A Manner Exception Primer

By the EHR Association Information Blocking Compliance Task Force

This is the second blog in our occasional series on information blocking, the goal of which is to educate our membership and other impacted stakeholders on information blocking requirements and exceptions. The first installment shared the history and description of information blocking. This entry is focused on the Manner Exception, its history, and what it means. 

History of the Exception

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Core Issues for Federal AI Regulations

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

The regulatory landscape for AI is on the cusp of dramatic change. As we await the release of the AI Action Plan called for in the January 2025 Removing Barriers to American AI Innovation Executive Order and as federal agencies review their existing AI policies, we have seen an influx of proposed laws at the state level to address concerns about the use of AI in healthcare technology. This increase in state-level activity may lead to regulatory fragmentation that makes it more complex for EHR vendors and health systems to build and support AI tools designed to help advance patient care.

This increased focus on AI is highly relevant to EHR Association members who continue to deploy software capabilities that comply with EHR certification program transparency requirements for the use of Decision Support Interventions (DSI) involving AI and machine learning (ML) capabilities. Most of our member companies are also developing, piloting, or have already deployed generative AI solutions that can be leveraged to resolve many challenges confronting the healthcare industry.

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Patient Safety Awareness Week: Patient Safety is a Public Health Concern

While progress has been made in the realm of patient safety over the past two decades, medical harm remains a leading cause of death worldwide, making it a public health concern. As many as 250,000 to 400,000 US deaths annually are blamed on errors or preventable harm, and an estimated 40% of patients experience mostly preventable harm in ambulatory and primary care settings.

Embracing this year’s Patient Safety Awareness Week (March 9-15) theme, Moving the Needle, allows healthcare-related organizations – including EHR and other health IT developers – to focus on continuous improvement and ensure that patient safety becomes part of standard practice.

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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. 

The Power of Digital Maturity: Enhancing Patient Safety and Workforce Excellence

By Anne Snowdon RN, PhD, FAAN, Chief Scientific Research Officer, HIMSS, and Dana Trampas, Digital Health Advisor, HIMSS

In today’s rapidly evolving healthcare landscape, the concept of digital maturity stands as a beacon of progress, promising to revolutionize patient safety, quality of care, and workforce sustainability. Collaborative efforts between the HIMSS OSR (Office of Scientific Research) and the Leapfrog Group have shed light on the transformative impact of digital maturity in US hospitals, creating the evidence to inform strategies to accelerate progress towards advanced digital health ecosystems.  

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Disability Inclusion Part Two: Introducing Accessibility into Health IT Personas

By Tammy Coutts (MEDITECH), Vice Chair of the EHR Association User Experience Work Group, and Mike Shonty (MEDITECH), Member of the User Experience Work Group

In the first installment of this two-part blog series on disability inclusion, we discussed disability exclusion and why accessibility is important to EHRs. In this second blog, we look at the role of personas in supporting accessibility in EHRs.

Identifying ways health IT can be designed to support and advance disability inclusion across healthcare to the benefit of anyone requiring accommodation to fully and effectively participate in or navigate the healthcare system is an EHR Association priority. It is the focus of the Accessibility Personas Project, the latest initiative to come out of the Association’s User Experience Work Group. The project’s goal is to build awareness of the ways disability exclusion impacts health IT users – patients, providers, and other healthcare workers – and identify design solutions to eliminate the challenges. 

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