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.

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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AI will eventually drive healthcare, but not anytime soon

A merging of artificial intelligence and healthcare is tougher than many realize.

People will eventually get better care from artificial intelligence, but for now, we should keep the algorithms focused on the data that we know is good and keep the doctors focused on the patients.

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The rise of programmable self

The rise of programmable self

Quantifying your changes + motivational hacks = programmable self.

Taking a cue from the Quantified Self movement, the programmable self is the combination of a digital motivation hack with a digital system that tracks behavior. Here's a look at companies and projects relevant to the programmable self space.

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Software crumple zones

It's time to recognize and appreciate highly engineered health information systems.

Clinicians often encounter multi-step software processes that seem laborious. Sometimes that's due to a design flaw, but other times that process has been intentionally constructed as a crumple zone.

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Are EHRs safe?

Electronic health records are fundamentally dangerous. They're also safer than the current model.

As a society, we need to get comfortable with the notion that Electronic Healthcare Records will both help and hurt people. On balance, they will do far more good than harm.

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