'Actionable' steps to interoperability"Market motivator? Hmmm... No more federal money. "Non-regulatory" incentive steps? "Loosely couples market-based Data Sharing Networks?" "Loosely?" Oh, yeah, that's swell.
JASON task force offers its final report to ONC
Tom Sullivan, Healthcare IT News, October 16, 2014
JASON, a group of independent scientists who advise the federal government, issued a November 2013 report to the Department of Health and Human Services, the Office of the National Coordinator for Health IT and the Agency for Health Research and Quality on the matter of interoperability...
Here are the half-dozen recommendations the JASON task force made to ONC, as co-chairs David McCallie, vice president of medical informatics at Cerner, and Micky Tripathi, CEO of the Massachusetts eHealth Collaborative, explained them:
- Focus on interoperability. ONC and CMS should re-align the meaningful use program to shift focus to expanding interoperability, and initiating adoption of Public APIs.
- Establish an industry-based ecosystem. A Coordinated Architecture based on market-based arrangements should be defined to create an ecosystem to support API-based interoperability.
- Set up Data Sharing Networks. The architecture should be based on a Coordinated Architecture that loosely couples market-based Data Sharing Networks.
- Enable the Public API as basic conduit of interoperability. The Public API should allow data- and document-level access to clinical and financial systems according to contemporary Internet principles
- Create Priority API Services. Core Data Services and Profiles should define the minimal data and document types supported by Public APIs
- Institute the government as market motivator. ONC should assertively monitor the progress of exchange and implement non-regulatory steps to catalyze the adoption of Public APIs.
What's not to love?
Expect several more years of wheel-spinning and cludge-fix outside-in band-aids. After which we'll issue ONC Ten Year Interoperability Plan 2.0 (assuming their budget hasn't been zeroed out by then).
WE NOW RETURN YOU TO YOUR REGULARLY SCHEDULED NIGHTMARE
America doesn’t have an Ebola epidemic, but it’s been infected with a whole lot of fear-mongering, finger-pointing and downright nonsense lately. Politicians, in particular, have unleashed a whirlwind of irresponsible speculation and policy prescriptions with no basis in reality.
Senator Rand Paul is telling reporters that you can catch Ebola at a cocktail party — an unlikely prospect, unless if, for some reason, you manage to make contact with the bodily fluids of someone who’s actively sick with the disease. Todd Kincannon, the former general counsel and executive director of the South Carolina Republican Party, declared that the “immediate humane execution” of U.S. Ebola patients would somehow save lives. Lawmakers on both sides of the aisle continue to push for travel bans, despite experts’ warnings that they could make the crisis worse. And a vocal contingent of conservatives is convinced that the threat of an infectious disease from West Africa warrants sealing the U.S.-Mexico border — an enormously expensive and probably impossible to execute solution...
Infographic from Sermo: The problem withe Ebola preparedness.
SATURDAY MORNING UPDATE:
ALL EBOLA ALL THE TIME
From my email inbox.
The Ebola Voter___
Thirteen ways Democrats and Republicans are exploiting the virus for political gain.
More to come...