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CCHIT
Is HITECH Working? #3: ONC got it right on the 3 major policy interpretations: Meaningful Use, Certification, Standards
We concluded our last post in this series with a blunt prediction that “key physicians will sit on the sidelines” and that clinician non-adoption of EHR technology is a potential “deal-breaker for the success of HITECH”.
While this might sound like a criticism of the way HITECH has been implemented, it’s not intended that way — it’s a commentary on 1) the complexity and scope of change that will be required to make HITECH successful, and 2) the level of protective entrenchment existing American […]
Is HITECH Working? #2: Key physicians will sit on the sidelines (at least for now).
(click on any of the above graphics to be linked to the orginal source)
by Vince Kuraitis JD, MBA and David C. Kibbe MD, MBA
In the previous post in this series on “Is HITECH Working?”, we straightforwardly noted that hospitals are playing in the HITECH game. The issue of whether physicians will play is MUCH thornier.
As the headlines above succinctly convey — we conclude that for now there is too much fear, uncertainty, and doubt (FUD) to expect significantly increased EHR technology adoption by […]
Is HITECH Working? #1: Hospitals are grumbling but are playing in the game; success is not guaranteed.
by Vince Kuraitis JD, MBA and David C. Kibbe MD, MBAÂ
The rationale for hospitals having to play in the HITECH game is straightforward: the financial carrots through 2015 are helpful, and the financial sticks after 2015 will be very painful.
We’ll discuss:
Financial Impacts on Hospitals
Survey Data Showing Hospitals Will Play
Why Success is Not Guaranteed
Financial Impacts on Hospitals
Even prior to HITECH, most hospital executives already had passed the threshold decision and concluded that they need to implement EHR technology. Thus, the issue for most […]
A Compendium of Perspectives on the HITECH Certification NPRM
Just the FactsÂ
Certification Programs NPRM (Notice of Proposed Rulemaking)
Health IT, U. S. Department of Health and Human Services; March 2, 2010
Certification NPRM
Facts-At-A-Glance
FAQ
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Bookmarked version of Certification NPRM (much easier to navigate)
U. S. Department of Health and Human Services; March 2, 2010
John Halamka’s Stunning 180: “Dogs and Cats Should Live in Harmony”
The King of the Cats has just acknowledged that indeed cats and dogs should co-exist peacefully.
Dr. John Halamka — Vice Chair of the HIT Standards Committee of the ONC and one of the most vocal and influential figures in health IT — writes a blog post this morning entitled “The Genius of AND”. Halamka reasonably summarizes the essence of the debate about standards and interoperability as being between “the healthcare informatics crowd” (cats) and the “Internet crowd” (dogs):
He notes that the debate […]
CCHIT’s Latest Gambit
by Glen Laffel MD, PhD
Many of us have enjoyed a few good minutes of fun having our fortunes told by soothsayers who claim they can predict our future based on patterns of tea leaves in a cup or the playing cards we’ve pulled from a deck.
We pay a few dollars for the entertainment and if the fortune teller is skilled, we are temporarily impressed by his “insight.” But once we leave the carnival, we come back […]
HIT Policy Committee Recommends “Minimum” Certification of EHRs
At last Friday’s meeting, the HIT Policy Committee adopted the recommendations of the Certification and Adoption Workgroup.
Between the initial recommendations in July and the adopted recommendations in August, one critical word was added to the definition of “certification”. That one word is “minimum” — and this one word expresses the correct approach and philosophy for the government’s role in the certification process for EHRs.
In this post I’ll address why a “minimum” approach toward certification makes […]
Time for EHRs to Become Plug-and-Play
by David C. Kibbe MD, MBA
The remarkable report, “Initial Lessons From the First National Demonstration Project on Practice Transformation to a Patient-Centered Medical Home,” published in the May/June issue of Annals of Family Medicine, the Nutting Report, makes this point about the state of primary care IT offerings:
Technology needed in a PCMH is not “plug and play.” The hodge-podge of information technology marketed to primary care practices resembles more a pile of jigsaw pieces than components of an integrated and […]
Markle v. HIMSS: Differing Views of “Meaningful Use” and “Certification”
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The forthcoming definition of the “meaningful use” of health information technology will set the direction of the Obama administration’s strategy for health IT adoption, said David Blumenthal, the new national coordinator for health IT. Government HealthIT, April 28, 2009
…but not everyone sees eye-to-eye on the definitions of “meaningful use” and “certification”.  [See the first […]
Is the Health Data Liquidity Glass Half Empty or Half Full?
What a difference in attitude! Compare two press announcements from April 5:
1) CCHIT: Interoperability Isn’t Doable With Today’s Technology .
Certification Commission for Health Information Technology (CCHIT), Interoperability: Supplying the Building Blocks for a Patient-centered EHR , April 5, 2009
This report…(is) also an attempt to inject a dose of reality into the discussion of interoperability – from practical expectations for the near term and future years to the challenges of developing software architecture and implementation guides that can execute new […]