our health coverage has been reduced over the last couple of years requiring us to now pay more of the cost associated with care/treatment. This along with the introduction of a health reimbursement account have made us more aware of the costs of care. I suspect this is a trend that is not dissimilar to many others in the country. This might be one of the motivating factors that comes into play as companies, like Revolution Health, and others try to engage the public on their health care.

NEPSI: National E-Prescribing Initiative

Over the last few months I've been involved in a project to understand the barriers to e-prescribing in West Virginia (spin off of HISPC project) and assist with developing legislation to modify current West Virginia law and reduce current restrictions on e-prescribing in West Virginia.

Today I received notice from an AHLA colleague announcing the National ePrescribing Patient Safety Initiative (NEPSI). I was not previously aware of the initiative. A large group of partners, including technology and health care companies, have come together to provide free electronic e-prescribing access to every U.S. physician through a web-based e-prescribing system.

I'll be interested in reading more about the initiative as it develops. For more information on the initiative check out this Google search and Google news search. iHealthBeat also has a good summary of the new initiative.

Sunday, January 14, 2007

Health 2.0: A Personal Tour Of Revolution Health

Revolution Health, launched its preview version in December 2006, and is scheduled for a mid January 2007 public launch. Over the holidays I took the opportunity to register as a beta user and try out some of the features and tools. Over the last couple of weeks I've continued to explore the service it offers.

Overall I'm impressed with the content, quality and screen appeal of the features. The question remains whether consumers will flock to and regularly use such a site. What will make consumers start using such tools? Will it require financial incentives? Will the tipping point be when health care premiums skyrocket to a point where there is a critical mass of uninsured and being healthly become a financial incentive? How do we make individuals take a more active role in prevention under the current system? What type of consumer "revolution" is needed for business models like Revolution Health to be successful, especially among the sickest, oldest and poorest populations? I'd be interested to hear comments on these question and any other thoughts.

For those of you who are new to Revolution Health. It is the brainchild of founder, Steve Case, co-founder of former CEO of America Online (Steve's Revolution Health blog). Revolution Health says its mission is to give consumers more choice and control over their health care.

The health portal allow the user to do a variety of things: create your own personal health portfolio, learn about health topics, rating doctors and hospitals, complete online health risk assessment surveys, join community groups on health specific topics, read and comment on health related stories and create your own health care blog.

The health content is divided in sections on Healthy Living and Conditions & Treatments. The content is from resources such as: The Mayo Clinic, Harvard University and The Cleveland Clinic. The website allows users to rate the content they think is best and even submit your own resources from around the web.

The
Personal Health Portfolio feature allows you to save information about your conditions and treatments for future reference, store basic contact information for all your doctors and health care providers and automatically generate a a form to take with you to your next office visit.

The Tracking feature allows you to track a variety of areas: blood pressure, blood glucose, health weight/BMI, weight loss/gain, pregnancy weight gain, exercise routine, etc. There will also be a
membership section which includes other services such as: personal health counselor, claims advocate and health expense manager.

Throughout the site it allows user participation. You can rate content, providers and facilities. Provide links to other resources. Under the Learn from Others section you can explore the content contirbuted by others, share your own health stories and event create your own health blog. I was especially impressed that the designers had built in RSS capability into the blogs -- but when I tried to add some feeds to Bloglines I could not get them to work. I'm suspecting that this feature is just not fully operational yet in the beta version.

As a lawyer who focuses much of his practice on privacy issues I was particularly interested in Revolution Health's privacy policy, what they collect, how they use the information, what choices users have about the collection of the information and the security measures in place. I also was surprised and impressed to see (after being logging in but non active on the site) that the Revolution Health staff have built in a automatic log out feature as a security measure to protect privacy.

For more background and commentary on Revolution Health check out these blog reviews and resources:

Tuesday, January 09, 2007

HIPAA Security Guidance for Remote Use and Access to Electronic PHI

CMS has issued HIPAA Security Guidance (link to guidance document pdf) for HIPAA covered entities on the risks and possible mitigation strategies for remote use of and access to Protected Health Information (EPHI). The guidance sets forth CMS' minimal compliance expectations for covered entities seeking to safeguard EPHI that is accessed, stored or transported offsite.

This guidance should be useful for those health care facilities and providers to assess current policies and procedures used to maintain the confidentiality of health information.

Monday, January 08, 2007

Attorney-Client Privilege Article

Susan Wong Romaine, an attorney at our firm recently authored an article on attorney-client privilege appearing in the Winter 2006 edition of the Defense Trial Counsel of West Virginia Newsletter. Congratulations to Susan on a great article.

The article, Update on Attorney-Client Privilege, addresses recent changes under the Federal Sentencing Guidelines impacting the policy of federal prosecutors to grant leniency in charging and sentencing for corporation who waive their attorney-client and work product protections. The article also looks at a recent 5th Circuit decision, Willy v. Administrative Review Board, 423 F.3d 483 (5th Cir. 2005), involving a whistleblower lawsuit brought by in-house counsel.

Update on Attorney-Client Privilege

Attorneys typically practice with the confidence that their communications with clients will be protected by the attorney-client privilege. The justification behind this doctrine is fundamental to ensuring attorneys can provide the best possible representation to their clients. Through the protection of the attorney-client privilege, clients can candidly and truthfully confide in their counsel, thus equipping counsel with the necessary knowledge for advising their clients on issues relating to compliance with rules, regulations, the law, and, even more critically, litigation.

Every practicing attorney should know, however, that the attorney client privilege is not as steadfast as it appears. While this doctrine is customarily perceived as a steel-enforced shield from the disclosure of sensitive information, recent developments surrounding the treatment of the attorney-client privilege could lead one to think the shield is actually made of paper. For example, the demise of Enron and birth of Sarbanes-Oxley have sparked practices that have begun to wear away at the safe haven that corporations and attorneys alike have become dependent on for keeping confidential information strictly in the boardroom. Until recently, federal policies encouraged prosecutors to grant leniency in charging and sentencing decisions for corporations that waive their attorney-client and work product protections. Although the United States Sentencing Committee recently voted to delete any such policy from its Sentencing Guidelines, the invasion into protected attorney-client territory is creeping into other realms. For example, proposed Federal Rule of Evidence 502, if enacted, would authorize the disclosure of privileged information to government agencies, but not to private parties. Also, taking into account the recent amendments to the Federal Rules of Civil Procedure which provide for discovery in the electronic sphere, attorneys will have to familiarize themselves with what is and is not privileged in the worlds of metadata, e-mail, and the internet.

While some of the new ways that the attorney-client privilege is being manipulated will present new challenges for attorneys, they are not at a complete disadvantage. Last year, the Fifth Circuit decided that a document protected by the attorney-client privilege was admissible as evidence in a case where a former in-house lawyer sued his former employer for violation of federal whistleblower laws. Willy v. Administrative Review Board, 423 F.3d 483 (5th Cir. 2005). Under the precedent set by this ruling, attorneys have an opportunity to waive the attorney-client privilege. This is significant considering that waiver of the privilege is typically only available to clients.

While changes in the treatment of the attorney-client privilege are certain to continue, attorneys should remember these tips for client communications that likely will not change anytime soon:

  • Always address attorney-client privilege issues with a client in the initial phase of your relationship. While corporate representatives these days often have a strong knowledge of the legal system, they may not fully understand the intricacies of the attorney-client privilege and how innocent actions may result in a waiver.
  • Remember, in the context of a corporation, the attorney-client privilege can be subject to waiver by anyone in management, including officers or directors
    • “New” management can waive the privilege of protecting information that was created when the “old” management was in place. See Commodity Future Trading Comm’n v. Weintraub, 471 U.S. 343 (1985)
  • The attorney-client privilege can extend to non-lawyers whose involvement in a matter facilitates an attorney’s understanding of his or her client’s situation.
    • If you obtain an expert for help in a matter, prepare an engagement letter outlining the expert’s expected role. The letter should state that all communications between the expert and the lawyer and client are incidental to providing legal services and intended to be confidential. The expert should also be advised not to communicate with a client without the lawyer’s direction. See U.S. v. Kovel, 296 F.2d 918 (2nd Cir. 1961).
  • Counsel and clients alike should ensure all records of letters, notes, and conference calls between each other are kept in a secure, marked file and labeled “private” or “confidential attorney-client communication.” Without these simple precautions, a court could find that adequate steps were not taken to preserve the privilege.
By remembering some of these fundamental guidelines for interactions with your clients, you should be equipped to face any new change to the attorney-client privilege.

Health 2.0: EMR Innovation from the ground up

How about this for EMR GMR innovation. Graham Walker, a Stanford med student, has built his own web 2.0 mock up of a better EMR interface. A great example of what web 2.0 might bring to health care in 2007 and beyond. I'll be interested to read the comments from physicians and others who have to work with EMR software on a day to day basis.

Watch the screencast demo and then test it out for yourself.

Courtesy of Matthew Holt at the The Health Care Blog.

Friday, January 05, 2007

Good Things Happen When You Do Good

Lately I haven't had time to blog much because of a busy work schedule and the holidays. Again too much to blog about and too little time. However, I couldn't pass this up.

A simple lesson from the Hero of Harlem that has universal application. Quoting Mr. Autrey, "Good things happen when you do good." Such a powerful and simple message.

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Monday, December 18, 2006

Blawg Review #88: Tickling The Ivories

Blawg Review #88 is up at David Harlow's HealthBlawg with a mention and link to the Healthcare Blogging Summit.

David, very nicely composed. In keeping with the theme -- you know the "key" to good health care isn't "black and white." Although the Healthcare Blogging Summit was a small but diverse group I was encouraged by the words of Richard G. Petty, MD who reminded during one of the panel discussions that the Age of Enlightenment was the creation of no more than 1,000 people.

Sunday, December 17, 2006

Time's Person of the Year: The Power of the Information Age Public

Time Magazine's recognizes the power of those who now create, control and collaborate with content online and the incredible influence that it is having around the world. This year's Time Magazine's person of the year is "you."

Over the last couple of years since beginning my Health Care Law Blog in 2004 I've gained a good understanding of the "online content creating community" and it has changed the way that I communicate, work and learn. If it hasn't already -- I predict it will change you too.

Some interesting stats for a perspective on where all this might be headed. The Pew Internet & American Life Project found in 2004 that 44% Internet users were creating content for the online world. The November 2005 Pew Internet Report, "Teen Content Creators and Consumers," found that 57% of teens now create content for the the internet. The new generation will create continued demand (and content) that will influence us all.

One statistic that I mentioned earlier this year (courtesy of Denise Howell) was that "Among 21 year olds, 61% of web content created by someone they know." I'm not sure where this stat comes from and whether it was from the Pew report -- but if accurate it goes to show that the public is not only creating content but using and relying on content by those who they personally know. Along these same lines, this past week I attended the Healthcare Blogging Summit and Steve Rubel commented that 68% agreed that the people we trust is "a person like me."

The HealthTrain: The Open Healthcare Manifesto (full Report Version 0.1) discussed at the Healthcare Blogging Summit provides some interesting material for discussion of what impact open published media will have on the health care industry. The Manifesto presents the idea that understanding and learning is grounded in human conversation and that these new technologies allow this to happen easier and with more impact. Time's article recognizes what the Manifesto refers to as the change from "traditional command and control" forms of communication. The Manifesto outlines a set of principles to guide those in health care as we move forward with this online social experiment.

My favorite section of Time's online article on the Person of the Year:

. . . The answer is, you do. And for seizing the reins of the global media, for founding and framing the new digital democracy, for working for nothing and beating the pros at their own game, Time's Person of the Year for 2006 is you.

Sure, it's a mistake to romanticize all this any more than is strictly necessary. Web 2.0 harnesses the stupidity of crowds as well as its wisdom. Some of the comments on YouTube make you weep for the future of humanity just for the spelling alone, never mind the obscenity and the naked hatred.

But that's what makes all this interesting. Web 2.0 is a massive social experiment, and like any experiment worth trying, it could fail. There's no road map for how an organism that's not a bacterium lives and works together on this planet in numbers in excess of 6 billion. But 2006 gave us some ideas. This is an opportunity to build a new kind of international understanding, not politician to politician, great man to great man, but citizen to citizen, person to person. It's a chance for people to look at a computer screen and really, genuinely wonder who's out there looking back at them. Go on. Tell us you're not just a little bit curious.
I do agree with ProBlogger's comments that Time gets the linkbaiter of the year award (brilliant PR move if Time factored this into its decision). Watch the stats on this Technorati graph. The article is already topping Techmeme.

UPDATE: Fard Johnmar at HealthcareVox also looks at Time's "Person of the Year" announcement from a health care perspective.

Healthcare Blogging Summit 2006

Washington DC is the place to be for health care bloggers. Tomorrow the first Healthcare Blogging Summit is being held in conjunction with the Consumer Health World expo. I'll be participating as a panel member on the "Facts and Issues" session. I'm looking forward to meeting in person a number of health care bloggers that I regularly follow though RSS.

My family and I arrived over the weekend for a short holiday weekend before the conference. We took the kids to the National Zoo on Saturday with friends who came into the city from Martinsburg (don't miss the PandaCAM - we watched it for weeks before we came) . Today we spent time along the Mall at the Smithsonian where 6 year olds (and 2 year old sisters and adult parents) are in heaven - dinosaurs, mummies, rockets, airplanes, etc.

While reviewing information form the conference I thought it would be helpful to aggregate a few of the pre-conference (and post-conference) posts and interesting posts/topics that might come up at the conference. If you have one that you would like added please email me. Heck, I might even try out some live blogging during the event. (REMEMBER: If you blog about the event tag it as Healthcare Blogging Summit or HBS2006.)

Preconference Discussion:
  • Carol Kirshner at Driving In Traffic and Josh Hallett at Hyku comment on a recent Florida story about a disgruntled patient and the impact it might have on the Florida hospital involved. I'd like to pose a hypothetical to Nick Jacob and ask him how he'd respond to this on his blog. Nick's response during his panel session was to point out Windber current infection rate is 1% while the national average is 8%.
  • Fard Johnmar at Envision Solutions has released highlights from the "Taking the Pulse of the Healthcare Blogsphere" survey conducted this past summer. The press release includes the following highlight information (download the survey results here):
    • 214 healthcare bloggers took at least a portion of the survey, which was fielded between July 31 and September 29, 2006. 171 answered every question in the poll.
    • 61% of respondents write about their personal experiences.
    • 39% of those surveyed hide their identity to protect their privacy, patient confidentiality or themselves. (As a health lawyer interested in privacy issues this stat interests me)
    • Nearly 40% of healthcare bloggers report that the most important reason they decided to start their blog was to share their opinions or educate others.
  • Business Blogs Now highlights the Summit and the growing number of health professional bloggers.
  • Spare Change talks about the conference location and the "Taking the Pulse of the Healthcare Blogosphere." I agree that the Omni is a great location with wonderful services and I'm interested to see the results of the survey being unveiled tomorrow.
  • Unity Stoakes of Organized Wisdom will be attending and bring the perspective of one of the new Web 2.0 health companies.
Conference Thoughts:

Enjoyed Steve Rubel's presentation which looked at the Galaxy, Stars, Planets, Shooting Stars, etc. of health care bloggers. I was especially struck by the statistics he provided on "who do you trust" and the fact that 68% are "persons like yourself." He also had a great slide showing the shift from 1992-2002 corporate built web to todays 2002 and beyond web built by individuals. He used information from Comscore Media Metrix and a chart from Washington Post article, "New Trends in Online Traffic."

Steve also pointed out that he believes that blogging as an activity has peaked as a result of statistics he provided using Technorati. The chart showed the leveling off of post volume over the last few months. It will be interesting to see if this trend continues.

More to come . . .

Post Conference Discussion:

Note:
If you are going to be in Washington Monday evening don't miss the Blogger Wonk starting at 7pm at Open City. I'm sorry I'll have to pass because we have to be back in Charleston WV Tuesday a.m. and plan to leave right after the conference. So fare on the RSVP list are: Katya Andresen, Leslie Jump, Debbie Weil, Josh Hallett, Marianne Richmond, TrisGrier, CK (Christina Kerley), Dmitriy Kruglyak, Fard Johnmar, Carol Kirshner, Shahid N. Shah, Craig Lefebvre and I'm sure many more . . .

Monday, December 04, 2006

Swiss Army Knife: Lost and Found

A simple example of today's live web from fellow Charleston blogger and friend, Rick Lee.

This would not and could not have happened a few years ago. Change is happening as the web becomes the way we create content, share information, communicate, collaborate, network, learn, buy anything, distribute content and even find your swiss army knife.

Next week I am attending and participating as a panelist at the first Healthcare Blogging Summit in DC. You can bet I plan to use the swiss army knife example to show the utility of today's online world and what it may bring to health care.

Note: Learn something everyday -- before this post I had never used Searchbug which was mentioned in the comments to Rick's post. Frightening how much it knows.

End of Life Care - Science and Religion

Running A Hospital has an interesting look at the legal and ethical issues faced by health care providers these days. The post, When is Death? points to a story from the Boston Globe involving a current case at Beth Israel Deaconess Medical Center.

As medical science and genetic issues continue to progress our society will have to address more of these types of legal, moral and social (and religious) issues.

More discussion and commentary over at Kevin, M.D. and TailRank.

Thursday, November 02, 2006

The Flattening of Health Care

More on the flattening of health care. U.S. businesses and health insurers continue to look at the option of outsourcing health care services oversees.

The article appearing in the Las Vegas Sun discusses a VP of BlueCross BlueShield of South Carolina recent visit to Bumrungrad in Bangkok along with Delegate Canterbury's efforts here in West Virginia to propose legislation giving state employees the option of traveling abroad for health care services in return for certain incentives.