I've recently reviewed the letter target="_new">Leavitt, CCHIT Oversimplify Interoperability
target="_new">Leavitt, CCHIT Oversimplify
Interoperability, written by Ryan Howard.
I'm in full support of his position, with the exception
that it does not clearly identify a solution or
recognize the importance of the electronic health record being owned by the
patient. Web-based EHR vendors are a logical
alternative and perhaps the ultimate solution for
patient movement of their record from one care provider
to another. Additionally, the issues of enterprise
systems are avoided as the Internet performs the
transfer of updates and allows the EHR to always be
current, thus eliminating the risks of obsolescence
inherent in the enterprise model.
Further, it is essential that the integrity of the
caregivers' input is secure from manipulation by the
patient. Otherwise the provider will be forced to
discount the content of the record. Patients' access to
the record for their input of nonprescription, over-the-counter medications, at-home generated medical info, etc., should occur through a patient-accessible file within the record which can be reviewed and considered by the
physician at the next encounter.
A patient-owned Web-based record can be stored in a
vault that is programmed to de-identify the record. All
this happens in a HIPAA-compliant environment. Only the
patient is capable of reconsolidating the data or
transferring the record to another provider. Of course,
an appointment or a care encounter created by the
patient or his provider will ultimately and instantly
cause the record to be available for consideration in
The industry has not yet maximized its use of the
powerful tools available to it via the Web.
Joseph C. DayVice
chairmaneMedicalFilesAtlantaTo submit a letter to YOUR VIEWS, click here . Please include your name, title and