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ONC Releases Healthcare Interoperability Roadmap
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Gary_EL
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Gary_EL,
User Rank: Ninja
6/7/2014 | 9:04:37 PM
Re: roadmap
There used to be a term called "Islands of Automation". I live in one myself, in that every facility within the hospital network that I get my health care in uses the same interconnected computer system. Every clinician I see has instant access to what every other one has done or prescribed. The data also goes to both their financial offices to my insurance company. The prescription's go right to my participating pharmacist. About all I have to is to pay my bills.

The hard part about doing something like this nationally would be coming up with standards that would be fair to all the players and their needs. Once the serious discussions have drawn a critical mass of insurance companies and hospitals, it would be time for the federal government to come on board. Financial incentives would be put in place for cooperation, and gradual financial penalties could be established for not.
Ariella
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Ariella,
User Rank: Ninja
6/6/2014 | 5:15:19 PM
Re: roadmap
@Alison Yes, there's also the possibility of a retinal scan. Once DNA reading gets more economical, perhaps a bit of hair would do the trick. 
Alison_Diana
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Alison_Diana,
User Rank: Author
6/6/2014 | 5:09:30 PM
Re: roadmap
Or if not fingerprints, then some other form of biometric? It would have to be a multi-use system to (rightfully) address the Americans with Disabilities Act, but I much prefer that approach to get another alphanumeric string. 
Ariella
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Ariella,
User Rank: Ninja
6/6/2014 | 5:03:29 PM
Re: roadmap
@Alison they probably wouldn't, but people may feel it's better not to have everything linked to their social security numbers. It's ironic how they really do become one's primary ID when they started out only to track financial information, paricularly an individual's earnings. Perhaps, though, we can try using a system that was rejected when considering an identifier back in the 30s, and opt for fingerprints. According to The Story of the Social Security Number

the Post Office Department (for Postal Savings depositors) used fingerprints for identification. However, the use of fingerprints was associated in the public mind with criminal activity, making this approach undesirable (Wyatt and Wandel 1937, 45–47). A numbering scheme was seen as the practical alternative. Thus, the employer identification number (EIN) and the SSN were created.

 


Now that computers make fingerprints easier to track and identify, not to mention that the ID is not necessarily linked to criminals, perhaps it can be used for medical IDs.

Alison_Diana
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Alison_Diana,
User Rank: Author
6/6/2014 | 4:50:23 PM
Re: roadmap
I sincerely doubt it, @Ariella! And i would question the 10-year timeline, too, based on how other deadlines have shifted within CMS and ONC (for a variety of reasons). That said, it's glaringly apparent that interoperability is crucial. I'm not sure whether the decision to create another ID number -- a healthcare ID number -- is the way to go. We already have social security numbers and can't keep them safe. Who's to say health ID numbers would be any more secure?
Ariella
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Ariella,
User Rank: Ninja
6/6/2014 | 4:47:06 PM
roadmap
It definitely makes sense to get everyone on the same page in terms of interoperability. My guess is that the road to that end will not be altogether smooth.
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