As part of the ONC Health IT Certification Program, Congress mandated the establishment of an Electronic Health Record (EHR) Reporting Program to help determine the effectiveness of the program. The first step toward implementation was the development of an initial set of CEHRT developer metrics which were released in draft form in December 2021. When finalized, these metrics will represent data that EHR vendors will have to report to ONC as a Condition and Maintenance of Certification. The initial focus of the metrics developed was interoperability, and public health was one of four categories considered.
EHR vendors
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6 Reasons To Plan Architecture For Interoperability
Nearly $26 billion spent, and the U.S. healthcare industry is still asking why information doesn’t move more easily between electronic health records. That’s a loaded question, of course, and suggesting a ten-year timeframe or arguing that there is progress if you look hard enough just doesn’t answer it...
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6 Ways Physicians can Free Patient Records
A certain doctor's practice had been using EHR software for many years; they had been paying a pretty penny too. For their own reasons they wanted to change their software. They were going to brave the uncertain and scary world of transitioning their current EHR to another one. A round of applause for that decision alone, for many practices tolerate their EHR system only because they have paid a lot of money for it and have spent a lot of time training on it. They just don’t want to go through the pain all over again. This works out in favor of most EHR system vendors, doesn't it? Make the process so painful and costly that the physicians would not want to go through it again, thereby locking the caregivers into an eternal commitment.
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AEGIS Announces Touchstone for HL7 FHIR Interoperability Testing
AEGIS.net, Inc. (AEGIS)...introduces the Touchstone Project - a next generation cloud-based Testing Platform which applies Conformance and Interoperability testing in a Test-Driven-Development (TDD) integrated ecosystem. As organizations new to the Health Level Seven® (HL7®) Fast Healthcare Interoperability Resources (FHIR®) specification begin to explore and evaluate this new HL7® standard and start projects with a goal of being an early adopter, AEGIS' Touchstone Test Platform will guide those implementations towards a high degree of conformance and interoperability in a continuous model.
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Beware The Hidden Costs Of A Poorly Constructed EHR Contract
We know that electronic health records can cost a lot of money, sometimes millions of dollars. So it would be pretty disconcerting for a provider to learn that it has to pay additional amounts on top of that initial layout.
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Black Book Research Warns Gov. Regs and Lousy EHRs are Driving Independent Medical Practices into Extinction
Two-thirds of independent practices now deliberately selling out to hospital systems and larger groups or closing down by 2019 as the resource-intensive requirements of MIPS, administrative burdens, and under-optimized technology may make the transition to value-based care too discouraging...Despite small practice education, training and technical assistance programs promised from CMS to help onboard physicians with the MACRA programs, 89% of the remaining solo practices expect to minimize Medicare volumes as to not be required to submit reports for the quality and clinical practice improvement activities or report in the cost performance category.
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Cloud-based EHR Interoperability Takes Front Stage
Because our industry is still in diapers, we focus on the lack of basic interoperability and ruminate on why EHR vendors struggle (aka, refuse) to share even basic patient data. But we must take heart, health IT friends, stiffen our upper lips and look to trends and examples that create optimism (i.e., help get us out of bed in the morning): 21st century interoperation is happening in health IT. In a recent interview with Healthcare Dive, Athenahealth CEO Jonathan Bush laid out a vision for how the cloud is the disruptive technology to bring healthcare into the Internet age. He describes “level three interoperation,” where two cloud-based systems connect once and support multiple interoperations that accomplish more than just data sharing.
Coalition Calls For Action Against EHRs That Block Interoperability
The Health IT Now Coalition is calling on HHS to decertify electronic health record systems that require extra modules or additional costs to share data, Politico's "Morning eHealth" reports...
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Crash Test Dummies and Electonic Health Records
EHR vendors are quick to say that the upcoming stage 3 Meaningful Use requirements are too burdensome, that they are too difficult to complete, and they are not necessary. (see this article for example). Many EHR vendors would say let market forces take over and the Health IT industry will heal itself. The big business interests of the Healthcare industry may cry wolf (and lobby hard) against the meaningful use program and its significant enhancements to the usability program because they don’t want to spend the extra time and money to provide a healthcare system that truly follows a safety-enhanced design philosophy.
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Early adopters of EHR systems starting to reap major benefits
Electronic health record (EHR) adoption has been fastest at larger, more technology-savvy medical organizations, while smaller practitioners -- which make up the bulk of U.S. clinicians -- have been slow on the health-IT uptake for a variety of reasons, chief among them the cost, but also the training time and effort needed to make the move from paper. Read More »
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Ebola, EHRs, And The Blame Game
It’s time to think carefully and look at the large systems (human and technical), institutions, and individuals that contributed to Mr. Duncan’s death. Systems should be designed to protect people and prevent human errors...
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EHR Association Calls 2015 Criteria Too Disruptive
In a letter to National Coordinator for Healthcare Information Technology Karen DeSalvo, MD, the Electronic Health Record Association argues that ONC's proposed Voluntary 2015 Edition Electronic Health Record Certification Criteria rule will cost too much, will disrupt progress and simply isn't "necessary or workable."...
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EHR Business Environment Must Change to Achieve Interoperability
The main challenges for the nation’s health IT interoperability are not technical but business related. That’s the word from former National Coordinators for Health IT speaking in a panel session on Tuesday at ONC’s Annual Meeting in Washington. Farzad Mostashari, M.D., former National Coordinator for HIT and currently CEO of start-up Aledade which partners with independent primary care physicians, warned that business practices among some electronic health records vendors are inhibiting the sharing of health information by restricting information exchange with users of other EHR products.
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EHR Certification Criteria Under Fire
Complaints rolling in to the ONC-The hits keep on coming as two industry groups spoke out against voluntary 2015 EHR certification under meaningful use...
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EHR Incentive Payments Climb Toward $24 Billion
The Centers for Medicare & Medicaid Services have paid out $23.7 billion in electronic health record incentives under the meaningful use program through last month — up from $22.9 billion in April, according to Elisabeth Myers, policy and outreach lead at the CMS Office of eHealth Standards and Services at the June 10 monthly Health IT Policy committee meeting...
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