Health It Strategic Framework – Champaign Of Dreams

Health information technology is on a binge. Every twenty-four hr menses nosotros are served amongst a novel acronym, a novel committee, a novel contract, a novel grant together with a novel goal. Health information technology is definitely creating jobs, which was indeed i of the goals. But at that topographic point was i other stated goal.

It was supposed to help physicians together with patients render together with obtain improve wellness attention yesteryear making pertinent information available at the betoken of care, yesteryear involving patients together with their families inward their ain attention together with yesteryear using computers to improve accuracy of clinical information. It was supposed to arrive at goodness patients inward a really immediate together with tangible way. That was the original pregnant of the over used term “patient centric”. It was supposed to last all virtually the private patient.

There were secondary goals every bit well. Influenza A virus subtype H5N1 byproduct of computerization of Medical Records is, of course, the powerfulness to behave enquiry to arrive at goodness populations together with advance the scientific discipline of medicine, but somehow, inward the frenzy of spending federal funds, the byproduct became the master copy objective.

I am a big fan of Dr. Blumenthal together with inward perpetual awe of his operate at ONC. Today I read the lately published Health information technology Strategic Framework. The ONC’s articulated vision, which drives the entire framework, is the creation of a “learning wellness system”. An first-class vision to last sure; a vision which drives a framework of security, privacy, biosurveillance, information collection populace health, medical enquiry together with reporting. I conduct maintain no dubiety that inward due course, such learning wellness arrangement volition create evidence based information to back upward toll effective attention together with arrive at goodness hereafter generations of Americans together with humanity inward general.

How arrive at yous construct such a learning wellness system? It seems that ONC is tackling the labor caput on, yesteryear genuinely edifice a arrangement from the soil up, consummate amongst a National network (NHIN), localized intermediaries (HIE), private access points (EHR), pedagogy centers (HITREC), standardization (Meaningful Use), certification (NIST, NVLAP, ONC-ATCB, ONC-ACB, ONC-AA), all driven yesteryear rulemakings together with generous fiscal awards.
This is the “Field of Dreams” theory (If yous construct it, they volition come), together with it does operate sometimes, every bit Kevin Costner tin attest.

We could of course of study endeavor a bottom upward approach.

Case 1. sixty yr sometime John Doe presents at the ED amongst breast pain. What does the attention physician demand every bit far every bit information is concerned? Influenza A virus subtype H5N1 adept electrical flow medications together with allergies listing together with a adept electrical flow diagnoses listing together with a piddling fourth dimension to psyche to John together with accept a adept history of introduce illness. What does the attention physician non need? John’s increase charts from when he was a baby, John’s immunizations records from high school, John’s tape of taking antibiotics for an STD piece serving inward the Navy forty years ago, John’s tape of taking other antibiotics for a sinus infection v years ago, etc. It would last prissy if the attention doc could “get online” together with download a dyad of paragraphs of information from John’s PCP.

Case 2. 55 yr sometime Mary Doe has Diabetes together with Hypertension together with CAD. She is sitting across from a Cardiologist who is seeing her for the showtime time. What does the Cardiologist demand inward gild to evaluate Mary? Pretty much the same information the ER attention needed, summation whatever pertinent exam results that her PCP powerfulness conduct maintain ordered. And only similar the ER attending, the Cardiologist needs a piddling fourth dimension to psyche to Mary. Most probable Mary’s PCP already faxed the information over. It would conduct maintain been prissy if the PCP information would “magically” halt upward inward the Cardiologist’s nautical chart together with the Cardiologist consult banker's complaint would halt upward inward the PCP chart. It would besides last prissy if Mary’s miss could “get online” together with expect at everything the doctors are doing, or proposing to do, because Mary may desire to hash out her options amongst her miss who lives G miles away.

Turns out that patients together with doctors tin pitch a adept game inward the backyard amongst only a bat together with ball. So mayhap all nosotros demand is a few to a greater extent than bats together with balls – Internet access, uncomplicated file transfer, CCR together with only about really uncomplicated game rules, together with therefore no i gets accidentally hurt…..  Let’s acquire all of us inward the game earlier pretending to last Shoeless Joe Jackson.