An Evolving Identity: Self-Reflection On The Image Of Nursing Video
Self-Reflection Identity Project for NursingOpinion: An Evolving Identity: Self-Reflection On The Image Of Nursing
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How are you today? Mathieu: Doing well, thanks. Jim: Sure, absolutely. I want to be clear that I characterize my healthcare involvement as around health IT. During my time in the public sector and public sector consulting in Washington DC, I got more involved with federal agencies in healthcare, in federal health IT, and in data efforts. I spent a year and a half with them as the senior director for interoperability and standards.
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I left that job to go back into public sector consulting, supporting the State of Vermont with implementing systems as part of the Affordable Care Act. Then, I moved into another small company supporting a large enterprise software development initiative with the Department of Veterans Affairs the VA. I stayed involved with HL7 and several other standards groups and consortia. I began working with Lumedic in January of this year, specifically focused on digital identity standards, especially in self-sovereign identity, and also continuing to work in HL7. Lumedic is part of Providence Health Systems, and we play a very active role in several HL7 initiatives for health IT and data exchange. Jim: Sure.
They have various international working groups and focus areas that are using standard schemas very similar to W3C and others to develop health data standards for interoperable health data in healthcare systems. Jim: Oh. The development of health standards has been iterative. Going back to the data standards and the way data was organized and used in the client-server environment; all of that has changed with web services, and with APIs, and cloud services and the internet, etcetera. Health data standards have changed as well. FHIR fast health information resources is the latest iteration for being able to capture health data from electronic health care records and make it available through web services. Mathieu: Got it; thanks for the breakdown.
There was a nice representation that Michael Nash from your team put together, showing the progress of healthcare. As it started in its pre-digital era, you started to get different standards and legislation like HIPAA. Then, you started to get more digital standards and high-tech standards as the paper era moved into the digital era.
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Closer to today, with the 21st Century Cures Act coming into place, moving from the digital era towards more the patient era. Jim: Mike Nash, our CEO, has espoused this vision, which I think is outstanding; about the healthcare in the US coming into the patient era, and how Lumedic is part of the patient era now. To walk through that evolution that you articulated; like so many other industries, we moved from paper to digital over the course of the last couple of decades. Healthcare records had historically been big, thick binders of paper and faxes and notes, which would still persist today. There was a change in regulatory focus to take into account the fact that healthcare records have been more and more transitioning into the world of digital and digital records — electronic healthcare records systems.
HIPAA was ground-breaking in its obviousness in saying that number one, your healthcare data should be able to go Nkrsing you want it to go; and number two, healthcare systems were responsible for how they manage, safeguard, and distribute electronic health information, which we called EHI or PHI protected health information. Everyone appreciates the fact that the law helped to clarify and articulate that data should be available to you, wherever you need it to be, that it Selff-Reflection be transferable, and most An Evolving Identity: Self-Reflection On The Image Of Nursing, there are protections behind it.
Since that time inmore and more things are available through the internet, mobile apps, and electronic systems. Then, you have various middleware and patient engagement experience platforms, and use of third-party apps, and health and fitness apps. It should be ubiquitous in its presentation and ability to be used at different places.
That is: you, as the patient, have the technology, and we have the architectures to empower http://pinsoftek.com/wp-content/custom/stamps/literature-review-of-superstition.php to be able to collect your data and use it as you see fit.
That is quite a cultural change. Your ability to get access to that data, and be able to use that Evolviing as you see fit, has oftentimes been questionable just because of healthcare silos. That is a thematic undercurrent to everything that we do with Lumedic, but in particular around the Lumedic Connect identity platform. The 21st Century Cures Act, as suggested when it passed in the 21st Century, goes into effect in HIPAA was passed in ]
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