Ok I have written many times on this topic and yes indeed here we go again. You know it would be so much easier if some of these folks, both parties were smarter and just keep up to date with what technology does today. You can look at the letter and report and come to your own conclusion but it just baffles me with both parties too that fight this and write “silly” stuff that everyone sees and can attribute lack of knowledge to. What is is with this? Is is because John Kerry said it was ok to be stupid not too long ago? (grin) I have never seen so much of this and of late it makes so many of them look like they are not informed?
Congress Needs a Bigger Brain–Restore the Office of Technology Assessment And Truly Assess What is Useful And Remove The Algo Duping Permeating In Government–Fantasy Perceptions That Are Not Real Can Be A Dangerous Thing
The number one question about a clear path toward interoperability, silly as all of us in tech would like to have that too and we work with what we have, what is out there and new developments:) 
Again the real need for that Technology Assessment office at that would help a lot. We would get rid of question number one here. If this keeps up, folks are going to just walk one day, like the two guys did at the VA, they had it I think. This letter was odd too and they just keep digging the hole deeper.
Senators Letter to HHS Regarding Fraud Reform Tools–Oddest Thing I Have Read in a Long Time and Really Makes A Huge Case for Reinstating the Office of Technology Assessment!
With the question on the misplaced focus on technology within silos, they have been reading too much media chatter here and it shows:) Silos talk to each other two and you really have to look at this and wonder what are they smoking? Social Security is a silo and they exchange medical information, been doing it for a few years:) They still use COBOL over there and it works.
Rushing through implementation…(grin)…well on the other side we have HHS Sebelius telling everyone to hurry up, I guess feeling the pressure…here I go again repeating…the short order code kitchen burned down a few years ago and there was no fire sale..the best that comes out of this whole thing is maybe a little more auditing…it’s joke. Misuse of EMRs topic doesn’t even deserve a response in my opinion…silly and again having that technology assessment office would really come in handy once again, watch the Sunshine Foundation video below.
Medical Coding has been covered many times and it will always be work in progress as it is so complex and in the middle of going to new ICD10 codes on the diagnosis. I looked at this and it’s really sad to see all of this in a letter as such when a great tool like the Office of Technology Assessment could have saved some of this embarrassment. Cloned and copies records, again the folks reading too much the OMG departments of the news. I can comment here as I wrote an EMR years ago and everyone does some copy and paste. You know it’s like everyone and their handwriting, some is better than others and so goes the skill used when doing copy and paste, a PC standard. With both banks and insurance companies, wake up to this fact as well…
Banks Are Actually Just Software Companies and the Same Can Pretty Much Be Said for Health Insurance Companies As Well-5 Unspoken Reasons Tech Projects Fail
Now when it comes to interoperability,
let’s look at the complex models of insurance companies…that’s the the fault of the government so it seems again that technology office could advise where some things begin and others leave off.
This is one of the most “out of touch” letters and report I have ever seen and we are talking a complex field here too, I admit that. Again, I have just never seen such a group of what I might call “nonparticipants” in even a lot of consumer technologies that are there for everyone and this report just shows it, sticks out like sore thumb. I understand asking for progress reports too on some of the non complex issues and nothing wrong with that portion but that's very little of the content here. I guess the folks just like some executives at companies might take to heart that you can’t hurry up IT. Sure we would love to do it faster ourselves but it doesn’t work that way.
PLEASE CONGRESS DO YOURSELVES A BIG FAVOR AND US TOO AND REINSTATE THAT OFFICE OF TECHNOLOGY ASSESSMENT AS YOU NEED IT NOW MORE THAN EVER IN THESE COMPLEXT TIMES WE LIVE IN. SHARE THE KNOWLEDGE TOO WITH FOLKS IN THE WHITE HOUSE TOO IF THEY NEED HELP, IT’S GOOD FOR ALL. YOU MIGHT ALSO CONSIDER YOUR OWN INSTALLATION OF IBM WATSON TOO WHILE YOU ARE AT IT SO WE CAN GET SOME BETTER MODELED LAWS, BANKS EAT YOU LUNCH WITH THEIR MODELS.
Modeling for Inequality With Segmentation, Insurance Industry Uses Backwards Segmentation As Some Models Stand to Threaten Overall Democracy
By the time this is all done this could to cost just about as 
much for all this detailed information as what we are paying out for the incentives. This is why I say to Congress do yourself a real favor and help all of us and make yourselves look better on the hill, we would like that. See if you have been duped a little and are driving yourself off the cliff too with the media, data mechanics and so forth, this is the same thing I give all my readers links to. Find out about all the flawed data out there and the epidemic of data selling hurting consumers too, more damage and money there than this stimulus program for sure. BD
Algo Duping 101- How all this Works Against the Consumers – Videos
In addition, the six have asked HHS Secretary Kathleen Sebelius to “provide a detailed written plan to address the concerns” raised in the document, “REBOOT: Re-examining the Strategies Needed to Successfully Adopt Health IT.”
Finally, the senators have prepared a separate letter addressed to health IT stakeholders and members of the public, asking for feedback on issues raised in their white paper and “any areas of concern, and potential solutions” to improve implementation of the health IT provisions of the American Recovery and Reinvestment Act of 2009. The letter to stakeholders was either mailed or e-mailed to “stakeholders we regularly work with or have heard from in the past,” a spokesperson for Thune said in an e-mail.
In their three-page letter to Sebelius, the senators requested HHS provide a list of “every contract or task order awarded to perform work related” to the ARRA's health IT provisions, known as the HITECH Act. They also asked for progress updates or the 
findings of three ONC contracts: one with Mathematica Policy Research, tasked with building a model of the linkages between the various federal health IT programs; another with the National Opinion Research Center at the University of Chicago, to evaluate state health IT programs; and a third with the American Research Institute on the effectiveness of the federally funded Regional HIT Extension Center program.
GOP senators rip federal health IT programs | Modern Healthcare http://www.modernhealthcare.com/article/20130417/NEWS/304179955#ixzz2Qkw31GTy
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