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As I mentioned in Health 2.0: Take a Lesson From the Web consumer-facing is important, but we cannot skimp “industrial side” and expect to make up for it on the consumer side. Both are important.

We can move the industrial side much more quickly simply by taking a smaller bite at inter-provider interop than NHIN 1.0, particularly around the area of transitive trust.

Many of my years at Intel were spent in leadership roles in the eBusiness Group and in Intel Labs driving the company onto the internet. I helped to create RosettaNet and chaired the Oasis Board during this epoch and this all sounds all too familiar. The web explosion was driven by the creation of value for individuals, not companies. It is also true that the path to successful adoption by consumers passed via a lot of experimentation and market failures – plenty of universally applauded good ideas that failed and a few completely crazy ideas that now we cannot live without.

Today’s NHIN debate is rather like suggesting that Ford, Toyota, Smart, and Maserati should have agreed standards for displaying vehicle information before the consumer could possibly be allowed to visit any of their web sites – totally absurd.

It is clear that the NHIN is not yet properly defined for industrial use but is totally over engineered for the needs of consumer access. If I didn’t know better, I’d say that the healthcare establishment was trying to erect barriers to disruption.

Health 1.0 needs NHIN 2.0 – but Health 2.0 needs NHIN 0.1

SoPHIE is a project that is now through the planning stage. We started with collecting value propositions and proceeding with business/service outlines, business process defintion, and archtiecture to support it all. It is in an RFI stage now.