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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How Not to Lose $1 Million: Preparing for OIG’s Information Blocking Enforcement

Guest post by Alya Sulaiman and James A. Cannatti III, Partners with McDermott, Will & Emery LLP

On Sept. 1, 2023, the HHS Office of Inspector General (OIG) began enforcing rules against information blocking in healthcare – authority it was granted under the 21st Century Cures Act – putting certified health IT developers, HINs, and HIEs at risk of civil monetary penalties (CMPs) of up to $1 million for each confirmed violation. (Ultimately, healthcare providers will also be subject to disincentives for information blocking not yet published by HHS.) The EHR Association’s membership is committed to preventing information blocking and supporting efforts to share electronic health information (EHI) to better patient care. Part of that is arming impacted health IT developers with as much information as possible to help them – and by extension, their customers – comply with current and future regulations to help protect themselves from potentially crippling penalties.

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Scoring is a Primary Concern with CORE’s proposed ASN eCQM

By Toni Wilken (Meditech), Vice Chair, Quality Measures Workgroup

Creation of the proposed Addressing Social Needs (ASN) electronic quality measure (eCQM) supports the important goal of addressing an unmet need in patient care by helping to improve screening and coordination with local and community-based resources. However, the EHR Association has identified several issues with the measure as proposed by its developer, Yale New Haven Health Services Corporation–Center for Outcomes Research and Evaluation (CORE), which we shared recently in our response to CORE’s call for comments.

ASN eCQM

Briefly, the Centers for Medicare & Medicaid Services (CMS) engaged CORE to develop a re-designed measure to evaluate how well hospitals were screening for and following up on the social needs of their patients. The result was the ASN eCQM, which is designed to measure screening of patients for social needs within four domains – food insecurity, housing insecurity, utility insecurity, and transportation insecurity – as well as if an intervention activity is performed. 

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The Ideal Clinician Note

By Brian R. Jacobs, MD, FHIMSS (eClinicalWorks)

This is the third in a blog series highlighting the discussions from the 2022 EHRA & HIMSS Physician Committee Summit: Meaningful and Streamlined Documentation.

When the EHRA and the HIMSS Physician Committee came together for a virtual Summit on meaningful and streamlined clinician documentation, three multidisciplinary breakout groups addressed key issues related to the topic. These included the ideal clinician note and barriers to creating such notes, which is the focus of this blog, as well as the exchange of the ideal note between providers and barriers to such exchange, and the specific EHR-related barriers to creating and/or consuming the ideal note. 

As noted in Documentation Burden: Addressing the Elephant in the Room, few disagree “that the focus of the note should be on the clinical encounter and ensuring the information entered clearly captures the problem, medical decision making, and ultimately help with communication between clinicians and our patients while meeting coding and regulatory compliance requirements.” To continue this theme, this third blog will highlight the findings of the first Summit breakout group – which included physician, nursing, informatics, and EHR vendor representatives – discussing the topic of creating the ideal note, as well as the various barriers to creating that ideal note.

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