The Current State of the Art of EHR: Requirements of Interoperable EHR to Use Consistent Standards t

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The Current State of the Art of
EHRRequirements of Interoperable EHR to Use
Consistent Standards to Support Information
Sharing Across Wide NetworksUdi E. Ghitza,
PhDGregory J. Downing, DO, PhD
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Speakers and Timeline
1130 am Overview Standards Necessary for
Interoperable EHR Christopher G. Chute, M.D.,
Dr.P.H. Mayo Clinic College of Medicine 1200
pm Hurdles Solutions to Development of
Interoperable EHR John W. Loonsk, M.D. CGI
Federal 1230 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 100 pm General
Discussion
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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
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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

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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
Innovators Prescription A Disruptive Solution
for Health Care