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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
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
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
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
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


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