Dave, Hmmm... I can see what you are saying... and on its face, this would seem to argue against my suggestion that we need a new "doctors EMR standards" organization. But some key component must be missing if we have had the organizational structure in place for 15 years and we still do not have uniform EMR standards to hand out to our PMS vendors. I think the missing ingredient is input from the doctors... but then doctors do not attend standards meetings... they go to medical meetings, and that's not likely to change.
To pull in the rich domain knowledge of doctors (and staff), we will need a new, highly proactive, well funded/organized model... one that can reach out and [painlessly] *suck* the business requirements right out of the provider community (HIPAAsuction?). We need to keep little "standards suggestion/comment boxes" right under doctors' and PMS vendors' noses... making it trivially easy for them to contribute any complaint or idea to a centralized committee... without flying anywhere. We should inundate them with effective advertising messages about the value of standards-based e-biz... show them the VISION that we all take for granted. I just do not see the passive, volunteer model SDO working for doctors. Payors and CH's with actual budgets for this WILL send people to meetings... but only to look after their own needs... perpetuating the doctor's belief that he/she is being increasingly "run" but payors. Each week I see a few more office managers and PMS vendors stumbling out into the harsh light of HIPAA... and these folks are horrified to find out that nobody's working on their problem and that there is no big, friendly HIPAA Office to point them to or a "Welcome to HIPAA" packet to mail out. (see the recent post here, "Long term care readiness and the Taliban ate my homework"). Just wait a few months! I really admire the ones who are posting their concerns to a listserve. For every one of them, I suspect there are 50 who walk out, take one look at this mess, and decide "This is b--- s---!"... and just return to their patients. This would be a huge project... with significant capital and operational needs. But with a simple license fee model, we can extract the necessary cash from the doctors (the end users) to pay for both the HIPAAsuction and the marketing necessary to explain to them why this is all such a brilliant idea! I think it's just crazy enough to work! (and I'm obviously crazy enough to want to help create and manage it!) Regards, Chris At 02:20 PM 5/13/02 -0700, David A. Feinberg, C.D.P. wrote: >Chris, > >HL7 would not be the "'parent' or central coordinating body". >With the exception and collaboration of the additional, parallel >organizations noted by the NCVHS, HL7 *is* the body that already >(for over 15 years now) sets the standards -- data content and >format -- for communicating patient medical records information "that >doctors and hospitals must collect and manage". > > Dave Feinberg > Rensis Corporation > 206-617-1717 > [EMAIL PROTECTED] > > >----- Original Message ----- >From: "Christopher J. Feahr, OD" <[EMAIL PROTECTED]> >To: "David A. Feinberg, C.D.P." <[EMAIL PROTECTED]>; ><[EMAIL PROTECTED]> >Cc: "Fulton Bob" <[EMAIL PROTECTED]>; <[EMAIL PROTECTED]>; "John >Warren, OD" <[EMAIL PROTECTED]> >Sent: Monday, May 13, 2002 11:38 AM >Subject: Re: HIPAA Patient Medical Records Information Standards > > >Dave, >Thanks... this is very exciting news. It would appear that HL7 is >proposed as the "parent" or central coordinating body for PMRI >standards. It also appears from the scopes/missions of the three >specific SDOs mentioned, that a need may exist for a separate SDO (or >perhaps a committee within HL7) to consider format and content >standards for the [non-image] PMRI information that doctors and >hospitals must collect and manage. Would you agree... or is there >already a designated committee working on this? > >Regards, >Chris > >At 08:30 PM 5/12/02 -0700, David A. Feinberg, C.D.P. wrote: > >Chris, > > > >Funny you should mention [way way below] standardizing electronic > >medical records. The National Committee on Vital and Health >Statistics > >released their latest recommendations on this topic this past > >February. > > > >Following is a cut-and-paste from www.ncvhs.hhs.gov/020227lt.htm. > >You'll note about a third of the way down that "NCVHS recommends that > >HL7 be recognized as the core PMRI standard and that DICOM, NCPDP > >SCRIPT and IEEE 1073 be recognized as standards for specific PMRI > >market segments." > > > > Dave Feinberg > > Rensis Corporation > > 206-617-1717 > > [EMAIL PROTECTED] > > > > > > > > >To be removed from this list, go to: >http://snip.wedi.org/unsubscribe.cfm?list=business >and enter your email address. > >The WEDI SNIP listserv to which you are subscribed is not moderated. The >discussions on this listserv therefore represent the views of the >individual participants, and do not necessarily represent the views of the >WEDI Board of Directors nor WEDI SNIP. If you wish to receive an official >opinion, post your question to the WEDI SNIP Issues Database at >http://snip.wedi.org/tracking/. >Posting of advertisements or other commercial use of this listserv is >specifically prohibited. Christopher J. Feahr, OD http://visiondatastandard.org [EMAIL PROTECTED] Cell/Pager: 707-529-2268 To be removed from this list, go to: http://snip.wedi.org/unsubscribe.cfm?list=business and enter your email address. The WEDI SNIP listserv to which you are subscribed is not moderated. The discussions on this listserv therefore represent the views of the individual participants, and do not necessarily represent the views of the WEDI Board of Directors nor WEDI SNIP. If you wish to receive an official opinion, post your question to the WEDI SNIP Issues Database at http://snip.wedi.org/tracking/. Posting of advertisements or other commercial use of this listserv is specifically prohibited.
