At HIMSS, I listened carefully to payers, providers, patients, developers, and researchers. Below is a distillation of what I heard from thousands of stakeholders. It is not partisan and does not criticize the work of any person in industry, government or academia. It reflects the lessons learned from the past 20 years of healthcare IT implementation and policymaking. Knowing where we are now and where we want to be, here are 10 guiding principles.
electronic health records (EHRs)
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Halamka's Next Steps for the National Healthcare IT agenda
By John D. Halamka, MD | March 1, 2017
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Halamka's Recommendations for Effective Care Management
By John D. Halamka, MD | January 25, 2017
I recently joined the advisory board of Arcadia Healthcare Solutions, a leading provider of analytics, decision support, and workflow enhancement services. At my first advisory board meeting there was a rich debate about the marketplace for care management and population health tools. I’ve spent years studying such solutions at HIMSS and found most of the products are “compiled in Powerpoint”, which is a very agile programming language, since it’s so easy to change…
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Halamka's Report on The April 2015 HIT Standards Committee Meeting
By John D. Halamka, MD | April 26, 2015
The April 2015 HITSC meeting focused on the Certification Rule NPRM and a comprehensive review of the Federal Interoperability Roadmap. I suggested that a guiding principle for the committee’s work is to emphasize the enablers in the proposals while reducing those aspects that create substantial burden/slow innovation. As a federal advisory committee our job is to temper regulatory ambition with operational reality.
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Halamka: Next ONC Chief Faces Small Budgets, Big Challenges
Jennifer Bresnick | EHR Intelligence | October 9, 2013
The next National Coordinator for Health IT has some big shoes to fill, says Beth Israel Deaconess CIO John Halamka, and will face an era of shrinking IT budgets, converging deadlines, and hard choices. [...] Read More »
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Halamka: Stage 2 Meaningful Use, ICD-10 Timelines Unrealistic
Jennifer Bresnick | EHR Intelligence | November 20, 2013
The current slew of health IT initiatives slated to hit the healthcare industry over the next year or so place unrealistic expectations on beleaguered providers [...]. Between Stage 2 of meaningful use, ICD-10 implementation, the HIPAA Omnibus rule, and the Affordable Care Act, providers simply have too much to handle in too short a timeframe to make everything work the way rule makers hope it will. [...] Read More »
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Halamka: What Keeps Me Up At Night - Fall 2013
John Halamka | Life As A Healthcare CIO | September 3, 2013
All of these challenges can be conquered. For nearly 20 years, I've led an IT organization that has continuously delivered miracles with 1.9% of the operating budget. I am ready for the challenges ahead but wonder if mergers/acquisitions, regulatory uncertainty, MU2 certification challenges, resource constraints, and real time demands will create a set of constraints that are impossible to optimize.
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Harris Corporation Authorized To Connect Veterans Affairs And DoD Electronic Health Record Systems
Press Release |
Harris Corporation |
March 4, 2013
Harris Corporation (NYSE:HRS)...has been authorized to deploy a solution that enables the U.S. Department of Veterans Affairs (VA) and the Department of Defense (DoD) to share electronic health records. Harris completed the Critical Design Review process and achieved Authorization to Operate for the initial deployment of the Services Oriented Architecture (SOA) suite that will support information sharing between the VA and the DoD. The SOA will enable new types of clinical collaboration and integration of legacy data in standard interfaces that help users to exchange information in real time, without needing to change source data or displays. Read More »
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Harris Corporation Unveils FusionFX - Advanced Healthcare Integration Platform
Press Release |
Harris Corporation, Presence Health |
February 24, 2014
Harris Corporation (NYSE:HRS), an international communications and information technology company, launched an advanced integration platform for healthcare providers worldwide during the Healthcare Information and Management Systems Society (HIMSS) conference being held February 23-27 in Orlando, Florida. Read More »
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Harry Greenspun's 4 Forces Driving Personal mHealth
Tom Sullivan | Government Health IT | June 11, 2013
In a world boasting seemingly futuristic technologies such as Wi-Fi-enabled pill bottles and pills that trigger an e-mail alert upon hitting the stomach, there are still hospitals that have yet to grant patients access to their electronic health records. Read More »
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Harvard Docs: Time Is Right for Patient-Centered Health Repositories, Not Portals
Jonah Comstock | MobiHealthNews | January 26, 2016
A number of public and private initiatives have been launched over the years in the name of a personal health record for patients. But one way or another, they've all failed to gain traction, according to Drs. Isaac Kohane and Kenneth Mandl of the Harvard-affiliated Boston Children's Hospital, who published an editorial in the New England Journal of Medicine last week. The authors believe now might be the time to finally realize that ambition...
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Harvey Evacuees Leave Their Belongings—and Health Records—Behind
Megan Molteni | Wired | September 1, 2017
Digitizing the world's medical records was supposed to make doctors' lives easier and patients' lives longer. But unlike banking and shopping, medicine has had a rough time transitioning to the new digital order. Because health care providers use different systems for their electronic health care records, it’s still difficult for a patient’s data to follow them through the medical ecosystem...
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Has EHR Usability Suffered For The Sake Of Adoption Speed?
Jennifer Bresnick | EHR Intelligence | September 13, 2013
The need for speed may have left truly meaningful use of electronic health records in the dust, says Larry Pawola, Professor at the University of Illinois at Chicago Health Informatics in a blog for The Information Daily. Read More »
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Hatch Wants To Pause, Reassess Meaningful Use
Dan Bowman | FierceEMR | July 18, 2013
Despite lauding technology's potential to transform healthcare for the better, Sen. Orrin Hatch (R-Utah) said he thinks Meaningful Use needs to be reassessed. Read More »
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Hawaii Beacon Infuses Health IT, Care Coordination With Aloha
Mary Mosquera | Government Health IT | August 27, 2012
Some patients on the island of Hawaii live in communities far apart from each other and from physicians and hospitals, with few methods of transportation except the family vehicle. Like other rural areas, this situation puts patients with diabetes and other chronic conditions at greater risk of costly hospitalization. Read More »
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Hawaii Beacon Touts New Successes
Erin McCann | Healthcare IT News | July 9, 2013
When ONC reported to Congress last month on both the HITECH Act's achievements and the barriers left to overcome, officials cited notable progress seen across the $250 million Beacon Community projects. [...] Read More »
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