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Feedback Rolls in on Halamka’s New Stance on Standards: Cats Pissed, Dogs Thrilled
November 18, 2009 /
Continuing his stunning reversal of long held perspectives, Dr. John Halamka’s blog post today suggests Guiding Principles for HIT Standards Committee:
- Keep it simple; think big, but start small; recommend standards as minimal as possible to support the business goal and then build as you go
- Don’t let “perfect” be the enemy of “good enough”; go for the 80% that everyone can agree on; get everyone to send the basics (medications, problem list, allergies, labs) before focusing on the more obscure
- Keep the implementation cost as low as possible; eliminate any royalties or other expenses associated with the use of standards
- Design for the little guy so that all participants can adopt the standard and not just the best resourced
- Do not try to create a one size fits all standard, it will be too heavy for the simple use cases
- Separate content standards from transmission standards; i.e., if CCD is the html, what is the https?
- Create publicly available controlled vocabularies & code sets that are easily accessible / downloadable
- Leverage the web for transport whenever possible to decrease complexity & the implementers’ learning curve (“health internet”)
- Position quality measures so that they will encourage adoption of standards
- Create Implementation Guides that are human readable, have working examples, and include testing tools
Commentary: These new guidelines are the right answer…let’s hope they are Dr. Halamka’s “final” answer.
Feedback from the community has been mixed:
Cats are pissed and stressed!
Dogs are thrilled!
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Posted in Health Policy/Reform, EHRs/PHRs
Feedback Rolls in on Halamka’s New Stance on Standards: Cats Pissed, Dogs Thrilled http://bit.ly/2XDGzy #hitpol #hchit #healthit #ehr
RT @VinceKuraitis: Feedback Rolls in on Halamka’s New Stance on Standards: Cats Pissed, Dogs Thrilled http://bit.ly/2XDGzy
RT @arthurwlane: RT @VinceKuraitis: Feedback Rolls in on Halamka’s New Stance on Standards: Cats Pissed, Dogs Thrilled http://bit.ly/2XDGzy
RT @arthurwlane: RT @VinceKuraitis: Feedback Rolls in on Halamka’s New Stance on Standards: Cats Pissed, Dogs Thrilled http://bit.ly/2XDGzy
Cats pissed, dogs thrilled over Halamka’s flip-flop on #HIT Standards … http://bit.ly/2XDGzy … (HT @VinceKuraitis)
Cats pissed, dogs thrilled over Halamka’s flip-flop on #HIT Standards … http://bit.ly/2XDGzy … (HT @VinceKuraitis)