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interoperability

JAMIA study

JAMIA Study Reports 22-68% Interoperability Across EHR Platforms: 7 Implications

by Vince Kuraitis, JD and Ian McNicoll, MD

A recent study of EHR interoperability found that 68% of data was “understood” when exchanged across different sites using the same vendor, but only 22% was “understood” when exchanged across different EHR vendors.

The study was published in the Journal of the American Medical Informatics Association (JAMIA). In this post, we will:

  • Summarize the JAMIA study and its findings
  • Interpret the findings
  • Discuss possible solutions
  • Describe seven implications

While we mostly agree on the study’s findings, we’ll offer some nuanced interpretations. Vince is a U.S. based healthcare consultant focusing on platform strategy and business models. Ian brings a European perspective – he is a former Scottish GP turned medical informatics expert.

health-data-unbound-home-1200x500

The Business Case for Health Data Sharing

Day-by-day, the business case for data sharing is growing stronger. In this essay, I’ll describe how COVID-19 is accelerating existing healthcare trends, how data sharing is becoming a key business strategy, and how you can learn more about these developments.

COVID-19 Accelerates Existing Trends

This might surprise you — one result of COVID-19 isn’t so much a new normal as it is the acceleration of pre-existing trends. Andreasen Horowitz venture capitalist Julie Yoo wrote about this in her masterful article: Healthcare: The Great Unlock.

She lists […]

conf-website

Health Data Unbound Virtual Conference

While there have been many events on interoperability and data sharing, what’s unique here is our focus on the BUSINESS rationale for health data sharing.

thcb

New Series on THCB — The Health Data Goldilocks Dilemma: Privacy? Sharing? Both?

The Goldilocks Dilemma has U.S. policymakers driving toward two seemingly conflicting goals:
1) Broader data interoperability and data sharing, and
2) Enhanced data privacy and data protection.

Hoarding Patient Data is a Lousy Business Strategy: 7 Reasons Why

In the video below, Dr. Harlan Krumholz of Yale University School of Medicine capsulizes the rationale of hoarding as business strategy:

We encourage you to take a minute to listen to Dr. Krumholz, but if you’re in a hurry we’ve abstracted the most relevant portions of his comments:

“The leader of a very major healthcare system said this to me confidentially on the phone… ‘why would we want to make it easy for people to get their health data…we want to keep […]

blockchain

Presentation Slides: Strategy & Business Models in Healthcare Blockchains

Here’s a copy of my slides from my keynote presentation at The Healthcare Blockchain Summit in Washington D.C. The presentation is titled:

Blockchains in Healthcare: Transforming Strategy & Business Models?

After reviewing some industry background and analysis of trends, consider 7 key implications:

Beware of “yellow flag” blockchain tech terminology: “could”, “possible”, “promising”.
Digital strategy is different than industrial era business strategy.
IMO, the most likely scenario for blockchain tech in healthcare is slow, steady growth over the next decade. After critical mass […]

Healthcare’s Transformation into the “Pinnacle” Platform Industry

A “Platform Revolution” is sweeping America. Platforms like Google, Facebook, Amazon, Apple, and Airbnb are turning existing industries inside-out and creating new landscapes never yet dreamed of.

…but healthcare hasn’t been affected much…yet. Below, I’ll briefly explain:

Why healthcare has been slow to adopt platforms
What’s changing
Why in the long-run healthcare promises to become the pinnacle platform industry.

Read the rest of this story on Tincture…

Is Hospital-Physician Integration Sustainable?

Reprinted courtesy of MCOL.

Perspectives on a Selected Key Topic |     April 2011/May 2011     |   Volume Three Issue Two

Will a material number of hospitals and their core medical […]

Through the Lens of Disruptive Innovation: Why Direct is a Hit and PCAST is an Outcast

(click on the graphics to link to original sources)

Regular readers know that I find Professor Clay Christensen’s theory of disruptive innovation to be a useful lens to explain industry evolution. Let’s look at two recent health IT initiatives and see why one is working and the other is stalled.

List of Top 10 Health Plan Issues — Out of Whack!

Healthcare IT News just published its list of top issues for health plans in 2011:

Administrative Mandates (Compliance HIPAA 5010, ICD-10, etc.).
Care Management, Data Analytics, and Informatics.
Health Insurance Exchanges and Individual Markets.
New Provider Payment & Delivery Systems (ACOs, PCMHs, etc.).
Bend the Cost Trend.
Medicare and Medicaid.
Health Information Exchanges and EMRs.
Consumer’s Role in the Modernization of Healthcare.
Reform Uncertainties.
Payer/Provider Interoperability.

Dear health plan colleagues,

Wake up! The order of this list is totally out of whack.

#2: Care Management, Data Analytics, Informatics. Good…sounds about right.

However,

#2 can’t […]