New Direction --> Cook Healthcare Problems

I am comforted to withdraw heed from many Healthcare leaders that their advice to the novel USA direction is to drib dead on the progress n...

I am comforted to withdraw heed from many Healthcare leaders that their advice to the novel USA direction is to drib dead on the progress nosotros have. Including continued back upward for Exchange, Direct, as well as CDA; acre encouraging FHIR. I am VERY MUCH agreeing amongst these. Changing from these directions would kill much momentum as well as disrupt healthcare inwards a bad way.  There are create a unmarried payer system.

There are roughly things inwards Healthcare that are broken inwards ways that are only nuts. Given that the novel Trump direction is probable to live willing to create things that are against the norm for politics, I recall nosotros should recommend that these broken things live fixed. Because fixing them agency radical change, as well as it appears that radical alter is what nosotros are inwards for over the adjacent iv years.

I volition banker's complaint that this was non my vote, as well as I am scared every bit hell. But it is a forgone conclusion, as well as so nosotros either stick our heads inwards the sand as well as promise our donkey survives, or nosotros create what nosotros tin to brand the best of the situation.

My iii things that are broken as well as demand radical fix:

1. Patient Identifier -- We demand a national patient identifier. It won't live perfect, but it is badly needed. I accept tried to brand the bespeak that this patient identifier tin live opaque, as well as hence it tin heighten Privacy. Today nosotros portion highly valuable demographics every bit that is the entirely way nosotros tin brand a cross-reference. This is NUTS. Lets create it. There are technologies today to permit us to accept opaque identifiers acre also assuring that the identifier tin live validated. There are technologies today that would permit purpose-specific queries for cases where the patient didn't convey inwards their identifier but in that place is an wellness critical argue nosotros demand to await it upward past times demographics. There are technologies that tin maintain private the utilisation of that identifier. Technology tin scale today. This technology mightiness live Block-Chain, but I don't recall as well as so due to the 2d need.
   
2. Universal Privacy -- The patchwork of privacy regulations is getting inwards the way of progress. Declare that all humans accept a correct of Privacy. Define what that Right means. Be reasonable (right to live forgotten is non reasonable, useful but non reasonable). Override the patchwork of federal privacy, healthcare privacy, nation privacy, etc. Privacy is non an option, or something someone tin sell. Violations of these Privacy principles must outcome inwards penalization regardless of who or how the violation happened. ONE laid of rules, fifty-fifty difficult rules, volition live easier to bargain amongst than the patchwork. This volition outcome inwards less privacy failure, as well as less privacy denial. THIS should non live specific to healthcare. ONE correct of Privacy. Note it should non include inwards the regulation whatsoever technology specific requirement, every bit technology changes as well as hence the regulation volition break.
     
3. Incident Response Community -- Way also much something bad happens as well as cognition of it is suppressed. I am non bespeak for world disclosure of everything. BUT the community should live enabled to larn lessons from others failures. This is truthful of at to the lowest degree Safety, Privacy, as well as Security.  There needs to live a way that authorized individuals representing every organization inwards healthcare tin participate confidentially. That is they tin divulge a failure inside their organization without adverse reaction (they must even as well as so come across regulated requirements). What I hateful is that this is a peer grouping that volition non utilisation the data against their peers. What should occur is that their peers assist diagnose what happened, come upward up amongst an activeness plan, as well as update the lessons-learned as well as so that all the peers tin implement that lesson. The outcome is a community that entirely gets stronger. This does NOT inhibit competition, every bit contest should live on wellness as well as sense outcomes.  This does occur inwards roughly circles, but needs authorities endorsement an encouragement.

I am certain in that place are others. I only don't accept cognition of them. I suspect in that place is HUGE gains to live made inwards supply-chain, payment-chain, as well as malpractice. These are wide areas that seem to me to live sucking far to a greater extent than coin out of the scheme than they are providing value to the system. 

FHIR is non the solution to whatsoever of these broken things... but FHIR volition live purpose of the healthcare solution.