With the January 2018 deadline fast approaching and very few EHRs certified for the ONC 2015 Edition Certification, Doctors will get a one year extension so that they can continue to use 2014 edition of EHRs into next year. Instead of getting a 25 percent reduction in their reimbursement payment, those that are using a 2015 edition certified EHR will gain a 10 percent bonus in the meaningful use part of their MIPS payments. Full details are posted in the Federal Register. This post will be updated when we get a chance to read the 1000+ page document.
We were recently exploring the new updated Certified HealthIT Product List (CHPL) site (https://chpl.healthit.gov/#/search ) was were shocked that as of today (Jan 11, 2017) there are only 3 Health IT vendors that have products that have been Safety-enhanced Design certified for the ONC 2015 Edition.
We're glad that for most EHRs the usability test performed as part of their certification is posted on the website of the certifying body (eg, Drummond, Infoguard, etc)
Healthcare providers that may be interested in upgrading to the latest government-approved electronic health record systems got a signal that the products are in the pipeline, though they may be six or more months away from reaching the market.
The shift to the Stage 3 and 2015 Edition requirements has received push-back from providers, especially with the added complexity of the pending shift by physicians to the new requirements of the Medicare Access and CHIP Reauthorization Act of 2015.
ONC has issued a request for information for your thoughts on how to measure interoperability. The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) sets an objective to achieve the widespread exchange of health information through the use of interoperable certified electronic health records and directs the Department of Health and Human Services to establish metrics in consultation with you – the health IT community – to see if that objective has been met.
Specifically, They are asking for input on:
ONC Health IT Certification Program: Enhanced Oversight and Accountability Proposed Rule
The Office of the National Coordinator for Health IT announced its sixth Annual Meeting will be held May 31 – June 2, 2016, at the Walter E. Washington Convention Center in Washington, D.C.
The Annual Meeting is an opportunity for a wide array of public and private sector partners to discuss ways to leverage health IT to achieve better care, smarter spending, and healthier people.
The Provider User-Experience (UX) Challenge incents the development of applications that use open, standardized APIs to enable innovative ways for providers to interact with patient health data. This challenge will focus on demonstrating how data made accessible to apps through APIs can positively impact providers’ experience with EHRs by making clinical workflows more intuitive, specific to clinical specialty, and actionable.
The 2015 Edition Final Test Method has been posted and can be accessed on the ONC Health IT Certification Program webpage.
The Final Test Method outlines the requirements for evaluating conformance of health IT Modules to the certification criteria defined in the ONC 2015 Edition Final Rule (45 CFR Part 170 Subpart II) published in the Federal Register on October 16, 2015.
CMS and the Office of the National Coordinator for Health IT issued a request for information seeking input on policy options to strengthen the testing and certification of electronic health records used for reporting quality measures,
"Accessibility refers to the design of products, devices, services, or environments for people with disabilities. The concept of accessible design ensures both "direct access" (i.e. unassisted) and "indirect access" meaning compatibility with a person's assistive technology (for example, computer screen readers)."
Below is the text from ONC regarding this new requirement:
ONC issued a Federal Register notice to provide corrections (e.g., corrects cross-references and citation omissions) and clarifications for the final rule entitled “2015 Edition Health Information Technology (Health IT) Certification Criteria, 2015 Edition Base Electronic Health Record (EHR) Definition, and ONC Health IT Certification Program Modifications.” These corrections and clarifications will eliminate confusion and ambiguity, permitting stakeholders to better understand, implement, and comply with the final rule. The final rule and notice are effective January 14, 2016.
On Oct. 16, 2015, CMS published a long-awaited final rule that modifies the Electronic Health Record Incentive Program (aka meaningful use) requirements for 2015 through 2017 and establishes requirements for Stage 3, which starts in 2018. While CMS "finalizes" Stage 3 requirements within this final rule, the agency has signaled that these regulations are not set in stone. The public may submit feedback for the Stage 3 requirements until Dec. 15.
CMS and the Office of the National Coordinator for Health IT released the final rules for Stage 3 of the meaningful use program, modifications for 2015 through 2017 and the 2015 Edition Health IT Certification Criteria,
The Usability People would welcome the opportunity to work with you on improving the Usability of Healthcare IT.
For expert Safety-enhanced Design (aka Usability) evaluation of your EHR: contact The Usability People
Together we may save a life! #SafeHealthIT