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.

CONNECT’09 Seminar: On-ramp for Fed Agencies

CONNECT ’09 Seminar, June 29-30, 2009
Seminar Agenda with Links to Presentations

What’s New in ONC Presentation: Insight into Emerging Policy (pdf)
“If the Nationwide Health Information Network (NHIN) is the information highway for health data exchange, CONNECT is the universal on-ramp for federal agencies. CONNECT is a software solution that lets federal agencies securely link their existing systems to the NHIN. More than 20 federal agencies collaborated to build CONNECT through the Federal Health Architecture (FHA), and as a result, agencies are heading down the road toward interoperability.”
CONNECT Community Portal: http://www.connectopensource.org

Key EHR and Health IT Documents/Reports

Action and Implementation Manual (AIM) from ONC’s HISPC
How-to guide for state actions and multi-state cooperation for health care privacy and security issues, released in June 2009 by Health Information Security and Privacy Collaboration (HISPC). See these two links to access related stories and AIM report.
AIM: http://www.e-healthcaremarketing.com/archives/259
Articles: http://www.e-healthcaremarketing.com/archives/222
Provider Tool Kit: http://www.secure4health.org

          Background to Complicated Game of HISPC Privacy and Security Collaboratives:
          Written by Journal of AHIMA staff writer Chris Dimick, for May 2009 issue, article describes three years of work that culminated in handoff of Health Information Security and Privacy Collaboration (HISPC). 

Connecting for Health Common Framework
from Markel Foundation

“The Connecting for Health Common Framework: Resources for Implementing Private and Secure Health Information Exchange is a set of free resources for individuals and organizations interested and ready to create private and secure health information exchange. The approach is such that information exchange can take place among existing and future health care networks over the Internet if all participants adhere to a small set of shared rules.” Produced by public-private collaborative of over 100 organizations led by the Markle Foundation, Connecting for Health is led and managed by Markle staff, and funded by Markle and the Robert Wood Johnson Foundation.
Common Framework Pages:
Connecting Professionals: Private and Secure Information Exchange
Connecting Consumers: Network Personal Health Information
Connecting All Health Decision Makers: Population Data Analysis and Action

NGA /U. of Massachusetts Medical School Report on
Public Governance Models for a Sustainable Health Information Exchange Industry
John Thomasian, director of the National Governors Association Center for Best Practices, the organizing body for the State Alliance for e-Health said on February 24, 2009 “This report can serve as a valuable starting point for states as they consider governance strategies for building, sustaining, and protecting a system to support electronic health record.”

“The report details three conceptual models of public governance that could lead to the practice of sustainable HIE and delves into specific rationale and description, legal structure and financing and accountability considerations for each model.”
Press Release: “States Play Critical Role in Advancing Health Information Technology” February 24, 2009
Report to the State Alliance for E-Health (pdf)       Appendices (pdf)
Slides for February 24, 2009 State Alliance Meeting (pdf)

Conference Webcast

An Information Infrastructure for New Jersey Healthcare:
A Vision for 21st Century Health Care System (pdf)

Section V, Chapter 16 from the 2008 Final Report of  New Jersey
Commission on Rationalizing Health Care Resources

“This chapter briefly explores the reasons for the lack of adequate information systems in health care, sketches the vision of a 21st Century health-care information system, examines how much of that vision  has been achieved by now in New Jersey or is actively being pursued, and finally offers some recommendations to move New Jersey health care towrd an information platform that adequately serves the state’s people.”
Final Subcommittee Report with List of its Members (pdf)

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.

The Second Meeting of the HIT Standards Committee

Second Meeting of the HIT Standards Committee reviews 3 Working Groups
Healthcare It News  article on June 24, 2009,  by committee chair, John Halamka, MD, CIO, CareGroup Health System, Harvard Medical School, reports on three working groups: Clinical Operations, Clinical Quality, and Privacy and Security. “Our plan is to complete the efforts of our 3 Workgroups by the next meeting of the HIT Standards Committee on July 21. The end result will be a matrix of standards, an estimate of the readiness for deployment of each standard, quality measures, and privacy/security best practices for each meaningful use objective.” Same article appears on John Halamka, MD, blog at Life As a Healthcare CIO.