Announcement of Public Workshop, "Examining Health Care Competition" ("Health Care Workshop") Project No. P13-1207 #00121

Submission Number:
00121
Commenter:
John Santmann
State:
New Jersey
Initiative Name:
Announcement of Public Workshop, "Examining Health Care Competition" ("Health Care Workshop") Project No. P13-1207
As a best of breed vendor competing in the current healthcare environment, the "walled gardens" referenced during the panel discussion are of key concern. The lack of cooperative interoperability which result in the hindrance of clinical data exchange appear to be occurring not due to a technological issue but rather due to business practice. This is a monopolistic, anti-competitive behavior. Hospitals and healthcare systems have been told by HIS vendors that best of breed departmental solutions that adhere to HL7 and CCDA standards and are certified for Meaningful Use "do not integrate" with the hospital system when, in fact, systems have been successfully integrated at other facilities. In the telecommunications industry, long-distance providers are not able to dictate which telephone systems must be used to access long-distance services. This should be true in the healthcare industry as well. How can EHR vendors refuse to integrate with competing systems? We encourage both the FTC and ONC to continue their efforts to develop and enforce clinical data exchange by requiring standards and tests for certified vendors. The ability to exchange patient information should be measured as part of Meaningful Use by being demonstrated across care settings