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	<title>Comments for </title>
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	<link>http://healthcare-exchange.com</link>
	<description>A forum for fresh perspectives and discussion - all in the name of healthcare</description>
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		<title>Comment on A Page from the Payer Playbook: Technologies to Fuel Collaborative Care by Bundled Payments: Preparing for the Inevitable Shift &#171;</title>
		<link>http://healthcare-exchange.com/2011/09/29/a-page-from-the-payer-playbook-technologies-to-fuel-collaborative-care/#comment-885</link>
		<dc:creator><![CDATA[Bundled Payments: Preparing for the Inevitable Shift &#171;]]></dc:creator>
		<pubDate>Thu, 12 Jan 2012 15:58:05 +0000</pubDate>
		<guid isPermaLink="false">http://healthcare-exchange.com/?p=1034#comment-885</guid>
		<description><![CDATA[[...] bundled claims within the stream of thousands coming in the door on a daily basis. To do this, they need tools to help understand which providers are involved with each bundle and enable communication with [...]]]></description>
		<content:encoded><![CDATA[<p>[...] bundled claims within the stream of thousands coming in the door on a daily basis. To do this, they need tools to help understand which providers are involved with each bundle and enable communication with [...]</p>
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		<title>Comment on What’s In a Name?  It’s Success that Counts! by Physician Mind Shift: The Emergency Department in an ACO World &#124; Physicians News</title>
		<link>http://healthcare-exchange.com/2011/01/18/what%e2%80%99s-in-a-name-it%e2%80%99s-success-that-counts/#comment-856</link>
		<dc:creator><![CDATA[Physician Mind Shift: The Emergency Department in an ACO World &#124; Physicians News]]></dc:creator>
		<pubDate>Wed, 04 Jan 2012 20:54:14 +0000</pubDate>
		<guid isPermaLink="false">http://healthcare-exchange.com/?p=631#comment-856</guid>
		<description><![CDATA[[...] to build care facilities that are catered to the population it serves, ultimately enabling the sustainable health community. But the real lynchpin for success is the collaboration between people, not just IT systems. This [...]]]></description>
		<content:encoded><![CDATA[<p>[...] to build care facilities that are catered to the population it serves, ultimately enabling the sustainable health community. But the real lynchpin for success is the collaboration between people, not just IT systems. This [...]</p>
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		<title>Comment on Beyond the CMS ACO: The Emerging Models of Collaborative Care by Physician Mind Shift: The Emergency Department in an ACO World &#124; Physicians News</title>
		<link>http://healthcare-exchange.com/2011/09/07/beyond-the-cms-aco-the-emerging-models-of-collaborative-care/#comment-855</link>
		<dc:creator><![CDATA[Physician Mind Shift: The Emergency Department in an ACO World &#124; Physicians News]]></dc:creator>
		<pubDate>Wed, 04 Jan 2012 20:52:04 +0000</pubDate>
		<guid isPermaLink="false">http://healthcare-exchange.com/?p=992#comment-855</guid>
		<description><![CDATA[[...] the era of accountable care, you’ll notice that many hospitals and health systems are already driving towards more [...]]]></description>
		<content:encoded><![CDATA[<p>[...] the era of accountable care, you’ll notice that many hospitals and health systems are already driving towards more [...]</p>
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		<title>Comment on Round Two from the ED: Response to Comments on KevinMD.com by Dipen Moitra, PhD</title>
		<link>http://healthcare-exchange.com/2011/12/21/round-two-from-the-ed-response-to-comments-on-kevinmd-com/#comment-799</link>
		<dc:creator><![CDATA[Dipen Moitra, PhD]]></dc:creator>
		<pubDate>Thu, 22 Dec 2011 15:41:35 +0000</pubDate>
		<guid isPermaLink="false">http://healthcare-exchange.com/?p=1193#comment-799</guid>
		<description><![CDATA[It is refreshing to hear the heartfelt perspectives of a Physician about ACOs. Those who practice medicine, those who develop the guidelines regulating the practice of medicine, and those of us that provide the supporting technology - need to engage in more dialogue around clinical guidelines for caring for chronically ill patients. Hopefully, clinical guidelines developed by the medical societies will be used as the basis for regulatory and financial guidelines. This would go a long way towards enabling more cost effective care, while avoiding the creation of yet another set of perverse incentives which drive the healthcare system today.]]></description>
		<content:encoded><![CDATA[<p>It is refreshing to hear the heartfelt perspectives of a Physician about ACOs. Those who practice medicine, those who develop the guidelines regulating the practice of medicine, and those of us that provide the supporting technology &#8211; need to engage in more dialogue around clinical guidelines for caring for chronically ill patients. Hopefully, clinical guidelines developed by the medical societies will be used as the basis for regulatory and financial guidelines. This would go a long way towards enabling more cost effective care, while avoiding the creation of yet another set of perverse incentives which drive the healthcare system today.</p>
]]></content:encoded>
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		<title>Comment on What’s In a Name?  It’s Success that Counts! by Effective Collaboration of Emergency Department and Primary Care Physician to give the best Patient Care - eMedSimulations Blog</title>
		<link>http://healthcare-exchange.com/2011/01/18/what%e2%80%99s-in-a-name-it%e2%80%99s-success-that-counts/#comment-782</link>
		<dc:creator><![CDATA[Effective Collaboration of Emergency Department and Primary Care Physician to give the best Patient Care - eMedSimulations Blog]]></dc:creator>
		<pubDate>Mon, 19 Dec 2011 17:34:10 +0000</pubDate>
		<guid isPermaLink="false">http://healthcare-exchange.com/?p=631#comment-782</guid>
		<description><![CDATA[[...] to build care facilities that are catered to the population it serves, ultimately enabling the sustainable health community. But the real lynchpin for success is the collaboration between people, not just IT systems. This [...]]]></description>
		<content:encoded><![CDATA[<p>[...] to build care facilities that are catered to the population it serves, ultimately enabling the sustainable health community. But the real lynchpin for success is the collaboration between people, not just IT systems. This [...]</p>
]]></content:encoded>
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		<title>Comment on What’s In a Name?  It’s Success that Counts! by Angela Mazzi</title>
		<link>http://healthcare-exchange.com/2011/01/18/what%e2%80%99s-in-a-name-it%e2%80%99s-success-that-counts/#comment-780</link>
		<dc:creator><![CDATA[Angela Mazzi]]></dc:creator>
		<pubDate>Mon, 19 Dec 2011 15:28:26 +0000</pubDate>
		<guid isPermaLink="false">http://healthcare-exchange.com/?p=631#comment-780</guid>
		<description><![CDATA[This is an interesting approach to fostering much-needed collaboration in healthcare.  Do you think this will eventually impact the buildings themselves- more or less centralization of services?]]></description>
		<content:encoded><![CDATA[<p>This is an interesting approach to fostering much-needed collaboration in healthcare.  Do you think this will eventually impact the buildings themselves- more or less centralization of services?</p>
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		<title>Comment on In or Out? HIE Patient Consent 101 by Marketing for HIE Success…but to whom? &#171;</title>
		<link>http://healthcare-exchange.com/2011/10/24/in-or-out-hie-patient-consent-101/#comment-779</link>
		<dc:creator><![CDATA[Marketing for HIE Success…but to whom? &#171;]]></dc:creator>
		<pubDate>Mon, 19 Dec 2011 14:57:04 +0000</pubDate>
		<guid isPermaLink="false">http://healthcare-exchange.com/?p=1079#comment-779</guid>
		<description><![CDATA[[...] our last post of the HIE patient consent series, we described why attaining patient consent is necessary to the success of an HIE. But to [...]]]></description>
		<content:encoded><![CDATA[<p>[...] our last post of the HIE patient consent series, we described why attaining patient consent is necessary to the success of an HIE. But to [...]</p>
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		<title>Comment on Beyond the CMS ACO: The Emerging Models of Collaborative Care by The emergency department in an ACO world - InstantKEbooks Blog - InstantKEbooks Blog</title>
		<link>http://healthcare-exchange.com/2011/09/07/beyond-the-cms-aco-the-emerging-models-of-collaborative-care/#comment-758</link>
		<dc:creator><![CDATA[The emergency department in an ACO world - InstantKEbooks Blog - InstantKEbooks Blog]]></dc:creator>
		<pubDate>Sat, 17 Dec 2011 03:35:49 +0000</pubDate>
		<guid isPermaLink="false">http://healthcare-exchange.com/?p=992#comment-758</guid>
		<description><![CDATA[[...] the era of accountable care, you’ll notice that many hospitals and health systems are already driving towards more [...]]]></description>
		<content:encoded><![CDATA[<p>[...] the era of accountable care, you’ll notice that many hospitals and health systems are already driving towards more [...]</p>
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		<title>Comment on Up, Up and Away! Healthcare’s Future “In the Clouds” by Anand Shroff</title>
		<link>http://healthcare-exchange.com/2011/12/14/up-up-and-away-healthcares-future-in-the-clouds/#comment-752</link>
		<dc:creator><![CDATA[Anand Shroff]]></dc:creator>
		<pubDate>Thu, 15 Dec 2011 16:38:42 +0000</pubDate>
		<guid isPermaLink="false">http://healthcare-exchange.com/?p=1177#comment-752</guid>
		<description><![CDATA[Matt, thanks for your comment. Spot on with the Microsoft remark - in fact, came across this (http://www.networkworld.com/news/2011/121511-ie-update-254097.html?hpg1=bn) today to drive that point home.

I can understand why it&#039;s easy to be skeptical. However, there are examples all around us to show that things are starting to change:
- OptumInsight&#039;s CareTracker EHR is 100% cloud based, and so is our competitor PracticeFusion
- CareCloud, a startup that just raised $20M, offers practice management in the cloud
- OptumInsight&#039;s Axolotl HIE is also cloud based

Additionally, small and large vendors are starting to offer open APIs for third party application integration with their clouds - I&#039;ll cite Axolotl&#039;s Open Access platform, PracticeFusion&#039;s API etc. as examples.

So yes, there&#039;s a long way to go but I think the momentum is building.]]></description>
		<content:encoded><![CDATA[<p>Matt, thanks for your comment. Spot on with the Microsoft remark &#8211; in fact, came across this (<a href="http://www.networkworld.com/news/2011/121511-ie-update-254097.html?hpg1=bn" rel="nofollow">http://www.networkworld.com/news/2011/121511-ie-update-254097.html?hpg1=bn</a>) today to drive that point home.</p>
<p>I can understand why it&#8217;s easy to be skeptical. However, there are examples all around us to show that things are starting to change:<br />
- OptumInsight&#8217;s CareTracker EHR is 100% cloud based, and so is our competitor PracticeFusion<br />
- CareCloud, a startup that just raised $20M, offers practice management in the cloud<br />
- OptumInsight&#8217;s Axolotl HIE is also cloud based</p>
<p>Additionally, small and large vendors are starting to offer open APIs for third party application integration with their clouds &#8211; I&#8217;ll cite Axolotl&#8217;s Open Access platform, PracticeFusion&#8217;s API etc. as examples.</p>
<p>So yes, there&#8217;s a long way to go but I think the momentum is building.</p>
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		<title>Comment on Up, Up and Away! Healthcare’s Future “In the Clouds” by Matt</title>
		<link>http://healthcare-exchange.com/2011/12/14/up-up-and-away-healthcares-future-in-the-clouds/#comment-750</link>
		<dc:creator><![CDATA[Matt]]></dc:creator>
		<pubDate>Wed, 14 Dec 2011 22:01:24 +0000</pubDate>
		<guid isPermaLink="false">http://healthcare-exchange.com/?p=1177#comment-750</guid>
		<description><![CDATA[Very valid points here, Mr. Schroff.  I&#039;ve worked in this industry for a few years in various roles for a vendor and a hospital and can say most (including yours) are far too slow to adopt even versions of MS software running in the background.  Nice to hear about the cloud, but I&#039;m not betting we&#039;ll see that happen any time soon in healthcare based on my experience.]]></description>
		<content:encoded><![CDATA[<p>Very valid points here, Mr. Schroff.  I&#8217;ve worked in this industry for a few years in various roles for a vendor and a hospital and can say most (including yours) are far too slow to adopt even versions of MS software running in the background.  Nice to hear about the cloud, but I&#8217;m not betting we&#8217;ll see that happen any time soon in healthcare based on my experience.</p>
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