This week I review the 5 year strategic plan presented by the ONC, and the lobbying fight that is ensuing. The mud slinging is far more entertaining than the strategic plan. We have Silicon Valley on one side and the EHR vendors on the other. Be sure to put your comments on the ONC site if you want to jump in. Cigna and MDLive to start virtual primary care; this is a big deal. Most virtual care is episodic urgent care type activities today, but that will change when the payment model changes. This appears to signal that shift is coming.
The article that I found to be the most important of the week is Cerner's data published in Annals of Internal Medicine. They revealed the amount of time a provider is spending in the EMR per visit and provides us with a treasure trove of bench-marking opportunities.