health information exchange

See the following -

A 40-Year 'Conspiracy' at the VA

Arthur Allen | Politico | March 19, 2017

Four decades ago, in 1977, a conspiracy began bubbling up from the basements of the vast network of hospitals belonging to the Veterans Administration. Across the country, software geeks and doctors were puzzling out how they could make medical care better with these new devices called personal computers. Working sometimes at night or in their spare time, they started to cobble together a system that helped doctors organize their prescriptions, their CAT scans and patient notes, and to share their experiences electronically to help improve care for veterans...

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athenahealth’s CEO Jonathan Bush to Headline HIMSS16 Views from the Top With Dr. John Halamka

Press Release | athenahealth | February 25, 2016

athenahealth, Inc....today announced that Jonathan Bush, athenahealth CEO, and Dr. John Halamka, Beth Israel Deaconess Medical Center (BIDMC) CIO, will headline a Views from the Top session on the benefits of a future-proof, interoperable network at the 2016 HIMSS Annual Conference and Exhibition (HIMSS16), taking place February 29 - March 4 in Las Vegas. During the session, “How Future-Proof HIT Infrastructure Supports Data Sharing,” Bush and Halamka will observe the interoperability landscape, exploring challenges and benefits of health information exchange, as well as identifying opportunities and imperatives for providers to participate amidst the industry shift to accountable care.

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Australia's Digital Health Strategy Gets the Nod Without Data Interoperability Controls

Asha McLean | ZD Net | August 7, 2017

My Health Record, the Australian government's e-health record system, has been officially given the green light from the Council of Australian Governments Health Council to automatically sign citizens up to the service, allowing them to opt-out if they choose. By 2018, all Australians will have a My Health Record and by 2022, all healthcare providers will be able to contribute to and use health information in My Health Record on behalf of their patients. They will also be able to communicate with other healthcare providers on the clinical status of joint patients via the digital platform...

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Can Open Source EHRs Offer a New Path for Health IT Usability?

Jennifer Bresnick | Health IT Analytics | March 28, 2017

In an article published in JMIR Medical Informatics, researchers from the University of California-Davis decided to explore the small but intriguing world of open source EHRs, which may fit very neatly into the growing interest in application programming interfaces, FHIR, and other open data standards that encourage customized mix-and-match health IT development without the historical pitfalls of proprietary systems. Using data from 2014, the researchers identified 54 open source projects that met the HHS definition of an electronic health record.  At the time, four of those packages had achieved Certified EHR Technology status from the ONC.

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Carequality and CommonWell Health Alliance Agree on Connectivity and Collaboration to Advance Interoperability

Press Release | commonwell Health Alliance | December 13, 2016

CommonWell Health Alliance and Carequality announced today an agreement to increase health IT connectivity nationwide. The agreement provides additional health data sharing options to a broad range of stakeholders across healthcare, and has three aspects:

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DSS Inc Introduces Secure Direct Messaging to Improve Care Delivery for Hospitals and Health Systems

Press Release | Document Storage Systems, Inc. (DSS) | July 16, 2016

Document Storage Systems, Inc. (DSS), a leading provider of health information technology (HIT) solutions for federal, private and public healthcare organizations, today announced the availability of a Direct Messaging system that allows payers, providers and health systems to securely share information, replacing time consuming manual processes, reducing overhead costs and enhancing patient engagement. These new capabilities are integrated with DSS’ EHR system, vxVistA, through the Access My Records (AMR) Portal Suite...

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Electronic Health Records: a “Quadruple Win,” a “Quadruple Failure,” or Simply Time for a Reboot?

Michael Hochman | Journal of General Internal Medicine | February 5, 2018

Just a decade ago, when paper charts were commonplace in the USA, it seemed that electronic health records (EHRs) were destined to transform the quality and efficiency of healthcare delivery, as well as the care experience for patients and clinicians...The reality over the ensuring years has, to put it mildly, not met expectations. According to a 2014 analysis led by the Office of the National Coordinator for Health Information,2 over 80% of US doctors now use EHRs. Yet, many of the predictions about the benefits of EHRs have yet to materialize to the extent predicted. ..Noteworthy concerns include egregious medical errors resulting from design glitches3, charting templates filled extensively with meaningless boilerplate, the common practice of pasting old notes4 that makes it difficult to know which documentation is “real,” “alert fatigue”5 due to excessive EHR warnings, and even reduced communication among clinical team members.6

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Halamaka Takes a Deep Dive on the MACRA NPRM

As promised last week, I’ve read and taken detailed notes on the entire 962 page MACRA notice of proposed rulemaking (NPRM) so that you will not have to. Although this post is long, it is better than the 20 hours of reading I had to do! Here is everything you need to know from an IT perspective about the MACRA NPRM...What is the MACRA NPRM trying to achieve with regard to healthcare IT? The MACRA NPRM proposes to consolidate components of three existing programs, the Physician Quality Reporting System (PQRS), the Physician Value-based Payment Modifier (VM), and the Medicare Electronic Health Record (EHR) Incentive Program for eligible professionals (EPs), creating a single set of reporting requirements. The rule would sunset payment adjustments under the current PQRS, VM, and the Medicare EHR Incentive Program for eligible professionals...

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Halamka Discusses Three Disruptive Care Coordination Innovations In Use at Beth Israel

Would you buy an iPhone if the only apps that ran on it were written by Apple?   Maybe, but the functionality would not be very diverse. The same can be said of EHRs. Athena, Cerner, Epic, Meditech, and self developed EHRs such as BIDMC’s webOMR are purpose-built transaction engines for capturing data.  However, it is impossible for any single vendor to provide all the innovation required by the marketplace to support new models of care I’m a strong believer in the concept of third party modules that layer on top of traditional EHRs in the same way that apps run in the iPhone ecosystem...

Halamka on MU3 Regs: The Good, The Bad, and the Ugly

On Friday March 20, CMS released the Electronic Health Record Incentive Program-Stage 3 and ONC released the 2015 Edition Health Information Technology (Health IT) Certification Criteria, 2015 Edition Base Electronic Health Record (EHR) Definition, and ONC Health IT Certification Program Modifications. Perhaps the most important statement in the entire 700+ pages is the following from the CMS rule:  "Stage 3 of meaningful use is expected to be the final stage and would incorporate portions of the prior stages into its requirements."

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Halamka Summarizes the CMS Meaningful Use Final Rule

I’ve been asked to summarize the  752 page CMS Meaningful Use  Final Rule...Between the Notice of Proposed Rulemaking and the publication of the CMS Final Rule, the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) passed to include sunsetting the Meaningful Use payment adjustment for professionals at the end of 2018.   Also, MACRA requires the establishment of a Merit-Based Incentive Payment System (MIPS) which would incorporate Meaningful Use.  The comment period will be used in an attempt to align the Meaningful Use program and the MIPS program...Stage 3 is more controversial and I will focus on that.

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Halamka's Report on the Joint HIT Standards and Policy Committee Meeting

All the members of the ONC Federal Advisory Committees met in Washington to review delivery system reform and the Interoperability Roadmap. We began the meeting with a thank you to Jodi Daniel, who will be leaving ONC after 10 years of service. Elizabeth Holland presented a data update on the Meaningful Use program. She noted that 2015 attestation will open Jan 4, 2016-Feb 29, 2016. The Meaningful Use Stage 2 final rule has not yet been released (but rumor suggests it may be released later today). Next, Karen DeSalvo presented a Delivery System Reform Update  setting the context for the kinds of interoperability needed in the future as fee for service is replaced by population-based payment.

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Health IT interoperability by example

John W. Loonsk | Healthcare IT News | August 31, 2015

The health IT interoperability area is so confused now that we really need to look to some very practical examples of where interoperability has been solved, at least at an entry-level, and stop some of the hand-wringing, angst, and casting about. The federal government moving into the next administration and the post – Meaningful Use era, particularly needs to focus its attention and programs to develop "entry-level" interoperability to justify the public's 30 billion dollar EHR investment and make EHR data serve broader health outcomes for patients and populations...

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HHS Awards More Than $36 Million for Health Center Adoption of Health Information Technology

Press Release | Department of Health and Human Services | July 21, 2016

Today, Health and Human Services (HHS) Secretary Sylvia M. Burwell announced more than $36 million in funding for 50 Health Center Controlled Networks (HCCNs) in 41 states and Puerto Rico. This increase in health information technology support will impact over 1,020 participating health center organizations in all 50 states and Puerto Rico. HCCNs improve access to care, enhance quality of care and achieve cost efficiencies through the redesign of practices to integrate services, optimize patient outcomes, or negotiate managed care contracts on behalf of participating health centers...

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How Open Source Is Enhancing Healthcare

Audrey Throne | Open Source For U | May 23, 2017

With the recent development in software technology, many application systems are now competing for medical attention. Healthcare (or what we can call it as medical software) is evolving rapidly through communications, record-keeping system to a source of decision support, consequently, playing an active role in clinical service. However, unlike many other services, medical software is not very well regulated and places like a safety burden and cost of ineffective use solely depend on the physicians...

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