Close Server: KOPWWW05 | Not logged in


Welcome to Health Care POV | sign in | join
ADVANCE Perspectives: Healthcare Information Professionals

Interoperability & Learned Skepticism

Published March 3, 2016 12:56 PM by ADVANCE Perspectives

By Tamer Abouras

 

The term “peer pressure” probably first emerges as a buzzword in early adolescence. Around that time, at perhaps age 11, you’ll recall the barrage of advice from parents, relatives, teachers and the police officers in your D.A.R.E. program urging you to avoid smoking, drinking and use of illicit drugs.

 

Even prior to that time in your life — during which these suggestions come fast and furious and essentially endlessly all throughout your teens — you’re implored by parents not to speak with strangers (or take their candy or get in their cars). In short, to grow up — in America, at least — is to be conditioned with a healthy, necessary amount of learned skepticism.

SEE ALSO: CDS and Population Health

Above all else, there’s high importance placed upon the tenet that even if everyone around you was jumping off a bridge (or engaging in some other silly, dangerous activity), it’s crucial to retain the good sense and objectivity not to follow their collective lead — regardless of how much lobbying they use to bring you along.

 

Strangely, however, consensus is often expected to replace that skepticism when we enter the so-called “real world” as adults. We look to form consensus in the workplace, in any sort of organized gathering and even democracy itself hinges upon the basic principle that majority should rule, without ever questioning the morality or ethical implications of a given majority’s choice.

 

Which is how situations and conflicts such as the one currently going on between government and the private sector, pitting Health and Human Services and Centers for Medicaid Services on one side and health information organizations on the other, become all-too familiar and ironic.

 

Speaking at a panel discussion at the HIMSS 2016 conference on EHR and interoperability, Federal Times reported that Acting Assistant Secretary for Health Karen DeSalvo and Centers for Medicare & Medicaid Services’ acting administrator Andy Slavitt pushed for cooperation (through regulation) between private companies and the government.

 

“Physicians are hampered and frustrated by the lack of interoperability,” Slavitt said, “but it’s more practical than that. I don’t think anybody but we policy people actually use the word interoperability regularly. It’s usually, ‘I can’t track my patient’s referral’ or ‘I sent them to the hospital and I don’t know what happened.’”

 

ADVANCE Opinion Poll: Should HIPAA mental health rules be lifted for gun background checks?

 

DeSalvo then suggested the way forward in order to alleviate that frustration, before Slavitt gave a rather interesting interpretation of the private sector’s inherent purpose in a free market.

 

“We’re working to see that as federal partners, we are giving clear signals to the private sector that we really want to see this new open, connected community of health,” DeSalvo said. “That we expect the health IT system to get on the same language. We want to get over that artificial barrier and always want to keep putting the consumer at the center.”

 

“There has to be a private sector commitment to a greater good,” Slavitt said. “Regulations like those that require open (application program interface) can help and they’re vital. But frankly, there are just too many ways to step in the way of true interoperability. No regulation can anticipate all of them.”

 

Just as a reminder: the interoperability that’s being very strongly pushed for here comes at a time when 90% of companies in all industries — healthcare or otherwise — have suffered a breach of their medical data as of 2016.

 

Are those words about peer pressure really any less true now just because we’re older?

 

You Might Also Like...

Protecting Patient Portal Information

Building best practices for securing electronic heath records accessed online by consumers.

Mitigating Mobile Patient Data Risks

Preventing data breaches is vital to maintaining patient confidentiality in an increasingly wireless world.

Advanced Persistent Threats

Steps to thwart cybercriminals, protect patients and secure critical data.

Securing Vulnerabilities

Strategies to meet meaningful use and HIPAA compliance at the patient point of care.

0 comments

leave a comment



To prevent comment spam, please type the code you see below into the code field before submitting your comment. If you cannot read the numbers in the image, reload the page to generate a new one.

Captcha
Enter the security code below:
 

Search

About this Blog


    ADVANCE Editorial Staff
    Occupation: Editor
    Setting: ADVANCE for Healthcare Information Professionals
  • About Blog and Author

Keep Me Updated