Under the revised timeline, Stage 2 will be extended through 2016 and Stage 3 will begin in 2017 for those providers that have completed at least two years in Stage 2. The goal of this change is two-fold: first, to allow CMS and ONC to focus efforts on the successful implementation of the enhanced patient engagement, interoperability and health information exchange requirements in Stage 2; and second, to utilize data from Stage 2 participation to inform policy decisions for Stage 3.
CMS Changes Name of the EHR Incentive Programs (Meaningful Use) and Advancing Care Information to “Promoting Interoperability”
§170.315(g)(3) Safety-enhanced design
As providers of usability testing and user experience services we know that one of the major advantages of electronic health records (EHRs) are their potential to increase patient safety by preventing, detecting and aiding in the recovery from human errors. ONC has set certification standards for safety-enhanced design (SED), making patient safety a primary focus in the design of an EHR.
CMS and the Office of the National Coordinator for Health Information Technology (ONC) have established standards and certification criteria that EHRs must use in order to successfully capture and calculate objectives for Stage 2 of Meaningful Use. These new standards and certification criteria now in effect.
This week we are proud to publish a short synopsis of the Masters thesis project of Alyssa Costino. Alyssa conducted and reported on the use of EHR systems from the patient perspective -- something that isn't being done often enough.
The Electronic Medical Record: Designing with the Patient in Mind
A thesis project designed by Alyssa Costino
MFA Computer Graphics Design ‘12
Rochester Institute of Technology
The Electronic Health Record Association (EHR Association), a non-profit association of more than 40 EHR companies, created an electronic health record (EHR) Developer Code of Conduct, which aims to encourage transparency and collaboration among EHR developers, as well as developers, providers, and industry stakeholders. The latest version of the code of conduct is available as a pdf here: http://bit.ly/13A1oLc
On the first page, the very first item (after a general statement) is Patient Safety.
The code says:
Here are the Top 10 Healthcare Usability Myths Debunked
Myth # 1 Clinicians are uncomfortable with technology and just need more training.
Fact: Current HIT systems often don’t fit the way end users think and work.
Myth # 2 Put it all on 1 screen to make it easier to use.
Fact: Developers need to understand workflows and tasks to know what information is needed.
Myth # 3 Whoever has the Most features wins.
Fact: Vet your current feature set. Less may be more.
Today’s digital omnivores express a preference for mobile screens across all professional tasks – an important behavioral shift that has potential to dramatically shape the way developers, content providers and marketers engage with clinicians as the three-screen workflow becomes the norm. As physicians and other healthcare
A newly published survey of 1,200 physicians nationwide by the Watertown, Mass.-based athenahealth, which specializes in providing cloud-based based services for electronic health record (EHR), practice management, and care coordination, is revealing a mixed bag of opinions among doctors regarding how well electronic health records (EHRs) are working for them, with a range of views about the efficacy, cost-benefit analysis, and usability, of EHRs. Meanwhile, attitudes towards government involvement in healthcare have become more positive in the past year.
User-Centered Design: Helping users become Effective, Efficient, and Satisfied
We recommend that EHR vendors follow the ISO 9241-11 standard. ISO-9241 Part 11: (1998) pertains to the extent to which a product can be used by specified users to achieve specified goals with Effectiveness (Task completion by users), Efficiency (Task on time) and Satisfaction (responded by user in term of experience) in a specified context of use (users, tasks, equipment & environments).
Resource for Summative Usability evaluations using the NISTIR 7742 Customized Common Industry Format Template for EHR Usability Testing.
The Office of the National Coordinator for Health Information Technology (ONC) has released a set of new certification and meaningful use requirements for electronic health records (EHRs). These require that EHR vendors include evidence of user-centered design and user test results in their certification submission. To be able to obtain the ONC certification (and meaningful use funding) EHR vendors must follow a formal User Centered Design (UCD) process and perform summative usability testing on specific areas of the product.
The use of electronic health records helped reduce short-term ambulatory health care costs but did not reduce overall inpatient costs, according to a study published in the Annals of Internal Medicine. http://annals.org/article.aspx?articleid=1709804
Summary of Study Findings
We are pleased to announce that our talk, "Conducting Usability Evaluations for Meaning Use Stage 2 Funding " was presented at the OSEHRA 2nd Annual Summit.
When: Friday, September 6, 2013 10:30am White Oak Rm B
Bethesda North Marriott Conference Center
For information on conducting and reporting on the §170.314(g)(3) Safety-enhanced Design Criteria for meaningful use stage two certification see:
Use of electronic health records can reduce the costs of outpatient care by roughly 3 percent, compared to relying on traditional paper records.
That's according to a new study from the University of Michigan that examined more than four years of healthcare cost data in nine communities. The "outpatient care" category in the study included the costs of doctor's visits as well as services typically ordered during those visits in laboratory, pharmacy and radiology.
The new mark for certified electronic health records technology was unveiled Wednesday and will appear on EHR products that have been certified by an ONC-Authorized Certification Body, indicating that the product meets the 2014 Edition Standards and Certification Criteria.
Eligible professionals and hospitals must demonstrate meaningful use of EHR technology that has been certified under the ONC Health Information Technology Certification Program to qualify for Medicare and Medicaid EHR incentive payments.
We found an article at KevinMD written by a cardiologist named David Mokotoff.
This article is a great read for gaining the perspective of an doctor that has had to deal with a number of the issues (mostly usability based) with some of the EHR systems he has been required to use. His frustration with the status quo is evidence that things need to change. EHR Vendors need to understand their end-users and establish a User-centered design approach.
In a recent article written by the American College of Physicians, Yul Ejnes suggests that although English is the first language of Medicine, it has become the second language of EHRs.
"How and why did this happen? Most of it stems from the morphing of the medical record from a clinical tool to an audit and billing tool. The focus is no longer on capturing the patient’s history, examination, test results, and the physician’s thought process. Instead, today’s goal is to record as many things that were said or done as one can in order to justify the highest billing code, meet the performance measure, earn a high quality score, and lawyer-proof the record – and to do so in as little time as possible."
For some reason, everyone seems to like dashboards. Maybe it is because a lot of us can think better visually than we can with just text.
To help visual thinkers, The Centers for Medicare and Medicaid Services (CMS) Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs found an interesting way to publish the data about the adoption and meaningful use of health information technology.
The information displayed in their visual dashboard is derived from data published by CMS.
The Usability People work with you on improving the Usability of Healthcare IT.
For expert 2015 ONC Safety-enhanced Design (aka Usability) evaluation of your EHR: contact The Usability People
Together we may save a life! #SafeHealthIT