ONC Releases 2018 HITECH Report

In early January the Office of the National Coordinator for Health Information Technology (ONC) issued its annual report to Congress for 2018 on the adoption of electronic health records (EHR) and interoperability. This report is required under the HITECH Act and is further informed by requirements of the later 21st Century Cures Act...One thing that I think is notable was a short discussion about barriers to interoperability that we have heard before. The report identifies three types: technical barriers, financial barriers, and trust barriers. Within trust barriers the report mentions legal incentives to keep data from moving (I guess that would have better been phrased as legal disincentives to sharing), but this misses the point: It is the patchwork of inconsistent and incompatible State and local laws and regulations - not intentional information blocking - that presents a bigger challenge and barrier.

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Open Source Space Academy Opens in Nairobi

Nairobi's Tunapanda Institute has been using open source tools to provide technology, design, and business training in East Africa since its inception in 2013. Next year the school will launch a "space academy" to inspire young people to think about some of the most critical challenges facing humanity on this planet and beyond. Tunapanda's founders believe that everyone should have the opportunity to help shape the future, and in order for that to happen there must be learning materials and tools that are open, shareable, and unrestricted so that anyone, no matter their financial or educational background, can learn and be inspired.

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In God We Trust, All Others (Don't) Pay Cash

I was intrigued by a recent Wall Street Journal article about how some retail establishments won't accept cash as a form of payment, citing Drybar, Sweetgreen, and at least one Starbucks location. Cashless is touted as faster, safer, easier to administer, and in line with most customers' preference. Indeed, a new study from the Pew Research Center found that 29% of all U.S. adults don't use cash at all in their typical week, up from 24% in 2015. The higher the household income, the less cash was used. Alistair Johnson writes in Forbes that, hey, if we're going to a cashless society, we should make it a cardless one as well, not simply replace our cash with those pieces of plastic we use for debit/credit. I think he's on to something there, and both discussions made me think about how we change the constructs of our everyday lives -- including in healthcare.

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Feature Articles

  • January 15, 2019 - Roger A. Maduro - Open Health News
    In early January the Office of the National Coordinator for Health Information Technology (ONC) issued its annual report to Congress for 2018 on the...
  • January 8, 2019 - Roger A. Maduro - Open Health News
    I was intrigued by a recent Wall Street Journal article about how some retail establishments won't accept cash as a form of payment, citing Drybar,...
  • January 14, 2019 - Roger A. Maduro - Open Health News
    Nairobi's Tunapanda Institute has been using open source tools to provide technology, design, and business training in East Africa since its...
  • January 5, 2019 - Roger A. Maduro - Open Health News
    Let's start with an uncontroversial point: Software developers and system operators love Kubernetes as a way to deploy and manage applications in...
  • January 6, 2019 - Roger A. Maduro - Open Health News
    On December 3, 2018, the Department of Health and Human Services (HHS) released an extensive, 120-page report on the administration's proposals to...

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