§170.314(g)(3) Safety-enhanced design

Recap of Q3 2014 Federal Health IT Activity

The federal government continued to implement the HITECH Act, enacted as part of the American Recovery and Reinvestment Act, during the third quarter of 2014. As implementation of HITECH's programs begin to wind down, more than $25 billion in incentive payments have been made to providers to spur electronic health record adoption, and more than 90% of eligible hospitals and 75% eligible professionals have adopted and are using EHRs as a result.

AMA Unveils Framework Outlining Priorities To Improve EHR Usability

The American Medical Association released a framework outlining eight priorities for making electronic health records easier for providers to use, Modern Healthcare reports (Conn, Modern Healthcare, 9/16).

We've been invited to participate as a member of the Health IT Policy Committee’s Implementation, Usability, and Safety Workgroup

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Our Chief Experience Officer, Bennett Lauber, has been invited to participate as a member of the Health IT Policy Committee’s Implementation, Usability, and Safety Workgroup.

The draft charge for the workgroup is:

The Health IT Implementation, Usability, and Safety Workgroup will provide input and make recommendations on policy issues and opportunities for improving how health IT is designed, certified, implemented and used to minimize safety risks and leverage data to support improvements in patient care and health outcomes.

No change for Safety-Enhanced Design (aka usability) in ONC MU2.1

Safety-Enhanced Design

ONC proposed a “safety-enhanced design” (SED) certification criterion for the Proposed Voluntary Edition that was unchanged as compared to the 2014 Edition certification criterion.

ONC did, however, solicit public comment regarding whether ONC should modify the certification criterion. Specifically, ONC requested comment regarding whether:

Medical Experts Emphasize Role of Health IT in Patient Safety

Image of safety in healthcare

Medical experts told members of Congress that health IT solutions, such as electronic health records, are falling short in efforts to improve patient safety, Healthcare IT News reports (McCann, Healthcare IT News, 7/18).

Annals of Internal Medicine Study: Small Changes Could Improve Usability of HealthCare.gov

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Several simple steps -- such as implementing a decision-support tool and providing explanations of health insurance industry vocabulary -- could significantly improve the usability of HealthCare.gov, according to a study published in the Annals of Internal Medicine, the Los Angeles Times' "Science Now" reports.

AMDIS To Push CMS for More Details on Meaningful Use Changes

The Association of Medical Directors of Information Systems is seeking clarity around CMS' proposed changes to the meaningful use program, Modern Healthcare reports.

AMDIS has tasked board member Michael Zaroukian with drafting formal comments to CMS' proposed rule (Conn, Modern Healthcare, 6/19).

Industry Divided Over Proposal To Change Meaningful Use Timeline

The health care industry is divided over a proposed rule released earlier this week by CMS and the Office of the National Coordinator for Health IT that would give providers an additional year to upgrade electronic health record systems to meet reporting requirements for Stage 2 of the Medicare meaningful use program, Modern Healthcare 

Researchers found that data issues related to interoperability and usability can result in preventable patient safety risks

Laboratory professionals are essential to reducing patient safety risks by ensuring patients' electronic health record data are accurate and effective, according to a CDC report, Clinical Innovation & Technology reports (Walsh, Clinical Innovation & Techonology, 5/19).

Drummond's public comment on 2015 Edition EHR Certification Criterion - § 170.315(g)(3) (Safety-Enhanced Design)

Usability testing for Meaningful Use - Safety-enhanced Design

2015 Edition EHR Certification Criterion
(3) Safety-enhanced design.

User-centered design processes must be applied to each capability an EHR technology includes that is specified in the following certification criteria: § 170.315(a)(1) through (4), (8) through (10), and (18) and (b)(2) and (3).

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The Usability People would welcome the opportunity to work with you on improving the Usability of Healthcare IT.

For expert Safety-enhanced Design (aka Usability) evaluation of your EHR: contact The Usability People

The Usability People

Together we may save a life! #SafeHealthIT