Guidelines

Joint Commission Issues Alert About Potential Health IT Risks

High risk magnifying glass

The Joint Commission issued a sentinel event alert warning that while electronic health records and other health IT have the potential to improve care quality and safety, such technologies can pose inherent risks to patients, Modern Healthcare reports.

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.

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. 

Uncle Sam and Cousin Karen (DeSalvo) want your Interoperability Roadmap Public Comments

Uncle Sam and Karen DeSalvo

ONC is accepting public comments on Connecting Health and Care for the Nation: A Shared Nationwide Interoperability Roadmap Draft Version 1.0 (link is external). The comment period ends at 5 p.m. on April 3, 2015.

The draft Roadmap (link is external) proposes critical actions that need to be taken by both private and public stakeholders to advance the nation towards a more connected, interoperable health IT infrastructure and was drafted by ONC based on input from private and public stakeholders. The draft Roadmap (link is external) outlines the critical actions for different stakeholder groups necessary to help achieve an interoperable health IT ecosystem.

How to choose a usable EHR

The usability of the system is the probably most important factor in making an informed choice of which EHR to use for your practice. Most every bit of software says that it is easy to use, but how can you choose an EHR that is actually usable?

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

ONC Health IT Logo

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.

ONC Wants To Make Meaningful Use More Flexible, Less Prescriptive

Jacob Reider, deputy national coordinator and chief medical officer at the Office of the National Coordinator for Health IT, said that the agency wants to make the meaningful use program more flexible and less focused on providers meeting a specific set of clinical quality measures, Modern Healthcare reports.

AHA Urges CMS, ONC To Quickly Finalize Meaningful Use Changes

The American Hospital Association sent a letter Tuesday asking CMS and the Office of the National Coordinator for Health IT to quickly finalize a proposed rule that extends the meaningful use timeline so that providers can take advantage of the added flexibility, EHR Intelligence reports (Murphy, EHR Intellig

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 

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).

HIMSS Offers CMS Recommendations on MU Stage 2

Earlier this week, the Healthcare Information and Management Systems Society sent a letter  to CMS Administrator Marilyn Tavenner with recommendations on how the agency can maximize the number of successful attesters to Stage 2 of the meaningful use program this year, FierceEMR reports.

Update on the U.S. Access Board's Refresh of the Section 508 Standards and Telecommunications Act Accessibility Guidelines

The U.S. Access Board Logo

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.

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