Information Presented:

The House Ways and Means Committee received the documentation below that outlines our concerns regarding HIT interoperability and MU2 gaps. In those documents, we voice our opinions and provide evidence of our accusations:
  • Open letter to House Ways and Means Committee Chair Dave Camp (R-Mich.):

  • Open letter to Governor Thomas Corbett, August 27, 2012:

  • Presentation to NEPA HRTF, December 13, 2012:

  • Open letter to J. Younkin, Director KeyHIE, Geisinger Health System, March 25, 2013:

  • Geisinger Presentation, HIE Hedge: Limiting Risk, April 30, 2013:

  • Geisnger Presentation Notes, HIE Hedge: Limiting Risk, April 30, 2013:

Our conclusion:

Instead of breaking and fixing the current healthcare model by removing regulatory capture and embracing creative destruction the actors currently in power are content at pursuing a healthcare bubble that will break the economy, one family at a time, by increased hidden expenses reflected in both transaction costs, taxes and insurance. Only certain actors can rein this in before the bubble bursts like the mortgage crisis. Dot Com, decuritized mortgages and healthcare bubble all share one thing in common: They have gone through Washington approval before degenerating from good ideas (like providing affordable housing to low income) to being scams. The trick is to leave what is good but get rid of the 30% waste and to stabilize the healthcare industry leveraging quality not quantity. Our IEEE published paper, titled: "Quality Healthcare: A Right, a Privilege, a Responsibility and a Concern" speaks to the problems we face. We must deliver a solution that is extensible, low cost, and interoperable across the Internet. It must enable collaborators across organizational boundaries to build, evolve, and deploy advanced analytical decision models. It must also protect patient privacy and provide strong security through authentication, authorization and encryption, both at rest and in transit. The failure of current day HIT solutions to provide these capabilities creates a serious gap in functionality.

As such, we have these two recommendations:

(1) Use the "conduit" HIPAA approved encrypted data transfer approach using Simple SMTP Direct protocols, which satisfies the need for a secure patient-centric interoperability solution

(2) Provide an affordable and convenient way for collaborators in a loosely coupled network to create and disseminate analytical decision models, and for clinicians and consumers to use them effectively.