At the ONC regional meeting in Philly, concerns about the challenges of interoperability and the problems of exchange when standards and technology do not meeting the needs of the providers, or HIEs.
I asked if anyone had ever participated in a standards development process or attended a meeting. Not a single hand went up.
Should we delegate that responsibility to the vendors and consultants for standards development? the results seem mixed so far. Lots of people (but not the patient or provider) benefit from complex, difficult to use standards, lack of "data portability", or simply the absence of standards.
How will SDOs know what providers or patients need if we can't figure out how to engage the very people who benefit from standards?
How do we get to patient-centered standards that provide value to clinicians?
I can move from one email system to a better one, because the messages transfer seamlessly. I can upgrade to a better word processor because I can import/export the files. When will I be able to move from one EHR to a safer one, without excess cost and complexity? We need "practice data portability" to drive usability, safety and innovation.
Hi Leslie...what I respect is that they've been successful at controlling the standards game, and put in the time and energy to be in control, while a lot of other stakeholders have sat on the sidelines and watched without making contributions, or having their voices heard. I don't like the fact of "regulatory capture" that this represents. And I hope that Doug and ONC will be able to resist further regulatory capture by the industry "leaders" who don't like the idea of modularity, plug-and-play, or standards that actually work to enable interoperability.
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ONC Director, Office of Standards and Interoperability
Office of the National Coordinator for Health IT
ONC Director, Office of Standards and Interoperability, present
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