I recently participated in a nationwide (not the United States) healthcare IT planning effort and one recommendation was universal availability of patient portals. Several reviewers commented that patient portal is a loaded term - it implies that clinicians control the data and patients are given a view into it. One person said, “that’s so 10 years ago.” BIDMC has been working with patient/family shared medical records, Open Notes and various consumer-facing apps since 1999. Over that time we've discovered that patients typically do not want raw data, they want something actionable - the tools necessary to assist their navigation through the healthcare process...
Meaningful Use Common Data Set
See the following -
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 Changes at ONC and Next Steps
In 2014, there have been many changes at the Office of the National Coordinator. Although I do not have access to an organizational chart, I believe the leadership of ONC and the changes in 2014 are as follows... Read More »
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What is Patient and Family Engagement?
Wikipedia and Facebook for Clinical Documentation
Over the past several years I’ve written about the inadequate state of clinical documentation, which is largely unchanged since the days of Osler, (except for a bit more structure introduced by Larry Weed in the 1970s) and was created for billing/legal purposes not for care coordination...In recent lectures, I’ve called on the country to adopt Wikipedia and Facebook for clinical documentation...