ONC

ONC Makes updates for Safety-enhanced Design Requirements

On June 15th, ONC pushed a significant update to the 2015 Update Edition test procedure.

https://www.healthit.gov/test-method/safety-enhanced-design

The application of user-centered design (UCD) during development and summative testing is limited to only those nine 2015 Edition certification criteria specified in this certification criterion and only for which certification is sought, namely [80 FR 62670]:

ONC Releases the 2015 Edition Cures Update Test method (including update for Safety-enhanced Design)

The 2015 Edition Cures Update Test Method has been constructed in an outcome-focused format with additional companion guide documents to aid stakeholder development of Health IT Modules. The Test Method provides the structure for evaluating conformance of the Health IT Module to the certification criteria defined in 85 FR 25642 of the 21st Century Cures Act: Interoperability, Information Blocking, and the ONC Health IT Certification Program Final Rule as published in the Federal Register on May 1, 2020.

HHS Issues Strategy to Improve Care for Patients by Reducing Clinician Burdens

As part of the ongoing efforts to strengthen the relationship between patients and their doctors, the U.S. Department of Health and Human Services (HHS) today issued the Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs.

This report describes examples of electronic health record (EHR) related burden, as well as strategies and recommendations that HHS and other stakeholders can use to help clinicians focus their attention on patients rather than paperwork, when they use health information technology (health IT).

2015 Edition CEHRT is Required in Program Year 2019 for All Promoting Interoperability Program Participants

Beginning this year, all Promoting Interoperability Programs participants must use 2015 Edition certified electronic health record technology (CEHRT) to avoid a downward Medicare payment adjustment.

CMS believes that these up-to-date standards and functions of 2015 Edition CEHRT will better support interoperable exchange of health information and improve clinical workflows.

HHS Issues Draft Strategy to Reduce Health IT Burden

The U.S. Department of Health and Human Services' (HHS) Office of the National Coordinator for Health IT (ONC) issued a draft Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs. The draft addresses concerns shared by clinicians and other stakeholders that EHR burden can negatively affect provider satisfaction and ultimately the care delivery experience.

Hospital IQR-Promoting Interoperability Program Alignment Outreach and Education Webinar on September 26, 2018: FY 2019 IPPS/LTCH PPS Final Rule: Overview of eCQM Reporting and Promoting Interoperability Programs

This Outreach and Education webinar for participants in the Hospital Inpatient Quality Reporting (IQR) Program and the Medicare and Medicaid Promoting Interoperability Programs (previously known as the Medicare and Medicaid Electronic Health Record Incentive Programs) is scheduled for Wednesday, September 26, 2018.

Updated eCQM Specifications and New eCQM Reading Guide Now Available

The Centers for Medicare & Medicaid Services (CMS) has posted the eCQM annual update for the 2019 reporting period for Eligible Hospitals and Critical Access Hospitals (CAHs), and the 2019 performance period for Eligible Professionals and Eligible Clinicians. CMS updates the specifications annually to align with current clinical guidelines and code systems so they remain relevant and actionable within the clinical care setting. These updated eCQMs are fully specified and are to be used to electronically report 2019 clinical quality measure data for CMS quality reporting programs.

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CMS webinar on an Overview of eCQM Reporting and Promoting Interoperability Program Proposals

Join CMS for an Overview of eCQM Reporting and Promoting Interoperability Program Proposals for the FY 2019 IPPS Proposed Rule

This Outreach and Education webinar for participants in the Hospital Inpatient Quality Reporting (IQR) Program and the Medicare and Medicaid Promoting Interoperability Programs (previously known as the Medicare and Medicaid Electronic Health Record [EHR] Incentive Programs) is scheduled for Wednesday, May 16, 2018, at 2:00 p.m. ET.

CMS Announces New Name for EHR Initiatives: Promoting Interoperability Programs

CMS Changes Name of the EHR Incentive Programs and Advancing Care Information to “Promoting Interoperability”

To continue their commitment to promoting and prioritizing interoperability of health care data, the Centers for Medicare & Medicaid Services (CMS) is overhauling and streamlining the Electronic Health Record (EHR) Incentive Programs for hospitals as well as for the Advancing Care Information performance category of the Merit-based Incentive Payment System (MIPS), which is one track of the Quality Payment Program.

The ONC Guide to Getting & Using Your Health Records!

You have a right to your health record

According to federal law, you have a right to see and get a copy of your health record from most health insurance plans and health care providers, including clinics, hospitals, pharmacies, labs, and nursing homes.

Yet it can be a real challenge to get your health record if you’ve been cared for by multiple doctors in multiple places. Each one may have a different process for asking for and getting your record.

ONC Usability Change Package Resource & Webinar Recording

ONC Usability Change Package Resource & Webinar Recording

ONC hosted a webinar on March 1 that previewed a new ONC-sponsored resource, the Usability Change Package (UCP.) This resource helps health IT end users in hospital settings identify usability challenges, adapt their systems to improve the usability of their systems, and assess the impact of these system changes.

ONC's preview of the Usability Change Package

ONC will be hosting a webinar that previews a new ONC-sponsored resource, the Usability Change Package (UCP). The UCP helps health IT end users in hospital settings identify usability challenges, adapt their systems to improve the usability of their systems, and assess the impact of these system changes.

This resource will be made available in the future on the Health IT Playbook. Presenters will provide an overview of the UCP, the process used to develop it, and the gaps and future considerations that were uncovered during development.

National Health IT Week Event -- October 3, 2017 | 10am - 12pm ET

National Health IT Week Event -- October 3, 2017 | 10am - 12pm ET

U.S. Department of Health and Human Services
Hubert H. Humphrey Building - Great Hall
200 Independence Avenue SW, Washington, DC

Join ONC for two panels of distinguished public and private sector partners highlighting advancements in interoperability and usability. This event will be hosted by Principal Deputy National Coordinator for Health IT Genevieve Morris and Deputy Assistant Secretary for Health Technology Reform John Fleming, MD.

Safety-enhanced Design evaluations for ONC 2015 Edition Certification

In a public comment on the certification process, Drummond (one of the ONC ATCB's) stated that

"...the usability test effort is not a small undertaking for EHR vendors. In fact, it {is} essentially one of the most difficult criteria to complete."



For expert Usability evaluations of your companies EHR: Contact The Usability People



Usability reports produced by The Usability People adhere to the NISTIR 7742 CCIF format suitable for submission to an ONC-ACB. We can also provide a set of prioritized, detailed, and actionable feedback that you can take directly to your design and development teams for implementation.

MIPS/MACRA Final Rule: A carrot is better than a stick!

With the January 2018 deadline fast approaching and very few EHRs certified for the ONC 2015 Edition Certification, Doctors will get a one year extension so that they can continue to use 2014 edition of EHRs into next year. Instead of getting a 25 percent reduction in their reimbursement payment, those that are using a 2015 edition certified EHR will gain a 10 percent bonus in the meaningful use part of their MIPS payments. Full details are posted in the Federal Register. This post will be updated when we get a chance to read the 1000+ page document.

This is NOT a usability test

UX Fail - Question gives the exact steps needed to complete task

We were recently exploring the new updated Certified HealthIT Product List (CHPL) site (https://chpl.healthit.gov/#/search ) was were shocked that as of today (Jan 11, 2017) there are only 3 Health IT vendors that have products that have been Safety-enhanced Design certified for the ONC 2015 Edition.

We're glad that for most EHRs the usability test performed as part of their certification is posted on the website of the certifying body (eg, Drummond, Infoguard, etc)

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