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<p class="MsoNormal" style="background:white"><span style="font-size:9.5pt;font-family:"Arial","sans-serif";color:#222222">2 A - Our standards work is incomplete.
</span><span style="font-size:9.5pt;font-family:"Arial","sans-serif";color:red">The standards work is a
<i><u>work in progress</u>.</i></span><span style="font-size:9.5pt;font-family:"Arial","sans-serif";color:#222222"><br>
1 B - Implementation of our profiles is too expensive</span><span style="font-size:9.5pt;font-family:"Arial","sans-serif";color:red">. Entities need to perceive the “value”, first.<br>
</span><span style="font-size:9.5pt;font-family:"Arial","sans-serif";color:#222222">2 C - Why would a hospital want to make patient-directed access easier?
</span><span style="font-size:9.5pt;font-family:"Arial","sans-serif";color:red">Need patients as customers. Need to have patient engagement. Patients need to be in the “center”. Patients are part of
<i>their</i> careteam.</span><span style="font-size:9.5pt;font-family:"Arial","sans-serif";color:#222222"><br>
D - HEART distracts the patient from the hospital’s portal experience. </span>
<span style="font-size:9.5pt;font-family:"Arial","sans-serif";color:red">HEART is more a more enriching experience for the patient. More patient choice, with more security.</span><span style="font-size:9.5pt;font-family:"Arial","sans-serif";color:#222222"><br>
4 E - US regulations are inadequate from a patient rights perspective. </span><span style="font-size:9.5pt;font-family:"Arial","sans-serif";color:red">We need to be thinking, internationally</span><span style="font-size:9.5pt;font-family:"Arial","sans-serif";color:#222222">.<br>
2 F - NATE and other HIE groups don’t see the value of HEART to their business or mission.
</span><span style="font-size:9.5pt;font-family:"Arial","sans-serif";color:red">It takes time</span><span style="font-size:9.5pt;font-family:"Arial","sans-serif";color:#222222">.<br>
1 G - Patient-directed exchange does not allow the patient to pay for API access.
</span><span style="font-size:9.5pt;font-family:"Arial","sans-serif";color:red">This can be worked out. This may not matter with risk-bearing ACOs where there is greater financial risk posed on Providers.</span><span style="font-size:9.5pt;font-family:"Arial","sans-serif";color:#222222"><br>
3 H - CMS and VA have not endorsed HEART or put it on their road map. </span><span style="font-size:9.5pt;font-family:"Arial","sans-serif";color:red">CMS and the VA need to see more examples</span><span style="font-size:9.5pt;font-family:"Arial","sans-serif";color:#222222">.<br>
3 I - We have not done enough PR and promotion. </span><span style="font-size:9.5pt;font-family:"Arial","sans-serif";color:red">Agree, more PR needs to be done, throughout the various organizations to which we are affiliated as members.</span><span style="font-size:9.5pt;font-family:"Arial","sans-serif";color:#222222"><br>
1 J - People don’t know about it and don’t understand it’s value. It takes time.
</span><span style="font-size:9.5pt;font-family:"Arial","sans-serif";color:red">More examples need to be available to the Health IT Community and Stakeholders.<br>
</span><span style="font-size:9.5pt;font-family:"Arial","sans-serif";color:#222222">1 K - Patients do not typically do not have access to their data from which to control an exchange.
</span><span style="font-size:9.5pt;font-family:"Arial","sans-serif";color:red">Agree, systems, need to be in place, for patients to have more control over who sees their data, as discussed in the JASON Report.<o:p></o:p></span></p>
<p class="MsoNormal" style="background:white"><span style="font-size:9.5pt;font-family:"Arial","sans-serif";color:#222222"> L - Other________________________<o:p></o:p></span></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">Thompson Boyd<o:p></o:p></p>
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