EHR Interoperability


  1. As health IT has become a top priority around the nation, it is clear that standards and interoperability are key to the fulfillment of the goals of health IT
  2. Vexor Medical told Pray for Medicine they have seen invoice inflation on the order of $10 per upload because data vendors are exploiting the digital requirements.
  3. Dr. Koppel of the University of Pennsylvania argues that meaningful use stems from a plan hatched by vendors 30 years ago to sell more software with the help of government subsidies. "The policy always preempts the technology.”

    Many technology advocates, including health policy specialists, say that networked electronic patient records that can be transmitted instantly would make health care more efficient and provide valuable insights about costs and care. Yes, this is something that is being considered after implementation.

  4. 11 percent of U.S. primary care physicians report receiving information from specialists that is timely and available when needed.
  5. ECRI Institute: “Establishing interfaces among medical devices and information systems can facilitate functions such as automated clinical documentation, the delivery of data for real-time clinical support, data aggregation for retrospective review, and remote surveillance.”

    Invalid lab results can be removed from one system yet still remain in the EHR.

    How would this affect second opinions? Do doctors get to see everything in the entire medical history?

  6. NYT: Even the internationally respected Mayo Clinic, which treats more than a million patients a year, has serious unresolved problems after working for years to get its three major electronic records systems to talk to one another.

    EMR & EHR: Fayette Piedmont uses one EMR system for Labor and Delivery, and a completely different system for the rest of the hospital. This means, for the staff, that a new baby’s records have to be re-entered into a new system once they are discharged from labor and delivery and admitted to the NICU or postpartum unit. It also means the pharmacy has difficulty accessing vital information when, for instance, they need to know a baby’s weight to send the appropriate dose of medication to the NICU.

  7. The practice of medicine is very complex bringing together multiple industries. Other industries have their complexities, and even on a global scale, they do not match the medical and ethical degree of complexity at which medicine is practiced.

    Jeremy Albisser: “Healthcare is actually dozens and dozens (or hundreds) of industries that all have to work together very very effectively.”

    Computer programmers are given priorities from their customers, a description that matches neither doctor nor patient.

    David Cossman, MD: “The commercial designers of these systems were clearly given priorities for use by their potential customers that service their needs and not those of doctors and patients.”

  8. Healthcare data without interoperability = pain.

    You can buy EMR software, but if it doesn’t interact with the most important data source of all (the patient), everyone’s ROI (the doctor, the patient and the government) will approach zero.

  9. The Washington Post: Launching such vast computer networks under tight deadlines is risky, a lesson learned by the Bush administration when it botched a variety of homeland security systems rushed into place after the Sept. 11 terrorist attacks.