EHR

Proposed Expansion of the Safety-Enhanced Design requirements for Meaningful Use Stage 3

ONC document on Federal Register


Click here for Update: The Final Rule for the 2015 edition certification has been released.

On page 191 of the 431 page document from ONC about the proposed changes to the Meaningful Use program for Stage 3, ONC begins to identify several significant changes to the Safety-enhanced Design (a.k.a.usability) testing requirements.

SOFTWARE ACT COULD CREATE SAFETY PROBLEMS

Research published finds that the laboratory graphs displayed by many commercial EHRs present information in potentially dangerous ways.

The authors urged ONC to stringently oversee testing of the software - although FDA has said it won't regulate it.

The study published in the Journal of the American Medical Informatics Association examined the presentation of clinical lab test results in eight EHRs and found that most failed to graph the data in completely clear ways.

Nurses say: Device Interoperability Key to Reducing Medical Errors

Hospital errors could be better avoided by improving the interoperability of medical devices, according to a survey of 526 registered nurses conducted by Harris Poll, FierceHealthIT reports (Dvorak, FierceHealthIT, 3/12).

Senators Question HITECH Act's Effect on Care Quality, Costs

In a Health Affairs blog post, a group of Republican senators write, "There is inconclusive evidence that the [HITECH ACT] has achieved its goals of increasing efficiency, reducing costs and improving the quality of care."

Interoperability: Failure To Launch

Failure to Launch

On April 27, 2004, President George W. Bush proclaimed a bold goal for the nation: "Within the next 10 years, electronic health records will ensure that complete health care information is available for most Americans at the time and place of care, no matter where it originates. ... These electronic health records will be designed to share information privately and securely among and between health care providers when authorized by the patient." 

More than 10 years later, most observers within the U.S. health care system and the health IT industry would agree that this goal of interoperability has not yet been achieved, and may not even be within clear sight.  Although pockets of interoperability exist, the EHR systems used by inpatient, outpatient and ancillary providers generally cannot exchange patient data electronically, sometimes even among systems developed by the same EHR vendors. Although myriad interoperability standards exist on paper, real world connectivity between individual EHR systems still requires extensive custom interface development, attended by large and often prohibitive costs. 

HHS and ONC invest $28 Million in Health Information Exchange Grants

U.S. Department of Health and Human Services (HHS) Secretary Sylvia Burwell announced this morning an important Office of the National Coordinator for Health Information Technology (ONC) funding opportunity, which is part of a Department-wide effort to achieve the safe and secure exchange and use of electronic health information to improve health and transform care as outlined in the Shared Nationwide Interoperability Roadmap, Connecting Health and Care for the Nation: A Shared Nationwide Interoperability Roadmap Version 1.0.

ONC issues draft nationwide health IT Interoperability Roadmap; Implementation resources also released as first deliverable

The U.S. Department of Health and Human Services' Office of the National Coordinator for Health Information Technology (ONC)  released Connecting Health and Care for the Nation: A Shared Nationwide Interoperability Roadmap Version 1.0. The draft Roadmap is a proposal to deliver better care and result in healthier people through the safe and secure exchange and use of electronic health information.

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