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Health‑care interoperability framed as 'data liquidity' as San Francisco board hears Dignity/CommonSpirit presentation
Summary
Dr. David Kamida told the Health Service System Board that nationwide, patient‑centered interoperability ('data liquidity') is advancing through standards and networks but significant clinical integration and workflow barriers remain. He cited eHealth Exchange connections, EMS pilots and the 21st Century Cures Act as levers for scaling data sharing.
Dr. David Kamida, medical director for health informatics with Dignity Health (now part of CommonSpirit), told the San Francisco Health Service System Board that interoperability is best understood as "data liquidity" — the ability for clinical and community data to flow to where it is needed without special effort by patients or clinicians.
In his presentation, Kamida outlined three exchange methods — direct (secure email), query‑based (find-and‑request through HIEs) and consumer‑mediated aggregation — and described how national networks and standards (including TEFCA and the ONC guidance under the 21st Century Cures Act) are intended to reduce information blocking and improve scale. He said that…
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