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</o:shapelayout></xml><![endif]--></head><body lang=EN-US link=blue vlink=purple><div class=WordSection1><p class=MsoNormal><span style='font-size:12.0pt'>Thank you, Thompson. I agree with all your points. This is typical of new initiatives. It may start with a few that grasp the vision: If we can make it a reality there are many benefits.<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:12.0pt'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:12.0pt'>-Nancy<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:12.0pt'><o:p> </o:p></span></p><div><div style='border:none;border-top:solid #E1E1E1 1.0pt;padding:3.0pt 0in 0in 0in'><p class=MsoNormal><b>From:</b> Openid-specs-heart [mailto:openid-specs-heart-bounces@lists.openid.net] <b>On Behalf Of </b>Boyd, Thompson<br><b>Sent:</b> Monday, November 06, 2017 6:16 PM<br><b>To:</b> openid-specs-heart@lists.openid.net<br><b>Subject:</b> [Openid-specs-heart] Survey<o:p></o:p></p></div></div><p class=MsoNormal><o:p> </o:p></p><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></div></body></html>