This Week Health

Epic will apply to be QHIN under TEFCA. Why are they doing this now? I don't really care, I'm just glad they are doing it.

Transcript

Today in health, it epic applies for Q hen status under Taska. And we're going to talk about that this morning. My name is bill Russell. I'm a former CIO for a 16 hospital system. And creator of this week health, a set of channels, dedicated to keeping health, it staff, current and engaged. We want to thank our show sponsors who are investing in developing the next generation of health leaders.

Gordian dynamics, Quill health tau site nuance, Canon medical, and current health. Check them out at this week. health.com. Slash today. All right, here's the story. I'm getting this word. I pull it. Healthcare innovation. H C innovation group.com. So title epic says it will apply to be a Q hen under TEFRA.

and let me give you some of the excerpts, EHR giant epic systems has announced. That when the trusted exchange framework and common agreement, application process begins. It will apply to become one of the inaugural qualified health information networks, making up a national network of networks.

From the beginning of the tesco process. It was never clear exactly how many Q hens. The ONC for health it and the square project envisioned and whether EHR vendors such as epic and Cerner would apply.

Large national networks, such as the CommonWell health Alliance and e-health exchange. Have expressed their intentions to apply, to become Q heads. According to the ONC IQ. is a network of organizations working together. To share data, Q hands will connect directly to each other to ensure interoperability between the networks they represent.

e of end users. Let's see, in:

Composed of 24 million actionable standards-based documents every day. And epic notes that half of those exchanges occur. With organizations that use different inter-operable systems, nearly all of Epic's customers also choose to exchange data through care. Quality. And nationwide exchange framework. That includes roughly 70% of us hospitals.

Epic says a collaborated with the ONC and this coin project and the broader healthcare community. To build consensus around the principles and procedures of Tesco. Our fundamental goal is to help all patients receive informed personalized care, regardless of where they go to receive. It says Dave Fermin, senior vice president of interoperability at epic.

ution of interoperability. In:

And it's the exchange of information and how great that is to see the tests that were run. , whether it's node that care everywhere allows medication allergy. Immunization records from other health systems to be presented to the providers automatically in the chart and the providers can easily review them.

And do the med rec process. There's a sea change underway in terms of how providers think about importing data from other organizations. A few years ago, we would say. We want this data, but it's not our data. So we've got to keep it segregated and walled off. In the EHR weather said, people thought that was the safest thing to do because we don't know the quality of the data.

We don't want to mix it with ours. We don't want to be responsible in the same way that we are for our own data. Now I would say we have evolved to where we say that, unless that outside MRI is right next to our MRI. We are where we go. , look in the HR. People are going to miss it. Now, everybody is shifting over and expecting to see these data points.

All right. So, , and they have a little bit more. In this, where they just talk about how we're making strides with regard to interoperability. All right. What's my, so what on this fantastic. I mean, fantastic. That we're sharing this data. It does not surprise me. I think from a competitive standpoint.

There was a time where epic would compete on the data. But given their position in the market, I don't think they need to compete on the data. In fact, I think it benefits them greatly. To have that data flowing freely throughout. The healthcare systems. So I see epic doing this. It'll be interesting to see if Oracle does this. We used to say Cerner.

I guess we'll say Oracle now. It'll be interesting to see if, , Oracle steps up. And does the same thing. It does. You know, the age old problem here is that they were worried. That if they exchange this kind of data freely. That it would make moving off of their system a lot easier.

I don't think it makes it any easier to move off a system. If you're exchanging data in this way.

I'm a little disappointed that it's taken this long to get here. I'm excited that we've, we've gotten here. But I, a little disappointed that it required the law. Right. So it required 21st century cures. To sort of push the issue forward, a required, , some carrots and sticks. It required, , creating this momentum around it. And I think the providers have gotten on board of saying, look, we need this data to move freely.

, across the system. , the next thing I would like to see, quite frankly, and, and 21st century cures has the mechanism to make this happen. And that is a patient centric interoperability. I'd like to see this data. I get all the way down to the patient. They can collect it from the various health systems easily.

And then utilize it however they want to utilize it. , And I realized that's not what we're talking about here. But it is a step in the right direction towards that. Patient-centric interoperability. Where we truly empower the patients,

health data. So we're getting closer. I could see, , The changes starting to happen. Don't get me wrong. This is a big announcement. I applaud epic for making this, this move in this direction, regardless of what the competitive landscape or how long it took them, they're making the move. And that has to be.

Applauded. We will see what Oracle does. I'm not entirely sure where they'll go, but, , if it was still Cerner, I think they would absolutely go in this direction. , as Oracle, I'm not sure yet. I'm not sure I have enough data points to predict which way they'll go, but I hope they join it as well.

And, , I hope others. Follow suit. And we see a significant portion of the medical records flowing freely across all health systems through these various, , qualified. Health information networks. So that is all for today. If you know someone that might benefit from our channel. For them to note, they can subscribe on our website this week.

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Gordian dynamics, Quill health tau site nuance, Canon medical, and 📍 current health. Check them out at this week. health.com/today. Thanks for listening. That's all for now.

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