Re: CommonWell: Healthcare Interoperability Or Bust
This may be a bit of a heavy read for those of us not involved in the healthcare industry, but as danielcawrey pointed out, it's nevertheless great to know that these kinds of developments are going on. I took a quick look at the link about the JASON advisory (an organization I'd never heard of before) that was provided, and I was inclined to agree with what I read there. Any way you slice it, our healthcare organizations are simply not up to snuff in the US. If you compare them to other similar industries (say, transportation or financial) they're lagging behind, and if you compare them to the (fully) private sector (think Google), forget about it. There's no metric you can use that wouldn't reveal some shortcomings with the way things are today.
That's why we need organizations like CommonWell to spur progress on. I was continuously reminded of the automated nature of the systems described (pulling up all records with one query, etc.), and I realized how valuable that is. With ever-tight budgets, healthcare orgs have a hard time placing dedicated staff on supporting these systems on their end. If they're relying on a third party to manage that, it has to be secure, reliable, fast, and require minimal support internally, or it's no good to them. There's no doubt to me (you've done a good job of convincing me here) that unified standards are the only way to accomplish this, and FHIR sounds like a great one. As Mr. Bernhardt points out, the ball is in the providers' court at a certain point. What standards they adopt, how quickly, and what kinds of support they need are up to them. What's going on here sounds like a good foundation.