tag:blogger.com,1999:blog-4384692836709903146.post2454511346681953475..comments2024-03-27T09:55:23.143-07:00Comments on Dispatch from the Digital Health Frontier: Next Steps for InteroperabilityJohn Halamkahttp://www.blogger.com/profile/04550236129132159307noreply@blogger.comBlogger5125tag:blogger.com,1999:blog-4384692836709903146.post-23743620977273164402009-01-08T22:02:00.000-08:002009-01-08T22:02:00.000-08:00With respect to all involved, PARTICULARLY to our ...With respect to all involved, PARTICULARLY to our host. <BR/><BR/>The commercial products referenced are all CCHIT certified EMRs and I work with CCHIT certified products all the time ONLY to realize they are nearly IMPOSSIBLE to integrate. CCHIT is a marketing joke and let's not mince words about it. <BR/><BR/>EMRs were NEVER designed to provide the population-based metrics and guideline-driven point-of-care decision support our physicians need in an ever more transparent environment, yet the only acronym CIOs/analysts/reporters know is "EMR" and expect the vendors to morph themselves into the latest desired incarnation. <BR/><BR/>It is one thing for a hospital with tens of MILLIONS of dollars and legions of nurses/residents/Attendings to put information into the system, but for normal/regular doctors in the community receiving less and less money for the quality they provide, your idea of a digital environment is ridiculous. They LITERALLY can't afford it, and merely trying to extend your EMRs into the community is silly as well because why should ANY doctor want to make themselves beholden to a hospital's (or plan's) IT systems? <BR/><BR/>We need to keep this discussion of interoperability real. Physicians at ALL levels need HIT tools that are SIMPLE, EFFECTIVE, AFFORDABLE and enable them to share appropriate clinical data about their patients with other selected providers in a secure way. Those systems should also SERVE THE DOCTOR in providing new means of revenue generation without significant administrative overhead. <BR/><BR/>Anything else is just noise. My fiancée is a cardio at a MAJOR health system with SIGNIFICANT money to put towards HIT and they do. She still has to log-on to four different systems JUST to find the clinical data she needs to address ONE patient's concerns. How is THAT lowering costs, making better care easier and less costly? <BR/><BR/>Let's keep this conversation real and focus less on the technology and more on the desired result.Alexhttps://www.blogger.com/profile/18324211079612009627noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-51862154440932171082009-01-02T08:37:00.000-08:002009-01-02T08:37:00.000-08:00Right on, John, as usual! All ambulatory care prov...Right on, John, as usual! All ambulatory care providers need to implement EHRs now!! The main issue is funding and know-how. To address this, the Federal Government, the payers, and the private sector need to collaborate to make this happen for the small physician practices by providing the funding and know-how. This is fundamental and the foundation which needs to be built to achieve interoperability. Have a most outstanding 2009!<BR/> Best regards, PhilPhil Rosenhttps://www.blogger.com/profile/16769185353242618197noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-48399643267164099622008-12-22T11:48:00.000-08:002008-12-22T11:48:00.000-08:00The premise of the first sentence, that a coordina...The premise of the first sentence, that a coordinated healthcare system is the reason to invest in EHR, is enough to debunk the logic of not investing in EHR. You do a good job of making the case that there are many existing reasons to invest regardless. I'm curious if the evolution of these standards and tools might facilitate another solution to the problem that hasn't been considered yet? <BR/><BR/>EMR investment like any technology should be built on a solid business case/foundation regardless of how well it complies with standards. <BR/><BR/>What will be interesting to watch is how those standards help support, in measurable terms, the business cases for investment, both for vendors and providers.Billyhttps://www.blogger.com/profile/17310840673176943843noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-39475448630805584662008-12-22T09:06:00.000-08:002008-12-22T09:06:00.000-08:00Excellent Points! If we wait for everything to be ...Excellent Points! If we wait for everything to be "perfect" we will never arrive at our destination.<BR/><BR/>The only way to "get it right" is to experiment and iterate until the bugs are out and the features implemented appropriately...(opinion based on my knowledge and experience in technology innovation).<BR/><BR/>It is the essence of issues related to "Wicked Problems" and decision-making. The "DIPs", decisions-in-progress will always prevent progress.Deborahhttps://www.blogger.com/profile/15494174579808436497noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-25781004287509676932008-12-22T04:53:00.000-08:002008-12-22T04:53:00.000-08:00love your enthusiasm! you have made some great poi...love your enthusiasm! you have made some great points and I wholeheartedly agree with embracing technology now. If only physician practices would see the same benefits that you outline here. <BR/><BR/><A HREF="http://healthitgirl.com" REL="nofollow">health IT girl</A>Unknownhttps://www.blogger.com/profile/04964368811397811873noreply@blogger.com