Governance bodies that approve interoperability standards have struggled with a chicken and egg dilemma for years. Which should come first, the review and approval of a standard prior to having it implemented in systems; or proof of successful implementation followed by review and approval? I’ve observed this tension for the past decade in everything from … Continue reading Implement, Iterate, Approve
The old saying “Where there’s smoke there’s fire” is true for HL7’s newest draft standard: Fast Healthcare Interoperability Resources (FHIR). FHIR – pronounced “fire”– is climbing the Gartner Hype Curve and it’s time for governments and vendors to pay attention. It’s been almost 2 years since we first published the article announcing the development of … Continue reading Where There’s Smoke… There’s FHIR
Jurisdictional EHRs across Canada are reaching the point where they have enough years’ worth of data to make it worthwhile to give consumers access to their data. Numerous studies have shown that the proper application of consumer eHealth applications can reduce costs, increase patient satisfaction, and improve outcomesi. So why are organizations across North America … Continue reading You Have My Data, Where’s My Access?
For many executives the process of selecting standards can feel like being set up for a card trick; uncertain how to analyze the options laid out in front of them and questioning if they are really being given free choice that will impact the end result. This is not a new problem. One that goes … Continue reading Pick A Standard, Any Standard…
During ITAC Health’s Fall 2014 Workshop on Evidence Based Interoperability I was reminded of the long journey we’ve been on to establish pan-Canadian interoperability standards. Roger Girard, former CIO for Manitoba Health, walked us through macro trends of the 90s such as the underfunding of healthcare and the rising importance of computers that ultimately set … Continue reading Looking Back, Looking Forward