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4 Comments
Anonymous
What Clem is saying is spot on! An issue with achieving large scale interoperability wins is that we keep trying to boil the ocean. We should focus on supporting and standing up a few broad base interoperability uses. One such usage can be that each care organization creates and shares an encounter message that a patient showed up and when, who they saw, and high level what happened. Until we can share this data broadly we should not be trying to implement more advanced or complicated broad interoperability. If we have this basic interoperability in place at least providers will know where to go to get more information and that will drive getting them more data. David Kendrick and Tim Pletcher showed yesterday how this type of base interop with alerting can be achieved. If we focused on getting this type of interoperability up and running we can show success and then start implementing more advanced interoperability on top of the base.
Anonymous
Selling software is a prime motivator for vendors. If the software helps in providing care then it will sell.
Government mandates do not drive the market, but a sustainable business model that makes the best use of technology can do wonders.
Anonymous
Agree. But yesterday's and today's business models have not done it. "helps in providing care" is not the main driver of HIT adoption in the US, rather it is the creation of documentation to support an encounter/procedure based billing system. Also in many cases the end user group is not the actual customer of HIT vendors, rather it is the C-suite and IT departments.
We must have business forces that align with our values (providing great, appropriate care) as the vast majority of today's do not.
Anonymous
...and customer demand is the prime motivator for selling software. So we need to make sure that the HIT customers, aka providers, administrators, patients, payers, are asking for the things that will improve care effectiveness and efficiency via greater interoperabiity. Their voice must must be consistent, persistent and specific.