Until we solve the first riddle of who we are to the healthcare system, true data interop will remain the chew toy of competing commercial interests and the Kabuki dance of “information blocking” will continue unabated. Playing on the fears that we’re somehow safer without a national patient identifier is effective marketing, but it’s technically false. We’re actually less safe (and less private) using an antiquated, 9‒digit numbering system developed in the 1930s.
Mandating a unique ‒ and technically superior ‒ patient identifier may not be the biggest problem in healthcare IT, but it is absolutely the first. Absent this critical standard, we will continue to struggle with competing interests, technical workarounds, and hand‒delivered data. Contrary to the headline question for this series, interoperability isn’t a business or technical challenge at all. It’s really a moral one of the highest priority.
Brad was kind enough to schedule a follow up call with me to discuss in detail his approach to replacing Cloverleaf. Particularly interesting was that his initial choice was to go with Orion Rhapsody. Here’s what Brad had to say about what prompted his change of heart:
“Then I took that hat off of Brad Lockwood as programmer and put on the Middlesex Hospital hat and said, ‘What’s the best system for the hospital?’ That was a completely different look at things.”
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.
In this whiteboard/webinar session, HL7 FHIR Governance Board Co-Chair and Corepoint Health CTO Dave Shaver discusses why so many in health IT are excited about HL7 FHIR's potential to change health data exchange.
In their article, Nyweide and colleagues1 present results from the first 2 years of the Pioneer accountable care organization (ACO) program. Like the Medicare Shared Savings ACO Program (MSSP), the Pioneer program rewards health care organizations that accept accountability for a population of...
Tuesday during HIMSS15 (great conference!) a special #HITsm tweetchat occurred during a live panel. I’d submitted a question about workflow, but didn’t think it had been accepted. Only Thursday did I realize the question had indeed been tweeted and discussed. Better late than never! Here are my tweeted responses to panelist answers to my question. I may write a complete blog post later, with links to my many other posts about healthcare workflow technology.
en doing it for a while, you probably have experienced "flow," that state where you get so lost in what you're doing that you forget yourself and everything else. That state of flow is where true happiness lies, says psychologist Mihaly Csikszentmihalyi, and we can also find it when doing something creative, or even something re
Introducing ConCert by HIMSSTM, the comprehensive interoperability testing and certification program governed by HIMSS and built on the work of the EHR | HIE Interoperability Workgroup and IHE USA. The Concert by HIMSS certification is a comprehensive program that tests and certifies electronic health record (EHR) and health information exchange (HIE) vendors committed to advancing interoperability and enabling secure, reliable transfer of data within and across organizational and state boundaries.
The ConCert by HIMSS program streamlines the certification of interoperability in health IT and helps you evaluate vendor claims, simplifying the task of selecting the right information systems for your organization.
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.
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