David Brailer

See the following -

Halamka on Enabling Nationwide Interoperability

...recently, the ONC Interoperability Roadmap, recognizing that the building blocks of universal interoperability could not be so neatly erected, leans on the idea of “coordinated governance” of networks. While these frameworks have paid homage to the concept of nationwide network as a “network of networks”, we have yet to crisply define the stitching needed to form this nationwide network quilt. This issue hasn’t been so pressing up until now because there were relatively few networks – the “last mile” problem was the bigger concern. Network formation is evolving rapidly, however, which has made more pressing the question of what it means to connect networks in a uniform way.

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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Hazards Tied to Medical Records Rush

Christopher Rowland | Boston Globe | July 20, 2014

Subsidies given for computerizing, but no reporting required when errors cause harm

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HIMSS14: Annual Conference and Exhibit Opening with Open Source Session

The 2014 Annual HIMSS Conference & Exhibition opens today in Orlando, FL. (February 23-27).  The more than 37,000 attendees can notice an important and growing breakthrough for the health IT industry.  For the first time, HIMSS invited OSEHRA to hold a four hour session today beginning at 12:45 pm, Convention Center 203C.  The day’s formal OSEHRA session, among the traditional industry businesses, marks a breakthrough recognition for the emerging benefits and impacts that open source solutions and their many new models of business are generating around the globe. 

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HIMSS14: Open Health Presentations at Annual Health IT Conference

As we outlined in our earlier article, "HIMSS14 Annual Conference and Exhibit Opening with Open Source," open source software as well as collaboration and interoperability in health information technology (HIT) has reached break out levels and the HIMSS conference in Orlando, Florida. Below are some of the conference presentations related to open health. Note the large number of presentations the award-winning VistA EHR developed by the US Department of Veterans Affairs (VA) and its derivative RPMS developed by the Indian Health Service (IHS). Read More »

Lack Of Funding, Clout Didn't Deter Kolodner From Tackling ONC's Top Spot

Joseph Conn | Modern Healthcare | April 10, 2014

Dr. Robert Kolodner had his eyes wide open when he took the top spot at the Office of the National Coordinator for Health Information Technology at HHS.  He knew that his predecessor, Dr. David Brailer, had asked in vain for billions of dollars to help subsidize the cost of EHRS to hospitals and physicians, federal money he thought ONC needed.

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The Unfulfilled Promises Of Health Information Technology

Juergen Fritsch | Computerworld | February 27, 2013

[...] Realizing that the cost savings and improvements in healthcare delivery are nowhere near what was optimistically predicted in 2005, RAND recently commissioned a new study to take a fresh new look at the state of health information technology.  The new study paints a very different picture... Read More »