Discover and read the best of Twitter Threads about #infoblocking

Most recents (2)

@ePatientDave @janoldenburg @MightyCasey @HealthPrivacy Been stewing on this actually @ePatientDave .
It's the same problem @claudiawilliams and @HITpolicywonk raised.
In sum, a state can require certain behavior of a #licensed #professional that may be inconsistent with #HIPAA right of #access, or #CLIA rules, or (1/several)
@ePatientDave @janoldenburg @MightyCasey @HealthPrivacy @claudiawilliams @HITpolicywonk Or even @ONC_HealthIT. The issue is which rules win?
The first principle is that accessing your own health info is a privacy right.
There's a clear rule about state laws that give fewer rights, like making it cost more than #HIPAA says it should. Those are preempted 2/
@ePatientDave @janoldenburg @MightyCasey @HealthPrivacy @claudiawilliams @HITpolicywonk @ONC_HealthIT The second principle is that legislatures dictate license terms to keep patients "safe."
So here, some states are adding physician requirements about labs to keep patients safe. It's a theoretically different line of law entirely, but it's crashing into the first principle 3/
Read 10 tweets
1/ Federal health agencies just released the long-awaited rules that could represent a huge step forward in data sharing to patient, between hospitals and between different types of electronic medical record systems.

This will shape the health data landscape for the next decade.
2/ this @WSJ article by @annawmathews and @_melaevans captures the opportunities-and controversies- well.

During my time in the federal government (2009-2014) we pushed hard on adoption of electronic health records, and adoption rose rapidly…
3/ Doctors who remember trying to find a lost paper chart (or waiting for it to come back from radiology) will concede that there is an advantage to switching from paper to digital.

And nurses and pharmacists (and patients) appreciate not having to try to read our handwriting.
Read 22 tweets

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