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The Current State of the Art of EHR: Requirements of Interoperable EHR to Use Consistent Standards to Support Information Sharing Across Wide Networks Udi E. Ghitza , PhD Gregory J. Downing, DO, PhD. Speakers and Timeline. 11:30 am Overview: Standards Necessary for Interoperable EHR
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The Current State of the Art of EHR:Requirements of Interoperable EHR to Use Consistent Standards to Support Information Sharing Across Wide NetworksUdi E. Ghitza, PhDGregory J. Downing, DO, PhD
Speakers and Timeline 11:30 am Overview: Standards Necessary for Interoperable EHR Christopher G. Chute, M.D., Dr.P.H. Mayo Clinic College of Medicine 12:00 pm Hurdles & Solutions to Development of Interoperable EHR John W. Loonsk, M.D. CGI Federal 12:30 pm Developing Interoperable EHR: Maximizing Quality of Care Gregory J. Downing, D.O., Ph.D. Office of the Secretary Department of Health and Human Services 1:00 pm General Discussion
What is Interoperability? • …the ability of health information systems to exchange and use healthcare information within and across organizational boundaries to advance the effective delivery of healthcare for individuals and communities. • HIMSS 2006
Standards – Semantic and Syntactic Interoperability depends on the ability for systems to understand information. • Semantics convey meaning • Multiple structures can have the same meaning • The dog eats red meat. • Red meat was eaten by the dog. • Syntax is structure • Proper structure does not prevent nonsensical statements • The dog eats red meat. • The dog drinks blue sky. Time flies like an arrow. Fruit flies like a banana. -Groucho Marx C. Mead
Changing nature of medical practice Unpredictable and iterative Intuitive medicine: regulation of resources Empirical medicine: regulation of processes Complexity of diagnosis and treatment Precision medicine: regulation of outcomes Technological Progress Straight forward Time With permission: Christensen, Clayton M., The Innovator’s Prescription: A Disruptive Solution for Health Care