Why pushing patient data is better than pulling

I've always been leery of building systems that hold all of the patient data and depending on access controls to allow external parties to pull them down.  Utah had a data breach impacting up to 780,000 people.  All because a systems administrator setup the password access system incorrectly.

And that is why people use fax machines.  Because I have to send something to you.  You cannot automatically get it.   I believe that our electronic systems should require a person to push the data out, rather than allowing "self-service".