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  • Resources | Markle | Advancing America's Future
    of the original tumor they were referencing was wrong As I could access my 2001 report to verify the size of the original tumor something the radiologists did not do I saw that my tumor had not in fact changed in size Was the radiologists reference based on someone else s tumor When the endocrinologist called me she told me right away my tumor had grown and I needed a biopsy I knew she too had failed to pull up my original report even though the new results conflicted with the results of her clinical exam When I reminded her of that she seemed more alarmed that I was questioning her and the two radiologists who signed off on the results than the fact that the ultrasound was different from the findings of her own clinical exam When I told her that I could access my own medical records and discovered the mistake she seemed surprised Then she said she had a problem with me viewing my results before she did No that s not a problem I thought The problem is that medical mistakes happen too frequently If we want to be involved in our own medical care working in partnership with our doctors we need tools to do that I ve read that nearly 100 000 patients die needlessly each year in hospitals How many patients die because of medical mistakes outside the hospital I don t know but I do know how easily it can happen I m fortunate though Simply by having access to my medical information and previous test results I have more control over decisions regarding my treatment Most patients don t have the tools they need to become their own health advocates Thanks to PatientSite I do Unfortunately the days of Marcus Welby M D are long gone While well intentioned doctors are now often overworked and overwhelmed I can trust but also verify the information doctors give me I now have the ability to reduce the chances of a medical error happening to me The Mother s Bond My son Alex suffers from hydrocephalus an uncommon condition that forces an abnormal accumulation of fluid inside his brain His condition is treated with insertions of shunts into his skull to let the excess fluid drain If the shunts should fail Alex could lapse into a coma and even die Quick and appropriate intervention for my son and other hydrocephalus patients is critical Since Alex was diagnosed more than 20 years ago with his condition he has had endless encounters with the health care system Between ages 6 and 16 Alex had some 20 surgeries most to replace or repair his shunts When he was 7 Alex wasn t playing baseball he was receiving hospice care But Alex is a survivor There are many people doctors and caregivers to thank for this particularly one man who was willing to look at a problem in a different way Because of this man a bio engineer I didn t lose Alex when he was a child in hospice care That in turn spurred me to challenge the status quo Is Overreliance on Technical Standards Undermining Efforts to Use IT to Transform the U S Health System Considers whether efforts on technology standards absent alignment of policy objectives and financial incentives is magical thinking and reports that the nation s health IT coordinator and colleagues say the current policy strikes the right balance Health Information Exchange Lex Parsimoniae Article covers the health information exchange HIE it s details and how it will change America should it be fully integrated by creating a consistent network of networks across the country Achieving Electronic Connectivity in Health Care Summary of Financial Incentives Recommendations Findings Financial incentives need to be realigned to promote quality care improvement via IT adoption connectivity and information exchange among all health care providers Financial incentives of the approximate range of 3 to 6 per patient visit or 0 50 to 1 00 per member per month based on 4 000 patient visits per year or a 2 000 patient panel over at least a three year period appear to be a sufficient starting point to encourage and sustain wide spread adoption of basic EHR technologies by small ambulatory primary care practices Estimates represents approximately 7 14 billion per year for three years or 1 2 to 2 4 of total amount spent on ambulatory care in 2003 on an annual basis Industry is experimenting with incentive models and will gradually migrate to incentives to encourage adoption as well as additional incentives that will be necessary on an on going basis to encourage more extensive use of EHR technologies e g coordinated care or advanced chronic disease management The qualitative analysis supports a business case that is better for some incremental applications than others These incremental applications can be implemented as steps toward the full implementation of an EHR Applications with smaller investment or a very high net beneficial business case could be considered as candidates for initial implementation as long as they are not dead end applications Small and medium sized practices have greater potential to benefit from information exchange but will require greater attention and support in order to achieve sustainability Model Sub Network Organization Terms and Conditions Topic List Model Sub Network Organization Terms and Conditions Topic List Introduction This document Topic List describes the issues addressed by the Model Terms and Conditions of a Sub Network Organization SNO Background An SNO is to operate as a health information data exchange organization that operates as a part of the National Health Information Network NHIN a nationwide environment for the electronic exchange of health information Use of Model The Model is based on a number of assumptions which are described in the following discussion The Model is not the answer for all SNOs Instead it is intended to assist in the organization of an SNO by providing a basis upon which to begin drafting that

    Original URL path: http://www.markle.org/resources/rework-america/video/about-markle/event/general-markle-financial-information/health/rework-america/video/economic/commentary-rework-america-members?term_node_tid_depth=All&tid_1=All&date_filter[value]=&page=43&tid=All (2016-02-10)
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  • Micky Tripathi, PhD, MPP | Markle | Advancing America's Future
    Initiative Overview Latest News Letters to Members Member Commentary Personal Stories Rework America Library Health Page Sections About Health Our Impact Steering Group Consumer Work Group HIE Committee Quick Links Blue Button Common Framework Health IT Health Library National Security Page Sections About National Security Post 9 11 Legacy Our Impact Task Force Quick Links National Security Library Reports and Recommendations Sharing and Collaboration The Lawfare Blog Library Quick Links Our Book America s Moment Archive Media Releases Member Commentary President s Letters Videos About Markle Page Sections About Markle A Message from Zoë Baird Our Principles Our Impact Board of Directors Senior Team Our History Quick Links Conference Space Events Markle in the News Media Releases Past Initiatives President s Letters Rework America Page Sections About Rework America A Message from Rework America Opportunity for All Our Impact Initiative Members Expert Advisors Quick Links Rework America Connected Our Book America s Moment Initiative Overview Latest News Letters to Members Member Commentary Personal Stories Rework America Library Health Page Sections About Health Our Impact Steering Group Consumer Work Group HIE Committee Quick Links Blue Button Common Framework Health IT Health Library National Security Page Sections About National Security Post 9 11 Legacy Our Impact Task Force Quick Links National Security Library Reports and Recommendations Sharing and Collaboration The Lawfare Blog Library Quick Links Our Book America s Moment Archive Media Releases Member Commentary President s Letters Videos Micky Tripathi PhD MPP President and CEO Massachusetts eHealth Collaborative Member Markle Connecting for Health Steering Group Micky Tripathi PhD MPP is the President and Chief Executive Officer of the Massachusetts eHealth Collaborative MAeHC a non profit collaboration of 34 leading non profit healthcare organizations based in Massachusetts He is also the Chair of the Health Information Exchange Workgroup of the federal Health IT Policy Committee which advises the Office of the National Coordinator for Health Information Technology He is the Co Chair of the statewide Ad Hoc Regional Extension Center EHR Workgroup which has been created by the State of Massachusetts to provide guidance on accelerating adoption of electronic health records He is also a member of the Board of Directors of the eHealth Initiative a national organization promoting the improvement of health care through information and information technology Prior to joining MAeHC Tripathi was a Manager in the Boston office of the Boston Consulting Group While at BCG he served as the founding President and CEO of the Indiana Health Information Exchange an Indianapolis based non profit company partnered with the Regenstrief Institute to create a state wide health information infrastructure in the state of Indiana He holds a PhD in political science from the Massachusetts Institute of Technology a Master of Public Policy from Harvard University and an AB in political science from Vassar College Prior to receiving his PhD he was a senior operations research analyst in the Office of the Secretary of Defense in Washington DC for which he received the Secretary of Defense Distinguished Civilian Service Award

    Original URL path: http://www.markle.org/health/experts-impact/744-micky-tripathi-phd-mpp (2016-02-10)
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  • Michael Stokes | Markle | Advancing America's Future
    America Connected Our Book America s Moment Initiative Overview Latest News Letters to Members Member Commentary Personal Stories Rework America Library Health Page Sections About Health Our Impact Steering Group Consumer Work Group HIE Committee Quick Links Blue Button Common Framework Health IT Health Library National Security Page Sections About National Security Post 9 11 Legacy Our Impact Task Force Quick Links National Security Library Reports and Recommendations Sharing and Collaboration The Lawfare Blog Library Quick Links Our Book America s Moment Archive Media Releases Member Commentary President s Letters Videos About Markle Page Sections About Markle A Message from Zoë Baird Our Principles Our Impact Board of Directors Senior Team Our History Quick Links Conference Space Events Markle in the News Media Releases Past Initiatives President s Letters Rework America Page Sections About Rework America A Message from Rework America Opportunity for All Our Impact Initiative Members Expert Advisors Quick Links Rework America Connected Our Book America s Moment Initiative Overview Latest News Letters to Members Member Commentary Personal Stories Rework America Library Health Page Sections About Health Our Impact Steering Group Consumer Work Group HIE Committee Quick Links Blue Button Common Framework Health IT Health Library National Security Page Sections About National Security Post 9 11 Legacy Our Impact Task Force Quick Links National Security Library Reports and Recommendations Sharing and Collaboration The Lawfare Blog Library Quick Links Our Book America s Moment Archive Media Releases Member Commentary President s Letters Videos Michael Stokes Member of the Work Group on Consumer Authentication Policies for Networked Personal Health Information Michael Stokes was a Member of the former Work Group on Consumer Authentication Policies for Networked Personal Health Information and the former Work Group on Consumer Access Policies for Networked Personal Health Information Stokes also contributed to the Connecting Consumers

    Original URL path: http://www.markle.org/health/experts-impact/743-michael-stokes (2016-02-10)
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  • Michael Simko, RPh | Markle | Advancing America's Future
    Sections About Rework America A Message from Rework America Opportunity for All Our Impact Initiative Members Expert Advisors Quick Links Rework America Connected Our Book America s Moment Initiative Overview Latest News Letters to Members Member Commentary Personal Stories Rework America Library Health Page Sections About Health Our Impact Steering Group Consumer Work Group HIE Committee Quick Links Blue Button Common Framework Health IT Health Library National Security Page Sections About National Security Post 9 11 Legacy Our Impact Task Force Quick Links National Security Library Reports and Recommendations Sharing and Collaboration The Lawfare Blog Library Quick Links Our Book America s Moment Archive Media Releases Member Commentary President s Letters Videos About Markle Page Sections About Markle A Message from Zoë Baird Our Principles Our Impact Board of Directors Senior Team Our History Quick Links Conference Space Events Markle in the News Media Releases Past Initiatives President s Letters Rework America Page Sections About Rework America A Message from Rework America Opportunity for All Our Impact Initiative Members Expert Advisors Quick Links Rework America Connected Our Book America s Moment Initiative Overview Latest News Letters to Members Member Commentary Personal Stories Rework America Library Health Page Sections About Health Our Impact Steering Group Consumer Work Group HIE Committee Quick Links Blue Button Common Framework Health IT Health Library National Security Page Sections About National Security Post 9 11 Legacy Our Impact Task Force Quick Links National Security Library Reports and Recommendations Sharing and Collaboration The Lawfare Blog Library Quick Links Our Book America s Moment Archive Media Releases Member Commentary President s Letters Videos Michael Simko RPh Walgreens Pharmacy Services Michael Simko RPh contributed to the Markle Common Framework for Networked Personal Health Information Our Mission Markle works to realize the potential of information technology to address previously intractable

    Original URL path: http://www.markle.org/health/experts-impact/742-michael-simko-rph (2016-02-10)
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  • Michael L. Kappel | Markle | Advancing America's Future
    Member Commentary Personal Stories Rework America Library Health Page Sections About Health Our Impact Steering Group Consumer Work Group HIE Committee Quick Links Blue Button Common Framework Health IT Health Library National Security Page Sections About National Security Post 9 11 Legacy Our Impact Task Force Quick Links National Security Library Reports and Recommendations Sharing and Collaboration The Lawfare Blog Library Quick Links Our Book America s Moment Archive Media Releases Member Commentary President s Letters Videos About Markle Page Sections About Markle A Message from Zoë Baird Our Principles Our Impact Board of Directors Senior Team Our History Quick Links Conference Space Events Markle in the News Media Releases Past Initiatives President s Letters Rework America Page Sections About Rework America A Message from Rework America Opportunity for All Our Impact Initiative Members Expert Advisors Quick Links Rework America Connected Our Book America s Moment Initiative Overview Latest News Letters to Members Member Commentary Personal Stories Rework America Library Health Page Sections About Health Our Impact Steering Group Consumer Work Group HIE Committee Quick Links Blue Button Common Framework Health IT Health Library National Security Page Sections About National Security Post 9 11 Legacy Our Impact Task Force Quick Links National Security Library Reports and Recommendations Sharing and Collaboration The Lawfare Blog Library Quick Links Our Book America s Moment Archive Media Releases Member Commentary President s Letters Videos Michael L Kappel Senior Vice President Government Industry Relations McKesson Technology Solutions Member Markle Connecting for Health Steering Group As Senior Vice President at McKesson Michael L Kappel is responsible for developing business responses to emerging legislation and regulatory initiatives He previously served as senior vice president for Strategic Planning at McKesson where he was responsible for product direction and long range strategic planning Kappel recently was elected a Commissioner for the Certification Commission for Healthcare Information Technology CCHIT He previously served as Co Chair of the CCHIT Network Certification Workgroup Certification Process Workgroup and Advisory Panel He is past Chair of the Policy Committee of the National Alliance for Healthcare Information Technology and currently serves as a member of the Leadership Council of the eHealth Initiative and the steering committee of Connecting for Health He also is a member of the HIMSS Electronic Health Record Association which he helped to found in 2004 and where he has served as a past member of the Executive Committee Prior to rejoining McKesson in 2002 he was Executive Vice President of ProVation Medical Inc Prior to joining ProVation Kappel was Chief Executive Officer of MedSpecialists Inc a start up company acquired by ProVation in 2001 Kappel also held numerous leadership positions over 16 years with McKessonHBOC and HBO Company Those positions included corporate planning and business development sales and customer service Previous to HBO Company he held positions with MediFlex Systems and Ernst and Young s Management Consulting Services Kappel earned a bachelor s degree in psychology from the College of William and Mary and a master s of business administration in

    Original URL path: http://www.markle.org/health/experts-impact/741-michael-l-kappel (2016-02-10)
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  • Melissa Goldstein, JD | Markle | Advancing America's Future
    Our Impact Initiative Members Expert Advisors Quick Links Rework America Connected Our Book America s Moment Initiative Overview Latest News Letters to Members Member Commentary Personal Stories Rework America Library Health Page Sections About Health Our Impact Steering Group Consumer Work Group HIE Committee Quick Links Blue Button Common Framework Health IT Health Library National Security Page Sections About National Security Post 9 11 Legacy Our Impact Task Force Quick Links National Security Library Reports and Recommendations Sharing and Collaboration The Lawfare Blog Library Quick Links Our Book America s Moment Archive Media Releases Member Commentary President s Letters Videos About Markle Page Sections About Markle A Message from Zoë Baird Our Principles Our Impact Board of Directors Senior Team Our History Quick Links Conference Space Events Markle in the News Media Releases Past Initiatives President s Letters Rework America Page Sections About Rework America A Message from Rework America Opportunity for All Our Impact Initiative Members Expert Advisors Quick Links Rework America Connected Our Book America s Moment Initiative Overview Latest News Letters to Members Member Commentary Personal Stories Rework America Library Health Page Sections About Health Our Impact Steering Group Consumer Work Group HIE Committee Quick Links Blue Button Common Framework Health IT Health Library National Security Page Sections About National Security Post 9 11 Legacy Our Impact Task Force Quick Links National Security Library Reports and Recommendations Sharing and Collaboration The Lawfare Blog Library Quick Links Our Book America s Moment Archive Media Releases Member Commentary President s Letters Videos Melissa Goldstein JD Associate Professor School of Public Health and Health Services George Washington University Medical Center Member Markle Health Information Exchange Advisory Committee Melissa Goldstein JD is Associate Professor at the School of Public Health and Health Services George Washington University Medical Center Our Mission Markle

    Original URL path: http://www.markle.org/health/experts-impact/739-melissa-goldstein-jd (2016-02-10)
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  • Maureen Costello | Markle | Advancing America's Future
    Past Initiatives President s Letters Rework America Page Sections About Rework America A Message from Rework America Opportunity for All Our Impact Initiative Members Expert Advisors Quick Links Rework America Connected Our Book America s Moment Initiative Overview Latest News Letters to Members Member Commentary Personal Stories Rework America Library Health Page Sections About Health Our Impact Steering Group Consumer Work Group HIE Committee Quick Links Blue Button Common Framework Health IT Health Library National Security Page Sections About National Security Post 9 11 Legacy Our Impact Task Force Quick Links National Security Library Reports and Recommendations Sharing and Collaboration The Lawfare Blog Library Quick Links Our Book America s Moment Archive Media Releases Member Commentary President s Letters Videos About Markle Page Sections About Markle A Message from Zoë Baird Our Principles Our Impact Board of Directors Senior Team Our History Quick Links Conference Space Events Markle in the News Media Releases Past Initiatives President s Letters Rework America Page Sections About Rework America A Message from Rework America Opportunity for All Our Impact Initiative Members Expert Advisors Quick Links Rework America Connected Our Book America s Moment Initiative Overview Latest News Letters to Members Member Commentary Personal Stories Rework America Library Health Page Sections About Health Our Impact Steering Group Consumer Work Group HIE Committee Quick Links Blue Button Common Framework Health IT Health Library National Security Page Sections About National Security Post 9 11 Legacy Our Impact Task Force Quick Links National Security Library Reports and Recommendations Sharing and Collaboration The Lawfare Blog Library Quick Links Our Book America s Moment Archive Media Releases Member Commentary President s Letters Videos Maureen Costello Ingenix Our Mission Markle works to realize the potential of information technology to address previously intractable public problems for the economic security health and national

    Original URL path: http://www.markle.org/health/experts-impact/738-maureen-costello (2016-02-10)
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  • Matthew Wynia, MD, MPH | Markle | Advancing America's Future
    Sections About Markle A Message from Zoë Baird Our Principles Our Impact Board of Directors Senior Team Our History Quick Links Conference Space Events Markle in the News Media Releases Past Initiatives President s Letters Rework America Page Sections About Rework America A Message from Rework America Opportunity for All Our Impact Initiative Members Expert Advisors Quick Links Rework America Connected Our Book America s Moment Initiative Overview Latest News Letters to Members Member Commentary Personal Stories Rework America Library Health Page Sections About Health Our Impact Steering Group Consumer Work Group HIE Committee Quick Links Blue Button Common Framework Health IT Health Library National Security Page Sections About National Security Post 9 11 Legacy Our Impact Task Force Quick Links National Security Library Reports and Recommendations Sharing and Collaboration The Lawfare Blog Library Quick Links Our Book America s Moment Archive Media Releases Member Commentary President s Letters Videos Matthew Wynia MD MPH Director The Institute for Ethics American Medical Association Member Markle Connecting for Health Work Group on Consumer Engagement Matt Wynia MD MPH was appointed a Section Director in the Institute for Ethics at its inception in 1997 promoted to Assistant Vice President in March 1999 and named the Director of the Institute in May 2000 He has led research that has been published in the New England Journal of Medicine JAMA and other leading medical journals and featured on news programs including ABC News Nightline NPR s All Things Considered and the BBC World Service He also practices internal medicine and infectious diseases at the University of Chicago Hospitals where he is a Clinical Assistant Professor of Medicine Wynia received his BA from the University of Oregon s Honors College with majors in Philosophy and Biology His undergraduate thesis was entitled Paternalism in Medicine He received

    Original URL path: http://www.markle.org/health/experts-impact/737-matthew-wynia-md-mph (2016-02-10)
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