A recent article in HealthAffairs describes a significant decline in the number of both operational HIEs and HIEs in the planning stage from several years earlier. The authors note continuing barriers to broad-based HIE and a shift to vendor-driven exchange which diminishes the effectiveness of community-based networks. In effect, this translates to a shift away from geographic-based/dominated HIEs to product-dominated HIEs. We have already noted (see The Interoperability of Things) the lack of a national strategy on HIE, and ONC’s Nationwide Interoperability Roadmap barely mentions the concept.
CommonWell Health Alliance
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Q&A: Mostashari On Sequester, RECs, CommonWell
Interoperability and exchange are perhaps the most frequently spoken words at this year’s HIMSS13 conference. Yet they are only two among the many issues facing national coordinator Farzad Mostashari, MD, this week. Read More »
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The Argonaut Project Charter
Yesterday, a group of private sector stakeholders including athenahealth, Beth Israel Deaconess Medical Center, Cerner, Epic, Intermountain Health, Mayo Clinic, McKesson, MEDITECH, Partners Healthcare System, SMART at Boston Children’s Hospital Informatics Program, and The Advisory Board Company met with HL7 and FHIR leadership to accelerate query/response interoperability under the auspices of ANSI-certified HL7 standards development organization processes.
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The Evolving Landscape of Health Information Exchange
The original vision for nationwide health information exchange was a “network of networks” model where local HIEs would interact HIE-to-HIE to form a virtual national network. But notice that many of the new initiatives are essentially solving a different problem: they are enabling point-to-point connections across a wider geography and set of clinical sites. This seems more like a large, single national network rather than leverage of more distributed organizations or implementations. Only time will tell if these private sector initiatives will collaborate, converge or compete. And only time will tell of the limitations of ONC’s ability to influence and provide leadership will creates gaps or provide new opportunities for innovation.
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The Story Behind The CommonWell Story
Arguably, the biggest news story coming out of HIMSS last month was the announcement of the CommonWell Health Alliance – a vendor-led initiative to enable query-based, clinical data sharing. So much has been written about CommonWell that there is little need to rehash what has been said before. Read More »
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The Year In HIE: Public, Private Sectors Prodded To Interoperability
From the start, 2013 brought some the most scrutiny ever devoted to the issue of interoperability, inside the world of healthcare and broadly in the public. Read More »
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Walgreen, UnitedHealth, Epic Form Carequality To Share Patient Data
How many organizations do we need to facilitate the electronic transfer of patient information from one health care provider to another? A few, it seems. Read More »
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What DThe CommonWell Launch Mean To A Healthcare CIO?
Since its initial launch at HIMSS13, the CommonWell Health Alliance has had many in the healthcare industry wondering when its next step toward true interoperability would take place. Speculation came to an end yesterday when the collaboration of health IT vendors announced the first provider sites to go live with its interoperability service. Read More »
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Why Integrating EMRs And Digital Images Is An Ethical And Practical Imperative
We've all been there. Following an injury, you or a family member gets an X-ray or MRI but when you follow up with a specialist a few weeks later, he or she can't access the study (unless, of course, you made a special trip to pick up a CD from the other care provider). In this age of rapid-fast information sharing, it's hard to understand why this still happens. Read More »
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