tag:blogger.com,1999:blog-4384692836709903146.post330480015273782720..comments2024-03-27T09:55:23.143-07:00Comments on Dispatch from the Digital Health Frontier: The July HIT Standards CommitteeJohn Halamkahttp://www.blogger.com/profile/04550236129132159307noreply@blogger.comBlogger5125tag:blogger.com,1999:blog-4384692836709903146.post-20743360015017154602010-07-29T03:21:09.299-07:002010-07-29T03:21:09.299-07:00Regarding the ED issue, I recommended that the mea...Regarding the ED issue, I recommended that the measure be changed to count only admitted ED patients, which would solve the problem since EDs with CPOE and EDs without CPOE would both be able to meet the threshold.<br /><br />For an eligible professional to qualify for meaningful use stimulus payments, they must use software that is certified to perform all Core set functions and the menu set functions they use. Hence, if an EHR provider wants to be a "complete" EHR, they must be certified for ALL functions a provider might use. My guess is that many organizations will use site certification or modular certification - several software systems each of which are certified for specific functions but together cover all the functions providers utilize to achieve meaningful use.John Halamkahttps://www.blogger.com/profile/04550236129132159307noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-40912006907341616292010-07-28T20:41:00.902-07:002010-07-28T20:41:00.902-07:00Okay, another question about a specialty EHR.... T...Okay, another question about a specialty EHR.... To be certified as a complete EHR, how many modules have to be tested and certified?<br /><br />Core Set plus 5 of the menu set including at least one public health measure<br /><br />OR <br /><br />Core Set and ALL of menu set<br /><br />From one point in the final rule when it said 14 modules counted as a complete EHR, it sounds like only the Core set is required. <br /><br />We're also wondering whether doctors are required to have certified modules for the core set and ALL menu set OR just for the 5 menu objectives they choose to submit.<br /><br />I've sent these questions into the ONC last week, but I haven't heard anything in response. I cannot tell you how much we appreciate your education efforts - between your talk at HIMSS re: HIT Standards, willingness to answer questions afterwards, and your blog, I think my colleagues and I at our small eyecare specialty EHR company are ready to nominate you for Health IT's MVP.Bristowhttps://www.blogger.com/profile/13572556348429564723noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-34449933161618876672010-07-28T18:55:47.739-07:002010-07-28T18:55:47.739-07:00The ED/CPOE issue in your post doesn't quite a...The ED/CPOE issue in your post doesn't quite as bad as indicated due to many ED patients also being inpatients (either from the ED directly or as a separate visit).<br /><br />Wouldn't that make meeting 30% of unique patients easier?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-76561906252896056322010-07-28T17:18:07.476-07:002010-07-28T17:18:07.476-07:00Interesting point. I'll ask CMS.
Based on t...Interesting point. I'll ask CMS.<br /><br />Based on the discussion today, it would seem that at least 9 quality measures (core, alternative, 3 from the menu set) would be required for a specialty EHR.John Halamkahttps://www.blogger.com/profile/04550236129132159307noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-56770870470777725812010-07-28T17:05:57.081-07:002010-07-28T17:05:57.081-07:00Clarification on this: "Although eligible pro...Clarification on this: "Although eligible professionals have a choice of quality measures to report (3 core or 3 alternate core plus 3 from a list of 38 measures), EHRs have to be able to produce all of them. This is an interesting point because although the menu set gives EPs and hospitals optionality, EHRs have to support all data exchanges in the Menu set in order to be certified."<br /><br />Do you mean that EHRS have to support 3 core, 3 alternate, and another 3 measures to be certified? Or all 38 measures plus 3 core and 3 alternate? That would make zero sense for specialty EHRs.Bristowhttps://www.blogger.com/profile/13572556348429564723noreply@blogger.com