Healthcare

MSNBC had an interesting article on Docs to get bonus pay for e-prescriptions. The article had a great comment: The biggest reason for the paperless push is to improve safety. More than 1.5 million Americans are injured every year by medication mistakes. Deciphering doctors’ chicken-scratch — was that 100 milligrams or 100 micrograms? — does [...]

I think alot about how decision management can be used to improve healthcare. Neil Versel is one of the bloggers I read in this space and he had a post this week called “A modest proposal” in which he repeated some comments about the failure of the medical profession to use Clinical Decision Support systems [...]

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I was chatting with someone the other day who shared a story of a European health insurer.   Their decision-making in claims looked only at the validity of the claim and nothing else. This of course created a situation where good (and very profitable customers) could be treated correctly but ineffectively – such as one [...]

Two gentlemen from Deloitte presented Integrating Predictive Analytics and BRM to Improve Health Plan Member Experience. 80% of healthcare costs are incurred by 20% of members and traditionally the 20% get all the focus. Analytics and data mining get applied to claims, authorization, costs as a result. Segmentation focuses on the unprofitable and unhealthy. Increasingly [...]

I saw a post today on medical credit scoring that made me think I should post something about how credit scoring can be used in healthcare. Now saying that, of course, makes everyone nervous – are we talking about refusing people treatment because of their credit score? Why should financial questions like credit worthiness have [...]

I have just finished presenting on the last of a series of roadshows for Silverlink. I was one of a series of presenters for their Think Different seminars. I presented with Kinney Zalesne (author of Microtrends: The Small Forces Behind Tomorrow’s Big Changes), Liz Boehm (Healthcare analyst at Forrester) and Fred Jubitz (recently of American [...]

One of the most fun things we did in the book was write about real success stories. We used an “Old Way” v “EDM Way” model for these. In the past I have written some blog posts using a similar style and today I have a new one. Old Way An online pharmacy (that the [...]

Silverlink is an interesting company whose approach is to apply science to drive healthcare behaviors in a scalable manner. They made some announcements today at the Health 2.0 conference. I recently got a chance to speak with the CEO (Stan Nowak) and his team. Silverlink has 50 healthcare clients representing 150 million lives (including 9 [...]

Last session of the day was from Rodolfo Viola of Swiss Medical Argentina on Breakthrough in Claims Excellence Management. Claims is, of course, a prime target for rules-based automation so I was excited to hear how an organization outside of North America/Europe was handling it. Swiss Medical is a privately owned company founded as a [...]

One of the most interesting uses of enterprise decision management or EDM is in automating detection of various kinds of “bad” activity. Whether the concern du jour is insider trading, money laundering or just plain old fraud. There are a number of reasons why EDM is such a powerful approach. Automation is fundamentally the best [...]

Bill over at the Wireless MD had a couple of interesting posts on e-prescribing today – Senatorial bi-partisan support for e-prescribing and Caveats for e-prescribing. The use of technology to improve healthcare is an endlessly fascinating discussion and the use of information systems to handle prescriptions (e-prescribing) is one of the most debated. There is [...]