{"id":8770,"date":"2011-03-21T10:11:43","date_gmt":"2011-03-21T15:11:43","guid":{"rendered":"http:\/\/pmedicine.org\/epatients\/?p=8770"},"modified":"2011-03-21T10:15:51","modified_gmt":"2011-03-21T15:15:51","slug":"health-it-update-significant-announcement-and-webcast-today-about-the-direct-project","status":"publish","type":"post","link":"https:\/\/participatorymedicine.org\/epatients\/2011\/03\/health-it-update-significant-announcement-and-webcast-today-about-the-direct-project.html","title":{"rendered":"Health IT update: Significant announcement and webcast today about the Direct Project"},"content":{"rendered":"<p><em>Readers interested in health IT issues will want to know about today&#8217;s webcast at 1:00 ET, and the policy issue described here by\u00a0SPM&#8217;s policy chair David Harlow (Twitter <a href=\"http:\/\/twitter.com\/healthblawg\" target=\"_blank\">@HealthBlawg<\/a>), from the SPM members listserv:<\/em><\/p>\n<p>There\u2019s a significant announcement out from the ONC about the Direct Project today.<\/p>\n<p>This initiative is short-circuiting the path to EHR (electronic health record) interoperability, and that\u2019s a good thing. \u00a0Secure messaging of patient health data sooner, rather than later.\u00a0 Read more <a href=\"http:\/\/healthblawg.typepad.com\/healthblawg\/2011\/03\/direct-project-reaches-critical-mass-interoperability-on-the-horizon.html\" target=\"_blank\">on my blog<\/a> (including links to press release and other resources).<\/p>\n<p>160 million people will be \u201ccovered\u201d by the Direct Project once every entity that\u2019s signed on as of now gets fully ramped up.<\/p>\n<p>Interesting stat they keep citing: \u00a0each primary care provider, on average, coordinates care with\u00a0<a href=\"http:\/\/www.annals.org\/content\/150\/4\/236.abstract\" target=\"_blank\">229 doctors across 117 different practices<\/a>, according to a study of patients covered by fee-for-service Medicare.\u00a0 Anything to help with that level of communications complexity will be welcome, I\u2019m sure.<\/p>\n<p>For more info, there\u2019s a webinar at 1 ET today: <a href=\"http:\/\/www.nationalehealth.org\/NHIN301.aspx\">http:\/\/www.nationalehealth.org\/NHIN301.aspx<\/a><\/p>\n<p>&#8212;&#8212;&#8212;&#8211; End of David&#8217;s message<\/p>\n<p><em>Background on The Direct Project and why it matters:<!--more--><br \/>\n<\/em><\/p>\n<p>Today&#8217;s webcast is by Arien Malec, coordinator of the Direct Project at HHS. I&#8217;m no expert on the project, so I&#8217;ll be listening to that webcast. Here&#8217;s my understanding &#8211; I&#8217;m sure any mistakes will show up in comments!<\/p>\n<p>The Direct Project is a big deal &#8211; in my opinion the biggest deal <em>in history<\/em> for patient-centered health IT and interoperability of our health data. Both of those are essential for patient-centered innovation, which could be an essential enabler of patient engagement.<\/p>\n<p>Consider the hundreds of physician connections David described above, and consider that <em>nobody gets paid<\/em> for coordinating it. If you&#8217;ve ever coordinated care for a child or elder, you know what that means: a mess, and balls getting dropped everywhere. Now, with the Direct Project, it will be easier for you to collect and distribute the information.<\/p>\n<p>That&#8217;s because the Direct Project allows <strong>point-to-point (&#8220;direct&#8221;) communication<\/strong> of your health records, between you and anyone you authorize, without going through a central clearinghouse. That&#8217;s a huge enabler of what geeks call &#8220;data liquidity&#8221; &#8211; letting it flow freely, instead of acting like sludge. It was announced last Fall.<\/p>\n<p>Why it matters:<\/p>\n<ul>\n<li>First, <strong>whose data is it, anyway?<\/strong> It&#8217;s mine, it&#8217;s yours, and we should be able to send it wherever we want. (Before the Direct Project was announced, there was a chance our data would be clogged up in a large and potentially bureaucratic clearinghouse.)<\/li>\n<li>Second, my personal gut feel is that if we can truly get control of our health data and do what we want with it, <strong>it can enable the kind of mash-ups and innovation<\/strong> (e.g. &#8220;Google Earth for <span style=\"text-decoration: underline;\">my<\/span> body&#8221;) that many have discussed. Why? Because to innovators, data is fuel: without data a developer has no market. And as I said <a href=\"https:\/\/participatorymedicine.org\/epatients\/archives\/2009\/09\/hipaa-is-so-1996.html\" target=\"_blank\">in 2009<\/a>, &#8220;I want innovation [in health tools] at a rate that resembles the rate of improvement in cell phones and iPods.&#8221;\u00a0\u00a0Freeing up data is essential for that.<\/li>\n<li>All in all, it&#8217;s a <em>big <\/em>step toward &#8220;<strong>patient as platform and point of integration<\/strong>,&#8221; as Web guru Doc Searls described three years ago after he experienced the consequences of <em>not <\/em>being able to move his data around. (Our post on it is <a href=\"https:\/\/participatorymedicine.org\/epatients\/archives\/2008\/06\/doc-searls-patient-as-platform-and-point-of-integration.html\">here<\/a>.) The idea is that <em>you <\/em>(your family etc), will become the place where your health data lives. In a sense it&#8217;s as \u00a0if your financial data lived only at your banks, and you finally got Quicken so you can carry it all with you.<\/li>\n<\/ul>\n<p>So yeah, the Direct Project is a big deal.<\/p>\n<p><em><br \/>\n<\/em><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Readers interested in health IT issues will want to know about today&#8217;s webcast at 1:00 ET, and the policy issue described here by\u00a0SPM&#8217;s policy chair David Harlow (Twitter @HealthBlawg), from [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"give_campaign_id":0,"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","_price":"","_stock":"","_tribe_ticket_header":"","_tribe_default_ticket_provider":"","_tribe_ticket_capacity":"0","_ticket_start_date":"","_ticket_end_date":"","_tribe_ticket_show_description":"","_tribe_ticket_show_not_going":false,"_tribe_ticket_use_global_stock":"","_tribe_ticket_global_stock_level":"","_global_stock_mode":"","_global_stock_cap":"","_tribe_rsvp_for_event":"","_tribe_ticket_going_count":"","_tribe_ticket_not_going_count":"","_tribe_tickets_list":"[]","_tribe_ticket_has_attendee_info_fields":false,"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[367,59,2],"tags":[],"coauthors":[],"class_list":["post-8770","post","type-post","status-publish","format-standard","hentry","category-medical-records","category-policy-issues","category-trendsprinciples"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - 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