EHR interoperability

See the following -

Fax Is Not a Machine, It Is a Technology

Once more I am listening to a presentation on interoperability. These always get a little uncomfortable - especially in the early going - because I can almost predict where the presenter will go horribly wrong and do a complete disservice to the audience (generally somewhere between slides 3 and 8). This time it was slide 6 where the speaker inserts stock picture of a decrepit old fax machine with paper cascading off a desk and onto the floor. This comes along with the typical lecture on everything that is wrong with "fax". With the lemmings in the audience nodding/snickering along, the speaker proceeds to misinform and mislead the group. Cringe-worthy really. What's misleading? Pretty much everything he says.

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Fax Technologies Take Center Stage at HIMSS19 Exhibition

One of the most surprising developments at HIMSS19 is the large number of companies exhibiting their Fax Technologies. Long derided by reporters, health IT consultants, and EHR vendors, fax technologies have been growing in leaps and bounds while EHRs continue to fail to deliver interoperability. Just a couple of years ago faxes were used in around 75% of medical records exchanges. Latest numbers indicate that faxes are now used to exchange more than 85% of medical records. Most people would react in horror to such figures. How could physicians and medical personnel rely on antiquated paper technologies like faxes? The real story to be found on the exhibit floor at the HIMSS 2019 conference is that what we are seeing is a rapid transition to digital fax technologies and platforms. And this transition is taking place because physicians and medical staff have figured out they work!

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Fax Technology is the Cornerstone of Interoperability. Here's Why.

Fax is the dominant information exchange technology in U.S. healthcare, outpacing secure direct messaging 25-to-1. Most of that is exchanged using inefficient and unsecure machines. With the emergence of cloud-based fax technology to facilitate secure system-to-system document transfer, the use of cloud fax needs to be part of every CTO's/CIO's digital strategy...The evolution of fax from paper-based to cloud transmission and storage - Cloud Fax Technology (CFT) - is a key step that enables providers to comply with HIPAA and other regulations. Further strengthening CFT as a key component in Healthcare Information Systems (HIS) is its evolution into Direct Messaging platforms, enabling the seamless exchange of Patient Health Information (PHI) between the diverse data and document management systems used by labs, pharmacies, doctor's offices, hospitals, and billing providers. CFT supports and contributes to the goal of interoperability...

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Federal Incentive Payments For EHRs To Doctors And Hospitals Edge $24 Billion

Bob Brewin | Nextgov.com | June 12, 2014

The Centers for Medicare and Medicaid Services paid out the equivalent of the gross national product of Costa Rica -- $23.7 billion -- to hospitals and medical professionals from 2011 through April 2014 to adopt electronic health records. 

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Halamaka Takes a Deep Dive on the MACRA NPRM

As promised last week, I’ve read and taken detailed notes on the entire 962 page MACRA notice of proposed rulemaking (NPRM) so that you will not have to. Although this post is long, it is better than the 20 hours of reading I had to do! Here is everything you need to know from an IT perspective about the MACRA NPRM...What is the MACRA NPRM trying to achieve with regard to healthcare IT? The MACRA NPRM proposes to consolidate components of three existing programs, the Physician Quality Reporting System (PQRS), the Physician Value-based Payment Modifier (VM), and the Medicare Electronic Health Record (EHR) Incentive Program for eligible professionals (EPs), creating a single set of reporting requirements. The rule would sunset payment adjustments under the current PQRS, VM, and the Medicare EHR Incentive Program for eligible professionals...

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Halamka on Why he Disagrees with the "Snake Oil" Analogy

Earlier this week, the American Medical Association CEO called digital healthcare products modern-day "snake oil." As a provider and a technologist, I think we need a deeper dive to understand the issues, avoiding the kind of hyperbole that’s so common in politics today. Paul B. Batalden, MD, Senior Fellow, Institute for Healthcare Improvement (IHI), once said “Every system is perfectly designed to get the results it gets”. Let’s take a brief look at the history of national healthcare IT efforts from 2004-2016 to understand how we’ve achieved exactly the results we designed.

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Health Information Exchanges Report Information Blocking

Kate Monica | EHR Intelligence | March 23, 2017

Despite widespread disapproval and Congressional scrutiny, information blocking remains a problem for health information exchanges working to connect providers and their EHR systems. Drawing data from a national survey of 60 HIE leaders, a new study by researchers at University of Michigan Schools of Information and Public Health found information blocking to be widespread and the policies in place to mitigate the practice ineffective...

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Health Information Exchanges vendors prove tech fitness but only a fraction of initiatives will cross siloes to achieve real interoperability by 2017, reveals Black Book

Press Release | Black Book | February 17, 2015

Health Information Exchanges vendors prove tech fitness but only a fraction of initiatives will cross siloes to achieve real interoperability by 2017, reveals Black Book In 2004, President George W. Bush decreed that within ten years, the US would achieve an environment of shared, private and authorized electronic health records, but as the ten year mark came and passed, Black Book’s latest HIE stakeholder survey discovered such a secure, robust exchange of US patient records is undeniably at least another ten years out. New federal grants aim to resuscitate failing state and regional public HIEs, but a growing number of IT vendors are drastically cutting further interoperability research and development funding. Read More »

Health IT Interoperability Reimagined!

The evolution of fax from paper-based to cloud transmission and storage (CloudFax) is a key step that enables CloudFax providers to comply with HIPAA and other regulations. Further strengthening of CloudFax as a key component in Healthcare Information Systems (HIS) will be its evolution into a Direct Messaging platform that enables the seamless exchange of Patient Health Information (PHI) between the diverse data and document management systems used by labs, pharmacies, doctor's offices, hospitals, and billing providers. CloudFax will support and contribute to the goals of interoperability. Consider:

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Healtheway Announces Appointment of Carequality Leadership

Press Release | Healtheway, Carequality | November 3, 2014

Leadership Committees Include Representation From Providers, Pharmacies, Long-Term and Post-Acute Care, Consumers, Government, Standards Development Organizations and Vendors Read More »

Healthy Skepticism – Jared Sinclair's Critique of HealthKit as Both an iOS Developer and Registered Nurse

Of the many new APIs announced at WWDC this summer, HealthKit has been particularly thought-provoking for me. At the risk of sounding like that guy, I think I have a somewhat priviledged perspective of HealthKit. There can’t be that many former registered nurses who’ve switched to iOS app development and tried to start a healthcare data company.

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HHS Secretary Equates Health IT to ‘Burden’ for Doctors

Billy Mitchell | FedScoop | April 27, 2017

Health and Human Services Secretary Tom Price advocated Thursday for reducing the burden placed upon physicians and health care providers by the health technology that is otherwise meant to improve care for patients. Speaking at his first Health Datapalooza as the head of HHS, Price said the proliferation of health IT is something that “can have remarkably challenging and sometimes destructive consequences”...

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HIE At A Crossroads

Anthony Brino | Government Health IT | April 28, 2014

In the five years since the HITECH Act brought funding for public health information exchanges, the technology and the organizations that offer it have seen a varied evolution. Today, HIE as a whole is at a crossroads, with much of the public funding running out, but health data exchange services are more important than ever.

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HIMSS16 - HHS Secretary Sylvia Mathews Burwell Opens Conference

Press Release | HIMSS | February 4, 2015
Visionary healthcare leader – Secretary of the Department of Health and Human Services Sylvia Mathews Burwell  - will speak at HIMSS16 during the opening keynote session on Monday, Feb. 29, from 5-7 p.m. PST. “We welcome Secretary Burwell to this exciting program we have developed for HIMSS16,” said HIMSS Executive Vice President Carla Smith, MA, FHIMSS, CNM. “As a prominent leader opening our conference, we look forward to hearing her remarks and guidance, as we work to advance health IT systems that bring the right information to the right person at the right time to make the right healthcare decisions.”

How Closed EHR Records Cause Paralysis

Take a step back from the challenges that surround health information technology (HIT) interoperability and you will recognize that market forces and a desperately fragmented health care system make hospitals and vendors act the way we do...The predominant proprietary HIT vendors know about the interoperability gap yet engage in prolonged foot-dragging on even basic data interfacing. Read More »