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.
electronic health records (EHRs)
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Creating a Knowledge Infrastructure for the ‘Learning Health System’
The idea that the healthcare industry can study the data being created in electronic health records (EHR) to foster ongoing improvement is not a new one, but it is gaining momentum. A “learning health system” is one that commits to the use of data as a byproduct of care for continuous learning. Clinicians and health system researchers want to tackle perhaps their industry’s most significant knowledge management challenge: how to capture the results of research into clinical best practices and more quickly feed it back to doctors and nurses at the point of care...
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Creating EHRs that Doctors Don't Hate
It may be difficult to recall now, what with the ongoing Cerner deployment and recent challenges that had little to do with technology, but there was a time when the Department of Veterans Affairs was considered the gold standard for healthcare IT. VA was out front with the initial development in the 1970s of the VistA system, which would come to be widely recognized and frequently honored. Indeed, when VA was overhauled in the 1990s, VistA was the primary tool that enabled the success of new policies. Without question, much of the effectiveness and durability of VA's VistA can be attributed to the way it was developed, specifically to the collaboration between technologists and clinicians that defined the process.
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Critical Access Hospitals Still Facing EHR Adoption Challenges
The high costs of EHR implementation, a chronic lack of adequate staffing, and a lack of access to quality high-speed broadband internet are still presenting significant barriers to critical access hospitals (CAHs) throughout the nation, according to a new Health Affairs study authored by members of the Office of the National Coordinator...
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Crossing The Digital Health Chasm Between Consumers And Providers – Talking With Dr. Eric Topol
More than twice as many patients than physicians are embracing consumers’ use of new digital technologies to self-diagnose medical conditions on their own. On the other hand, 91% of doctors are concerned about giving patients access to their detailed electronic health records, anticipating patients will feel anxious about the results; only 34% of consumers are concerned about anxiety-due-to-EHR-exposure...
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Crowdsourcing Proves Effective For Labeling Medical Terms
Crowdsourcing can be an effective means of labeling medically relevant terms that could then be used in statistical tools to provide sentence-level context results, a study from Stanford University found. Read More »
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Cures Act EHR Reporting Program Draft Measures—What this Means for Public Health
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Customer Says eClinicalWorks Holding Patient Data 'Hostage'
As eClinicalWorks faces a possible class action lawsuit and the potential for clients to switch to rival EHR vendors, some customers are coming forward with complaints about their treatment. The company countered that it is still signing up new healthcare organizations and at least one user has noticed the vendor changing its ways. At May’s end, the U.S. Department of Justice – in a settlement that included a $155 million fine – mandated that the EHR vendor either upgrade existing customers' software for free or transfer their data to a rival’s electronic health record platform...
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CVS Minute Clinic Experience Is Efficient And Effective, But EHR Interoperability Isn't
Back in February, major pharmacy chains including Walgreen Co., CVS Caremark, Rite Aid, Kroger and Safeway all announced via the White House website — an official channel if there ever was one — that they were endorsing the Blue Button initiative...
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Cyber Threats To Healthcare Systems, Medical Devices Rising
Compared to other industries, healthcare is particularly vulnerable to cyber attacks with the threats to health information continuing to mount as the industry moves to adopt electronic health records. Earlier this month, the FBI's Cyber Division issued a notice warning that healthcare systems and medical devices are at risk for increased cyber intrusions for financial gain.
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Cybersecurity Check In
No one likes to think about the possibility that patients might be hurt or killed as a result of cyber attacks. But all signs indicate that this is a real possibility and a serious problem. Attacks on Health IT systems such as EHRs or patient portals, electronic medical devices, or on standard healthcare digital systems can be a threat to patient safety...
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Dangers In Electronic Medical Documentation!
Slip-shoddy documentation can lead to disastrous consequences. And more often than not it is hapless patients who pay the price for it. The shocking news of patients dying due to documentation errors, is hitting the headlines more frequently. Though it is easy to lay the blame squarely on EHRs identifying the flaws in the documentation process is even more important. Read More »
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Data Crisis: Who Owns Your Medical Records?
We’ve all encountered issues with our medical records. Whether getting a copy for a second opinion, finding major mistakes, or changing health care providers, our access to this important set of data has been fraught with difficulties. But that’s in the past tense—it’s getting worse. Sadly, your medical records are the property of hospitals, doctors, and health systems. Except in New Hampshire, where ownership rights are assigned to the patient, no other states recognize the individual’s right of control and ownership of their medical data...
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Data Management: Precision Agriculture Can Learn From Healthcare
In my brief foray into Healthcare Information Technology (IT), it took only a couple of weeks to discover that the challenges they faced were harshly reminiscent of what we’re facing in Ag Information Technology. Read More »
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Data Sharing Snafus Mar VA-DoD Hospital's Success
Lack of electronic health record interoperability at a new hospital jointly run by the Department of Veterans Affairs and the Department of Defense is adversely affecting clinical care and costing the government millions of dollars, according to a new report published this week by the Institute of Medicine. Read More »
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Data Sharing, EHR Interoperability Keys To Improving Clinical Trials
As the complexity of clinical trials continues to grow, increased data sharing and interoperability will become more important, according to panelists participating at a House Energy and Commerce Committee hearing Wednesday...
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