tag:blogger.com,1999:blog-4384692836709903146.post1401083901313741123..comments2024-03-27T09:55:23.143-07:00Comments on Dispatch from the Digital Health Frontier: Rethinking CertificationJohn Halamkahttp://www.blogger.com/profile/04550236129132159307noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-4384692836709903146.post-78331289533059035932013-12-15T09:01:04.062-08:002013-12-15T09:01:04.062-08:00Right on. After working with dozens of vendors tak...Right on. After working with dozens of vendors taking them thru the Certif Program, the process was thrown together as fast as possible to get ARRA going..damn the details...full speed ahead!<br />Meanwhile I believe the delay of Stage 3 is wolf in sheep's clothing. In my experience having worked through many 2014 tests with clients - the criteria under 2014 became considerably more complex and extensive as each month passed, test criteria were revised almost on a monthly basis. For example the test for Safety Enhanced Design (170.114g3) started out requesting a simple description of your design/development process, to now submitting detailed test scenarios per NISTIR 7742 standards. The DVT (170.314e1)test now requires WCAG 2.0 evaluations, but did not in the early going. This growing complexity is one reason why far less vendors have passed 2014 than 2011. From a vendor perspective, net result is if you wait for the new set of 2015 test criteria those tests will be even more difficult. My advice, don't wait too long. Remember in the healthcare world regulations only grow...never shrink!<br />Frank Poggio<br />The Kelzon Group<br />KelzonGroup.com<br />Frank Poggiohttp://kelzongroup.comnoreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-23192727301199543202013-12-06T06:17:05.756-08:002013-12-06T06:17:05.756-08:00I can’t agree more with your assessment and effort...I can’t agree more with your assessment and effort to create more sanity in this program. A focus on interoperability, key privacy & security guidelines, and full transparency into quality and cost for all stakeholders will do more to find better ways to improve our healthcare system than the highly prescriptive EHR functional requirements which in the end only covers a fraction of the HIT that is necessary to better support the healthcare system.Hans Buitendijkhttps://www.blogger.com/profile/18344327885105615362noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-25744595010325594462013-12-05T11:33:02.047-08:002013-12-05T11:33:02.047-08:00+1 !!!!
Well stated. They missed it badly this ti...+1 !!!!<br /><br />Well stated. They missed it badly this time. There is so much wasted and non-value added effort occurring that it makes my soul ache.....<br /><br />Too rigid. Too soon. Too many competing priorities and a little elephant in the room called ICD-10.....<br />Colin Banas MD - VCU Medical Centernoreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-48199648159867070172013-12-02T13:01:26.940-08:002013-12-02T13:01:26.940-08:00At athenahealth we couldn't agree more emphati...At athenahealth we couldn't agree more emphatically with this post. We've been beating this particular drum for the better part of a year now (see: http://www.govhealthit.com/blog/commentary-3-ways-realign-incentives-and-enable-functioning-hie-market), and have been pleased to see the point of view gaining traction. We do not write software that will never see the light of day; we do enable functionality in our cloud-based EHR that arguably serves no purpose but to allow checking of those government boxes. That developer time and effort that could be better spent goes to enable that functionality goes without saying. For us, the most important and crucial component to any MU reform is quite simple: Interoperation is key. "Interoperation," an activity, as opposed to mere "interoperability," which describes a capability that too many vendors are still happy to claim in the abstract while actively impeding it in practice.Dan Haleyhttp://www.athenahealth.com/noreply@blogger.com