All posts in category Usability and Clinician Experience

How EHR Technology Can Support Best Practices for Opioid Prescribing

By Dan Seltzer and Alan Staples
Co-chairs, Clinician Impact Subgroup, EHRA Opioid Crisis Task Force

screenshot_2018-12-26 ehra cdc opioid guideline implementation guide for ehrs - ehra-cdc-opioid-guideline-implementation-gu[...]The widespread opioid epidemic and its devastating effects flood our news feeds daily. No one is immune, which is why when the Electronic Health Record Association (EHRA) asked for volunteers to join a new Opioid Crisis Task Force, we and many others – including doctors, nurses, and pharmacists – stepped forward to share our experiences and expertise. For the past year, we have been conducting research and providing recommendations on new ways EHR technology can contribute solutions to help solve the complex puzzle of the opioid crisis.

Our most recent contribution is the CDC Opioid Guideline – Implementation Guide for Electronic Health Records.

Initial research and conversations with providers focused on the question, What do providers need from technology to support their efforts in the opioid crisis?  The input we received led us to develop a guide to assist healthcare organizations implement clinical practice guidelines within the EHR to improve opioid stewardship in clinical practice.   (more…)

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by EHR Association on January 9, 2019  •  Permalink
Posted in Opioid Crisis, Patient Safety and Health IT, Usability and Clinician Experience, Value of HIT

Posted by EHR Association on January 9, 2019

https://ehrablog.org/2019/01/09/how-ehr-technology-can-support-best-practices-for-opioid-prescribing/

IPPS: Ambiguous Measures Won’t Reduce Burden

By Sasha TerMaat
Co-Chair, EHRA Executive Committee

man holding three white medication pills

The final 2019 IPPS rule included changes to the Promoting Interoperability/ Meaningful Use program beginning January 1, 2019. Disappointingly, with only six weeks between the close of the public comment period for the proposed rule in late June and the publication of the final rule in early August, CMS’ rushed process and failure to fully consider stakeholder comments (including EHRA’s) led to a rule filled with measures that will be unworkable, inefficient, and onerous.

In a previous blog we delved into PDMP query as just one of the measures where EHR developers anticipate challenges. In that case it’s due to differing levels of PDMP integration with CEHRT and inconsistent references within the rule about whether the query needs to be made via CEHRT, along with other areas in which the measure is ambiguous.  

In this blog post, let’s look at the reasons we’re concerned about a different measure, this one related to opioid treatment agreements.

(more…)

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by EHR Association on October 16, 2018  •  Permalink
Posted in Certification, Health IT Regulation, Health IT Standards, Public Policy and Health IT, Usability and Clinician Experience

Posted by EHR Association on October 16, 2018

https://ehrablog.org/2018/10/16/ipps-ambiguous-measures-wont-reduce-burden/

Coming Soon: Guide to Implementing CDC Opioid Rx Guidelines Within the EHR

By the Clinical Impact Subgroup, 
EHRA Opioid Crisis Task Force

CDC opioid guide image
During National Health IT Week, we celebrate and take pride in the value that health information and technology has brought to patients and their healthcare providers. We also look ahead to new benefits that health IT can bring.

EHRA is committed to bringing together forward-looking experts from among our 34 member companies to collaborate on solving industry challenges. In 2018, we formed an Opioid Crisis Task Force to research and provide recommendations on ways EHR technology can help with solving the complex puzzle of the opioid crisis.   (more…)

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by EHR Association on October 12, 2018  •  Permalink
Posted in Opioid Crisis, Patient Safety and Health IT, Usability and Clinician Experience, Value of HIT

Posted by EHR Association on October 12, 2018

https://ehrablog.org/2018/10/12/coming-soon-guide-to-implementing-cdc-opioid-rx-guidelines-within-the-ehr/

Final IPPS Rule Ignores EHR Developer Concerns–Includes Impossible Measures, Will Lead to Increased Clinician Burden

By Sasha TerMaat
EHRA Vice Chair

IPPS blogOn August 2, 2018, CMS published the 2600-page pre-publication version of the 2019 IPPS Final Rule. EHRA members have begun digging into the Promoting Interoperability/Meaningful Use program, hoping to see changes based on their public comments on the proposed rule released in May. While we’re glad to see the requirement for 2015 CEHRT in 2019 confirmed, overall we’re disappointed that CMS failed to respond to many of EHRA’s comments as well as other stakeholder feedback.

In releasing the final rule less than six weeks after the public comment period closed (during which it received 1,058 comments), CMS appears to have rushed what should have been a thoughtful process. Several measures will be infeasible to program. Other measures will result in additional burden on clinicians, solely for the purpose of measurement rather than improved patient care.
(more…)

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by EHR Association on August 8, 2018  •  Permalink
Posted in Delivery System Reform, Health IT Regulation, Health IT Standards, Opioid Crisis, Usability and Clinician Experience

Posted by EHR Association on August 8, 2018

https://ehrablog.org/2018/08/08/final-ipps-rule-ignores-ehr-developer-concerns-includes-impossible-measures-will-lead-to-increased-clinician-burden/

Introducing the EHRA Persona Library

By Emily Richmond and Tammy Coutts
Chair and Vice Chair, EHRA Clinician Experience Workgroup

screenshot_2019-01-14 persona libraryDeveloping a deep understanding of users and their surrounding environment is an important first step in the process of designing usable, safe and effective products. Documenting the who, why and how of individual users and the scenarios they face as part of normal (and abnormal) workflows can take the form of a persona, representing a real user based on qualitative and quantitative research and first-person experience. Personas enable clear understanding of the different users of a product and their goals, problems and backgrounds, cultivating empathy within a development team for who their users really are.

EHRA is pleased to introduce the EHRA Persona Library, created by the EHRA Clinician Experience Workgroup using the input of last year’s Usability Summit participants as a starting point. The library launched with 11 persona templates—ranging from Hospitalist to Family Caregiver to Medical Assistant—with plans to add additional personas in the future. (more…)

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by EHR Association on April 24, 2018  •  Permalink
Posted in Usability and Clinician Experience

Posted by EHR Association on April 24, 2018

https://ehrablog.org/2018/04/24/introducing-the-ehra-persona-library/

HIMSS18: Listening, Learning, Leading

IMG_6591EHRA member companies were out in force at HIMSS18 in Las Vegas, and not just in booths on the exhibit floor.

In a small conference room on the 4th floor of the Sands Convention Center, EHRA volunteer executives were meeting with stakeholder groups to discuss how EHRs can be optimized to improve usability, interoperability, and patient safety. We listened, we asked questions, and we shared our perspectives on the challenges and what the next steps could be.

(more…)

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by EHR Association on March 29, 2018  •  Permalink
Posted in Health IT Regulation, Interoperability, Usability and Clinician Experience, Value of HIT

Posted by EHR Association on March 29, 2018

https://ehrablog.org/2018/03/29/himss18-listening-learning-leading/

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