This is a quick description of the minimum requirements to turn patient-mediated “transmit” into a usable system for feeding clinical data to a patient’s preferred endpoints. In my blog post last month, I described a small, incremental “trust tweak” asking ONC and CMS to converge on the Blue Button Patient Trust Bundle, so that any patient anywhere has the capability to send data to any app in the bundle.
This proposal builds on that initial tweak. I should be clear that the ideas here aren’t novel: they borrow very clearly from the Blue Button+ Direct implementation guide (which is not part of certification or MU — but aspects of it ought to be).
Continue reading “Certification/MU tweaks to support patient subscriptions”
In a blog post earlier this month, I advocated for ONC and CMS to adopt a grand scheme to improve patient data access through the SMART on FHIR API. Here, I’ll advocate for a very small scheme that ignores some of the big issues, but aims to patch up one of the most broken aspects of today’s system.
The problem: patient-facing “transmit” is broken
Not to mince words: ONC’s certification program and CMS’s attestation program are out of sync on patient access. As a result, patient portals don’t offer reliable “transmit” capabilities.
2014-certified EHR systems must demonstrate support for portal-based Direct message transmission, but providers don’t need to make these capabilities available for patients in real life. Today, two loopholes prevent patient access:
Continue reading “Improving patient access: small steps and patch-ups”
As architect for SMART Platforms and community lead for the Blue Button REST API, I’m defining open APIs for health data that spark innovation in patient care, consumer empowerment, clinical research. So I was very pleased last month at an invitation to join a newly-formed Federal Advisory Committee called the JASON Task Force, helping ONC respond to the JASON Report (“A Robust Health Data Infrastructure”).
We’re charged with making recommendations to ONC about how to proceed toward building practical, broad-reaching interoperability in Meaningful Use Stage 3 and beyond. Our committee is still meeting and forming recommendations throughout the summer and into the fall, but I wanted to share my initial thoughts on the scope of the problem; where we are today; and how we can make real progress as we move forward.
Continue reading “SMART Advice on JASON (and PCAST)”
Reflecting on his recent experience at the first-of-its-kind Health:Refactored conference, SMART lead architect Josh Mandel (left) said:
Health:Refactored convened a vibrant mix of doers in Health technology, with a clear focus on designing, building, and iterating on better health tools. It was an exciting chance to meet and scheme with the broader developer community about SMART, BlueButton+, and the burgeoning marketplace of health APIs. A key theme for me: the critical importance of breaking down silo walls so patients (consumers!) and clinicians can—to echo Zak Kohane’s TEDMED mantra—make their data count for them.
Continue reading “SMART Reverberations from Health:Refactored”