Last week, I was riveted to the deliberations on the Senate floor, as the fate of the Medicare Access and CHIP Reauthorization Act (MACRA – so far, more commonly called the “SGR fix”) was decided. One amendment after another failed to pass; the legislation ultimately passed by a vote of 92-8, and was signed into law shortly thereafter.
I made it to Chicago Sunday morning and hit the ground running. After arriving at the mammoth McCormick Center I headed to the CHIME meeting just as several hundred CIOs were returning from lunch. Three of the industry’s most prominent CIOs were the keynote speakers for a session entitled, “Health IT Leader 3.0 Great Ideas In Action.” Ed Marx of Texas Health Resources shared his insights on employee engagement, while Patricia Skarulis of Memorial Sloan Kettering Cancer Center discussed security. Finally Timothy Stettheimer of Ascension Information Services offered some great wisdom on life and work balance.
Nobody is explicitly opposed to interoperability in healthcare IT. That would be like opposing the eradication of poverty or hunger or child slavery. People of good will just can't argue against it. The potential benefits are too clear.
The Meaningful Use - Stage 3 proposed rule has been released, with official publication due on March 30. Llikewise, the 2015 edition of EHR certification criteria and related rules. Check out the CMS presser and ONC fact sheet. Key to...
Everyone in the industry is extremely excited about the technology of FHIR – as well they should be. But, have we forgotten about the other half of the picture?
Healthcare has unique, complex issues with regards to protecting PHI that no other industry encounters, not even banking. How do we make sure that we don’t end up in a similar place as Direct Project?
Chad Johnson's insight:
I’m not asking the industry to pump the brakes on FHIR progression and get bogged down in the same committee-driven bureaucracy that has weighed down Direct(e.g., DirectTrust). It would be wise, however, to involve IHE or some other governing body, to streamline, safeguard, and motivate provider organizations to utilize FHIR. Using these three principles may provide a better blend to achieve FHIR- inspired health interoperability.
Rep. Mike Burgess (R-TX) is floating electronic health record interoperability language he hopes to insert into the Energy and Commerce Committee's 21st Century Cures draft bill and has asked for stakeholder feedback by Friday (March 13) on data-sharing criteria, including who should be cleared to see patient data and who should establish interoperability standards.
Proposed rules released last week have effectively gutted the most troublesome of the “patient engagement” requirements. The issue is the sudden collapse of requirements related to “patient engagement”. There had been intense pushback against the measures that required patients to come to a provider’s portal or send a secure message to their provider.
Currently, when healthcare data moves in this country it does it using fax machines and patient sneaker-nets. Automated digital interoperability is still in its earliest stages, mostly it has a history of being actively resisted by both the EHR vendors and large healthcare providers. We, as an industry, should be doing better, and our failure to do so is felt everyday by patients across the country.
In the article, titled FHIR: Technology and Governance, Rob discusses why the new standard is so popular in health IT circles and why it is a key advancement in the industry's quest for real interoperability, including the use of mobile devices and the inclusion of patient-generated health data in EHR systems. However, the intent of Rob's post is to highlight the need for governance in order for FHIR to avoid the same adoption issues that have plagued Direct Project.
Interoperability, the electronic exchange of patient information between IT systems, continues to elude many in the health care industry. A draft standard -- called Fast Healthcare Interoperability Resources, or FHIR -- could change that by unlocking data held in electronic health record silos.
"The Role of an Interface Engine in Modern Healthcare" E-Book.
A modern healthcare environment demands that an interface engine do more than just connect one point to another.
The role of the interface engine must meet the requirements of a new generation of productive, connected, and efficient healthcare environments. Explored are the five major areas where the role of an interface engine is applicable within a modern healthcare environment.
If you’ve been putting your head in the sand before – you can now see that both Congress and the Administration have put out formative proposals with a common thread: fee-for-service is a sinking ship. It’s time to get off soon, folks. Are you ready?
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