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mpouraryan
mpouraryan
7/19/2016 2:49:25 PM
User Rank
Platinum
Re: Apps
The question, then, is this:  who is out there in your view that helps drives say the "linux" or "Java" that has helped to standardize and transform our tech world as we know it?   

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DHagar
DHagar
7/19/2016 2:45:17 PM
User Rank
Platinum
Re: Apps
@mpouraryan, I don't think the answer will be a single who, or you will end up with one version versus another again.  The industry needs a standard, from the industry associations, the government, and/or the market power of the customers wanting transferable information with their healthcare apps - or "all of the above"!

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mpouraryan
mpouraryan
7/19/2016 2:21:34 PM
User Rank
Platinum
Re: Apps
What is then clear is that this who figure out how to 'bridge the gap", harness the data will be able to overcome and truly be the "transformational agents"--the question is who? 

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DHagar
DHagar
7/18/2016 7:47:28 PM
User Rank
Platinum
Re: Apps
@mpouraryan, to a degree that is correct, what is in place is not working well enough to solving the problems for doctors in deliveriing care to their patients.  It truly does digitize and submit the claims process, not the care process.

I believe there are positive developments, as this article points out, with a platform for healthcare apps, targeted to the patient.  We need patient-centric systems.  Then the healthcare industry's leadership (ie HIMSS) in extended standards for data (like exists with HL7) would go a long way to gaining industry support.  Then the government identifying standardized claims data (since they represent 50% of the market), would provide data foundations where the disparate systems could connect.

There is hope.  Like anything else, it will require leadership.

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DHagar
DHagar
7/18/2016 7:42:48 PM
User Rank
Platinum
Re: Apps
@mpouraryan, good assessment.  Yes, the vendors jumped in with their own proprietary solutions - selling their solutions to the providers, when they saw the dollars and the markets.  Yes, startups jumped in as well, but after having "sold" everyone on their version of how the patient records should be digitized, each system is different.  The vendors were focused on the transition process from paper records to digital records and connecting the dots within each provider's system.

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mpouraryan
mpouraryan
7/18/2016 4:43:37 PM
User Rank
Platinum
Re: Apps
Based on your "firing line" perspective, then, how can we work to "Transform" this?   Clearly what is hear is not working--right?  

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mpouraryan
mpouraryan
7/18/2016 4:42:42 PM
User Rank
Platinum
Re: Apps
Why, in you view, this standardization being stymied as it has been?  The whole idea behind Obamacare was to accelerate digitization and a lot of new startups have arisen to help with this, right?

 

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DHagar
DHagar
7/18/2016 4:17:46 PM
User Rank
Platinum
Re: Apps
@mpouraryan, yes.  I have worked with Kaiser, Epic, major vendors, and numerous hospital and physician groups, as well as health plans with 1 million plus members.  They all agree that the end of one system does not connect with the next; so you have duplicate and redundant systems.  The goals are well intended, but the systems have been built separately with different vendor systems - most often without the input of physicians and providers.

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DHagar
DHagar
7/18/2016 4:11:38 PM
User Rank
Platinum
Re: Apps
@mpouraryan, the assessment of interoperability is what I am referring to.  Actually, the digitization of EHR's was started even before President Obama and was signed into law by previous President Bush - so it is not a part of Obamacare.

The requirement to digitize and submit billing and claims to CMS is one issue, but the points mhhf1ve is making, that I agree with, is that the way in which different providers and vendors have digitized has not been built around a standard of data interoperability, so the ability to share that information among providers is lacking.

As I was stating, the government could work with HIMSS and HL7, as an example, and serve an important role in establishing standards, which would assist providers and vendors in developing interoperability.

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mpouraryan
mpouraryan
7/17/2016 10:22:01 PM
User Rank
Platinum
Re: Apps
Thanks for the guidance @batye.    I would not, however, put much stock in what is available on wikipedia.     Would you rather be in the US and be at the mercy of insurance companies?  That's the key question.

 

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