tag:blogger.com,1999:blog-1367102802658603789.post965955877249981488..comments2024-01-29T04:29:03.583-08:00Comments on David Clunie's Blog: Why ONC Whimped Out - An Annotated Bibliography of Public Comments David Cluniehttp://www.blogger.com/profile/17331067317921452126noreply@blogger.comBlogger2125tag:blogger.com,1999:blog-1367102802658603789.post-11289189823298965782012-09-01T07:58:39.244-07:002012-09-01T07:58:39.244-07:00ONC 'wimped out' on acting on the evidence...ONC 'wimped out' on acting on the evidence of responses tainted by large vendor influence. See my explanatory post "<a href="http://hcrenewal.blogspot.com/2012/08/health-it-vendor-epic-uses-clients-as.html" rel="nofollow">Health IT Vendor EPIC Caught Red-Handed Using Customers as Stealth Lobbyists; Did ONC Ignore This?"</a><br /><br />To what degree are the submissions ghostwritten, i.e., tainted? <br /><br />InformaticsMDhttps://www.blogger.com/profile/03994321680366572701noreply@blogger.comtag:blogger.com,1999:blog-1367102802658603789.post-90441895411323307002012-08-31T19:03:26.380-07:002012-08-31T19:03:26.380-07:00David:
You now see and understand the massive eff...David:<br /><br />You now see and understand the massive effort that went into the authoring of these rules. <br /><br />And you've only looked at ONE criterion. I understand that a handful of people worked 80 hour weeks all summer long in order to complete this work.<br /><br />Add to this the research that is required to validate (or invalidate) the implications or suggestions that each and every commenter provides.<br /><br /> .. and then consider the necessary alignment with the policy goals of the administration, priorities of other Federal agencies - and (finally but most important) what's best for the patient - and you understand the complexity of all of what goes into the rule-making process.<br /><br />Your concerns exist among the breadth of concerns that have been raised by many. You agree with some - and not others - and this is to be expected. It's the way that regulations are created. The final result wasn't what you wanted. But that doesn't mean that there is a conspiracy - or that one organization (as you blogged earlier in the week) has deeper influence than any other .. and if you think that Epic's redundant comments parroted by their many customers counted as anything more than one opinion - you underestimate the aptitude of our friends at ONC and CMS. They weren't born yesterday, ya know. <br /><br />To say that ONC or CMS "wimped out" is - I would argue - a cowardly snipe from the sidelines that doesn't acknowledge the careful thought, hard work and serious deliberation that went into each and every decision. <br /><br />There was no "wimping out" here. <br /><br />As a primary are physician who cares deeply about patient engagement, transparency and patient access to data - my view is that ONC hit the nail right on the head on this criterion. It can and will evolve over time. As it should.Anonymousnoreply@blogger.com