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Impact Statements

Wes Rishel
Research Vice President, Government and Healthcare, Gartner, Inc.

"With the Common Framework, the CFH project achieved a quantum step forward in conceiving the NHIN and making it practicable. Prior to its development, discussions on the operating approach and the architecture were so wide-ranging as to create confusion and frustrate meaningful debate. Once the Framework was published the government and industry rapidly coalesced around its fundamental principle that the NHIN is a network of health information exchange networks with no central technology or national operator. Since this common view has been established we have seen continual progress through work done by state and federal governments and individual health information exchanges. The Common Framework includes a large body of intellectual property contributed by project members that has helped to establish the credibility of the framework and can assist fledgling HIEs in startup activities. As the concept of the NHIN has evolved, the CFH group continues to look downstream, as is demonstrated by recent industry coalescence around CFH-developed principles for the PHR. The ability of CFH to attract the highest-level participants, frame the debate and move to consensus provides assurance that it will continue to lead the healthcare industry as the healthcare interoperability requirements and solutions evolve."

Wes Rishel is a vice president in Gartner's healthcare provider research practice. He covers interoperability, health information exchanges (HIE), the U.S. nationwide health information network (NHIN) and the underlying technologies of healthcare IT, including application integration and standards.

Mr. Rishel is a commissioner of the Certification Commission for Healthcare Information Technology. He served as a member of the Healthcare Information Technology Advisory Panel of the Joint Commission on Accreditation of Healthcare Organizations. He was also one of the technical leads and a member of the steering group for the Connecting for Health program on regional health information networks. He was the founding technical chair of Health Level Seven, served as its chair in 2002-2003, and continues on the board. He has served on the boards of directors of the Workgroup for Electronic Data Interchange (WEDI), the Healthcare Information Management Systems Society (HIMSS) and the eHealth Initiative (eHI). He was the primary author of the Gartner report summarizing the NHIN Prototype Architecture contracts of the Office of the National Coordinator (ONC) for Health IT.

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