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by Patty Enrado
The American Hospital Association (AHA) submitted to ONC its recommendations for changes to the Interim Final Rule on Monday, March 15. All the comments are in. Since the IFRs were released, we've been mucking around in the details (along with the devil, so to speak). As we wait for ONC to sift through the recommendations and figure out which to incorporate, we as an industry need to ask ourselves: What's the end goal? I believe the consensus is that we want health IT to enable providers to deliver high-quality care, reduce medical errors and lower the cost of care through efficient processes.
Recent Posts
Sutter Health renews EHR expansion; will others follow?
Sutter Health, a Northern California not-for-profit network of community-based healthcare providers, announced it will resume implementation of EHRs throughout its hospitals. Not that the large hospital system is a bellwether for the economic recovery, but given that it stopped its initiative because of the recession, it's easy to come to that conclusion at first blush. The second thought is whether other health systems feel comfortable enough to resume their health IT initiatives. Read More
Date: Mar 17, 2010
CCHIT says IFR on standards and certification may slow adoption rate
With some standards being dropped and others being added, the Interim Final Rule (IFR) for EHR standards and certification is not aligned with CCHIT's current certification process. If the Final Rule is largely unchanged from the IFR, CCHIT says the new process could slow down the EHR adoption rate. Read More
Date: Mar 16, 2010
Should the FDA be tasked with health IT oversight?
In the last two years, the Federal Drug Administration (FDA) has received 260 reports of health IT malfunctions, some of which resulted in 44 reported injuries and six deaths. These numbers are prompting FDA officials to call for a federal framework and oversight to ensure patient safety. Read More
Date: Mar 15, 2010
An Evolving EHR market can be unsettling
Amidst a still-faltering economy, the bright spot has been healthcare IT, thanks to ARRA and its HITECH Act. Just as there is a lot of hope and energy invested in moving the healthcare industry into the 21st century, there are equal parts of anxiety and pessimism that billions of dollars will be spent without transforming the industry in the form of increased quality and efficiency of healthcare delivery, and reduction of medical errors and cost. Read More
Date: Mar 11, 2010
Sutter Health, a Northern California not-for-profit network of community-based healthcare providers, announced it will resume implementation of EHRs throughout its hospitals. Not that the large hospital system is a bellwether for the economic recovery, but given that it stopped its initiative because of the recession, it's easy to come to that conclusion at first blush. The second thought is whether other health systems feel comfortable enough to resume their health IT initiatives. Read More
Date: Mar 17, 2010
CCHIT says IFR on standards and certification may slow adoption rate
With some standards being dropped and others being added, the Interim Final Rule (IFR) for EHR standards and certification is not aligned with CCHIT's current certification process. If the Final Rule is largely unchanged from the IFR, CCHIT says the new process could slow down the EHR adoption rate. Read More
Date: Mar 16, 2010
Should the FDA be tasked with health IT oversight?
In the last two years, the Federal Drug Administration (FDA) has received 260 reports of health IT malfunctions, some of which resulted in 44 reported injuries and six deaths. These numbers are prompting FDA officials to call for a federal framework and oversight to ensure patient safety. Read More
Date: Mar 15, 2010
An Evolving EHR market can be unsettling
Amidst a still-faltering economy, the bright spot has been healthcare IT, thanks to ARRA and its HITECH Act. Just as there is a lot of hope and energy invested in moving the healthcare industry into the 21st century, there are equal parts of anxiety and pessimism that billions of dollars will be spent without transforming the industry in the form of increased quality and efficiency of healthcare delivery, and reduction of medical errors and cost. Read More
Date: Mar 11, 2010
Recent Comments
CCHIT says IFR on standards and certification may slow adoption rate
Posted on Tue, Mar 16, 2010 - 12:37 PM
CCHIT took a very authoritarian and micro-managed approach to EHR/EMR certification. They certified the major vendors in "interoperability" but did not require them to interoperate with other vendors, especially highly developed niche application vendors. Just because CCHIT chose the methods it chose for certification, does not mean that IFR is not a better way to go. CCHIT and its certification scheme are really a products of the major vendors and their attempt to keep a stranglehold on the enterprise healthcare IT market. It really had nothing to do with expanding the use and fostering creativity in the market.
Posted by robert.cass On Mar 16, 2010 Read More
HIMSS10 Roundtable Part I: Should EMRs and EHRs get all the attention?
Posted on Fri, Mar 12, 2010 - 10:27 AM
Undoubtedly, EMR/EHR is one of the foundations of a sound health IT strategy - but it's not the only leg. For example, we've been able to demonstrate to long-term care providers, such as nursing care and residential care providers, that there's opportunity to enhance service quality and control costs with other, proven enterprise systems (http://www.augurynet.com/why-hit-means-more). An integrated, multi-focal IT environment is lacking in many healthcare providers.
Posted by plariv On Mar 12, 2010 Read More
Google CEO eyes national EHR database
Posted on Thu, Feb 25, 2010 - 01:52 AM
i totally disagree with the government backing out with it's health insurance responsibilities, now that the recession is here. the gov't should act on it's own to catch every person dying or falling from high paid bills. it should be covered and given as a provision for every american!
Posted by GinHikab11 On Feb 25, 2010 Read More
It'll take more than money to spur EHR adoption
Posted on Wed, Feb 17, 2010 - 12:57 AM
Good point. I believe, however, EHR vendors understand that their products need to be able to talk with other systems. The market won't support them; they're more knowledgeable now. That said, there are interface vendors whose products will connect disparate systems. They're doing it now. You'll be seeing it at the HIMSS10 Interoperability Showcase in Atlanta in a few weeks.
Posted by Patty Enrado On Feb 17, 2010 Read More
It'll take more than money to spur EHR adoption
Posted on Tue, Feb 16, 2010 - 06:09 PM
What will really boost EHR adoption is those records being easily interchangeable. EHR is a valuable resource, and should be faced as such. Many "wanna be" EHR applications using proprietary formats will simply put physicians in a positions similar to that of a fully equipped Zulu warrior left alone in the middle of Ukraine: he has its resources, Ukrainians have theirs, but they cannot cooperate at all, once nobody knows each other's language. Interchangeability will not be naturally born from competition, and I'm afraid the gold rush for the US government's money might promote the appearance of many information islands in ...
Posted by fpiragibe On Feb 16, 2010 Read More
Posted on Tue, Mar 16, 2010 - 12:37 PM
CCHIT took a very authoritarian and micro-managed approach to EHR/EMR certification. They certified the major vendors in "interoperability" but did not require them to interoperate with other vendors, especially highly developed niche application vendors. Just because CCHIT chose the methods it chose for certification, does not mean that IFR is not a better way to go. CCHIT and its certification scheme are really a products of the major vendors and their attempt to keep a stranglehold on the enterprise healthcare IT market. It really had nothing to do with expanding the use and fostering creativity in the market.
Posted by robert.cass On Mar 16, 2010 Read More
HIMSS10 Roundtable Part I: Should EMRs and EHRs get all the attention?
Posted on Fri, Mar 12, 2010 - 10:27 AM
Undoubtedly, EMR/EHR is one of the foundations of a sound health IT strategy - but it's not the only leg. For example, we've been able to demonstrate to long-term care providers, such as nursing care and residential care providers, that there's opportunity to enhance service quality and control costs with other, proven enterprise systems (http://www.augurynet.com/why-hit-means-more). An integrated, multi-focal IT environment is lacking in many healthcare providers.
Posted by plariv On Mar 12, 2010 Read More
Google CEO eyes national EHR database
Posted on Thu, Feb 25, 2010 - 01:52 AM
i totally disagree with the government backing out with it's health insurance responsibilities, now that the recession is here. the gov't should act on it's own to catch every person dying or falling from high paid bills. it should be covered and given as a provision for every american!
Posted by GinHikab11 On Feb 25, 2010 Read More
It'll take more than money to spur EHR adoption
Posted on Wed, Feb 17, 2010 - 12:57 AM
Good point. I believe, however, EHR vendors understand that their products need to be able to talk with other systems. The market won't support them; they're more knowledgeable now. That said, there are interface vendors whose products will connect disparate systems. They're doing it now. You'll be seeing it at the HIMSS10 Interoperability Showcase in Atlanta in a few weeks.
Posted by Patty Enrado On Feb 17, 2010 Read More
It'll take more than money to spur EHR adoption
Posted on Tue, Feb 16, 2010 - 06:09 PM
What will really boost EHR adoption is those records being easily interchangeable. EHR is a valuable resource, and should be faced as such. Many "wanna be" EHR applications using proprietary formats will simply put physicians in a positions similar to that of a fully equipped Zulu warrior left alone in the middle of Ukraine: he has its resources, Ukrainians have theirs, but they cannot cooperate at all, once nobody knows each other's language. Interchangeability will not be naturally born from competition, and I'm afraid the gold rush for the US government's money might promote the appearance of many information islands in ...
Posted by fpiragibe On Feb 16, 2010 Read More





