tag:blogger.com,1999:blog-2884798267408472642.post293866755163097693..comments2022-11-09T09:55:59.653-05:00Comments on Harmonious Health IT: Would You Like to be Engaged to Multiple EHRs?Unknownnoreply@blogger.comBlogger4125tag:blogger.com,1999:blog-2884798267408472642.post-16016069015019433012011-02-23T08:30:25.510-05:002011-02-23T08:30:25.510-05:00Ted,
Excellent insights. That's why it's s...Ted,<br />Excellent insights. That's why it's so great to keep up our contact, because you think of things that I overlook. As you say, the "why" behind any regulation is important, and we agree that "the role of health care is for a patient and the family...and we exist to serve that relationship." <br /><br />I'm concerned if there's a trend for banks to close off their data to "tether" their customers, but if they want to offer their portals as an option, I have no problem with that. I happen to ALSO use my bank's web portal and do some transactions through it in addition to Quicken, but it's nice that they will still show up in my Quicken register.<br /><br />Regardless, being centered around the patient's needs is ultimately my "why" for suggesting an open flexible exchange from EHRs to patients (with PHRs being just one of several options).Davidhttps://www.blogger.com/profile/13251393010554964308noreply@blogger.comtag:blogger.com,1999:blog-2884798267408472642.post-15095223051852685162011-02-23T07:45:54.841-05:002011-02-23T07:45:54.841-05:00Hi David,
First of all, salutations to your blog,...Hi David,<br /><br />First of all, salutations to your blog, which I have been following via RSS and consider as a personal triumph both for you and for me - I have always, always appreciated your willingness to think expansively, even when the times didn't demand it!<br /><br />I always think it useful to ask "why?" or "what did the people want?" whenever any sort of regulation is created, because regulations are not regulations, they are people trying to solve a problem (and it actually was my lead in to my read to the first proposed rule : http://www.tedeytan.com/2010/01/10/4506 ).<br /><br />With that in mind, I am not sure the "why?" of MU1 was "because we need more linked PHRs"" I think the "why?" was probably, "because there's this EHR that has a lot of data and it's not being delivered to people." You and I both know that the freestanding PHR was not solving this problem before MU, because...it didn't have the data. <br /><br />My second comment is to look at what's happening in the banking industry, the "quicken" is becoming less and less the "quicken" - banks are turning off their OFX transactions and working to pull customers into their own portals, I saw a recent discussion on a software-vendor's site about this. This speaks to a natural human tendency to want to be the single owner of a relationship. I think our job is to point out that the role of health care is for a patient and the family to have a productive relationship with themselves and with their ability to achieve their life goals and we exist serve that relationship.<br /><br />-TedAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-2884798267408472642.post-11337925891407401912011-02-22T19:04:56.068-05:002011-02-22T19:04:56.068-05:00Thanks for your comment, Vince. I agree with the i...Thanks for your comment, Vince. I agree with the importance of open and interoperable platforms. I do acknowledge the possibility that a PHR could be tethered and still be open and interoperable, just as an EHR can be open and interoperable (that's one of the main point of MU standards after all) -- the proof will be in actually making it so.Davidhttps://www.blogger.com/profile/13251393010554964308noreply@blogger.comtag:blogger.com,1999:blog-2884798267408472642.post-23876515176941645502011-02-22T17:37:18.963-05:002011-02-22T17:37:18.963-05:00David, There's another scenario that I person...David, There's another scenario that I personally see as "most likely".<br /><br />Yes, you're right -- having multiple tethered and non-interoperable PHRs could be very confusing for patients.<br /><br />...which is exactly the reason why open, interoperable platforms, e.g., MSFT HealthVault and Google Health will thrive.<br /><br />The market will move providers and patients toward more open platforms.Vince Kuraitishttps://www.blogger.com/profile/09876753216316943489noreply@blogger.com