Great meeting with Amy Costello and Jo Porter.
This team have led the charge on freeing data to improve trasparency and accountability in the US health system.
Academic but with a strong, pragmatic approach.
Main obstacle to progress has been clinician objection and payer ambivalence/resistance despite mandates to release data.
From: Porter, Josephine [mailto:jo.porter@unh.edu]
Sent: Saturday, 18 April 2015 8:31 PM
To: Paul Nicolarakis; Costello, Amy
Subject: RE: thank you
Hi Paul,
It was great to meet you, and spend time discussing all of the ways we all can make a difference with data…around the globe!
Here is the link to the accountable care site: www.nhaccountablecare.org. Click “Access Public Reports”. It’s all descriptive stuff, but it’s really where the health systems are right now.
The APCD Development Manual can be found here: http://apcdcouncil.org/all-payer-claims-database-development-manual.
And here is the article that describes the impact of the NH HealthCost (www.nhhealthcost.org) site and how the transparency impacted the Exeter Hospital-Anthem negotiations: http://www.chcf.org/~/media/MEDIA%20LIBRARY%20Files/PDF/M/PDF%20MovingMarketsNewHampshire.pdf
Also – do you know the work of Dr. Neal Shah (http://www.costsofcare.org/)? He has a vision to include costs into the clinical decision-making at the point of care. He is in Boston, and I would be happy to provide an introduction, if you think it would be helpful.
Thanks for making the trip to NH. Let’s chat again soon!
Jo
From: Paul Nicolarakis [mailto:paul.nicolarakis@loricahealth.com]
Sent: Friday, April 17, 2015 10:08 PM
To: Costello, Amy; Porter, Josephine
Subject: thank you
Dear Amy and Jo,
Thanks so much for your time, hospitality and apparel today. It was terrific to hear about your pioneering and hard fought journey to make a real difference with health data…. truly inspiring stuff, albeit with plenty more fights to come. Am looking forward to staying in touch and comparing notes as we seek to bring on the global healthcare reckoning.
Cheers, Paul
P.S. Jo – can you send through that accountablecare.org link, and the state development manual? The NPR story on cost of care impacts was excellent.
P.P.S .You can find out more about Australia’s Classification of Hospital Acquired Diagnoses system here.
P.P.P.S. I listened to the NPR story Jo mentioned, and also heard these two terrific Freankonomics episodes also about general healthcare mayhem on the drive back to Boston – suspect you may also enjoy them too
— How Do We Know What Really Works in Healthcare?
— How Many Doctors Does It Take to Start a Healthcare Revolution?