massive interface fees
See the following -
Monopolies On Medical Knowledge And Information Are Unethical
Dave Chase | Forbes | September 1, 2016
First, let’s acknowledge what we’re not talking about: holding onto knowledge derived from an organization’s years of hard work and learning to outperform the competition. Let’s all agree that protecting one’s secret sauce is critical to compete fiercely and win in the open market...The thing is that sharing information related to patient care is an inherent responsibility if you’re in healthcare–it runs parallel to accepting the Hippocratic Oath. But sharing alone isn’t enough; the responsibility extends to delivering consumable, usable information universally to the point of care. Ask anyone who has ever received a 1,900-page CCDA on a patient. It may very well be compliant, but it’s also absolutely useless.
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