Facing ongoing and intense public scrutiny about its joint iEHR with the VA, more recent decisions to evaluate commercial options, and perceived absence from similar projects, such as Healtheway, OSEHRA and VLER, the top tech officials discuss challenges of balancing legacy systems with modernization.
Finding the right technology for patient segments, "beer and pretzel" communication and explanation of consent forms from trusted clinicians are three engagement strategies that worked for some Beacon Communities.
Farzad Mostashari told the Government Health IT Conference that the balance of regulatory and market-based solutions to health IT standards and process improvement is a work in progress, but making inroads.
The range of managed care policies states have adopted in Medicaid modernization plans spotlight a variety of options that will be available for other states expanding eligibility under the ACA, but sound IT is still a common concern.
Vermont's HIE, managed by the nonprofit Vermont Information Technology Leaders, is seen as an enabler for the coordination and quality assurance the state will require of providers, as it moves to a largely single payer system in 2017.