Two thousand primary care surveyed EHR users narrowed down an elite group of systems vendors across eighteen probing key performance indicators from a field of over 400 qualified healthcare software firms. As thousands of primary care practices still scramble to select and implement records systems, current adopters identify the firms that delivered on implementation success, productivity, outcomes, connectivity, meaningful use achievement and crucial stimulus fund requirements.
Healthcare Usability Topics
From the executive summary, “These recommendations provide a first step in moving from a billing-centered perspective (i.e., focusing
on ensuring maximum and timely reimbursement) to a clinician-centered perspective where the EHR design supports clinical cognitive work,
such as moving from an initial working diagnosis to a formal diagnosis for a complex patient. These recommendations point the way towards a “patient visit
management system,” which incorporates broader notions of supporting workload management, and supporting the flexible flow of patients and tasks.”
The U.S. Access Board is in the process of jointly updating its Section 508 Standards for Electronic and Information Technology and its Telecommunications Act (Section 255) Accessibility Guidelines. On February 23, the Board submitted a proposed rule to update these standards and guidelines to the Office of Management and Budget (OMB) for review. OMB has 90 days to review the rule under Executive Order 12866. Once cleared by OMB, the proposed rule will be published in the Federal Register and will be available for public comment for a specified period of time.
The Next Crisis In American Healthcare: ICD-10 And The Problem With Medical Coding Error
Dr. Elliot Familant, CTO and Founding Partner
Artificial Medical Intelligence (AMI)
We are based in the Washington DC Metro Area (Fairfax, VA ) and have been dealing with snow-days, snow delays, traffic etc. If you are anything like us, you are looking forward to HIMSS 2014. Not only for the informative sessions, meetings with vendors, networking with colleagues, but for THE WEATHER.
The Weather Channel says that for next week Orlando FL will be in the mid 70s. Nice.
ONC’s 2014 Edition EHR Certification Criteria define the requirements that EHR technology must meet in order to be used by eligible professionals (EPs), eligible hospitals (EHs), and critical access hospitals (CAHs) participating in the Medicare and Medicaid EHR Incentive Programs. In addition to these criteria, ONC made some policy changes to the HIT Certification Program.
CCHIT announced a new strategic direction that will return it to its founding public mission of supporting the adoption of robust, interoperable health information technology. CCHIT plans to offer direct counsel to both healthcare providers and health IT developers on the requirements for certified EHR technology and how to best satisfy HIT regulations published by organizations and governments.
The Office of the National Coordinator for Health Information Technology (ONC) has released 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 Obama administration has signed Accenture to replace CGI Federal as the main IT contractor on the HealthCare.gov health insurance exchange, according to a Jan. 10 Washington Post report. See http://www.washingtonpost.com/politics/obama-administration-to-end-contr...
The deal would have a 12-month term and is estimated at about $90 million, the Post reported.
1. EHR Vendors will have more time to focus on their users.
a. To be able to obtain the ONC certification (and meaningful use funding for their customers) EHR vendors must follow a formal User Centered Design (UCD) process.
b. We recommend that EHR vendors follow ISO-9241-11 and show evidence that their design process is focused upon efficiency, effectiveness, and satisfaction.
2. EHR vendors will have time to perform many iterations of user testing.
Join ONC on Wednesday, December 18 for a webinar discussion regarding the proposed regulatory timeline for EHR certification criteria for 2015.
Web Conference Information
Conference Line: 888-469-1748
Meeting Number: 243-89
ONC subject matter experts will provide information about the new timeline and then will be available for a question-and-answer session following the presentation.
NEW YORK, December 6, 2013 – WCH’ Service Bureau’s iSmart EHR has been tested and certified under the Drummond Group's Electronic Health Records Office of the National Coordinator Authorized Certification Body (ONC-ACB) program. This EHR software is compliant in accordance with the criteria adopted by the Secretary of the U.S. Department of Health and Human Services.
The importance of user-centered design in healthcare is truly life or death. Whether it's new medical devices or technologies; drug research, approval or delivery; patient forms or medical record sharing; emergency disaster planning or increasing the functionality of hospitals and everyday healthcare delivery, everyone is affected in some way by the intersection of usability in healthcare. There are many commonalities, yet each region of the world faces its own set of unique challenges.
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.
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:
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