Scotland, like New Zealand, is a remarkable learning laboratory. With a population of 5.5 million, a supportive government, and talented informatics professionals, it�s the perfect storm for innovation.
Scotland is driven by 3 urgencies - an aging population, increasing budget pressure, and an imperative to maintain high quality. All stakeholders in Scotland agree that IT is an enabler to maximize value.
Scotland has a number of infrastructure components currently missing in the US. It has a lifetime national healthcare identifier. It has a national image repository. It has a national emergency medical record. It has a single team for nationwide healthcare analytics. It has a single set of privacy laws. In my recent advice to the Trump administration, I recommended similar foundational work for the US.
In September, the Prime Minister of the UK, Theresa May, released the Wachter Review, a set of recommendations for NHS England that a small team of US and UK experts produced collaboratively.
A few of us are likely to help Scotland with a similar report.
I served the Bush administration for 4 years and the Obama administration for 6 years. Over the next 4 years, I�m likely to serve administrations in New Zealand, Canada, Scotland, China, and Nordic countries. There is remarkable power in 5 million person pilots to show the world what is possible when technology, policy, and bottom up stakeholder demand align.
There will be many lessons learned from international collaborators. I view my role as helping governments avoid the pitfalls I�ve witnessed over my career and engaging appropriate experts to facilitate change.
Scotland and New Zealand are my favored learning laboratories. Maybe we can create a friendly competition between the two. A World Cup for healthcare IT awaits.