HIMSS G7 designs “Financial Node” at the Interoperability Showcase, Vanderbilt Center for Better Health, Wednesday, September 14 – Nashville, TN

Be a pioneer of the first financial node!

Help design the first financial node at the Interoperability Showcase in September…and see it featured next February at HIMSS12!

Ensure that your organization is poised for success – by being at the drawing board of this exciting new program. The HIMSS G7 agenda will focus on high-impact industry challenges such as:

ICD-10 5010 migration issues and solutions
Electronic integration of payment and remittance data (payer to bank to provider)
Convergence of financial and clinical information to support ACOs – especially at point of care
Identity integrity issues and solutions that leverage banking technologies and processes
Health Insurance Exchange challenges and resolutions
Attendance is limited so register early!
Exclusively for HIMSS Members.
$550 Attendance Fee
Register by contacting Ebony Morgan at emorgan@himss.org or 312-915-9249.

About the Venue:
The Vanderbilt Center for Better Health
is a specialized work environment that accelerates group planning – perfect for hosting the first G7 Roundtable. The Center utilizes a proven process that guides participants through high-value learning exercises with actionable results.

Time for catching up



# # # # March 4, 2011 # # # #

Haven’t been blogging much personal stuff lately — tweetin’ and Facing mainly (@ed_dodds, @conmergence, @project_network). HIMSS11 has happened; didn’t attend but really looking forward to news out of the 9th Annual Medical Banking Project sponsored Institute, especially the working being done by John Casillas, Jim St. Clair and Eric Cohen on things XBRLish as relates to healthcare and the World Bank/World Health Organization/global health related tangent re: mobile money, mHealth, and mPayments which Angela Dunbar is patiently encouraging. That’s not to say that I don’t appreciate the work that John Phelan and June St. John and a cast of other visionaries are producing, but let’s be honest about where my passion is ;)

Got news this week that vc4africa completed the first venture capital funding deal (market-fleas.com). Ben White et. al. are to be commended for taking the world wide web and making it an asset for African entrepreneurs.

Takeshi Utsumi’s Global University collaboration initiative chugs along as he seeks to extend the Global Early Warning System (GEWS) concept to African nations as the global broadband build out enables cluster clouds to crunch big data virtually anywhere.

Mental Placeholder links here:

The Cloud-Enabled Space Weather Platform


ESG Gateway at the National Center for Atmospheric Research


The Earth System Grid – Center for Enabling Technologies


Ranger Supercomputer Supports Microclimate Forecasting


The majority of the World Convention site rework has been completed. Some tweaking will be on-going. Julia Keith as the hub of cyber activities around Global Women Connecting has been enthusiastic about adopting and extending “all things over IP” comms tools and Gary Holloway continues to travel and meet folks from the global Campbell-Stone family of churches while facing the fundraising challenges all NPOs are dealing with (Deana’s staff [more like family, really] at United Cerebral Palsy of Middle Tennessee have this in spades with the consequences of the Nashville floods on area families and individuals who live with disabilities).

The Shepherds at Woodmont Hills have authorized an ad hoc committee to analyze and review all comms related activity that the congregation currently undergoes in hopes of “shepherding” all of our assets and processes into a more unified and effective approach re: our resources. I hope this will produce an “infrastructure” which will enable the Mission Committee to be as effective as possible re: it’s obligations to our various global colleagues.

“Open” groups continuing to grow on LinkedIn.

More folks investigating Results-Only Work Environments.

Interoperancy and hyperlocality affecting the eNews biz as well as the Edison-Carterification of smart phones and other similar devices.

Time to wade out of this stream of consciousness for awhile…

World Health Organization

HIMSS Medical Banking Project Meets With World Bank

On April 22, HIMSS Medical Banking Project became one of 300 certified “civil society organizations” from around the globe to gain clearance and participation in the 2010 Civil Society Forum at The World Bank in Washington DC.

The event, somewhat shadowed by a concurrent G6 meeting occurring nearby, provided an excellent forum to meet groups that are working throughout the world to improve systems, infrastructure, problematic regulatory schemes and more. The World Bank brought out its elite – board members, executive officers and others – to meet with the certified CSOs and to explain their priorities and new governance structures that will foster accountability. Among the leading topics were a 15-year review of transparency issues at the World Bank, UN Millennium Development goals and Haiti, where HIMSS MBProject executives spoke directly with multiple regional ambassadors and government officials about the use of mobile healthcare technology to improve disaster response, funding mechanisms and more. The integration of medical banking and mobile technology is enabling a new portfolio of technology that reaches into areas with little to no infrastructure. (Blog Editor’s Note: Follow my related articles here)

In the afternoon, some 100 executives from all over the world met at a roundtable, complete with multiple translators, to address questions directly to the president of the World Bank, Dr. Robert Zoellick. During this time, Dr. Zoellick repeatedly referenced the UN Millennium Development Goals (MDG), that are targeted for fulfillment in five years (2015), and the need to work more aggressively to meet the timelines. Among these goals are improved healthcare for women and children, and others, the efficient use of resources to promote sustainability and more.

Recently, the World Bank joined five other national agencies (UN, WHO, Bill and Melinda Gates Foundation, others) to make a global announcement about the importance of information technology for improving global healthcare. This initiative is a direct result of guidance provided from within the MDGs.

After the session, which was a lively dialogue regarding various interests ranging from clean energy to healthcare to financial policies that included successfully combating fraud and abuse of funds at the World Bank, the participants gathered in a networking reception where officials of HIMSS that were present (John Casillas, SVP, HIMSS Medical Banking Project, and, Juliet Santos, Senior Director, HIMSS Medical Banking Project) spoke to many in the World Bank’s executive team, many of who asked that we make plans for ongoing collaboration.

Working with the World Bank has been a longstanding strategy of the Medical Banking Project and with the new HIMSS MBProject, there is an emerging possibility that this strategic goal will be realized by collaborating to raise awareness of health information technology issues around the world.

Tooling Up for HIMSS10 Social Media Session

I’ll use this post as a place holder.

Diigo HIMSS Medical Banking Project Group – http://groups.diigo.com/group/himss-medical-banking-project If you have social media tools which should be mentioned at the Wednesday, March 3rd bloggers session, join this group and book mark them there. Please use these tags: mblog, medbanking, medical_banking

LinkedIn Medical Banking Group – http://www.linkedin.com/groups?gid=74285

My SlideShare – http://www.slideshare.net/ed_dodds/

Thoughts thus far: How do management bias and national policy stifle the convergence made possible by citizen journalism, consumer-directed healthcare, distributed open education, great global (smart) grid, mhealth and mpayments, results-only work environments, social media, transparency, XBRL (inline), etc. relative to the adoption of medical banking?

Unstructure is a collaboratory supported by HCL which discusses many themes tangential to my thinking. Please consider participating.

FWIW, see Procter and Gamble – Connect & Develop – Chris Thoen and Mike Hernick on open innovation

The National Science Foundation is trying it. So is SWIFT. And Blackbaud. And Innocentive.

Another thought is I AM FRAKKIN AMAZED AT HOW APATHETIC the XBRL COMMUNITY is regarding the whole healthcare sector. Is there so much fraud and corruption that they fear for their lives introducing technologies which provide true transparency like inline XBRL?

From President Obama’s talk at Google (http://www.youtube.com/watch?v=m4yVlPqeZwo) Minute 60ish

I respect what the Clintons tried to do in 1993, in moving health reform forward. But they made one really big mistake and that is they took all their people and all their experts into a room and then they closed the door and they tried to design the plan in isolation from the American people. And during that period of time, the insurance companies and the drug companies, and the HMOs they mobilized, and by the time the Clintons announced their plan, you already had these Harry and Louise ads up, (you guys don’t remember this, you weren’t born, maybe, I’m teasing. You were six.). But these ads were out there that convinced  the American people they should be afraid of healthcare reform. Now, I will do it entirely differently. Within the first 100 days of my administration, we are going to have a big table, and everybody is going to be invited; labor, employers, doctors, nurses, hospital administrators, patient advocate groups, the drug and insurance companies, they’re all going to get a seat at the table, they just won’t get to buy every chair. And we will work on this process publicly. It will be on C-SPAN. It will be streaming over the net. And every time we hit a glitchwhere somebody says, “Well, no, no, no, we can’t lower drug prices because of, yeah, RND cost that drug companies need.” Well, we’ll present data and facts that make it more difficult for people to carry the water of the special interests, because it’s publi. And if they start running Harry and Louise ads, I’ll run my own ads, or I’ll send out something on YouTube, I’m the President, and I’ll be able to–I’ll let them know what the facts are. You know, one of the things that you learn when you’re travelling and running for President is the American people, at their core, are a decent poeple. There’s a generosity of spirit there and there’s common sense their, but it’s not tapped. But mainly people are–they are just misinformed or they are too busy, they’re trying to get their kids to school, they’re working, they just don’t have enough information or they’re not professionals at sorting out all the information that’s out there. So our political process gets skewed, but if you give them good information, their instincts are good and they will make good decisions. And the President has the bully pulpit to give them good information, and that’s what we have to return to as a government where the American people trust the information they’re getting. And I’m really looking foward to doing that because I am a big believer in reason, in facts, in evidence, in science, and feedback; everthing that allows you to do what you [Google] do, that’s what we should be doing in our government.

@ericschmidt Can Google help Obama out re: healthcare by integrating XBRL into Google’s finance reporting assets? http://bit.ly/bt5Cm0

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I’ve been exploring the ideas of recommendation engines lately. It would be useful to do one at a political site that would have 2 components:
1) Recommendations for the politicians
2) Recommendations for the post author making the recommendations
This would be an excellent way to cause the folks who truly represent the mindset of the majority to bubble up to the top. Whether that would be good or bad I don’t know–but it should reflect the actual likelihood that some proposed parallel policy would be adopted democratically (barring lobbyists and special interests having inordinate say).

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This just in: This is a reminder that we will be removing all Personal Health Records from the Revolution Health site at the end of February 2010. The Personal Health Record application will no longer be available and all associated data will be deleted. So that you don’t lose the information you’ve entered into the system, we strongly suggest that you download your personal records as a PDF to print and save for future reference. To do this, simply follow these instructions: Log in to your Personal Health Record. From any page of your record, click on the “printable version” link on the top right corner of any page. When you see a pop-up box asking you to “Select the following sections to include in your print out,” simply make sure that the sections you want to print and save are checked and then click the “Submit” button. Once the PDF is created (this only takes a moment), you can print directly from it and/or save it to your computer. To print the PDF, click on the printer icon at the top left of the page. To save it, click on the disk icon to the right of the printer icon. If you encounter a problem printing or saving your records, please e-mail our customer service department at CustomerCare@revolutionhealth.com for assistance. Even after the Personal Health Record is no longer available, Revolution Health and our partner sites will continue to offer you the same great health information and community pages as always. We hope you continue to visit Revolution Health often to take advantage of our offerings. Thank you, The Revolution Health Team

# # # #

My follow up comments to this post will be over at MBlog.

John Casillas on A Vision for eHealth Using Banks

Intro: Thank you Maureen and the entire team at the President’s Council, they deserve so muchcredit; Members and Sponsors.

Once a person visiting a restaurant in France was so taken by the entrée that she asked the Chef for the recipe. The following yearshe visited the same restaurant, ordered the same dish and asked for the Chef again. “I’ve tried it over and over again and its not coming out. What’s the missing ingredient?” The Chef replied, “madamme, after you follow the directions you must throw yourself into it”.

Today, during an unprecedented global crisis in banking and as our domestic healthcare systems strain under the weight of a growing underserved population, it may seem counter intuitive to link two ailing systems. But for those in banking and healthcare who have thrown themselves into the prospect of improving healthcare, a new vision of the future is emerging that is powerful, energizing and compelling!

They have stumbled upon a missing ingredient in our national dialogue to improve healthcare – medical banking. And they realize there is simply too much at stake for banks not to be sitting at the table as we fix our healthcare system.

The recipe for economic disaster is a broken healthcare system. This was the central message of the President at last week’shealthcare summit. Thus all the things that drive the banking and financial services engine rely on healthy individuals and communitiesand a productive labor force. Dr. David Mirvis, who will be on our Federal Health Board panel today, researched this linkage and found that economies rise and fall based on the health of people in anarticle published in JAMA. Dr. Stephen Parente, who will also be on our panel today, wrote in our Dr. HSA Column that an economic stimulus pathway could be distributing using cards credited with $500 to be used for prescription drugs, adding that while he’s not very excited to see so much money being spent, if its going to happen anyway, let’s spend it smartly. Many see a clear link between healthcare and economic vitality so the real question is why wouldn’t banks be fully engaged,why wouldn’t banks use their resources in the national quest to fix healthcare.

We’ve all heard a common ingredient for success: “necessity is the mother of invention.” Perhaps it will be of necessity that we findhealthcare using the rails of our banking complex to finally realize the national dream of realtime data exchange between all the industry actors. When the dish is ready, we believe that banks can ramp healthcare onto a digital platform. Banking processes were at one time mired in paper too, and there is no question that the lessons they bring to the table, and in some cases their very systems and processes, in which they are highly invested, can fast forward our national eHealth strategy. Yet we don’t hear very much about this paradigm shift in the national process. We hear about spending billions of dollars to create a new digital system, but what about the digital system lying right under our nose?

Ultimately, our challenge is to forge a health-wealth view ofthe future, where banks join with fellow healthcare stakeholders todevelop common solutions to help the uninsured and unbanked, tosocialize better tools and information that families can use for theirmedical treatments, to help individuals get real time access to theirhealthcare records through online banking used by 55 million householdsin America and growing, and to enable community centers that PresidentObama is investing in with eligibility, funds and data transferplatforms that support far greater coordination of the finitehealthcare assets in the community. Oh yes, we have a vital ingredientand a critical role in the national dialogue and don’t let anyone tellyou otherwise.

Banks and financial services firms are teaming with healthtechnology companies and others to create a new paradigm, starting withvastly improved administrative processes and moving up the valueparadigm in phase 1, to automating workflows that remove the paperchase, leveraging the unique market position of the bank to process andcapture payment data that improves revenue cycle decisioning throughdenial management or contract management routines that take up so muchtime in the business office, and finally moving to the top of thepyramid of value, to address the enterprise needs of the healthcarecommunity. Different banks are evolving at different rates along thispyramid. As you do, know that the top contenders have found compellingprospects for profitability. As success stories come in, medicalbanking groups are following this strategic pathway, creating one ofthe nation’s most compelling “Green Tech” engines – another tie intothe goals of the Obama Administration. Yes, we have a criticalingredient for the national dialogue to improve healthcare.

Moving to phase 2, we should align the immense annualinvestments in privacy and security in online banking with the uniquedata needs of each stakeholder. This calls for electronic integrationof assets to liberate data so it can travel securely in real time.We’re all stirring this pot together – our own build-out of specializedbanking platforms, NGA’s recent summit where former HHS Sec Leavittcalled on leaders to “remember Argentina” and to invest in healthcareto stimulate the economy, John Halamka’s HISPC 11-state collaborativeto normalize state laws that impede the flow of health data acrossstate boundaries, WEDI’s leadership to move us toward the 5010, EHNACsprogram for clearinghouses, ABA’s HSA Council, TAWPIs new HPAS, HIMSS’annual summit and much more – all of these efforts, in my view, aremoving us towards greater data liquidity that at the end of the daywill, and must, empower the consumer.

In phase 2, banks are embracing the power of their marketposition, reving up eHealth strategy, creating real time gateways withhealth IT partners, specializing card platforms to automate paymentprocessing across stakeholders, leveraging online banking to supportsingle-sign on for the consumer, giving families private access tohealth-wealth tools, and although Track 1 is a primary focus for manytoday, the recipes of the future belong to Track 2: innovations inmedical consumerism.

So we ask you to apply yourselves diligently to the task ofexploring how financial systems can align with the national process toimprove healthcare; and this moves us to phase 3, examining howgovernance models, like the Federal Reserve, can spearhead commonstandards banks can use to empower business and consumers withmission-critical and family-critical tools…tools that hospitals can useto automate the routines in Phase 1, tools that health plans can use toreduce disbursement costs, tools that community care centers can use toaccess healthcare assets in real time, tools that will allow you and Ito use a “healthcare ATM” just like we use the regular ATM, so if wetravel abroad as a medical tourist or just across the country and weget ill, we have secure and private on demand access to our healthcarerecords and our financing resources at the swipe of a card. We can getthis done!

Building an electronic medical banking community, the theme ofour event, moves the President’s “Green Tech” agenda forward.Rationalizing the extreme paper chase in healthcare is core tomodernizing our healthcare system. We’ve done good work digitizing thefront door, sending the claim from the provider to the payor but theback door was left wide open and today, whenever you visit a caregiver, a steady stream of paper follows you – almost all paymentrelated. This mountain of paper invadesour healthcare system, creating enormousbarriers to efficiency, siloing data that needs to be securelyliberated to improve healthcare at every point along the process andespecially at point of service, where adverse drug events causeavoidable pain and loss.

Who will liberate this data? How will it happen? If you followthe trail, it leads through the banking world – a service is rendered,payments are processed. In this country, payments only move throughbanking systems. Thus banks can use their tremendous investments ininformation technology to ramp healthcare onto the on-demand paradigmthat leads to better health programs for all the stakeholders. That isin large part what our educational program here is about. And what weneed to do is understand how to add value to that data so it canaddress the unprecedented cash flow pressures our health care system isexperiencing, not just from the economic downturn but because of thevery complexity of our healthcare payment system. Today, I’m very proudto report success stories coming in from our members – one providersaving $4 million in 12 months after implementing a medical bankingplatform, another saving $660,000 and other stories that arecatapulting medical banking into best practices. Yes, we have a GreenTech Message that is delivering compelling ROI and we need to spice upthe national debate by making our voices heard. And I’m proud to saythat that is what we can do at this Institute.

Sometimes when agonizing over problems you wake up to findsolutions right under your nose. I want to suggest to you today thatthe medical banking build-out is inevitable. As banks linked withairline systems removed layers of inefficiency, enabling consumers withonline tools, so medical banking is following a similar pathway,pushing paper out of the system, liberating data, fueling revenuecycles and decisioning; helping banks and their healthcare clients togain a better view of the intrinsic value of the fundamental financialunit in healthcare, so taxed with myriad codes, and potentiallyunleashing $200 billion in credit from receivables that are wastingaway on the books and records of our nation’s healthcare systems. Otherindustries have liquidated this asset. This is a mainstream practiceexcept for healthcare, where the value of receivables is too oftenlocked in a deep freeze. This will change in the new medical bankingparadigm.

Now, do you remember how when growing up, Mom made you eat thepeas? Some of you still don’t like peas because of that. Value shoulddrive progress not legislative fiat. It may make sense to engage alegislative agenda at some point, but for now we’ve chosen to take ourideas to the marketplace and let the market decide. And they have. The1100 employer strong Automotive Industry Action Group embraced medicalbanking as a strategy, helping us to create a new Tool Kit forEmployers to diffuse medical banking practices in the marketplace, andwe’re excited that LeapFrog and others are taking notice of ourefforts. MBProject just aligned with NCPDP, the only group that isdoing real time processing on a general basis, to cross-pollinate ideaswith our banking members. The HFMA is here, a powerful healthcaregroup, and this is testimony to the power of our ideas. I look forwardto hearing Bob Broadway tell us how we can help hospitals navigate oneof the toughest times in the history of healthcare. As Obama said,we’re at that Thelma and Louise flashpoint in healthcare, where the carcould go over the cliff. The medical banking community will not standby idly and watch banking and healthcare crash burn. We’re in the game.Its Game On for Medical Banking!

We reached out to consumer groups too. Greg Scandlen, founderof Consumers for Health Care Choices, will share his ideas and I’mgoing to listen to him carefully. We need to listen to consumers,because our quest to build platforms that serve business willultimately find critical mass in service to families. Banks know thepower of scaling services for the masses, which they do everyday. As wecollectively fine tune the vision in medical banking, new concepts willemerge of how to marry online banking, credit terminals, ATMs, branchsystems, to personalized healthcare platforms that promote betterlifestyles and better healthcare. Not only will this improve customerretention but banks may add three times more to the bottom line bycreating a health-wealth portal, linked to online banking, based on anextrapolation of research done by Dr. Paul Whitman, here fromCalifornia Lutheran University in Simi Valley.

We need to gather other chefs into the kitchen who don’t mindthe heat. So we reached out to national leadership like the Mayo ClinicHealth Policy Center. Bob Schmoldt, a leading national figure fromMayo, recently concluded a high level meeting in DC to fine tune theconcept of a US Health Board. We’ll explore this area today and gainyour valuable input. So you better plan on throwing yourself into thisdiscussion, which we will document and provide to the White HouseOffice for Health Reform.

Healthcare and banking groups are sharing ingredients, theyare finding common ground to improve healthcare in increasinglypowerful ways. When I first started talking about this in 1996, I wasmet with a field of bank stares. Yet convergence is vital to thenational dialogue to improve healthcare. The Medical Banking Projecthas pioneered new ground; we’ve thrown ourselves into the healthcaredialogue with a critical ingredient and with our members, we are makinggreat strides. All of you, top executives in your domains, must knowthat you are an integral part of the process, not a bystander. Youshould not accept the fact that everyone in healthcare is sittingaround a table and leaving you out. You must be in the process, youmust, if necessary, throw yourself into the process to fuel anelectronic medical banking community that provides powerful andrelevant services for our ailing healthcare system.

This is not a time sit back. I know there are groups that arestruggling. I know that you are coming here trying to find your footingin this dynamic and complex area. I know its not easy. But I exhort youto move forward. Hold on and invest. Your ideas are far too compellingand you have a very good chance of being rewarded well for yourefforts. You must not give up! Your participation is vital to thehealthcare interests of our nation.

To help you, MBProject has created new tools:

Our Gold Seal program, is the essential underpinning of ourmovement. Its not just a technology platform that we need; we mustbuild a platform of trust for business and consumers and bankers knowthat all too well. One slip up, and 58% of your customers will changebanks. Your margin for error is almost non-existent. I encourage you,because even though today’s climate of low confidence is tough,consumers are still depositing funds into your accounts, using ATMs,credit cards and more. Let’s not throw the baby out with the bathwater. Banks will continue to provide a central driving force in theevolution of healthcare solutions.

Our Dispute Resolution Initiative is a key tool that SheilaSchweitzer will discuss at our National Roundtable during lunchtime.

Our Medical Banking Tool Kit for Employers will be unveiledtomorrow where we’ll hear from Scott Sharland, Executive Director ofthe Automotive Industry Action Group; about their initiatives to managefiscal stress, and how medical banking offers a key ingredient fortheir long term viability.

Our International Journal of Medical Banking, as Maureendiscussed, provides a peer reviewed tool that helps to get the mentaljuices flowing to spur creative strategies linking banking andhealthcare systems.

Our Executive Training Program, as announced by John English,a professor at Vanderbilt University, will address a growing need totrain new medical banking talent and to foster critical leadershipstandards in this emerging area.

And there are more exciting programs being developed our ToolShed. Tools that are being honed by an awesome cast of executives – ourmembers – who are building common standards for creating a GreenEconomy, A Digital Economy, A Lean Economy; (a lean, green, stimulusmachine)…they are building an electronic medical banking community. Weurge you to become part of the process! Don’t sit aside when we needyou to come to the table. We can’t educate you in medical banking inthree days! This is much like drinking water from a fire hydrant. Toget the recipe right, you need to be involved 12 months out of theyear, you need to join MBProject and help us to make a difference!

In closing, I want to emphasize again that necessity is themother of invention. What if one of the most important and criticalingredients for fixing our banking and healthcare crisis was to findcommon ways to help each other? What if two broken, elephantinesystems, prodded by a dancing mouse, discovered new ways to healthemselves? Cleary, a healthy community supports a productive workforcethat ultimately results in healthy deposits. Healthcare and bankingleaders truly have much in common. There is good reason to invest inhealthcare to energize the bottom line, and get the economy movingforward again. I believe we have an historic opportunity to influencethe progress of our nation by throw ourselves into the creation of anelectronic medical banking community. Towards this end, we offer thisInstitute to inform the national process, so that we can collectivelybuild a healthy-wealthy future for our families and communities.Thank-you.

Presentation of awards

Medical Banking Project is driven by a mission: to convertdigital savings into charitable resources. We do this by optimizingbanking resources for healthcare. What gives life to our mission arethe executives that have come into our process as members and leadersof our workgroups and councils. We want to acknowledge each of theseleaders for their hard work. Each year, one or two people rise to thesurface.