'Opening the black box'

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What’s the ‘black box’?  Patient EHRs across the hospital, doctor’s office and home care–and opening it means making them accessible for both viewing and uploading progress data whatever the point of care.  Here is how Cleveland Clinic and its Epic EHR system are connecting inpatient, ambulatory-care, and home care systems (their own).  The big incentive of course is Medicare, which will be limiting reimbursement for hospital readmissions, and state Medicaid plus private insurers which will increasingly be bundling in-hospital (acute) and post-acute (after discharge, at home) care.  Telehealth (here called telemonitoring) is also a part of this ‘box’ and integrating it from proprietary platforms, as well as connecting independent home health providers, are more wrinkles in this picture.  Article.