Comments on: The Urgency of the Truly Transparent https://imaginewhatif.com/the-urgency-of-the-truly-transparent/ Healthcare Speaker, Consultant Thu, 05 Jan 2017 19:25:59 +0000 hourly 1 By: @BobbyGvegas https://imaginewhatif.com/the-urgency-of-the-truly-transparent/comment-page-1/#comment-22264 Thu, 16 Apr 2015 17:27:49 +0000 https://imaginewhatif.com/?p=2042#comment-22264 I continue to be concerned about the ultimate utility of the current darling HL7 FHIR API thrust. I fear we may end up simply making a bigger mess. Any one clinical datum is essentially useless by itself. Context is everything, and the breadth of the data comprising that context is often quite large for any one patient, going beyond even the gamut of data collected during any one encounter (e.g., flowsheets, trends more broadly).

Will we end up with scattershot atomistic data snippets floating around in recipient EHRs? Will we simply define down the IEEE definition of “interoperability” (“…without special effort…”) so that seamless, comprehensive, ongoing data exchange does really not happen? Will these “document-centric” XML-oriented “data-a la carte” API structures end up being faxes by any other name? Yet another workflow-addition “in-box” to manage?

I hope I’m wrong. I didn’t go to HIMSS15 (beset by my own health issues of late), or I would have been pressing for specific, multi “use case” answers.

http://regionalextensioncenter.blogspot.com/2014/10/interoperability-solution-hl7-fhir-we.html

]]> By: Jim Porterfield PT https://imaginewhatif.com/the-urgency-of-the-truly-transparent/comment-page-1/#comment-22261 Thu, 16 Apr 2015 12:19:32 +0000 https://imaginewhatif.com/?p=2042#comment-22261 I am convinced that the payer does not want to know best practice. If we were the insurance company we would surround ourselves with the most accomplished clinical researchers from the best Universities and we would ask them to tell us who we should pay how much for what. We tried for years to gain access to their database without success. We have the mechanism to analyze their data to determine effectiveness and efficiencies correlating intervention to spending.

]]> By: civisisus https://imaginewhatif.com/the-urgency-of-the-truly-transparent/comment-page-1/#comment-22259 Thu, 16 Apr 2015 11:59:41 +0000 https://imaginewhatif.com/?p=2042#comment-22259 it’s 2015, and it is at last dawning on the health care “industry” that exchanging information is an essential feature of a viable health care system.

It would be smirk-worthy, if it weren’t so pathetic, so deplorable, so borderline sociopathic.

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