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    Mostashari's biggest Meaningful Use regret and health IT's future

     

    FM: I'm, thankfully, seeing a little bit less of the HIPPA excuse. And there's been a lot more kind of proactive guidance on the part of the Office of Civil Rights that basically says that's BS. And you can't hide behind that particular fig leaf. But interoperability is now a business problem. It is not a technology problem.

    We have to change the equation to make it more profitable for vendors to share information than to horde it and, frankly, for hospitals to share information rather than horde it. So on the vendor side, if people purchased systems on the basis of how well they spoke with other systems, then they would change. They listen to their customers. And so it goes back to making sure you have the right contractual terms, and make sure … you're clear in your selection in terms of what your priorities are.

    On the hospital and provider side, it is worrisome to me. Our docs went to the big local hospital—and I'm not going to name them here—and said, "Give us those admission-discharge-transfer notifications" [largely seen as the go-to data source for care coordination efforts]. And the hospital said, "If you're part of my ACO, you can get that. But if you're not part of my ACO, we view this information as strategically important."
    The fact that it's your patient, you're the primary care doctor for that patient, that you are the one that needs to call that patient and that it's their patient's life here at stake, that can't stand. And I do think that there needs to be more regulatory oversight over these sort of misuses. I do think the Federal Trade Commission should look into these as being anti-competitive because it clearly is misuse, abuse of market power. I think that people need to speak out when they see this sort of informati

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    • Anonymous
      This from a man who benefits directly from all of us 'paddling harder'. I'm done paddling harder. I'm paddling smarter, and it's called DIRECT PRIMARY CARE.
    • Anonymous
      This from a man who benefits directly from all of us 'paddling harder'. I'm done paddling harder. I'm paddling smarter, and it's called DIRECT PRIMARY CARE.

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