information blocking
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ONC Tech Forum 2020—An Attendee's Perspective
I attended the ONC summer Tech Forum in August 2020 which brought together over 1,500 industry experts and Federal partners to discuss technical innovations in health information technology and their potential impacts on the healthcare ecosystem...One of the most interesting parts of the conversation was focused on the efforts made by Honk Kong to develop an open source digital health platform. Over the past 20+ years, Hong Kong has been pursuing a "one system, one record" policy primarily built on open source components. Though they had little money to invest at the beginning, for them open source is more about retaining control than about controlling cost (though the lower price tag certainly got them started down this path)...
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ONC's 3rd Interoperability Forum: Not Much to Report
On August 21 and 22, 2019 the Office of the National Coordinator for Health Information Technology (ONC) held its third Interoperability Forum in Washington, DC. More than 600 individuals participated in person with many others viewing the general sessions via webinar. The conference began and ended with half-day plenary sessions while providing five tracks with smaller sessions in between. I attended the Health Information Exchange (HIE)/Community-based Information Exchange (CIE) breakout session on both days. The plenaries...focused on the current state and the future state of interoperability.
Patient-Controlled Data: The Key to Interoperability?
Mr. Nagpal argues the issue here is one of who controls patient data — is it the patients themselves or care providers and vendors? He says if patients control their data — choose who gets access to it and see who's doing what with it — many of the proposed barriers to interoperability would dissolve. "Being able to access our own information from across our care team in a joined up manner, and then being able to determine who can access that information and for what uses, I think of these as fundamental rights," Mr. Nagpal says. "Given these rights, each one of us can grant any member of our care team, including our friends and family, researchers and any innovator with an interesting solution, with access to our data under our control"
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Providers, vendors both to blame for information blocking
Most information blocking in healthcare is "beyond the current reach" of federal agencies to detect, investigate and address, according to the Office of the National Coordinator for Health IT's report to Congress published Friday. Read More »
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Senate hearing focuses on potential delay of MU Stage 3
Despite the federal government's best intentions to create an interoperable healthcare landscape, the Meaningful Use program has yet to truly prevent information blocking by both providers and vendors, legislators on the Senate's Health, Education, Labor & Pensions committee declared at a hearing Thursday. To that end, they led a discussion focused on potentially delaying Stage 3 of the program, proposed in late March.
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The Best Way to Share Health Records? An App in Patients’ Hands
Much has been written recently about information blocking—the inability or unwillingness of hospitals and doctors to share electronic data from our health records with one another. Lack of technical interoperability and regulations protecting security, privacy, and confidentiality are often blamed. But the reality is that technical barriers are falling. The same technology that enables your smartphone to pull sensitive financial data from your bank to pay your taxes or a taxi driver can be applied to your health care records. More importantly, the regulatory path to health records sharing is now open—the rules are already on the books.
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The crisis in the Middle East, and the crisis in American health care
There are three visions for the future of medicine in the seemingly insurmountable, but really rather minor, perpetual health care crisis in America. One future of medicine sees physicians unencumbered by useless administrative tasks, wielding sleek and useful technology tools, offering the best medical care to all patients who need and want attention. Another future is yearning for the revival of chickens and charity as bona fide methods of payment for whatever medical care the free market wishes to bestow on the less fortunate. The third and final future is one devoid of most middling and often faulty doctors, where the health of the nation is enforced by constant computerized surveillance with fully automated preemptive interventions. Each definition is amenable to slight compromises in form, but not at all in substance.
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Using Open Technology To Build a Biodefense Against the Coronavirus
As the number of US cases of the coronavirus rises, how will healthcare professionals be able to tell the difference between which panicked patients with similar symptoms has what? Even if the patient hasn't traveled to Wuhan or China recently, what if they sat at a Starbucks with someone who did? With the incubation time-lag before symptoms appear, who would even know? The challenge of monitoring 330 million people for infectious disease outbreaks is daunting. Take the flu as an example. During the last flu season which, as already discussed, was not as complex as this year's season, approximately 35.5 million Americans had flu symptoms, 16.5 million received medical care, 490,600 were hospitalized and 34,200 died.
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