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May 8, 2023 By e-Patient Dave 10 Comments

Is Beth Israel lying, denying, or complying?

I am really irritated. My hospital has told me they’re not supporting the federally required FHIR standard (a “FHIR endpoint”) to let me access my health data. Is this legal??

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Important update: a robust Twitter thread is drawing lots of answers on whether this is legal. Some of it is “gray area” but among other things:

  • At present, even if their behavior is a violation, there’s no penalty!
  • But by end of 2023, if they don’t have this, they might not get any more payments from CMS!
    • That’s Medicare and Medicaid, which are about 40% of all US hospital revenue
  • There are three separate requirements.
    • System vendors are required (today) to offer a FHIR endpoint to their buyers (hospitals).
      • Well-known large vendors like Epic and Cerner offer it.
      • But Beth Israel Deaconess is its own system developer, and they haven’t created one.
    • Care providers (hospitals etc) aren’t required to buy them and offer them to patients (yet)
    • But by end of 2023, providers will have to offer this to patients, if they want to get paid by CMS (Medicare).

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Resuming the original post:

[Read more…]

Filed Under: FHIR, Government, Health data, Health policy, patient engagement Tagged With: Cures Rule, fhir, gimme my damn data, health IT, medical records, patient engagement 10 Comments

July 29, 2020 By e-Patient Dave 5 Comments

My new work – Toronto’s PocketHealth: Cloud delivery of radiology images

Please put questions in comments at bottom of post. Thanks!

Immediate, contactless delivery of your radiology images – no more CDs, no more need to wait around or pay Fedex or put on your mask to come in and pick up the disk. Imaging studies delivered in the cloud.

[Read more…]

Filed Under: Advisory work, Health data, Innovation, patient engagement, Patient-centered thinking Tagged With: CT scans, gimme my DaM data, gimme my damn data, MRI, OpenNotes, patient empowerment, patient engagement, pockethealth, radiology 5 Comments

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