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Is NY wise to pay doctors to contribute clinical data?

January 2, 2009

Analysis of:City to Pay Doctors to Contribute to Database | www.nytimes.com

Studies have shown that 70% of patient data is gathered outside the walls of the hosptial.  As such, having very low levels of ambulatory physician EMR adoption inhibits the ability to effectively capture, share, and anayze clinical data so as to impact the behavior of patients and physicians. Studies by RAND have showed tremendus ROI for EMR investment in local communities.  It also however highlights the challenges of aligning incentives to encourage this type of investment.  With other studies showing that up to 33% of the spend in healthcare relates to inaccurate or inappropriate information at the point of care, this type of localized action could have significant benefits. The NYC effort is interesting because it may be one of the largest  localized efforts to facilitate the use of EMRs by paying physicians to contributre data to a secure, centralized repository. NYC is focused on changing the behavior of physicians and patients through through the use of objective data.

Personal Health Records

January 2, 2009

Analysis of:Google Reveals Plans for Personal Health Record Platform | www.cio.com

This article is important as it highlights a few key items related to the US Healthcare industry: First, the macro trends of escalating costs, limited physician availability, and lack of timely/accurate information are continuing to draw larger players into a very fragmented technology market. Secondarily, as patient's share a greater proportion of their on going medical expenses than ever before (HSAs, MSAs, etc) the interest of the patient community in our medical records continues to grow. Furthermore, there is an increased desire to see patients assume "ownership" of their clinical information which is drawing consumer centric technology companies into the market.  In doing this, it may be possible to facilitate a "Web 2.0 - type" opportunity where networking, communication and data sharing promote a true consumer driven market.

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