How much water will ONCHIT add to meaningful use?

By | March 16, 2010, 7:21am PDT

Summary: Where you stood on the rules depended on where you sat. HIMSS represents software companies and hospitals, which badly want that sweet, sweet stimulus cash with as little hassle as possible. The Partnership represents patients, smart ones, and wants their interests in getting data treated as paramount.

The comment period is over.

The judges are tallying the comments. Within days a final rule on “meaningful use” will be published. At that point the debate should be over and the real work should begin.

There seems little doubt that the definitions, guidelines and timetables for “meaningful use” will be watered down. The question is how much.

The industry seems to want them watered down a lot.

HIMSS vice chair Mark Segal of GE Healthcare wants the guidelines to be “more pragmatic,” given how much of the market will consist of first-time users of Electronic Health Records (EHRs).

They want more time for testing and training, and a single standard applied to moving records.

That’s too much water for the National Partnership for Women and Families, whose Consumer Partnership for eHealth — which includes big stakeholders like the AARP — sent in their own comments and posted them on the Web.

Their comments are far more supportive of the proposed rule released in December, emphasizing the need to deliver data to patients, through Personal Health Records (PHRs).

Their letter also zeroed in on one area that seems most certain to be watered down, the deferment of some criteria, and choices on making other sections mandatory. The partnership insisted that guidelines on privacy and security, along with patient engagement,  be in the mandatory pile.

Where you stood on the rules depended on where you sat. HIMSS represents software companies and hospitals, which badly want that sweet, sweet stimulus cash with as little hassle as possible. The Partnership represents patients, smart ones, and wants their interests in getting data treated as paramount.

Once the final rules on meaningful use are issued, of course, the agency still has to decide who will certify software as meeting those standards. The HIMSS-linked Certification Commission on Health IT has raised its hand. So has The Drummond Group, a mainstream interoperability testing lab for the computer industry.

There is a lot of money at stake here, but there is also a lot of bureaucratic “inside baseball” involved as well, baseball NCHIT David Blumenthal seems to almost delight in. He’s the umpire here and he’s getting ready to make the call.

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Disclosure

Dana Blankenhorn

Dana Blankenhorn has been a journalist, writer and part-time futurist for over 30 years. At the present moment I run only a personal blog in addition to my ZDNet open source blog. DanaBlankenhorn.Com has the subtitle The War Against Oil. In the past I have used it to write about political history, e-commerce, personal matters, some ideas related to open source, and The World of Always On, which is the idea of using sensors, motes and RFID to turn WiFi links into platforms for applications which live in the air. My IRA account at Schwab holds a few tech shares, most notably some Intel and Applied Materials, but there are no open source companies in it. I don’t even own any CBS stock.

Biography

Dana Blankenhorn

Dana Blankenhorn has been a business journalist since 1978, and has covered technology since 1982. He launched the Interactive Age Daily, the first daily coverage of the Internet to launch with a magazine, in September 1994.
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You mean HITSP?
DanaBlankenhorn 16th Mar 2010
I was unable to find the acronym you offered on
the Google. But I know HITSP and you may be right
on that.
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They are going to base it on HITTS
Been_Done_Before 16th Mar 2010
It might not be a complete copy and probably a little more lax, but it will be very similar.

I went to HIMSS, was nice to get out of town. Lots of hubbub on meaningful use and certifications. Alot of EHR software out there. Just keep in mind that not all healthcare is the same. Non-profits, for profits, ambulatory, emergency, mental, dental...
0 Votes
+ -
You mean HITSP?
DanaBlankenhorn 16th Mar 2010
I was unable to find the acronym you offered on
the Google. But I know HITSP and you may be right
on that.

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