Fred Trotter has a great summary out about how we get from today's health IT mess to a real Health Internet.
It's not a long trip.
It's really based on two open source projects:
- CONNECT, which defines interoperability standards for exchanging health data, and
- DIRECT, which defines network standards for moving the data.
How do you get on to these networks? Well, the meaningful use guidelines for that sweet, sweet stimulus cash include interoperability requirements, like those used in CONNECT. So it's not just cash, it's standards. And I've written about the rapid progress of DIRECT before.
A trial of all this has already begun.
With a secure connection you should be able to e-mail your doctor, and they should not fear e-mailing you. Faxing will go away. You will be able to have your records downloaded to a secure location you control. And when a hospital or another doctor needs your record, the doctor's office should be able to get it to them.
It's a problem with lots of layers. Identity. VPN design. File standards. Interfaces. All of which have to work on top of the IP protocol.
Oh, and Fred notes that NHIN no longer stands for National Health Information Network. It stands for Nationwide Health Information Network.
That's not a big deal.
What is a big deal is that the Health Internet is coming on fast. Right now my regular doctor can get prescriptions to my pharmacist and records to the hospital where he has privileges. When my wife needed some imaging done recently, she just showed up at the right time, handed in her insurance card, and was out within minutes.
As that network is linked to other networks via NHIN standards, as the people who build networks and software come to adopt the CONNECT and DIRECT projects into their software, change will come swiftly.
It's easy to be cynical about something that has been delayed a long time, but that's the thing about computing. It doesn't work and doesn't work until it all works, then suddenly it works and we don't have to think about it.
Figure five years at the outside.