Curb Your Enthusiasm…

High Tech people are really enthusiastic people. We are optimistic, confident as well as creative as well as if I may live on allowed to tell so, really, truly smart. We begin past times maxim “Hello World!” non “Hi, I’m Jack or Jane”. We hail the entire Universe as well as assume it knows who nosotros are, or that it volition presently discovery out, because the heaven is non the boundary as well as nosotros are going to alter the world, all at once. We don’t apparel pocket protectors or duct record on our spectacles. We apparel defiantly baggy clothes; receive got tattoos as well as piercings inwards all the correct places, ride motorcycles as well as take away heed to the latest music. Actually many of us are one-time or part-time musicians, or at to the lowest degree dabble inwards painting, spiritual philosophy as well as sometimes fifty-fifty a lilliputian writing. We don’t create telephones or missiles or java makers, but nosotros create your telephone smart, your missile guided as well as your brew principal programmable. We solve problems as well as sometimes nosotros larn carried away.

Back during the heyday of the Certification Commission for Health Information Technology (CCHIT), a grumbling audio began to emerge from the medical community moaning as well as groaning well-nigh the Big Boy EMRs certified to consider CCHIT’s standards. Those who underwent the onerous CCHIT certification procedure which began inwards earnest inwards 2006 were said to live on nada to a greater extent than than “bloatware”, expensive, cumbersome as well as useless software developed past times programmers who know nada well-nigh the do of medicine as well as forced on physicians past times an emerging semi-governmental endeavour as well as greedy, unscrupulous EMR vendors. This of course of pedagogy gave nascency to the most ridiculous slogan inwards EMR advertising: built past times doctors for doctors. Every fledgling novel entrant to the EMR marketplace position as well as every retrofitted DOS programme amongst less functionality than Microsoft Office seemed to receive got been built past times doctors, presumably past times the ane MD commonly introduced at the start of the “About Us” inspirational story. Obviously at that topographic point were some truthful stories too, as well as some MDs ended upwards specializing inwards C++. The CCHIT wars receive got ended as well as fifty-fifty the groovy CCHIT era crusader, Dr. Al Borges, seems to receive got gone soundless somewhere around 2010, but the notion that EMRs, or EHRs now, are falling brusk of expectations because they were built past times programmers has larn a widely accepted “fact”.

Very few products successfully sold for volume consumption are ever built past times halt users, software included. Influenza A virus subtype H5N1 retrospective facial expression at the EHR marketplace position would scream for that regulations as well as certifications as well as right away also incentives as well as penalties were applied also presently inwards a normal marketplace position cycle. EMRs were never allowed to evolve, simply similar whatsoever other product, based on user preferences as manifested inwards buy/no purchase decisions. Try to imagine what would receive got happened to the jail cellular telephone telephone marketplace position if during the foremost years of its beingness someone would receive got mandated, for character as well as consistency reasons, that the antenna should ever live on on the left side as well as it should live on betwixt 1” as well as 2.4” inwards length as well as no less than 0.25” inwards diameter. And so the Department of Motor Vehicles inwards collaboration amongst the Department of Homeland Security as well as Motorola would receive got provided everybody amongst a hefty revenue enhancement deduction for buying a certified jail cellular telephone phone. It wouldn’t receive got mattered much who truly built those jail cellular telephone phones. Since High Tech people are to a greater extent than enthusiastic than most, nosotros are right away non entirely fixing inwards amber the size as well as shape of our software product, but also endeavoring to prescribe how it should live on changed as well as how it should live on used. To utilization the early on jail cellular telephone telephone analogy, nosotros are standardizing the push sizes, adding a 911 auto dial push as well as mandating users to force that push afterward an accident if they desire Progressive to award their claims.

ONC is brusk for the Office of the National Coordinator for Health Information Technology. It is the highest business office inwards the province for High Tech people working inwards wellness care, as well as enthusiasm should in all probability live on its middle name, rainbows, stars as well as all. ONC is non truly writing EHR software, but from its high perch it is guiding programmers on what to build, inwards what guild to create things as well as late began dabbling inwards advising on how to create EHRs. Many veteran EMR programmers weary of the built-by-programmer vs. built-by-doctor struggle are in all probability breathing a sigh of relief correct well-nigh now, because customers, who don’t similar what they consider inwards the product, tin right away live on redirected to log their complaints amongst the powers to live on at ONC. Fortunately, for every veteran EMR programmer laying downwardly his arms, at that topographic point are dozens of create novel as well as experienced High Tech people enthusiastically answering the telephone weep upwards to arms for solving the national crisis posed past times our wellness attention system.

Old EMR programmers assumed that they know nada well-nigh medicine, as well as although believing that doctors are as ill-equipped to architect software, programmers recognized that doctors are their customers as well as mighty tough customers at that. EMRs were a tool & choke business, something ane sells as well as some other buys, if needed. The novel as well as really enthusiastic High Tech people inwards wellness care, unburdened past times whatsoever previous EMR scars as well as bruises, receive got a dissimilar mindset (or so they say), most probable brought well-nigh past times ONC’s really successful populace relations efforts. EHRs as well as Health information technology inwards full general are right away a cause, something you lot advocate for, something you lot believe in, something you lot write about, something to live on fostered, promoted, or adopted. Health information technology is an ideology. Health information technology is a political upshot that should back upwards governments. Health information technology is a social upshot that should trim down disparities. Health information technology should alter medicine as nosotros know it. Well, non that nosotros truly know medicine inwards the classic pregnant of the term, but nosotros simply know improve inwards general.

After all, nosotros changed the footing already. Just facial expression at the Internet. We receive got no coin to purchase books, but nosotros receive got Facebook. We receive got no nutrient to talk of, but nosotros receive got republic inwards Egypt. We can’t afford tuition, but nosotros receive got Khan. We receive got no jobs, but nosotros receive got passionate blogs as well as tweets that attain billions inwards an instant. We create no saleable products, but nosotros tin marketplace position amongst Light Amplification by Stimulated Emission of Radiation accuracy. We receive got no coin for doctors, but nosotros receive got Google. We receive got no friends, but nosotros receive got Siri to proceed us companionship inwards big old empty houses. We receive got no worldly possessions, but nosotros ain the footing of Zynga. We receive got no clue, but nosotros receive got data. We tin do the same for medicine. We tin move far virtual, free, fun, engaging, personalized, simple, participatory, democratic, pain-free as well as expertise-free. We don’t know what deoxyribonucleic acid stands for, but sequencing the genome sounds similar something nosotros tin write software for. We don’t attention if observations are prospective or retrospective, as long as nosotros receive got enough of information points. We experience strongly that double blinding something is cruelly medieval, inwards an historic menstruum of transparency as well as visibility. We receive got created a footing where babies tin create do hedge funds, lizards tin sell insurance, everybody tin run an agribusiness as well as every barefoot, malnourished pocket-size inwards Rwanda has a fair shot at the Nobel Prize. We tin create wellness attention ane time as well as for all, as well as nosotros know just how to do it.

“Hello Health Care!”