I'd like your input on two items below.
In the articles you may have seen on Forbes (links below), I mentioned how the focus has been overcoming obstacles to getting data out of EHRs. While that is important, the bigger item to drive the results Accountable Care Organizations (ACOs) and others want is to get data back into EHRs from systems such as Avado. After my presentation to the "Pioneer ACOs", I was pulled aside by the Chief Medical Officer of the ONC (Jacob Reider - former CMIO of AllScripts). Long story short, he is going to orchestrate a White House meeting where I will play a leadership role. The goal is to tackle the issue of getting data back into EHRs. One of the lynchpins to success will be getting large/influential customers of the EHR vendors putting the heat on their vendors to make this happen. Without exception, they don't expect Epic, Cerner et al to address their needs for patient engagement tools.
1. Who are the most influential customers major EHR vendors will listen to? To get cooperation from EHR vendors it is most likely to happen if customers cajole their vendors into supporting it. I define "influential" as big, thought-leading and patient-focused. Presumably it would include Kaiser and Mayo. Who else? Please name not only the org but the individual that should be invited to the White House.
2. What is the best technology standard to facilitate getting patient data back into EHRs? I define "best" as most likely to be put into action. HTTP is a great example of a light weight standard that had a big effect. Can the Consolidated CDA/CCD be just as effective at getting data into EHRs as it is to get out of EHRs?
The following two articles recap the White House meeting I was a part of and the ACO panel session.
Mr. Obama, Tear Down This Wall http://www.forbes.com/sites/davechase/2012/06/06/mr-obama-tear-down-this-wall/
Pioneer Health Care Organizations Share Lessons Learned and Challenges Ahead http://www.forbes.com/sites/davechase/2012/06/12/pioneer-health-care-organizations-share-lessons-learned-and-challenges-ahead/
More background on HC VIP:
I coined the HC VIP acronym for a vendor association that represents vendors in the patient engagement arena. The White House meeting will include those vendors, EHR vendors and I believe it's also imperative to invite customers (and thus the request) as well as patient advocacy. To begin with (and perhaps long-term), HC VIP will utilize the resources and support of the Society for Participatory Medicine. They are very supportive and I don't want to reinvent the wheel. After brainstorming, I liked the HC VIP acronym as it sends a nice message that patients are, indeed, VIPs in healthcare.
This is all quite nascent so any/all feedback is welcome.