PPA+UC+2+-+Issues,+Risks+and+Obstacles





= The content within this page has been incorporated into the full Use Case posted here =

This list is intended to be a starting point which will need further consideration. All items below are from UC 1 and edited for UC 2.
 * Assuming Provider Registration is not mandated, low adoption rates for Provider Registration with a payer or payer contractor to receive eMDR (i.e. adoption of Use Case 1) will result in fewer eMDRs being sent by Payer or Payer Contractors
 * Technical and / or operational barriers to scaling, participating platforms or services to meet volume of eMDR requests
 * Ensuring secure, trusted communications between payers, payer contractors, and eMDR Consumers or Agents
 * Unintended disclosure of Personal Health Information
 * Compliance with FISMA for transactions to CMS and other relevant federal agencies or their Agents
 * Changes in the External Provider Directory information for a registered eMDR Consumer that make the ESI inaccessible
 * Ensuring that there are consistent and reliable mechanisms for establishing and updating Provider Directories
 * The inability to retrieve the correct ESI for the desired destination because of incomplete request or federation
 * Fees that may be charged by Agents or HIHs may increase costs for adopters of esMD and therefore hinder adoption
 * Potential for expired information if consumer system caches destination and Electronic Service Information