Steve Yaskin

In 2025, ASTP is focusing on three big priorities for TEFCA: increasing transparency, driving participation and use, and activating our federal partners. Read more in the Buzz Blog: healthit.gov/buzz-blog/tefc… #tefca #healthit @HealthIT_Policy

@chrissyfarr Christina, happy to sync up, in lieu of walking and having tea in Palo Alto :)

Are there any operators out there willing to talk in depth, and not in bland generalities, about how they got a really thorny thing done in health-tech? If so, I’d love to talk to you!

Who can translate this? It’s written in Ortho.

@TAP_AIRLINE traveling from the US and @TAP_AIRLINE lost entire luggage. Zero accountability. They send me to talk to “luggage company” and they send me to talk to airline. Zero courtesy, zero responsibility, 100% rudeness.

Spoiler for my keynote in an hour, but networks are about ubiquity. There's an obsession in this industry with the nuances of technical standards - FHIR vs CDA, Direct vs XDR, OAuth vs SAML. These are important! But they are downstream of the real factors that matter. B2B networks are first and foremost judged on ubiquity. The reliability of a ubiquitous solution beats the functional advantages of a technically superior one. Fax, phone, SMS - they are all ubiquitous. It can be reliably assumed that everyone is participating and can be reached. Beyond that, flexibility matters. The aforementioned analog networks are infinitely flexible to unique payloads, edge workflows, and unplanned nuance. That flexibility comes from their predigital nature - they are reliant on humans for that flexibility. But that is their superpower! Digital networks today are not flexible - they are only as good as their defined use cases. Lastly, cost matters. Cost of infrastructure, cost of manpower, cost of the standards in play. But we will inherently choose costly networks that are analog, that use older standards, that are ancient, if they are ubiquitous. AI changes things in two ways here, because AI is flexible: 1. It lowers cost of existing ubiquitous networks. AI is good at rote work, the mechanical turk jobs of our economy. The flexibility to handle unique payloads, edge workflows, and unexpected nuance is EXACTLY what generative AI is good at. So it's obvious that we see many startups utilizing these networks to digitize those workflows. There's a ceiling here but there are immediate gains. 2. There are new digital networks to be built that assume the flexibility of AI native tools on either end. We can sprint to ubiquity knowing that these new networks we build will be as flexible as analog networks, with significantly lower cost than "digitized" analog networks. Like any generation, we'll look back (shortly) at the infrastructure we've built and scoff at how naive we were, how broken our assumptions were, and how simplistic and imperfect our models for the world were. This is not a message of futility. Quite the opposite - it should be extremely empowering to know that interoperability, like any goal, is not an end state but a continued path of improvement. So get excited. The future is now.

I'll be attending the amazing Culture Shifting Summit in Miami. Let me know if you plan to attend so we can say Hi! Or register now and join me at the event @2uN@Nv1Ol@H3KRnrA0/?preview_image=1&referral=social_post_registration" target="_blank" rel="nofollow noopener">whova.com/portal/registr… #CultureShifting #MakeShiftHappen #WriteBigChecks - via #Whova event app @2uN@Nv1Ol@H3KRnrA0/?preview_image=1&referral=social_post_registration" target="_blank" rel="nofollow noopener">whova.com/portal/registr…

The 2024-2030 Federal Health IT Strategic Plan has been released to serve as a roadmap for federal agencies. This plan is a huge step forward for improving access to EHI, health equity, and public health modernization. healthit.gov/buzz-blog/heal… #healthIT #publichealth #healthequity

Many public health best practices depend on laboratories sharing data with Health Information Exchange Organizations (HIOs). We looked at HIO survey data to determine how labs and HIOs are working together to make data available, and how emerging initiatives like #TEFCA may address some observed barriers: healthit.gov/data/data-brie…

C'mon people!! We can do this the easy way....or the hard way. healthit.gov/buzz-blog/elec…

Getting Real about Information Blocking and APIs healthit.gov/buzz-blog/elec…

Setting Our Sights Toward a Healthier, More Innovative, Data-Driven Future healthit.gov/buzz-blog/heal…

@SamsungUS Explain to me, how can a multibillion corporation get this AI copilot thing so wrong??? Well, thank you @Apple for not making dishwashers. I love your support.

@SamsungUS And then the “survey” started. Same question: rate us from “0 to 10, 10 being the highest”. I got so far 137 messages with the same question over two days period. They are still coming.

@SamsungUS I own the Samsung Dishwasher for about 6 months. It broke. I contacted Samsung support and was offered a text chat to troubleshoot. What happened next is an incredible demonstration of everything g that’s wrong with AI.

MEDITECH Selects Health Gorilla’s Qualified Health Information Network (QHIN™) to Enhance US Traverse Exchange Interoperability Network healthgorilla.com/blog/meditech-… via @healthgorilla

Interoperability: The first pillar of payer data priorities - goo.gl/alerts/NJeDB9 #GoogleAlerts #qhin #tefca @healthgorilla

MEDITECH introduces Traverse Exchange interoperability network for U.S. Market with @healthgorilla #qhin ehr.meditech.com/news/meditech-… via @MEDITECH

MEDITECH unveils Traverse Exchange for US customers. This new advanced #Interoperability network simplifies data exchange across MEDITECH’s customer base and other vendor EHRs and provides an on-ramp to #TEFCA via the @healthgorilla QHIN. #FHIR @MEDITECH businesswire.com/news/home/2024…