Comments on: The Story Behind the CommonWell Story

By: Information sharing

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By: Jon Gallagher

Jon Gallagher — Mon, 15 Apr 2013 10:17:15 +0000

Speaking of transparency, does Chilmark have a business relationship with any CommonWell vendors? Normally Chilmark is one of the best analysts out there in HIT-land but I wonder motives in this situation.

By: BobbyG

BobbyG — Sun, 14 Apr 2013 05:11:19 +0000

In reply to Adrian Gropper MD. I'm with you on this, Dr. Gropper. Sadly, though, the entrenched Big Players seem to continue to dominate. To the extent that patients will benefit marginally, fine, but that is not the point. Patients are a necessary evil who provide the grist for billing.

By: Adrian Gropper MD

Adrian Gropper MD — Sun, 14 Apr 2013 01:11:18 +0000

Chilmark is not cutting through the BS this time around. The saga of when was Epic invited and speculation over their motives hardly matters a month after HIMSS.

The CommonWell Alliance with and without Epic would still be a closed EHR vendor challenge to standards-based state health information exchanges (HIE) and to policies and processes based on the amazing work being done in Blue Button+.

Epic and the CommonWell allies benefit equally from connection fees and rent-seeking behavior more appropriate as applied to airport landing fees than information interfaces in the Internet era. Not surprisingly, Epic and CommonWell members also benefit disproportionately from the $Billions in Meaningful Use incentives.

Can Chilmark tell us how much Epic charges for messages in and out of the Epic information exchange? CommonWell refuses to say how it will price messaging in and out of members’ EHRs but their desire to control and charge for interfaces is a major impediment to interoperability today.

State HIEs and patient-directed automated exchange via Blue Button+ are both based on Stage 2 Meaningful Use standards and not subject to the EHR vendor lock-in business model. This is the most important aspect of the CommonWell / Epic saga.

It’s time for all of us, especially ONC and HHS as well as the VA / DoD / Medicaid purchasing behemoth to demand transparency and mobility of health information as a condition for the $20+ Billions of incentives to the EHR vendors.