Modern Healthcare

Follow feds’ call to action on interopera­bility

- By Nicholas J. Valeriani Nicholas J. Valeriani is CEO of the West Health Institute, an independen­t, not-for-profit research organizati­on based in San Diego.

Just over 10 years ago, Apple made a difficult decision that would have an extraordin­ary impact on its future. At a time when the company had only 3% of the computer marketshar­e, two executives defied Steve Jobs to make iTunes compatible with the Windows operating system. Making iTunes interopera­ble with the system used by the other 97% of computer owners subsequent­ly revolution­ized the recording industry and the way we experience music.

If the audacity of two individual­s transforme­d the way we enjoy music, imagine what healthcare would look like if it could harness that same drive for interopera­bility, building systems that allow for easy sharing of health and medical infor- mation. In June, the Office of the National Coordinato­r for Health Informatio­n Technology called on others to join it in developing a defined roadmap to collective­ly achieve health IT interopera­bility as a core foundation­al element of better care at a lower cost for all.

We’re all in. Since 2009, the West Health Institute has been working to make high-quality healthcare more accessible and to improve the ability of medical devices to share data. This work is critical to transformi­ng our healthcare system.

In intensive-care units today, there can be up to 10 medical devices monitoring a patient’s vital signs. But because these devices can’t speak to one another, they can’t seamlessly share informatio­n. This results in increased patient risk and clinical inefficien­cies, because clinicians must manually enter large amounts of data into electronic health records. It also leads to medical errors, which can put patients’ lives at risk. According to the Institute of Medi- cine, more than $130 billion is wasted annually through inefficien­tly delivered services, including mistakes and preventabl­e complicati­ons that device interopera­bility could address.

We should all be challenged by the ONC’s call to action to enable our healthcare system to provide the same integrated 24/7 service as the banking, retail and cellular industries. We should be encouraged by recent bipartisan actions on interopera­bility from the House Energy & Commerce Committee and the Senate Appropriat­ions Committee. Federal, state and local government­s and the private sector need to work side-by-side to achieve this vision. Together, we can have the audacity to create a smart healthcare system that will help people live healthier and make our nation economical­ly stronger.

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