tag:blogger.com,1999:blog-4384692836709903146.post4177713945136219375..comments2024-03-27T09:55:23.143-07:00Comments on Dispatch from the Digital Health Frontier: A BIDMC Progress Report on InteroperabilityJohn Halamkahttp://www.blogger.com/profile/04550236129132159307noreply@blogger.comBlogger5125tag:blogger.com,1999:blog-4384692836709903146.post-39274623076205741092009-12-15T19:23:11.930-08:002009-12-15T19:23:11.930-08:00John,
Your efforts to meet the proposed 2011 regu...John,<br /><br />Your efforts to meet the proposed 2011 regulations on meaningful use for two EHRs are appropriate for the current definition. I am curious about your thoughts on the loss of real time, bidirectional communication between providers now separated by the two EHRs. Pushing "clinical summaries" from one EHR to the other does not replace the ability to review the actual notes and tests performed by the referring provider. As a PCP , I write my progress notes with the intention of conveying meaningful information to another doctor -designed to assist the emergency room doc, hospitalist, specialist, or covering doctor. Access to a clinical summary rarely gives enough information to do a proper "hand off".<br /><br />Will your current plan promote true "clinical integration", not just what the government defines it to be but what is necessary for patient safety, better quality, and reduced duplication/waste?<br /><br />Thanks. PCPAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-32727175323460209412009-12-15T10:23:07.447-08:002009-12-15T10:23:07.447-08:00Also, John, why did you list "populate PHRs&q...Also, John, why did you list "populate PHRs" as an expected 2011 MU exchange? That isn't listed in the HIT Policy Committee's matrix until 2013 ("Access for all<br />patients to PHR populated in real<br />time with health data") whereas 2011 only mentions patient "electronic access to their health information" and "provide patient with electronic copy" -- both of which can be done through a PHR but also by other methods (portal, media, e-mail, etc.). <br /><br />But regardless, thank you for sharing your real-world experiences at BIDMC. Very helpful!Davidhttps://www.blogger.com/profile/13251393010554964308noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-69686128798158543912009-12-15T07:59:07.101-08:002009-12-15T07:59:07.101-08:00Why are the clinical summaries something that can ...Why are the clinical summaries something that can be left for a year or more? I was under the assumption that this would be a key element to achieving interoperability. Am I wrong to believe that the ability/necessity to share clinical summaries across providers is the strongest method to eliminating much of the waste in our health care system?<br /><br />I am of the belief that the exchange of this data, from provider to provider is key to reducing waste, both in terms of duplicate tests, but also in physician time recreating histories and records that already exist.<br /><br />Is that too pie in the sky?<br /><br />Thanks again for the wonderful blog and your insights into the industry and your personal experiences.<br /><br />In the end, have you not just optimized each of the two disparate EHR systems, but have yet to interweave them in a meaningful manner that permits the transmission of information?doublehappinesshttps://www.blogger.com/profile/14131419003039529394noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-54410325347118114832009-12-15T07:36:11.415-08:002009-12-15T07:36:11.415-08:00Hi John,
Recently, in the HIT Buzz blog, and now i...Hi John,<br />Recently, in the HIT Buzz blog, and now in yours, there have been "hints" that some of the expected December regulations may not come out in December. Why is that? For example, you said "In January of 2010, the Federal Notice of Proposed Rulemaking on Meaningful Use will outline the data exchanges we must perform and the timeline to perform them." I thought ONC and CMS were required by ARRA law to release the draft of these rules by 12/31? Is there a reason why you said January, not December? The later it is, the less time the industry has to ensure that products meet the requirements (unless the whole calendar for MU years slides back). <br />Thanks,<br />DavidDavidhttps://www.blogger.com/profile/13251393010554964308noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-46321545854666959182009-12-14T06:18:41.863-08:002009-12-14T06:18:41.863-08:00Is or will the home health care department be part...Is or will the home health care department be part of the systems integrated EHR? Pat K.Pat Kelleherhttps://www.blogger.com/profile/18272103606392638229noreply@blogger.com