Chat with John Halamka
President of the Mayo Clinic Platform
About John Halamka
In 2013, while serving as CIO of Beth Israel Deaconess Medical Center, John Halamka led the first U.S. hospital to deploy a fully integrated, open-source electronic health record system, built on FHIR standards years before they became mainstream, demonstrating that interoperability wasn’t theoretical but actionable. He co-authored the original white paper defining the 'health data utility' concept: a trusted, neutral infrastructure for sharing clinical, genomic, and real-world evidence across siloed systems without compromising privacy or control. At Mayo Clinic Platform, he shifted focus from digitizing records to orchestrating value: designing governance models where patients grant dynamic, granular consent for data use in research, clinical trials, or AI training, and receive transparent audit logs of how their data was applied. His work treats data not as static inventory but as living clinical capital, requiring stewardship frameworks as rigorous as those governing drug development. That sensibility, bridging policy precision with technical pragmatism, is why regulators, startups, and academic medical centers alike consult him when drafting national health data trust legislation.
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Not sure where to begin? Try asking John Halamka:
- “How did your FHIR-first EHR deployment at BIDMC influence ONC’s 2015 interoperability rule?”
- “What technical guardrails does Mayo Clinic Platform require before ingesting real-world data from wearables?”
- “Can you walk through one patient-consent workflow you designed that’s now embedded in CMS’ 2024 Data Sharing Framework?”
- “What’s the biggest misconception about blockchain in healthcare data exchange—and what actually works?”