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Could a payer-led HIE could do the trick?

While the debate about sustainable health information exchanges tends to pit public entities against private ones in a survival of the fittest scenario, two competitive large insurers are taking a new tack by creating a "public utility" data sharing service.  Blue Shield of California and WellPoint, the parent of Anthem Blue Cross, a
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What are the odds they make the deadline?

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Meaningful Use: How long would a delay appease the AMA?

It’s time to listen to all the restless natives. Let’s push the pause button, re-evaluate, and make some adjustments. A year or two delay will ultimat
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Opinion: Interoperability is an ethical issue

As healthcare professionals, and as an industry, we can no longer accept the status quo. It is possible to have real-time, two-way, low-cost, standards-based connectivity that enables improved decision-making and assures safety at lower cost. The technical capability exists. However, a byproduct of our fragmented national healthcare system is that vendors lack incentives to make their technologies work in a plug-and-play manner.
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Perhaps we don't need interoperability as much as we think we do

Perhaps we don't need interoperability as much as we think we do | #HITsm | Scoop.it
Perhaps we don't need interoperability as much as we think we do
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Interoperability perception, experience key to Cerner's win, analysts sa

Interoperability perception, experience key to Cerner's win, analysts sa | #HITsm | Scoop.it
The triumph of Cerner's team for the Pentagon's highly coveted electronic health record contract had as much to do with the Kansas City, Missouri, company's perceived strength on the interoperability front and its government experience as it did with rival Epic's inability to "play nice" with other systems, accor
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Patient Identity Matching without a National Identifier in IHE Profiles

Patient Identity Matching without a National Identifier in IHE Profiles | #HITsm | Scoop.it

n the US, because Congress won't even let anyone in the Federal government TALK about creating a national identifier (privacy concerns), we have to deal with multiple identifiers at every healthcare provider.  At least in Canada, the provinces can assign a provincial patient ID.  But, not here alas.

So, last week at the IHE Meeting, somebody asked what identifiers are supported in IHE Profiles

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KLAS Research Performance Report Analyzes Healthcare Integration Engine Market

KLAS Research Performance Report Analyzes Healthcare Integration Engine Market | #HITsm | Scoop.it
We're excited to be included in a new KLAS Research performance report that takes an in-depth look at the healthcare integration/interface engine marketplace.
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Innovative approaches to handling DICOM SR data

Innovative approaches to handling DICOM SR data | #HITsm | Scoop.it
As radiology IT professionals know, budget-strapped specialty departments often don’t have the technical resources available to provide or build custom HL7 interfaces into their RIS.
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Video: Watch our complete HL7 FHIR webinar session

Video: Watch our complete HL7 FHIR webinar session | #HITsm | Scoop.it
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.
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@realworldhl7 to teach the basics of HL7 FHIR during two free webinars, May 19 & 20

@realworldhl7 to teach the basics of HL7 FHIR during two free webinars, May 19 & 20 | #HITsm | Scoop.it

Due to the great turnout, Dave will offer his FHIR expertise during two free, 30-minute webinars:

10:30-11:00 a.m. CT, Tues., May 192:00-2:30 pm. CT, Wed., May 20

Click here to register for the free webinars

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One Doctor's Quest to Save the World With Data | WIRED

One Doctor's Quest to Save the World With Data | WIRED | #HITsm | Scoop.it
The world has more medical data than it knows what to do with. How can we use it to help save lives?
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Pioneer Accountable Care Organizations

Pioneer Accountable Care Organizations | #HITsm | Scoop.it
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...
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Why does the HIT industry lag behind in terms of supporting workflow-friendly technology & process awareness? How do we fix?

Why does the HIT industry lag behind in terms of supporting workflow-friendly technology & process awareness? How do we fix? | #HITsm | Scoop.it

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.

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Health Data Interoperability Requires Patience, Persistence

Health Data Interoperability Requires Patience, Persistence | #HITsm | Scoop.it
Health data interoperability will require a steadfast commitment to EHR infrastructure, data standards, and innovation, says Arien Malec of RelayHealth.
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DoD: New EHR not about interoperability with VA

DoD: New EHR not about interoperability with VA | #HITsm | Scoop.it
With the ink still curing on its EHR contract awarded to Leidos, Cerner and Accenture, the Defense Department went on the offense in explaining how much data it and the VA share every day.
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Designing for Precision Medicine: The Cure for HIPAA?

There’s some hope that will is coming through precision medicine, and what’s clear is part of the foundation – patient access to data. I watched the C
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Did Early Interoperability Focus Help Cerner Beat Epic at DOD?

Did Early Interoperability Focus Help Cerner Beat Epic at DOD? | #HITsm | Scoop.it
How important was interoperability in the DOD's decision to award a $9 billion EHR modernization contract to Cerner Corporation instead of Epic Systems?
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Patient-Driven Interoperability | THCB

Patient-Driven Interoperability | THCB | #HITsm | Scoop.it

Engaging the patient-consumer in the interoperability design around the EHR interface can speed interoperability and reduce the burden of regulation. A convergence of patient, physician, and institutional strategies for interoperability around the JASON Public API (application programming interface) can reduce the risk of congressional intrusion in complex technical standards.

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PHI Security Using an Interface Engine

PHI Security Using an Interface Engine | #HITsm | Scoop.it
If health data interoperability is the hottest topic in health IT, then health data security is a close second by a very thin margin.
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Part 3: Is Interoperability A Technical or Business Challenge In Healthcare?

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.

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Replacing Cloverleaf: Testing the field and choosing a winner at Middlesex Hospital

Replacing Cloverleaf: Testing the field and choosing a winner at Middlesex Hospital | #HITsm | Scoop.it

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.”

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Physicians, healthcare CXOs dive into social at HIMSS15

Physicians, healthcare CXOs dive into social at HIMSS15 | #HITsm | Scoop.it
W2O Group’s 3rd Annual HIMSS Social Conversation Report: Not your mother’s #HIMSS15 social media analysis What do you get when you mix tens of thousands
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HIT: Where We Stand and Where We Go From Here

HIT: Where We Stand and Where We Go From Here | #HITsm | Scoop.it

This post is adapted from DeSalvo’s talk at the annual meeting of the Health and Information Management Systems Society in Chicago last week.

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