Author: Dr. Paul Buehrens, Chief Medical Officer of Vyrty, Corp on Sync.MD

A few weeks ago, an article published by MobiHealth News online, discussed the barriers health care IT innovators are facing from reimbursement issues, funding to healthcare leaders second guessing technology-led innovators.

Here are some of my responses to the issues discussed in the article:

· Investment. IT in healthcare lacks credibility. CEOs hear continuously from physicians that the bad IT they get adds to workload and “pajama time” and increases work, whereas the promise of IT was to increase productivity. The industry has a very very bad reputation with physicians. REAL innovation and IT tools are hard to impossible to find. That’s why SyncMD was built by and for physicians and patients. Nobody else is doing that!

· Data interoperability. Current archives of records are largely data created to record processes and not final results, and were built for a coding and reimbursement system, not for their clinical utility. Consequently, interoperability connects orders of magnitude more “data” than are clinically useful, and sorting through that uses clinician TIME, the MOST expensive resource that health systems have. As a practicing clinician, I hope I never have to use an HIE or have to deal with interoperability. That’s why SyncMD made the PATIENT the HIE hub: Clinicians only want and use data about an individual, for all health care is focused on a doctor-patient relationship in the end. Only the data about ONE patient at a time is clinically useful. Sure, we can learn a great deal from aggregates. That’s why SyncMD allows aggregation of data that doesn’t NEED to be de-identified: it is not possible for the data owner to BE identified without the patient’s permission! Aggregation of data at many levels, yes, but no scrubbing of identification is needed.

· Security and risk. SyncMD creates individual files, not a huge database to hack. The patient has a personal health record encrypted and stored on the cloud, but not bundled with others, just stored individually, and the patient holds the decryption key on the app, and gives the health system permission to decrypt data one doctor at a time: only the providers named by the patient can access their data. The technical details aren’t my forte, but there’s just no way to hack a nonexistent database, and one must steal from or extort an individual to get access to ONE person’s file. Not worth it to the hacker!

· EHR Competition. SyncMD is not competing with the huge databases held by systems. It’s just a “supercooled” frictionless way for patients to arrange for their clinicians to see and use timely data about themselves during any episode of care. Scalable to every interconnected phone and every internet connected computer on the planet. Free to patients, always, and a nominal monthly cost to providers with more than 10 patients. Easy!

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