Comments on: Mark Anderson 3/7/09

By: Dr. No

Dr. No — Fri, 20 Mar 2009 23:31:18 +0000

Really Mr. Anderson. This is IHE and CCHIT in a nut shell. It is difficult to to listen to a consultant that recommended Acermed to his clients. It was like recommending your clients to purchase Bear Stern. Silly Man

By: Bob Coli, MD

Bob Coli, MD — Thu, 12 Mar 2009 13:55:39 +0000

To succeed, the ICE model and its component EHR products will finally need to leap forward from mere technical (data transmission) interoperability standards to a number of semantic and workflow standards.

Mr. Anderson,

For clinical data in EHRs, PHRs and HIEs, the biggest unmet physician need involves the reporting of diagnostic test results as fragmented data in variable formats, an antiquated vestige of the mainframe era. Slowing the physician down this way is an important factor in reported low ambulatory EHR adoption rates and implementation failure rates of 30-40%.

Leveraging the proven power of clinical data integration and standardization can provide the simple, durable and usability-enhancing solution for all interoperable EHR and portal networks.

Not being able to share lifetime cumulative patient test results within healthcare enterprises and between physicians in the same clinically logical way has always been wasteful and irrational. Within a true ICE product, it would also be foolish.

By: Gregg Alexander

Gregg Alexander — Mon, 09 Mar 2009 15:51:55 +0000

Good point, Dr. Karamazov…er, Herzentrube. I suppose the difference between this as a “natural next step” (and I agree, it is) and standards or guides is whether anyone has yet taken the step, is following any of the guides, or is putting the abilities required by the standards to any good use.

By: Dr. Herzenstube

Dr. Herzenstube — Sat, 07 Mar 2009 12:21:50 +0000

I agree that this is the natural next step in the evolution of health IT in ambulatory care.

It is worth pointing out that much of what Mark is suggesting has been covered by the “profiles” (implementation guides) created and tested by the Integrating the Healthcare Enterprise (IHE) collaborative, and a good portion of that is on the current requirements list for 2009 CCHIT certification for ambulatory EHR systems.