tag:blogger.com,1999:blog-733074358901582680.post1975084568184630070..comments2024-03-23T05:28:35.472-04:00Comments on Healthcare Standards: Black smoke on NHIN Direct againKeith W. Boonehttp://www.blogger.com/profile/16883038460949909300noreply@blogger.comBlogger3125tag:blogger.com,1999:blog-733074358901582680.post-22982954515315468332010-06-16T15:04:18.788-04:002010-06-16T15:04:18.788-04:00Keith, good post, thanks! As far as representing s...Keith, good post, thanks! As far as representing smaller organizations directly rather than only by proxy (though I see nothing wrong with proxies as well), I hope that ways can be found. Web conferencing is a low-cost equalizer (vs. requiring travel) that helps. But there still is the issue of the time commitment. There was one year on CCHIT where we were blessed to have a SOLO practice doctor join the Interop WG, who was a valuable contributor, but could only afford (time-wise) that single year. But even that's the exception rather than the rule for most SDOs, projects like NHIN Direct, and even the public participation in FACA meetings like HIT PC and HIT SC (open to everyone, but who has the time?). I would like there to be a solution to broaden involvement (in addition to proxies), but am a bit stumped what that would be.Davidhttps://www.blogger.com/profile/13251393010554964308noreply@blogger.comtag:blogger.com,1999:blog-733074358901582680.post-89618238133840739152010-06-16T13:32:06.551-04:002010-06-16T13:32:06.551-04:00Keith, I've been reading your blog for a year ...Keith, I've been reading your blog for a year now and have heard you speak at multiple healthcare conferences (including the recent Governor's conference in Boston). Your summaries are always well informed, have a positive spin, and do a great job of keeping me up to date on the latest happenings in a very busy landscape.<br /><br />Thanks a bunch and keep up the good work!hk_newbiehttps://www.blogger.com/profile/06459625218447851528noreply@blogger.comtag:blogger.com,1999:blog-733074358901582680.post-48810187902529425292010-06-16T12:44:46.948-04:002010-06-16T12:44:46.948-04:00Keith -- thank you for this very helpful summary, ...Keith -- thank you for this very helpful summary, and feel free to keep poking at me when deserved.<br /><br />You are right that there is a lot of attribution of bad intentions going on that's slowing things down a bit. I've been talking to everyone, and all I hear is a strong desire to do the right thing for multiple constituents:<br /><br />Small practices<br />Large practices<br />Complex health systems<br />Different technology models<br /><br />The attribution of good intentions is critical to reaching consensus, and I very much appreciate your tone here.Arien Malechttps://www.blogger.com/profile/07012013033518862920noreply@blogger.com