Brian Ahier sparked a feud with his Google+ post commenting on a recent JAMIA article entitled Shift in the Architecture of the Nationwide Health Information Network. We’re at 60+ comments and going strong. The discussion has also been picked up on in Modern Healthcare.
The JAMIA article was written by Leslie Lenert and colleagues, and Lenert joins in heartily in the Google+ discussion. From the abstract, here are 3 key points they make:
1) …a significant change in the architecture of the NwHIN is taking place. Prior to 2010, the focus of information exchange in the NwHIN was the Regional Health Information Organization (RHIO). Since 2010, the Office of the National Coordinator (ONC) has been sponsoring policies that promote an internetlike architecture that encourages point to-point information exchange and private health information exchange networks.
2) The net effect of these activities is to undercut the limited business model for RHIOs, decreasing the likelihood of their success…
3) These changes may impact the health of patients and communities. Independent, scientifically focused debate is needed on the wisdom of ONC’s proposed changes in its strategy for the NwHIN.
What does the Family Feud survey audience think of these points?
While I’ll acknowledge that one could draw many inferences from the discussion, here’s my interpretation, synthesis and commentary of the main points in the Lenert, et. al. article.
1) A Shift in NwHIN Architecture is Occurring
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Sign in nowSurvey Says: Yes, National HIT Architecture is Shifting, Thank Goodness! http://t.co/OGgO3Pef #HealthIT #EHR #HIE #ACO
Survey Says: Yes, National HIT Architecture is Shifting, Thank Goodness! http://t.co/OGgO3Pef #HealthIT #EHR #HIE #ACO
RT @VinceKuraitis: Survey Says: Yes, National HIT Architecture is Shifting, Thank Goodness! http://t.co/sugZyqLL #HealthIT #EHR #HIE #ACO
Survey Says: Yes, National HIT Architecture is Shifting, Thank Goodness! http://t.co/kbQLkWGp #HIT #HealthIT
Survey Says: Yes, National HIT Architecture is Shifting, Thank Goodness! | e-CareManagement Blog http://t.co/7HWTwQol
Survey Says: Yes, National HIT Architecture is Shifting, Thank Goodness! | e-CareManagement Blog http://t.co/PKzV6W7i
“@VinceKuraitis: Survey Says: Yes, National HIT Architecture is Shifting, Thank Goodness! http://t.co/ZZo30Gmq #HealthIT #EHR #HIE #ACO”
MT @Farzad_ONC: @VinceKuraitis: Survey Says Ntnl HIT Architctre is Shifting, Thnk Goodness! http://t.co/8P9G4pkr #HealthIT #EHR #HIE #ACO
“@VinceKuraitis: Survey Says: Yes, National HIT Architecture is Shifting, Thank Goodness! http://t.co/ZZo30Gmq #HealthIT #EHR #HIE #ACO”
Survey Says: Yes, National HIT Architecture is Shifting http://t.co/cop6IrbV
Survey Says: Yes, National HIT Architecture is Shifting http://t.co/cop6IrbV
TY for RT @Farzad_ONC: Survey Says: Yes, National HIT Architecture is Shifting, Thank Goodness! http://t.co/OGgO3Pef #HIT #EHR #HIE #ACO
Survey Says: Yes, National #HIT Architecture is Shifting, Thank Goodness! http://t.co/hRG2qmwO via @ecaremanagementblog
Rt VinceKuraitis: Survey Says: Yes, National HIT Architecture is Shifting, Thank Goodness! http://t.co/ZElkGbNV #HIT #EHR #HIE #ACO
Yes, National #HIT Architecture is Shifting, Thank Goodness! http://t.co/yAzaC0KY > Love following this #interoperability debate