Holochain is a new technology project with huge potential for the cooperative economy. Members of The Open Co-op have been promoting the idea that new software could, potentially, revolutionize both our failing democracies and our predatory capitalist economies, since 2004. Back then we weren’t quite so clear on exactly how the required information architecture should be designed – but we knew what we wanted it to do and how it should work. In 2004, I published a paper entitled Participatory Democracy Networks, which explained how I thought some new information architecture could facilitate participatory democracy worldwide.
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An interoperability update: Do we need more carrots and sticks?
By Irv Lichtenwald | July 24, 2018
Earlier this year, the ONC released the Trusted Exchange Framework and Common Agreement (TEFCA), which responds to a mandate included in 2016’s 21st Century Cures Act and lays out principles, terms and conditions on which to base an interoperability framework that healthcare organizations can embrace. “This means patients who have received care from multiple doctors and hospitals should have their medical history electronically accessible on demand by any other treating provider in a network that signed the Common Agreement,” said National Coordinator for Health IT Donald Rucker in a recent blog post. To achieve that goal, TEFCA is divided into parts A, the principles, and B, the terms and conditions, which is also where the rubber meets the road for many who live in the healthcare IT world...
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Health IT Interoperability Reimagined!
By John Nebergall | July 19, 2018
The evolution of fax from paper-based to cloud transmission and storage (CloudFax) is a key step that enables CloudFax providers to comply with HIPAA and other regulations. Further strengthening of CloudFax as a key component in Healthcare Information Systems (HIS) will be its evolution into a Direct Messaging platform that enables the seamless exchange of Patient Health Information (PHI) between the diverse data and document management systems used by labs, pharmacies, doctor's offices, hospitals, and billing providers. CloudFax will support and contribute to the goals of interoperability. Consider:
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CMS Goes Live with Blue Button - With Life and Cost Saving Applications for 53 Million Americans to Use
By Bettina Experton, MD, MPH | July 18, 2018
On August 13 at the White House in Washington, D.C., the Office of American Innovation and the Center for Medicare and Medicaid Services (CMS) will host the first Blue Button 2.0 conference. This event will highlight CMS’ strong investment and leadership in Blue Button as a patient driven means for interoperability, cost-effective care and patient safety. Eight years after President Obama’s announcement of the Blue Button initiative to give Veterans, military beneficiaries and Medicare beneficiaries “easy access to their health information” with the use of a “Blue Button”, CMS Administrator Seema Verma took action with “Blue Button 2.0” so that 53 million Medicare beneficiaries can now make use of CMS approved patient facing Blue Button applications, turning a four-year history of claim data into actionable longitudinal health records to prevent costly medical errors, unnecessary redundant care or other harmful and wasteful care.
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Is it Finally Time to Reinvent the Wheel?
By Kim Bellard | July 3, 2018
When people talk about "reinventing the wheel, " it is often meant to discourage, even disparage. As in, "why reinvent the wheel?" It usually refers to a technology or a process that works well enough and is widely enough distributed that trying to replace it would be a fool's errand. Fortunately, the folks at DARPA aren't afraid of fool's errands -- and they are literally reinventing the wheel. Healthcare could use some fool's errands of its own. We all know what a wheel is. We know a wheel when we see one, we know what one does, we know how they do it. We've all traveled on wheels -- skates, bikes, cars, buses, whatever. It's hard to imagine a world before the wheel, before that beautiful circular shape, and it's hard to imagine improving on it.
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OpenStax Provides Cheaper Textbooks and Better Access for Higher Ed Students
By Nicole C. Baratta | July 2, 2018
OpenStax was founded by Rice University engineering professor Richard Baraniuk in 1999 under the name Connexions. It started like most open source projects: To scratch an itch and address a problem. In this case, Rice University wanted to do something on the web related to education. A grad student suggested that they take the model used to develop Linux and apply it to create textbooks, and Connexions was born. They decided on a license that allowed for reuse with attribution—in essence, this was the first use of the Creative Commons license even before the license existed.
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The Evolution of Blockchain - A Quick Guide and Why Open Source is at the Heart of It
By Axel Simon | June 30, 2018
It isn't uncommon, when working on a new version of an open source project, to suffix it with "-ng", for "next generation." Fortunately, in their rapid evolution blockchains have so far avoided this naming pitfall. But in this evolutionary open source ecosystem, changes have been abundant, and good ideas have been picked up, remixed, and evolved between many different projects in a typical open source fashion. In this article, I will look at the different generations of blockchains and what ideas have emerged to address the problems the ecosystem has encountered. Of course, any attempt at classifying an ecosystem will have limits—and objectors—but it should provide a rough guide to the jungle of blockchain projects.
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Holochain – the Perfect Framework for Decentralized Cooperation at Scale
By Oliver Sylvester-Bradley | June 27, 2018
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Major German research project chooses openEHR
By Thomas Beale | June 26, 2018
I just returned from Heidelberg, where another very successful ‘openEHR day’ was held, this time by the HiGHmed research consortium, with 100 attendees. HiGHmed is funded with 20m€ by the German Federal Ministry of Education and Research (BMBF) under the “Medical Informatics” funding scheme, and has as its goal..... to develop and use innovative information infrastructures to increase the efficiency of clinical research and to swiftly translate research results into validated improvements of patient care...
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Towards a Fortnite Healthcare System or how Gen X and Millenials will demand Gamification in Medicine
By Kim Bellard | June 19, 2018
The World Health Organization (WHO) just included "gaming disorder" as a new mental health condition, listing it is its 11th edition of the International Classification of Diseases. My first reaction was, oh, good, now I have a good excuse to write about Fortnite. A year ago I hadn't even heard of Fortnite. That's no surprise, because few had; it wasn't officially released until July 2017, and even then the free, most popular version -- Fortnite Battle Royale -- wasn't released until last September. It was an immediate sensation, with over a million players within the first month. It has been smashing numbers ever since.
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HLN Submits Comments to the CMS Quality Payment Program
By Noam H. Arzt, Ph.D. | June 15, 2018
On June 14, 2018 HLN submitted the following comments on the Centers for Medicare and Medicaid Services (CMS) 2019 Inpatient Prospective Payment System Notice of Proposed Rulemaking (NPRM) to Quality Payment Program based on our earlier comments...We are quite concerned by both the overall direction and the specific recommendations regarding public health objectives and measures in the NRPM. Regarding the changes to the proposed measures, CMS has not provided any explanation for why Syndromic Surveillance reporting was selected as the required measure. Other public health measures (e.g., Immunization reporting, Electronic Laboratory Reporting, Electronic Case Reporting) continue to require incentives for implementation.
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