Developing a national HIT network
WASHINGTON – The marketplace is still defining PHRs and whether they should include claims data, National healthcare IT interim chief Robert Kolodner, MD, told an audience at the 2nd Nationwide Health Information Network Forum held earlier this week in the nation's capital. Kolodner and John Loonsk, director of the Office of Interoperability and Standards, responded Monday to several questions from some of the hundreds of stakeholders at the forum.
Patient health records
Question: Are there any plans to establish small portions of patient health records as an initial effort?
Kolodner: Yes. There are plans to develop an “e-clipboard” where patients can electronically record the basic information usually collected in the waiting room at a first visit with a doctor. A second idea is to create a way for patients to access a simple list of their prescriptions.
Volunteer burnout
Question: What does HHS plan to do about the limited pool of private entities available to build the National Health Information Network? (Glen Marshall, standards and regulations manager, Siemens Medical Solutions)
Loonsk: Volunteer burnout is a concern and one possible solution could be to bring in organizations that can participate on a smaller scale.
Property rights for PHRs and EHRs
Question: Who has property rights over PHRs and EHRs?
Loonsk: This is a complicated issue that should be addressed by states, with federal support.
PHRs vs. EHRs
Question: How do you differentiate between electronic health records and patient health records? Also, will PHRs include patient claims data, and is that needed in both PHRs and EHRs? (Ann Will, vice president, CGI Federal)
Kolodner: The marketplace is still defining PHRs and whether they should include claims data. For now, the development of EHRs–the electronic record of a patient’s healthcare to be exchanged through IT networks–takes higher priority than personal records retained by patients themselves.
International data exchange
Question: Are there plans for including international data exchange in a federal healthcare IT network? (Amy Verstappen, Adult Congenital Heart Association)
Loonsk: There have been a number of discussions over the issues, concerns and approaches for international data exchange. There is a desire to exchange data between nations.
Creating networks
Question: Standards for the financial world were not sufficient enough to create a network; how will this be addressed in developing a successful healthcare information network? (an Environmental Protection Agency representative)
Loonsk: There has been a lot of discussion about interoperability, and constraint testing will be an important part of it. There is tension between what can actually be adopted and the broader vision. “Because of the complexity, we might have to settle for less [than the broader vision].”
State AHICs
Question: What states will participate in ONC’s upcoming plans to launch several state versions of the American Health Information Community? (Donald Mon, American Health Information Management Association)
Kolodner: That information is not readily available because the project is in the initial stages.
Patient health records
Question: Are there any plans to establish small portions of patient health records as an initial effort?
Kolodner: Yes. There are plans to develop an “e-clipboard” where patients can electronically record the basic information usually collected in the waiting room at a first visit with a doctor. A second idea is to create a way for patients to access a simple list of their prescriptions.
Volunteer burnout
Question: What does HHS plan to do about the limited pool of private entities available to build the National Health Information Network? (Glen Marshall, standards and regulations manager, Siemens Medical Solutions)
Loonsk: Volunteer burnout is a concern and one possible solution could be to bring in organizations that can participate on a smaller scale.
Property rights for PHRs and EHRs
Question: Who has property rights over PHRs and EHRs?
Loonsk: This is a complicated issue that should be addressed by states, with federal support.
PHRs vs. EHRs
Question: How do you differentiate between electronic health records and patient health records? Also, will PHRs include patient claims data, and is that needed in both PHRs and EHRs? (Ann Will, vice president, CGI Federal)
Kolodner: The marketplace is still defining PHRs and whether they should include claims data. For now, the development of EHRs–the electronic record of a patient’s healthcare to be exchanged through IT networks–takes higher priority than personal records retained by patients themselves.
International data exchange
Question: Are there plans for including international data exchange in a federal healthcare IT network? (Amy Verstappen, Adult Congenital Heart Association)
Loonsk: There have been a number of discussions over the issues, concerns and approaches for international data exchange. There is a desire to exchange data between nations.
Creating networks
Question: Standards for the financial world were not sufficient enough to create a network; how will this be addressed in developing a successful healthcare information network? (an Environmental Protection Agency representative)
Loonsk: There has been a lot of discussion about interoperability, and constraint testing will be an important part of it. There is tension between what can actually be adopted and the broader vision. “Because of the complexity, we might have to settle for less [than the broader vision].”
State AHICs
Question: What states will participate in ONC’s upcoming plans to launch several state versions of the American Health Information Community? (Donald Mon, American Health Information Management Association)
Kolodner: That information is not readily available because the project is in the initial stages.
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