The College of Healthcare Information Management Executives, which represents more than 1,400 CIOs, and Health Level Seven International are working together to promote a standardized approach for exchanging healthcare information and to highlight the importance of developing and adopting standards to achieve interoperability.
Tensions between health plans and care providers have taken an fascinating turn in Chicago. Blue Cross Blue Shield of Illinois (BCBSIL) is refusing to allow care providers “affiliated” through a clinical integration agreement to negotiate contracts jointly. The ramifications for future network contracts are significant and could play out very differently in other health care …
If 2 applications don’t share the same set of use cases, then there won’t be any interoperability between them, or it will be fitful – like pasting content between word and a browser and vice versa – it kind of sorta works. Most of the time, but you’ll often have to manually fix it for things that didn’t work how you wanted it to. In these cases, the choice of optionality vs extensibility is moving deck chairs around on the titanic, and there’s not much you can do. Read more...
An analyst new to health IT offers her insights on getting started:
"Working with HL7 seems to more closely resemble another former job of mine at a burger joint. The restaurant owners had defined their standard burger to include: mayo, mustard, tomato, onion, lettuce, and a beef patty, in that order. Unless otherwise specified, that was what the customer could count on receiving.
However, most customers needed some slight variation in their burger. Some wanted "repeating" pickles while others wanted the tomato completely removed. Customers could even have customized ingredients put on their burgers, such as kimchee or a fried egg, if the standard ingredients didn't fit all of their needs. HL7 seems to resemble this "have it your way" model."
The health of patients and financial well-being of taxpayers are eroding while the EHR vendor-sphere drags its feet in order to profit on a lack of health data interoperability, as well as systems notorious for a lack of usability. They are investing in lobbyists when they could be investing in data interfaces connecting competing EHRs, as well as improving usability. That's not funny at all.
The iWatch will allow Apple to monetize the immediate context and environment and allow it to amass a wealth of data on both your bodily activity and even emotion and place in the world. This will help understand when people will be in the most receptive mood to receive a message. Your responses and activities have just become part of the network, a part of the economy. Apple is building a behavioral economy.