Fred Trotter

Fred Trotter works with Open Source Health Information software, things like Electronic Health Records and Health Information Exchange software. Fred believes that good technology in healthcare can reduce medical errors and empower patients.

Malignant computation

To properly serve society, cryptocurrencies must support computer hardware that is useful for other things.

Cryptocurrencies, like bitcoin, could revolutionize money to the same degree that the Internet has revolutionized communication. However, like any economic marketplace, human exuberance is the greatest threat to the cryptocurrency phenomenon. Markets fail to the degree that the market can be dominated by those seeking personal gain, and markets succeed to the degree that they resist domination and focus…
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How crowdfunding and the JOBS Act will shape open source companies

New regulations could mark the end of proprietary finance.

Currently, anyone can crowdfund products, projects, causes, and sometimes debt. Current U.S. Securities and Exchange Commission (SEC) regulations make crowdfunding companies (i.e. selling stocks rather than products on crowdfund platforms) illegal. The only way to sell stocks to the public at large under the current law is through the heavily regulated Initial Public Offering (IPO) process. The
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The Direct Project has teeth, but it needs pseudonymity

How patient pseudonyms can inspire trust in the Direct Project's network.

Yesterday, Meaningful Use Stage 2 was released. You can read the final rule here and you can read the announcement here. As we read and parse the 900 or so pages of government-issued goodness, you can expect lots of commentary and discussion. Geek Doctor  already has a summary and Motorcycle Guy can be expected to help us all…
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Why microchips in pills matter

Microchips embedded in pills can ease medicine management and empower patients.

Earlier this week, Proteus announced that they have been approved by the FDA to market their ingestible microchips for pills. Generally, the FDA approval process for devices that are totally new like this is a painful one, with much suffering. So it…
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Who owns patient data?

Who owns patient data?

Look inside health data access and you'll see why "ownership" is inadequate for patient information.

Patients, doctors and providers have a unique set of privileges that do not line up exactly with a traditional concept of ownership.

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Principles of patient access in Directed Exchange

This is an opportunity to rethink how health data flows.

In this digital world, health data that's 36-hours old can only be analyzed as a post-mortem. Health data that's 30-days old is already rotting.

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Left and right and wrong

Political and process disconnects show up everywhere, including health IT.

Fred Trotter has often said the problems in health IT are political and not technical, but sometimes a picture can drive a point home better than words.

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The Direct Project in action

The Direct Project in action

Houston's healthcare community is deploying a Direct Project pilot.

Jim Langabeer, CEO of Greater Houston Healthconnect, discusses the implementation goals and hurdles related to a Direct Project pilot program.

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Direct Project will be required in the next version of Meaningful Use

Direct Project will be required in the next version of Meaningful Use

The Direct Project is poised to become the first health Internet platform.

Given the way that healthcare is financed in the U.S., it's reasonable to expect that many doctors will have a Direct email address to communicate with other doctors and their patients in a few years.

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HIMSS asks: Who is Biz Stone and what is Twitter?

Explaining cutting edge social media to the last industry to computerize.

As patients and practitioners gather on Twitter, the service has evolved into a peer-to-peer healthcare marketplace. That's why Twitter co-founder Biz Stone's keynote at HIMSS is so fitting.

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