Trotter also wants to see the physician credentialing system reformed, "so you get a doctor who has poor bedside manner who's been sued five times, but is otherwise a great doctor, and he looks bad in the current system. In general, the current credentialing system is not fair. I want to replace that with is essentially some kind of open credentialing 2.0 based on reality, fair to doctors. That may be a pipe dream, but that's what I'd like to do."
So when you finally retire your fax machines and switch completely to the Direct Protocol, or realize that the data you never thought you could access is suddenly being published online by CMS for all to see, or discover a fairer way to evaluate physician performance, think of hacker champions like Fred Trotter.
His visions and those of other hackers helped get us here. Those visions coincide nicely with what patients, providers, and payers often want – transparent access to data.
Don't let vendors paint you into a corner. Instead, dream big. Imagine having the kind of clout Fred inspires. Imagine the kind of technology that unlocks all the information that evens the playing field, and puts us all in the driver's seat of healthcare.