interoperability transactions
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ONC HITAC Public Health Data Systems Task Force Releases Recommendations
On November 10, 2022 the Office of the National Coordinator for Health Information Technology’s (ONC) Health Information Technology Advisory Committee (HITAC) accepted and approved the recommendations of its ad hoc Public Health Data Systems Task Force. As discussed in an earlier post, the Task Force has been meeting since August 2022 and was charged with examining how improvements might be made in ONC certification rules for criteria related to public health data submission. In addition, and perhaps for the first time, the task force was also charged with developing recommendations related to the public health side of the equation: how public health data systems and/or standards might improve to ensure a smoother flow of information with clinical care. Read More »
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Rethinking MACRA, a Follow Up by John Halamka
In my blog posts, I speak from the heart without a specific political or economic motivation. Although I’ve not written about highly controversial subjects such as religion, gun control, or reproductive policy, some of the topics in my posts can be polarizing. Such as was the case with MACRA. Some agreed with my initial analysis that clinicians will have a hard time translating complex MACRA payment processes into altered clinical behavior. Others felt I was overharsh, negative and inappropriate. It’s never my intent to criticize people, instead I want encourage dialog about ideas. In that spirit, here’s my opinion on how we should evolve from fee for service to pay for value/outcomes...
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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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