Register  
Saturday, August 19, 2017
 
Ready Consultant
  
  View Overview
                 About Us

Author Profile
David Willcutts
www.ReadyConsultant.com
www.linkedin.com/in/davidwillcutts
Blog.ReadyConsultant.com
Ready Consultant, LLC

Author's Focus:
Healthcare regulatory changes in HIPAA, EHR, ARRA, ICD10, etc., as well as how to approach consulting projects from planning, engaging and managing.

Go to Author's Profile Page

  
All Articles Listing
rss
Expect States to Take Control of Health Reform
By:SWilliams - - 07/09/2010

46 states face budget shortfalls. Can they afford health reform? Read More..


Health Reform, Is Your Company's Plan Grandfathered? Be careful.
By:ReadyConsultant - - 07/07/2010

Employers who offer health coverage have many new requirements to understand related to the recently passed Affordable Care Act. Most of the major changes do not become effective until January 1, 2014 particularly given the "grandfathered" status. However, maintaining this status may be more diffic... Read More..


What's Next for ONC's Agenda with EHR's, Certification and more?
By:DWillcutts - - 01/21/2010

Information Week's recent interview with ONC's Dr. David Blumenthal provided some interesting insights into what is next and who is out there to help providers realize these goals. Where are the meaningful use guidelines? What about the certification process and who will be certifying? And is there... Read More..


NHIN Re-thought? ONC's Dr. David Blumenthal is re-envisioning
By:DWillcutts - - 01/21/2010

The six year effort by the government to create a National Health Information Network through efforts such as RHIOs is getting a fresh look. Is there practicality coming out of Washington? Or is this another twist in the road to a far off dream? At first glance, having a focus on smaller providers'... Read More..


Page:   of 16 
  

NHIN Re-thought? ONC's Dr. David Blumenthal is re-envisioning

DWillcutts - - 01/21/2010

The six year effort by the government to create a National Health Information Network through efforts such as RHIOs is getting a fresh look. Is there practicality coming out of Washington? Or is this another twist in the road to a far off dream?  At first glance, having a focus on smaller providers' ability to share data locally seems wise.  Hmmm... has anyone every heard that health care will always be local!


Information Week recently posted an interview with ONC's Dr. David Blumenthal that covers many topic.  Dr. Blumenthal's comments on the ability of providers to participate in information exchange seems refreshingly on point.  Massive national projects seem to come and go with little to show for the effort except time and money.  This has made providers at the front line of health care reasonably skeptical.  The electronic health record requirements in ARRA (the HITECH portion) elicit similar concern from smaller providers.

It is well known that larger providers, such as a Kaiser, have the resources in both money and staff to deploy highly complex and comprehensive systems.  Smaller providers are left to look on in wonder.  This is also true of the challenges faced by providers attempting to connect with information exchanges and the hurdles that exist with data formats, restrictions from the software vendor, and much more.

For this reason it is refreshing to hear that the Health IT Policy Committee has looked at this issue with some practicality.  To quote from the interview Dr. Blumenthal said:

"At its last meeting the HIT Policy Committee adopted recommendations that they have not yet formally transmitted to me to encourage the development of a more flexible, adaptable, less complicated method of health information exchange than the Nationwide Health Information Network."

He goes on to say:

"We want to make sure what we do is develop exchange capabilities that are available to hospitals, physicians, nurses, and other health professionals who want to exchange information, and make sure they're practical and feasible to do without all the resources that big institutions have at their disposal. ...there may be a simpler way than a full NHIN to make that possible in the short term."

Dr. Blumenthal is careful not to suggest that NHINs will not continue to receive support.  He mentioned multiple time within the interview that a full NHIN continues to have full commitment but that other approach are being considered.

"At the same time, the traditional, full NHIN remains a commitment of the Office of National Coordinator.  We're thinking about whether there are compatible versions of the exchange that require varying levels of sophistication and resources to participate, and have varying levels of capabilities over time."

This seems like the right way to think about these challenges and I expect that most smaller providers will agree too often there is a disproportionate focus on what only the large organizations can accomplish.  Health care is local and smaller providers continue to be at the front line of our health care system.  What do you think about these efforts?  Share your thoughts below... agree?  disagree?

print


Relatd Articles

What's Next for ONC's Agenda with EHR's, Certification and more?
By:DWillcutts - - 01/21/2010

Information Week's recent interview with ONC's Dr. David Blumenthal provided some interesting insights into what is next and who is out there to help providers realize these goals. Where are the meaningful use guidelines? What about the certification process and who will be certifying? And is there enough talent in the marketplace to make this happen? Read More..


rating
  Comments

No comments.

Your Name
Title
Comment
CAPTCHA image
Enter the code

This Content Requires Adobe Flash Player | Download Now


Terms Of Use  |  Privacy Statement
Home  |  Getting Started  |  Using ReadyConsultant  |  User Guides  |  Ready Blog
Copyright 2011 by Ready Consultant, LLC