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Slide Presentation of the 2007 Annual Meeting of AHRQ

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...And the Closer You Get....The Murkier It Gets

Text Description is below the image.
  • The economists are right—public goods problems are real
    • Physicians aren't clambering for this
    • They want some business functions—like document transfer and lab results—but not pounding the table for shared patient information
  • Inter-operability isn't as hard as people say it's much worse
    • Highly variable degree of sophistication among even the best vendors
    • Just because they told the CCHIT they can do something doesn't mean that they've done it before, or that it won't require a large amount of $$$ development, or that they're willing to do it
    • No one has really done this before, regardless of what they or their references told you
  • Capacity constraints of health care organizations (both hospitals and physician offices) and vendors, and coordination requirements among the many players, is an enormous challenge
    • Everyone's not ready when you are.....and vice versa
    • Everyone's not ready to work on the same weekends that you need them to

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