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June 5, 2012 02:00 am GMT

Mr. Obama, Tear Down This Wall(ed Garden)

Reagan Berlin WallToday, I participated in a meeting at the White House described as an "expert roundtable on patient access to health data" hosted by Todd Park (Chief Technology Officer of the United States), Farzad Mostashari (the National Coordinator for Health Information Technology), Leon Rodriguez (Office of Civil Rights) and Peter Levin (CTO Veterans Administration).Being at the White House within a week of the 25th anniversary of President Reagan's famous "Mr. Gorbachev, tear down this wall" speech at the Brandenburg Gate, it struck me that tearing down a wall was a good metaphor for what was the goal of today's meeting. In many respects, healthIT is similar to the "walled gardens" that persisted in mobile phones until they were torn down by the iPhone and Google's Android. Just as the wireless carriers had their own proprietary environments for apps, health systems (and their EHR vendors) severely limit what can tie in with their systems directly impeding patient access to their health data.The desired outcomes of the White House roundtable were:

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