On June 15, 2023, the Health Data, Technology, and Interoperability: Certification Program Updates, Algorithm Transparency, and Information Sharing (HTI-1) Proposed Rule Task Force 2023 released its recommendations on the Health Data, Technology, and Interoperability: Certification Program Updates, Algorithm Transparency, and Information Sharing (HTI-1) Proposed Rule which proposes new provisions from the 21st Century Cures Act and makes updates to the ONC Health IT Certification Program (Certification Program). The limited-engagement task force met intensely during April, May, and June 2023 to develop its own set of observations and recommendations which were submitted to the Office of the National Coordinator for Health Information Technology (ONC).
EHR vendors
See the following -
High Turnover of EHR Vendors According to KLAS Report
The game is still afoot for a swarm of electronic health-record system developers—in particular those that don't have the best-known brands, according to the latest report from KLAS Enterprises on the ambulatory EHR market. Read More »
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HITAC Task Force Comments on ONC HTI-1 NPRM
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IBM Partners With Epic In Battle For Pentagon's Multibillion-Dollar EHR Deal
IBM has teamed with electronic health records provider Epic to compete for the Defense Department’s Healthcare Management Systems Modernization contract expected to be bid out this summer, with an expected value of approximately $11 billion...
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Inside The Struggle For Electronic Health Record Interoperability
Over the past few months, stories have popped up chronicling doctors’, clinicians’ or other health care providers’ headaches moving to and/or accessing EHRs. The chorus of complaints has led the Senate Appropriations Committee to submit language in a draft bill that calls for a report from the Department of Health and Human Services’ Office of the National Coordinator for Health Information Technology (ONC) on what “the challenges and barriers” are to EHR interoperability.” Read More »
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Is Cloud Faxing the Solution to the Health IT Usability and Interoperability Crisis?
The Healthcare industry is in profound crisis as the HITECH Act of 2009 led medical facilities across the United States to spend in excess of $3 trillion on the purchase and implementation of expensive electronic health records (EHRs) under the Meaningful Use program. Yet, the most fundamental goals of electronic records Nirvana that were promised have not been achieved. For multiple reasons, EHRs have turned out to lack usability and be non-interoperable. In fact, most monopoly EHR vendors are engaged in what is commonly called “data blocking.” In most cases physicians are unable to obtain medical records for the patients they are seeing and patients have a hard time getting a hold of their own medical records. That means that the medical records are not available at the most important moment, the caregiver/patient encounter, and are not available to the patients themselves and their family members.
- The Future Is Open
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Is The 1.5+ Trillion Dollar HITECH Act a Failure?
Hopefully, the public statements made by President Obama and Vice President Biden will lead to a public debate over the monumental problems that the HITECH Act and proprietary EHR vendors have caused the American people. While the press continues to report the figure of $35 billion as the cost of implementing EHRs, that figure does not tell the entire story. Perhaps the next step is to provide accountability and transparency. That would start with firm numbers regarding the real costs of EHR implementations forced on an unprepared healthcare system by the HITECH Act.
- The Future Is Open
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Is The EMR Market In The US Heading For The Cliff?
The market for electronic medical record (EMR) systems in the United States appears to have reached its tipping point with the market expected to begin its decline in 2013, according to Millennium Research Group (MGR).
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Is the Technology Gap the Reason Why Medical Errors are the 3rd Leading Cause of Death in the US?
Hardly a day goes by without some new revelation of an information technology (IT) mess in the United States that seems like an endless round of the old radio show joke contest, “Can You Top This” except that increasingly the joke is on us. From nuclear weapons updated with floppy disks, to critical financial systems in the Department of the Treasury that run on assembler language code (a computer language initially used in the 1950s and typically tied to the hardware for which it was developed), to medical systems that cannot exchange patient records leading to a large number of needless deaths from medical errors.
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Lockheed subsidiary, Epic win $624M VA patient scheduling contract
The Veterans Affairs Department has awarded a $624 million contract to Systems Made Simple, Syracuse, N.Y., a subsidiary of giant defense and national security contractor Lockheed Martin, Bethesda, Md., to overhaul its medical appointment scheduling system at its Veterans Health Administration healthcare system. Epic Systems Corp., Verona, Wis., will supply the software to the VA, the company confirmed.
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Many Current EHR Vendors Will Not Survive For Long
CMS just released the December 2012 attestation data, and one thing is abundantly clear—many EHR vendors will not be around to see Stage 2. Read More »
Medical Record Advocate Dr. Donald M. Voltz Leads National Grassroots Petition Drive To Reduce 1,000 Daily Medical Error Deaths
A national grass roots campaign launches today to reduce the medical miscommunications in healthcare systems that cause almost 1,000 deaths a day in the U.S. This campaign seeks to forge a government and industry solution in solving this lapse in electronic healthcare communications, a cornerstone of Obamacare. The campaign is headed by Dr. Donald Voltz...Voltz petition on Change.org demands that the government and medical industry implement a solution to end what is a very easy problem to fix. Once signed by 25,000 U.S. residents age 18 and older, the petition will be sent to the White House for review and a specific, timely action plan.
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MedStar Research Team Links Electronic Health Record (EHR) Usability Issues to Potential Patient Harm
Specific types of electronic health record (EHR) usability issues are associated with a variety of potentially serious patient harm events, according to a study released by MedStar Health researchers with the National Center for Human Factors in Healthcare. This study, which was published today by the Journal of the American Medical Association, is the first one of its kind to reach this conclusion, and it underscores the need for more and better collaboration among EHR vendors, providers and health systems, and other stakeholders, as well as a reexamination of federal policies for improved usability.
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Mutual self-interest leads to antitrust concerns
We have a bright new Attorney General here in Massachusetts who has already earned her bona fides with regard to putting the brakes on economically unsupported market power expansion by the local dominant provider network. That corporation, Partners Healthcare System (PHS), has now indicated that its primary expansion activities will be outside of the United States, but that statement hides a bit of misdirection. Indeed, PHS remains focused on maintaining its hold on physician organizations and its overall market share here in the state.
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Obama and Biden Blast EHR Vendors for Data Blocking
As they are winding their terms in office, President Barack Obama and Vice President Joe Biden dropped a stink bomb on the health IT industry. Speaking at different events on Friday, January 9th, the President and Vice President both criticized proprietary electronic health record (EHR) vendors as the primary obstacle to the success of their administration’s health care strategy. This is the highest level acknowledgment so far of the serious impact that “lock-in” EHR software vendors are having on America’s medical infrastructure and the ability of physicians to provide medical care.
ONC Scraps Proposed 2015 Edition EHR Testing Criteria
The Office of the National Coordinator for Health Information Technology has abandoned its proposal to create nonbinding testing and certification criteria intended to prepare EHR vendors for coming requirements for electronic health-record systems. In a 187-page final rule leased Wednesday, the ONC formally scrapped the plan for a voluntary 2015 Edition of EHR testing and certification criteria...
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