HHS Certification: Recommendation Opens Door to Add’l Certification Agenices

CCHIT plus Multiple EHR Certifying Entities Proposed 
As reported by Joseph Goedert of HealthData Management  on July 16, 2009, “The workgroup recommends that multiple organizations be allowed to perform ‘HHS Certification’ testing and provide certification. HHS Certification means a certifying process that is limited to the minimum set of criteria necessary to meet functional requirements of ARRA and achieve the law’s meaningful use objectives.”

Five Recommendations of Certification/Adoption Workgroup plus 2 key points related to Meaningful Use and 5 to short-term transition   Full slide set (ppt)
1. Focus Certification on Meaningful Use
             – The National Coordinator should determine the criteria for HHS Certification, which should be limited to the minimum set of criteria that are necessary to: (a) meet the functional requirements of the statute, and  (b) achieve the Meaningful Use Objectives.
              – The focus on Meaningful Use should reduce the barriers currently faced by vendors that focus on specialists.

2. Leverage Certification process to improve progress on Security, Privacy, and Interoperability

3. Improve objectivity and transparency of the certification process

4. Expand Certification to include a range of software sources: Open source, self-developed, etc.

5. Develop a Short-Term Transition plan
      — ONC should define missing criteria to address Meaningful Use objectives, e.g., public health.
      — ONC should revise the existing criteria to meet Meaningful Use objectives, e.g., e-prescribing.
      — Subject to completing a special MU Gap Certification, existing certified products should be deemed certified for 2011.
      — New products, not currently certified, should be certified against the revised criteria and gaps.
      — Until the new HHS Certification process is established, with ONC approval, CCHIT should continue to perform certifications against ONC defined criteria.

Slides:  Certification/Adoption Workgroup Recommendations (ppt)

HIT Policy Committee Certification/Adoption

HIT Policy Committee’s Certification/Adoption Workgroup
Annotated Agenda for July 14 and 15, 2009 Public Meeting
(Links to Bios, Companies, and Related Documents)
HITS Staff Writer Joseph Conn wrote up story covering Day One.
Discussion of EHR certification, what it is now and how it might look in the future. Presentations will be heard from vendors, purchasers, non-vendor product users, the National Institute of Standards and Technology. The public will be invited to make comments at the close of the meeting.

Official Agenda Updated (pdf)
Health IT Policy Committee Meetings:       
How to Participate Remotely via Web conference or Audio.
You may listen via computer, or you may dial-in for audio:
1-877-705-6006     Passcode: HIT Committee Meeting
Text of presentations (pdf)   Slide sets (zip file)    If files appear unavailable due to high demand on ONC servers, please drop a note in comments below or email me at msquires@e-healthcaremarketing.com

TUESDAY, JULY 14, 2009
9:00am    Welcome & Opening Remarks
John Glaser, Office of the National Coordinator (Glaser–Advisory Role)
9:10am     Meeting Objectives and Outcomes
Paul Egerman and Marc Probst, Co-chairs
9:20am     National Research Council Study on Computational Technology for Effective Health Care 
Study Summary (pdf)   –Full Study: Free Online
William SteadVanderbilt University Medical Center 
Central study conclusion: Greater focus  needed on  cognitive support, “computer-based tools and systems that offer clinicians and patients assistance for thinking about and solving problems related to specific instances of health care.”
10:00am   National Institute of Standards and Technology (NIST) Information Technology Laboratory – Standards and Certification Programs & Processes
– Cita Furlani, Director, NIST Information Technology Laboratory & Gordon Gillerman, NIST; (June presentation: Overview of NIST Role in Healthcare IT (pdf))
11:00am   Break
11:15am   Vendor Panel

– Ambulatory EHR –  Sheldon Razin: Founder and Chairman Quality Systems Inc, parent company of  NextGen Healthcare Information Systems Division 
– In-patient EHR David McCallie, VP, Medical Informatics; John Travis, Sr. Director, Regulatory & Compliance Strategy, Cerner Group
– Niche Vendors Donald A. Deiseo, Chairman &CEO, Perigen; Dow R. Wilson, EVP; Pres, Oncology: Varian Medical Systems
12:45pm    Lunch
1:15pm       EHR Purchaser Panel
Keith Michl, solo practitioner, Manchester Center, Vermont
– Paula Anthony, CIO, East Texas Regional Medical Center
– Stephanie Reel,  Johns Hopkins University and John Hopkins Medicine
2:30pm     CCHIT — Certification and Standards
– CCHIT Overview and Plans — Mark Leavitt, MD PhD, Chairman, Certification Commission for Healthcare Information Technology, CCHIT    (More accessible Certification Paths; CCHIT Answers Questions; Town Call Meetings)
 – CCHIT Strengths & Weaknesses Brian Klepper, health care analyst (slides shown; slides and text not available)
–  Aligning HITSP and CCHIT — John Halamka, Chair, HITSP (Healthcare Information Technology Standards Panel)   (John Halamka Blog: Life as a Healthcare CIO)
View point on Current Program — Steven Waldren, Center for Health IT, American Academy of Family Physicians
(No slides used; text not available)
10:15am     PUBLIC COMMENT

WEDNESDAY, JULY 15, 2009
9:00am     WelcomeJohn Glaser, Office of the National Coordinator
9:05am     Non-Vendor Products Panel   
– Open Source – Edmund Billings, MD, Chief Medical Officer, Medsphere Systems Corp.
– Modular EHR – David Kates, SVP, Business & Product Strategy, Prematics, Inc
– Home-grown system — Carl A. Christensen, Chief Technology Officer, Marshfield Clinic
10:15am     PUBLIC COMMENT

Park Hyatt Hotel
24th and M Streets, NW
Washington, DC
Hotel phone: 202.789.1234 
Tuesday, July 14: 9am to 4:15pm EST
Wednesday, July 15: 9am to 10:45am EST
Seating is limited.

Visit healthit.hhs.gov (“CLICK” on HIT Policy Committee) for the Agenda and How to Participate (or use this link). You may listen in via computer or telephone. There will also be a webcast of the meeting. 

Health IT Policy Committee Meetings: How to Participate Remotely
Web conference and Audio options offered.

Certification/Adoption Workgroup Public Meeting July 14-15, 2009

The HIT Policy Committee’s Certification/Adoption Workgroup
is holding a public meeting July 14 and 15, 2009 to discuss EHR certification, what it is now and how it might look in the future. Presentations will be heard from vendors, purchasers, non-vendor product users, the National Institute of Standards and Technology. The public will be invited to make comments at the close of the meeting.

Agenda (pdf)

Participants on Tuesday afternoon, July 14  include Mark Leavitt, chairman of CCHIT; C. Martin Harris, CIO, Cleveland Clinic Foundation; John Halamka, Chair, HITSP, and Steven Waldren of American Academy of Family Physicians. A EHR Purchaser Panel includes Stephanie Reel, CIO, Johns Hopkins Health System; Paula Anthony, CIO, East Texas Regional Medical Center; and Keith Michl, solo practitioner, Manchester Center, Vermont.

Tuesday morning, July 14, vendor panel includes CEO Sheldon Razin of Quality Systems/NextGen; VP, Medical Informatics, Cerner, David McCallie; and representatives from two niche vendors–Donald Deieso, of Perigen, and Dow Wilson of Varian.

Wednesday morning, July 15  non-vendor products panel includes Edmund Billings, Chief Medical Officer, Medsphere Systems Corp (an implementer of a version of VA’s VistA open source program; David Kates, SVP of Prematics, Inc., (a modular EHR solution); and a still to be determinded representative for home-grown systems.

Park Hyatt Hotel
24th and M Streets, NW
Washington, DC
Hotel phone: 202.789.1234 
Tuesday, July 14: 9am to 4:15pm EST
Wednesday, July 15: 9am to 10:45am EST
Seating is limited.

Visit healthit.hhs.gov (“CLICK” on HIT Policy Committee) for the Agenda and How to Participate (or use this link). You may listen in via computer or telephone. There will also be a webcast of the meeting. 

Health IT Policy Committee Meetings: How to Participate Remotely
Web conference and Audio options offered.

CCHIT Focus on Long Term and Post Accute Care

CCHIT LTPAC Task force to focus on stimulus package requirements
Diana Manos, Senior Editor of Healthcare IT News reported on June 30, 2009 “The CCHIT’s Long Term and Post Acute Care (LTPAC) advisory task force has identified core certification criteria for EHR certification in skilled nursing and nursing facilities, Medicare certified home health agencies, inpatient rehabilitation facilities and long-term acute care hospitals.”

CCHIT explores ‘meaningful use’ in certification process

Certification: CCHIT process evolves
Thoughtful wrapup by Joseph Conn of  Modern Healthcare’s HITS on June 26, 2009, of evolving Certification process with comments by Mark Leavitt, MD, chair of CCHIT, and Steve Waldren, a physician and director of the AAFP’s Center for Health Information Technology. More review of CCHIT processes by this blog next week.
http://www.modernhealthcare.com/article/20090626/REG/306269994/1153

HITECH: An Interoperetta in Three Acts

Four minutes of HIT Fun
Produced and performed by Ross Martin, MD, one brief session introduces and harmonizes key elements of  what’s happening in Health IT world. http://www.rossmartinmd.com/blog.htm

An Interoperetta in Three Acts

An Interoperetta in Three Acts

Dr. Martin is a serious health informatics guy with clinical, pharmaceutical, and consulting experience. And then there’s Ross’s other side, which we could all benefit from as well. So listen up to the very end, including the credits, not to miss any of the fun. While this is a serious blog, it seemed some good fun was in order.

CCHIT Approves New Criteria

2009-2010 Criteria Coming May 29, 2009
The Certification Commission for Healthcare Information Technology (CCHIT®)  announced on May 19, 2009 “that it has approved final 2009-2010 criteria for certification of Ambulatory (office-based), Inpatient (hospital-based), and Emergency Department electronic health records (EHR), and for its newly developed stand-alone Electronic Prescribing certification.” Criteria will be published May 29 on http://cchit.org