
Why Leigh Burchell Wants D.C. to “Step Up” on Health IT Policy
Introduction
Every hospital and physician’s office is swimming in health data. But when the rules for how to handle that data differ in all 50 states, navigating them becomes a bureaucratic maze. Leigh Burchell, Vice President of Policy and Government Affairs at Altera Digital Health, is on the front lines of that complexity, and she has a clear message: it’s time for federal leadership to bring order to the chaos.
Making Health IT Work Better for Hospitals and Patients
Altera Digital Health, formerly part of Allscripts, focuses on building technology solutions for hospitals and large physician practices. From electronic health records to interoperability tools, Altera’s mission is to help clinicians work smarter, not harder. Burchell’s job? Making sure the company stays compliant with an ever-shifting policy landscape while still building tools that actually help healthcare providers.
From Obama-Era Beginnings to Today’s Policy Labyrinth
Burchell has been with Altera (and its predecessor companies) since before "health IT" was a household term in D.C. Back in 2008, with Obama’s presidential campaign signaling a new era of health tech regulation, she established the company’s government affairs function. “It was clear health IT was going to become a really regulated, big topic for policymakers,” she recalls.
Fast forward to today, and she’s dealing with regulations from not just the Office of the National Coordinator for Health IT (ONC), but also CMS, the CDC, the FDA, the DEA, and increasingly, state legislatures. “People you wouldn’t necessarily think of are paying attention to health IT,” she says.
Why It’s Harder Than It Should Be
If Burchell could change one thing? She wouldn’t hesitate: “I really wish the states would chill out,” she says with a laugh. Her point is serious. States are creating their own rules for consent management, AI, interoperability, and cybersecurity, making it difficult for companies like Altera to build consistent, scalable solutions.
The fix, she argues, lies in strong but balanced federal frameworks. “If there were effective things coming out of D.C., the states wouldn’t feel like they have to take action,” she says. But instead of clear federal guidance, companies face a patchwork of state mandates, each pulling in a different direction.
Who Buys vs. Who Wants the Data
One of Burchell’s sharpest observations is about the tension between who uses health IT and who wants access to the data it contains. “The people who buy our products are hospitals and physician practices,” she explains. “But CMS, app developers, and payers all want the data too.”
That can create a misalignment. Regulators might push for features that don’t actually help clinicians, adding to their workload instead of improving it. Burchell wants to refocus the conversation: “Let’s think about the user. Let’s think about what actually improves patient care.”
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