All posts in category Interoperability

Interoperability: Promise and Progress 

Interoperability(1)For healthcare providers and their patients, interoperability holds the promise to substantially improve quality and reduce costs, while enabling coordination of care and engagement of patients with their caregivers. As ONC’s annual Interoperability Forum gets underway, it’s important to focus not just on where we want to be, but on how far we’ve come. 

EHRA members are strong proponents of health information exchange; our members have supported hundreds of thousands of providers in their effort to exchange electronic health information through the development of interoperability modules in their solutions, and participation in industry frameworks such as the eHealth Exchange, CommonWell Health Alliance, and Carequality.  (more…)

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by EHR Association on August 21, 2019  •  Permalink
Posted in Health IT Standards, Interoperability, Public Policy and Health IT

Posted by EHR Association on August 21, 2019

https://ehrablog.org/2019/08/21/interoperability-promise-and-progress/

Throwing My Hat in the Ring for EHRA

By Alise Widmer, RN

Hat on tableBeginning in 2012, and continuing as I transitioned from one EHR company to another, I was a passive member of EHRA workgroups. Listening in on biweekly calls, I became more impressed by the work that so many volunteers do on behalf of EHRA — especially when you consider it’s in addition to their demanding day jobs. 

I’m inspired by what I’ve observed as sincere passion for the greater good of the healthcare community. Yes, there is also robust advocacy on behalf of the EHR vendor community, but the efforts I’ve witnessed go beyond supporting corporate interests to an embrace of patient safety efforts and other demonstrations of a conscientious stewardship of the role of electronic health records in enhancing patient care. I began to want a more involved role in the association (as opposed to the normal ‘multi-tasking’ I would do during workgroup calls), so last year I decided to “throw my hat in the ring,” and was honored to be appointed as vice chair of the Standards & Interoperability Workgroup when that position became vacant mid-term. (more…)

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by EHR Association on August 13, 2019  •  Permalink
Posted in Case Studies and Personal Stories, Interoperability, Public Policy and Health IT

Posted by EHR Association on August 13, 2019

https://ehrablog.org/2019/08/13/throwing-my-hat-in-the-ring-for-ehra/

A Focus on Standards 

Screen Shot 2019-07-04 at 6.19.08 PMOn June 3, EHRA submitted feedback to ONC on its proposed rule, the  21st Century Cures Act: Interoperability, Information Blocking, and the ONC Health IT Certification Program. In this feedback, EHRA members drew on both their expertise as software developers and as contributors to standards work across the health IT industry. 

One theme of EHRA and other stakeholders’ feedback is that a focus on standards is critical. A particular standard proposed recently by ONC is the United States Core Data for Interoperability, or USCDI. USCDI “is a standardized set of health data classes and constituent data elements for nationwide, interoperable health information exchange” and includes important health data classes. 

(more…)

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by EHR Association on July 9, 2019  •  Permalink
Posted in Health IT Regulation, Interoperability, Public Policy and Health IT
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Posted by EHR Association on July 9, 2019

https://ehrablog.org/2019/07/09/a-focus-on-standards/

EHR Developers are Aligned with Goals of Cures NPRM, Hope ONC will Remove Ambiguity and Reassess Timeline

Screen Shot 2019-05-26 at 9.15.33 PMWe had been waiting for the Office of the National Coordinator for Health IT to release the proposed rule fulfilling its Cures Act obligation for quite a while. Encompassing important issues like expanded interoperability, defining what is and isn’t information blocking, as well as proposing updated certification requirements, this is an important rule to get right.

Since the release, there have been lots of discussions—public and private, online and off—about intended and potentially unintended impacts of the language in the proposal. With so much to consider and analyze, we appreciate that the request from EHRA and other groups to give us a full three months to draft our comments on the rule was approved.

The tremendously broad reach of the proposed rule goes far beyond Congressional intent.

The EHR Association’s comments are now going through final rounds of review by our executive committee (and the seven workgroups and task forces that contributed their expertise). We worked throughout the drafting of the 21st Century Cures Act with Congress and are supportive of its goal to remove obstacles to information exchange, but we have found that the tremendously broad reach of the proposed rule goes far beyond Congressional intent. In particular, we have significant concerns regarding timelines, ambiguous language, disincentives for innovation, and definitions related to information blocking.

(more…)

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by EHR Association on May 28, 2019  •  Permalink
Posted in Health IT Regulation, Health IT Standards, Innovation, Interoperability, Public Policy and Health IT

Posted by EHR Association on May 28, 2019

https://ehrablog.org/2019/05/28/ehr-developers-are-aligned-with-goals-of-cures-nprm-hope-onc-will-remove-ambiguity-and-reassess-timeline/

An EHR Perspective on the Consumer-Focused API/App Landscape

By Hans Buitendijk
EHRA Executive Committee member
Chair, Interoperability & Standards Workgroup

kevin-grieve-712217-unsplashONC’s 2015 Certification Edition for EHRs began supporting consumer access to their health data beyond patient portals. Open APIs were required to enable consumer Apps to access data from the Common Clinical Data Set. Because at the time there were no standards sufficiently mature to establish as a base, the requirement allowed for access by any means as long as the technical specifications, including terms and conditions, were made publicly available to enable App developers to write their Apps on top of these APIs.

A lot has happened since then.
(more…)

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by EHR Association on March 12, 2019  •  Permalink
Posted in Certification, Health IT Standards, Interoperability

Posted by EHR Association on March 12, 2019

https://ehrablog.org/2019/03/12/an-ehr-perspective-on-the-consumer-focused-api-app-landscape/

Standardizing Data Collection to Support Clinicians in the Opioid Fight

By David Bucciferro and Katelyn Fontaine
EHRA Opioid Crisis Task Force 

Dataset Infographic

Click here to open image in new window.

Volunteers on EHRA’s Opioid Crisis Task Force have made great strides in the past year in our efforts to identify the policy changes and adoption patterns needed to maximize the capacities of health IT to combat the opioid crisis.

From the start, our focus has been, What do providers need from technology to support their efforts in the opioid crisis?

When we began our work in early 2018, we were surprised to find that there was no comprehensive source for the state-specific policies and standards surrounding prescription drug monitoring programs (PDMPs) and electronic prescribing of controlled substances (EPCS). So, we set out to create our own.

State by state, we collected data, including timeframes for reporting controlled substance prescriptions to PDMPs, what data is collected, which professionals are able to access PDMP information, if and when information can be shared across states, and any limits on retaining PDMP data within an EHR.

(more…)

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by EHR Association on February 20, 2019  •  Permalink
Posted in Interoperability, Opioid Crisis, Public Policy and Health IT, Usability and Clinician Experience

Posted by EHR Association on February 20, 2019

https://ehrablog.org/2019/02/20/standardizing-data-collection-to-support-clinicians-in-the-opioid-fight/

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