WV's Dancing Revolution

Friday, 2 February 2007
More news coming out on the Dance Dance Revolution in West Virginia. Here is my previous post on the pilot project in West Virginia.

Reuters reports some of the preliminary results of the pilot project in W.Va. To Use Dance Dance Revolution To Slim Kids. I'll plan to look for more detailed statistics and post what I find.

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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Thoughts On Transforming Health Care In West Virginia

Monday, 29 January 2007
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.

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!

Bootstrapping HIPAA Into Breach of Privacy Claim

Sunday, 28 January 2007
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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