A Showcase of Trust

When HIMSS attendees think “health information exchange,” they’re usually thinking about provider-to-provider, a complicated enough transaction. But one corner of this year’s Interoperability Showcase, held during the entirety of this year’s conference, will feature exchange with patients, a growing trend as personal health records proliferate and wearable devices and home monitoring equipment contribute new data streams. …


When HIMSS attendees think “health information exchange,” they’re usually thinking about provider-to-provider, a complicated enough transaction. But one corner of this year’s Interoperability Showcase, held during the entirety of this year’s conference, will feature exchange with patients, a growing trend as personal health records proliferate and wearable devices and home monitoring equipment contribute new data streams.

Visitors to that corner may encounter Aaron Seib, CEO of the National Association for Trusted Exchange (NATE), which is striving to build a trust framework that will bridge the yawning chasm between personal health records (maintained by the patient), and electronic health records (maintained by the provider, who often has a deep distrust of information maintained by the patient). If the visitors have any involvement in health information exchange, Seib wants to talk to them about his fledgling organization, launched in May 2013 as a result of an ONC-funded pilot among several western states.

Seib wants NATE to become a key part of trusted information exchange, so that organizations won’t have to vet PHR products themselves but can work with any PHR that adheres to NATE’s framework. (Several vendors have signed on, including No More Clipboard, Humetrix, and HealthVault.)

“Why haven’t PHRs taken off?” he asks. “It’s like visiting an empty library.” Interoperability between EHRs and PHRs will relieve patients of the onerous and error-generating task of entering the information themselves.

Two of the organization’s partners, the Santa Cruz (Calif.) HIE and the University of California at San Diego, will be part of NATE’s demo, showcasing real-world scenarios in which patients use PHRs and Direct secure messaging to communicate with providers, and collect information through wearable devices and communicate it to their physicians.

NATE’s demo isn’t confined to the showcase. The workstation at Santa Cruz HIE’s exhibit will also show the PHR transactions, as will the iPads and laptops of attendees affiliated with NATE or its members.