As I look at these proposed standards and then review the document on which they are based-Uniform Data Standards for Patient Medical Record Information, I am struck with the notion of trying to do the same old thing and somehow get a different end result. The failure of distributed healthcare information to be available on a 7x24 basis is also not adequately addressed in the report. Compliance with the proposed standards should be weighted to facilitate comparison between competing systems. Implementing standards on an unproven hypothesis of healthcare improvement and cost savings may impede not promote health for patients. 7x24 b. Authentication Standards c. Standards for documenting Access Authorization d. Mechanisms for providing access in distributed healthcare environment Section 3.
Most health information resides with patients and their families.
While initial focus is on transactional standards, current and evolving clinical processes need to be recognized so that systems being implemented are able to take advantage of these changes. Patient personal health information from Personal Health Records including health risk analysis and interests and behavioral characteristics and trends of the patient. Mechanisms for integrating information from remote monitoring of parameters for managing chronic illnesses. Within the record, there needs to be a big focus on communication between patient and physician. Clinical and transactional data integration needs to occur with real time messaging processes.