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E-health strategies with Donald W. Seymour, CHC

DonaldW. Seymour, CHC, is a principal with Cambridge (Mass.) Concord Associates. He has more than 20 years of management experience in the healthcare field. His current consulting endeavors focus on enterprisewide strategic planning, service line development, and the use of the Internet for strategy deployment. Mr. Seymour is a trustee of the Society for Healthcare Strategy and Market Development and of the American Association of Healthcare Consultants. He is a frequent speaker and author on healthcare strategy and organization issues, and is co-presenter of the popular ACHE seminar, "A Strategic Approach to Your e-Health Initiatives."

Click on a link below or scroll down to read the questions posted for Mr. Seymour as well as his responses:

Lisa - 02:07pm Feb 2, 2002
Hi Don, I'm a small hospital CEO. I have yet to find a decent web host/provider that can help with building and hosting a site, but not take us to the cleaners. We are located in the Midwest. Can you help?

thanks Mark Lisa, FACHE

  1. Seymour - 10:22am Feb 11, 2002 (#1 of 2)
    My colleague, Bob Noel with Greystone (rnoel@greystonenet.com, is a better source of information on this. Caveat: Greystone does Web hosting. But I believe you will fiind him an objective source. If not try: Daniel Fell Partner Daniel Douglas Norcross 417 Market Street, Suite 201 Chattanooga, TN 37402 888/619-8697 If all else fails, please contact me directly (dseymourcca@aol.com) and I will help you find someone. Fax: 423/752-3697 e-mail: dfell@ddngroup.com
    1. davis - 01:57pm Feb 13, 2002 (#2 of 2)
      Web Hosting: Have an in-house team develop it We have been working on ours for some time. I might suggest that you have a group from the faciltiy devleop the content. It has taken the issue to those who might want to access the web and I think we are getting good material at there at a reasonable cost. The team is working with the local paper that has the ability to host and the team develops what and how things will look like.

Darasz - 12:45pm Feb 21, 2002
Dear Mr. Seymour:
We are a huge Hospital Based Physician Practice who is planning to make available to our patient population a secure Internet Website called "Gateway" which would give our patients the ability to register on line to provide appointment preference, e-mail their Physician about issues, request script refills and referrals on line and a host of other interactions via a pin number. Of great debate currently is our organization giving the patients access to their test results. Do you know of any Physician Practice that posts the patients test results, and in what format? i.e...do they show the actual values or just say the test results were within normal ranges? Do they post abnormals? What problems have Physician Practices had with such internet sites? Obviously the addition of internet access requires the Nurse or other Office Staff to view one or more place for patient activity besides telephone messages, voice mail, telephone script and referral programs etc.

Any thoughts would be greatly appreciated.

Maria Darasz
Assistant Vice President for Ambulatory Services and Patient Accounting
Wing Memorial Hospital

  1. Seymour's response - 07:34am Feb 24, 2002 (#1 of 1)
    Maria- I am not aware of any physician practices posting these results, largely for reasons related to all the questions you posed. Two other potential sources of information might be Hank Duffy (hduffy@jhdgroup.com) or Marshall Baker (Pager: 800-433-4195).

DianaKremitske - 10:11pm Mar 7, 2002
Our organization is in the process of rolling out, "My Chart", a limited version of the patient's electronic medical record accessed through our organization's web site. Our reports on usage of the different modules tell us that we have more patients enrolled than are actually using the program on a regular basis. For the most part patients access the test result module (limited to certain test results), message their providers, check their histories, and request medication refills. Can you share any insights/experiences on where the most value is obtained in this type of interaction? I would be most interested in how patient access to their electronic medical record can be incorporated into a care plan or disease management program.

  1. Seymour's response - 08:58am Mar 13, 2002 (#1 of 1) Patient Medical Record
    I'm not surprised you have more enrollees than users; this is reflective of, not just the healthcare industry, but Internet use in general.
  2. The greatest value in your process is the real-time results reporting to patients. The greatest challenge for most organizations is to provide some focused "next steps" for those patients that require follow up.
  3. There is a significant opportunity to use the record in the care management process. The challlenge is to provide context to the patient (e.g. share the care protocols) so that he/she understands how the diagnostic information fits longitudinally. - Don Seymour
   
 

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