Celebrating World Patient Safety Day 2024

September 17, 2024 has been designated World Patient Safety Day. Promoted by the World Health Organization (WHO), it is a day focused on raising public awareness and fostering collaboration between patients, health workers, policymakers, and healthcare leaders to improve patient safety. The 2024 theme is “Improving diagnosis for patient safety” with the slogan “Get it right, make it safe!” to highlight the critical importance of correct and timely diagnosis in ensuring patient safety and improving health outcomes.

According to the WHO, diagnostic safety can be significantly improved by addressing the systems-based issues and cognitive factors that result in diagnostic errors, which account for 16% of preventable patient harm. Issues include communication failures between health workers or health workers and patients, heavy workloads, and ineffective teamwork. Cognitive factors involve clinician training and experience as well as predisposition to biases, fatigue, and stress.

Timely and accurate diagnoses are essential for positive patient outcomes, and as EHR vendors, we are committed to advancing patient safety through the delivery of safe, clinically relevant health IT.

“Timely and accurate diagnoses are essential for positive patient outcomes, and as EHR vendors, we are committed to advancing patient safety through the delivery of safe, clinically relevant health IT,” share Michael Blackman (Greenway Health), MD, Chair, and Marijo Carnino (MEDITECH), Vice Chair, of the EHR Association Patient Safety Workgroup.

They add: “Information sharing, patient consent considerations, management of sensitive data, and artificial intelligence are just some of the many trending topics on our radar this past year that align with World Patient Safety Day 2024’s focus on advancing initiatives to ‘Get it right, make it safe!’ By fostering collaboration and promoting the use of health information technology in both the solutions our members deliver to the market and the feedback we provide on federal and state regulations, we aim to enhance safety and ultimately improve patient care.”

A Commitment to Patient Safety

Patient safety is a top priority of the EHR Association, which is comprised of 29 companies that supply the vast majority of EHRs to physicians’ practices and hospitals across the U.S. EHR developers have a longstanding commitment to patient safety, which must be considered from the earliest stages of the development process and includes all aspects of EHR use. The goal is to ensure patients get the best possible care with a clinician experience that is free from undue burden. It takes collaboration to share experiences relative to patient safety and the reduction of errors. 

Our commitment to patient safety is reflected in our EHR Developer Code of Conduct. The Patient Safety Workgroup carries out this commitment by actively monitoring, contributing to, and engaging with federal agencies, Patient Safety Organizations, trade associations, professional societies, liability carriers, academics, and other stakeholders to collaborate on efforts to promote a culture of safety in health IT and evolve a non-punitive national learning system. It supports the active involvement of all stakeholders in patient safety initiatives, as providers, patients, healthcare organizations, human factors and usability experts, technology and security experts, and policymakers all bring unique perspectives to the table. Ensuring patient safety in an evolving, complex, data-rich system requires a continuous feedback loop in a non-punitive, collaborative learning environment. 

AI Task Force Tackles the Tangled Regulatory Landscape of AI in Healthcare

By Tina Joros, JD (Veradigm), Chair, and Stephen Speicher, MD, MS (Flatiron Health), Vice Chair, EHR Association AI Task Force

The speed at which artificial intelligence (AI) is becoming deeply embedded into every facet of healthcare has lawmakers, regulators, policymakers, special interest groups, and other stakeholders racing to establish a governance structure to ensure its safe and meaningful use – without hindering innovation and efficacy. Recognizing our unique role in shaping AI’s future in healthcare, the EHR Association established an AI Task Force that will focus on thought leadership, guidance, and advocacy. 

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HHS Establishes ASTP/ONC

On July 25, 2024, HHS announced it had reorganized its technology, cybersecurity, data, and AI strategy and policy functions to “streamline and bolster technology, cybersecurity, data, and artificial intelligence (AI) strategy and policy functions.” Historically, responsibility for policy and operations has been distributed across the ONC, ASA, and ASPR. Now those responsibilities have been consolidated into the Assistant Secretary for Technology Policy and Office of the National Coordinator for Health Information Technology, or ASTP/ONC.

In response to this announcement, the EHR Association issued the following statement:

“In establishing ASTP/ONC, HHS is acknowledging the increasingly important role of health IT in the care delivery system since the inception of ONC 20 years ago, as well as the critical role electronic patient data plays in the provision of and access to quality care. ONC has collaborated with the health IT industry as we have expanded patient access to their data, the exchange of health information between numerous stakeholders, and now the rapidly growing influence of AI.

“Along with great potential, these changes bring heightened privacy and security risks and the need for a fresh approach to policy, standards, and strategy to address the complex nature of health information technology. The EHR Association believes the new ASTP/ONC can add great value in expanding even further the work they do to coordinate health IT-related policy across the Federal government.

“We look forward to collaborating with ASTP/ONC as we work toward our shared goals of continually improving the quality and efficiency of care through safe, innovative interoperable health IT adoption and use.”

Looking Back: The 5 Dominant Issues of 2023

By David Bucciferro (Foothold Technology-Radicle Health), Outgoing Chair, EHR Association

Reflecting on 2023, the year was dominated primarily by five issues of importance to the EHR Association and its 29 member companies, all of which aligned with our overarching focus on collaborative efforts to accelerate health information and technology adoption, advance interoperability, and improve the quality and efficiency of care through the use of EHRs.

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SDOH and Health Equity Task Force

By Janet Campbell (Epic), Chair, SDOH & Health Equity Task Force

Recognizing an important opportunity for the EHR Association to be a proactive leader in the burgeoning and increasingly critical field of social determinants of health (SDOH) and health equity, the Association has kicked off its recently established SDOH & Health Equity Task Force. 

EHRs have revolutionized the healthcare industry and even how care is delivered. But the practice of addressing social risks and delivering care equitably varies widely across organizations. Thus the role of the EHR  – and therefore the role of health IT developers – remains largely undefined. The potential for EHRs to advance SDOH and health equity is significant, including the proactive collection of demographic and determinant data, segmenting quality reports to uncover disparities, and facilitating prompt closed-loop community-based organization (CBO) referrals. 

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ONC Needs to Address HTI-1’s Burdens on Healthcare Providers, Health IT Developers

By David Bucciferro, Chair, EHR Association

While the EHR Association has long supported the goals of ONC’s proposed rule to advance interoperability, improve transparency, and support further access, exchange, and use of EHI, we have several serious concerns about the impact HTI-1 (ONC’s Health Data, Technology, and Interoperability: Certification Program Updates, Algorithm Transparency, and Information Sharing Proposed Rule) will have on the industry if finalized as proposed. 

Among the most significant are the insufficient implementation timeframes associated with various concepts included in HTI-1 and a failure to accurately consider the significant burden compliance would place on both provider organizations and health IT developers. Vendors need more time than proposed in HTI-1 to accommodate the substantial lift required to deliver safe, compliant, and high-quality versions of their certified products – 18-24 months is the commonly accepted necessary timeframe – while providers need sufficient time to implement, test and become proficient on that upgraded software. 

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