Initial emphasis: hospitals and large clinics
- Principles
- Minimized barriers to entry; maximize control
- less than $50,000 per year per hospital or large clinic
- take what data can be easily shared
- data under publishers control until used by another institution
- do the mappings and transformations centrally
- Stay highly focused on immediate value to founders
- emergency departments
- hospitalists
- medical homes, transitions
- no population health initially, no "report cards," no P4P
- Use controlled by governance and formal data-sharing agreements
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