Topic to explore: the solution identified by latest research (methods, data, underlying themes) which now has to be elaborated on to clarify the details in process and flow. You'll see the outcome within 1 -3 years as progress from the time the implementation plan meets the new thing happening already. Also anything that cuts red tape and red tape alone. Not busy work. Not near-exhaustive efforts. Nor will it leave room for error as chance. Set at .001.

It can bring about the needed interoperability features if done right and can keep blocking them if done wrong. Currently guidelines for comments are deontological and also outdated. All public comments can be processed and analyzed yielding bias-free attempts to link to the path of epidemiological best data. Restricting content confuses the system. Think a intra health system mainframe running on a Catholic hospital's cutting room floor. [Nominator provides religious example of health care system failures]. Soon your best efforts will appear to have failed and your self esteem loss will free the imposition force to wreak havoc upon even the good parts of the system and many may find themselves rebuilding the wheel they worked so hard to complete 3 fold at least, until the data breach possibility is eliminated.

It will point out the process impeding successful new levels of meaningful use. Wait....actually just get primary care to have better core measures for attestation so they are willing to share patient load, free up some time, and use the software with at least one day a week giving an hour or 2 or 3 or so to qualitative detail on a patient interaction. They don't have a budget to rationalize, just a fee for service structure and vague criteria that don't quite fit their scope anyway. And they have to likely find a pathway to extract elements of administrative excellence which exists but unspoken so puts them in a risk for loss if an integral office management team member leaves. Difficult when there is not sufficient cash flow to leverage such an increase in workload. Some hospitals have a dedicated liaison with primary care doctors locally and some hospitals are meeting local interoperability by sharing their EHR with local practices. But not enough to span the gaps on a national framework scale. You have probably seen the patient electronic copy of their health records attestation data. Not good. Don't repeat failed attempts of Canadian efforts and go backward. They wed our help too. OK that should cover most of the don't want to be the first one to say it phobia for you. Oh yeah...The IT industry is probably only equally to blame for software quality. Not more so. Be the bigger person and stop the healthcare on healthcare abuse by appointing get blame as the final determinant.

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