From Healthcare IT News:

There needs to be a better business case for sharing data because consumers expect it and HIPAAThe Health Insurance Portability and Accountability Act (HIPAA) was enacted by the U.S. Congress in 1996. Title II of HIPAA, known as the Administrative Simplification (AS) provisions, requires the establishment of national standards for electronic h... More allows it, said National Coordinator Karen DeSalvo, MD. And Americans are growing increasingly impatient.

National Coordinator Karen DeSalvo, MD, said now is the time to build on widespread EHRElectronic Health Record (EHR), as defined in Defining Key Health Information Technology Terms (The National Alliance for Health Information Technology, April 28, 2008): An electronic record of health-related information on an individual that conform... More adoption. The healthcare industry, having reached near universal adoption of electronic health records, is at the beginning of a journey, she said, speaking at ONC's Annual Meeting on May 31.

That adoption rate DeSalvo referred to is nine times more than it was in 2008, before the passage of the HITECHAs a part of the America Recovery and Reinvestment Act (ARRA) of 2009, Health Information Technology for Economic and Clinical Health (HITECH) refers to the portion of the ARRA that is used to increase the use of Electronic Health Records (EHR) by ph... More Act that funded the meaningful use program, according to research ONCOffice of the National Coordinator for Health Information Technology (ONC) – Located within the Office of the Secretary for the U.S. Department of Health and Human Services (HHS), the Office of the National Coordinator (ONC) coordinates nationwide ... More published on Tuesday.

DeSalvo said the office is moving forward on what ONC Principal Deputy National Coordinator Vindell Washington, MD, laid out as the three C's: common standards, culture change and a case – as in a business case – for data to move.

It is encouraging to see the ONC making a push for some real changes in regards to interoperability. 

The three Cs:

  • Common standards
  • Culture change
  • Business Case

Are each extremely vital for data exchange. If the technology is in place in the form of interface engines — as many argue is indeed the case — then what are the hold ups with culture change and business case?

Lack of financial incentives, medical liability, ego, and additional work can be common reasons for the lack of change of caregivers and hospital executives. 

What are impediments to you see standing in the way of the three Cs?

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