Agentic AI in Healthcare: Extending Governance to the Pathway

By Robin Roberts (PointClickCare), Vice Chair, EHR Association AI Workgroup, and Lukasz Kowalczyk, MD (Provation), Member, HIMSS Physician Committee

This is the first of a 5-part joint blog series from the EHR Association and the HIMSS Physician Committee exploring AI governance in healthcare.

Most of the conversation about AI in healthcare has centered on one question: is the answer correct? That made sense when the technology’s output was a draft or a suggestion for a person to evaluate.

It’s no longer the primary question.

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HTI-5 Big Picture: Key Certification Takeaways

By the EHR Association Certification Workgroup

When it comes to the HTI-5 proposed rule and its focus on certification, our primary message to ONC is this: the deregulatory push is needed and yet should be undertaken with caution.

We appreciate ONC’s efforts to streamline the certification program through deregulation. Some of the criteria have been around for many years, and removing them will help reduce the certification burden on the health IT industry and, in some cases, on providers using the software, while maintaining progress toward advancing interoperability, transparency, and access to electronic health information. We agree with ONC that many certification criteria not directly associated with interoperability should be considered for removal.  

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Accessibility Is a Social Determinant of Health

By the EHR Association SDOH & Health Equity Task Force

The digitalization of healthcare means that accessibility is now a strategic priority. To help guide accessibility strategies, the EHR Association offers the EHRA Accessibility Checklist. Designed to raise awareness and provide guidance for EHR developers in creating software that meets the needs of individuals with disabilities, the checklist presents scenarios and emphasizes the importance of considering the human aspect of accessibility when designing EHR products. 

While Social Determinants of Health (SDOH) traditionally focus on housing, food security, transportation, and education – all of which shape patient outcomes long before a clinician makes a diagnosis – there is another determinant that is often overlooked, yet equally critical in optimal healthcare delivery: Accessibility.

Global Accessibility Awareness Day recognizes that the more than 1 billion people worldwide living with disabilities rely on accessible digital experiences to fully participate in society. This means that, for healthcare, accessibility isn’t just a design concern; it is a health equity issue. 

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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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