Comments on: Meaningful Use – Final Version Full Text

By: Nursing Home Software Vendor

Nursing Home Software Vendor — Wed, 14 Jul 2010 18:11:26 +0000

Does anyone know if the $ will be available for Long Term Care providers (Nursing Homes, Adult Day Care, Assisted Living) and the clinical documentation systems associated with them? Basically, is Meaningful Use and the ARRA $ for any physician or just those who operate in hospitals or clinics?

By: REC Girl

REC Girl — Wed, 14 Jul 2010 03:18:38 +0000

Can I give a “shout out” to the folks at ONC who probably haven’t slept much over the last months? No, I don’t work for them directly, but do have a sense of their commitment as I’m employed by one of the RECs.
This is not a “perfect” initiative, but certainly one filled with compassionate and committed people across the country. So to reach today, “R” day, and know how far we’ve come together, is a very proud moment. We have far to go, no doubt. Clearly, the number of posts on HISTalk, and the sense that so many people of “waiting and watching” for every word of this momentous, historic occasion, fills me with even more resolve to do our best to help our end customers….you, the physician! to adopt EHR and use it meaningfully, because that will impact me, your patient!

By: Dr. Herzenstube

Dr. Herzenstube — Tue, 13 Jul 2010 23:00:47 +0000

Hopefully someone reading this is smart enough to explain what in Sam Hill is meant by this rat’s nest of tortured verbiage:

“MU §495.6(d)(1)-“Use computerized provider order entry (CPOE) for medication orders directly entered by any licensed healthcare professional who can enter orders into the medical record per state, local, and professional guidelines…More than 30 percent of all unique patients with at least one medication in their medication list seen by the EP have at least one medication order entered using CPOE””

What does ONC have in mind when they posit that not all medications on a patient’s medicaation list would have been “entered using CPOE”?

Are they defining “CPOE” as meaning that the provider him/her-self is the one who placed the order/prescription, or…

Are they thinking of the fact that (in most ambulatory EHRs at least) it is possible to add a medication to the med list without creating a prescription (often referred to as “historical” medications)?

By: Blah

Blah — Tue, 13 Jul 2010 19:18:55 +0000

MIMD we need general concepts in order to flesh out the details. The horse is right there… in front of the cart, where you would expect it. You don’t go through details to find the concept had been dropped. Now vendors and hospitals know what they will be expected to do, people can design the best ways of achieving it.

Re: Certification requirements. They are fairly basic; I don’t see anybody having any difficulties getting certification. Nice to see SOAP in there. It would have been nice to see some specifics on device integration, abnormal lab result notification; Microbiology formats from external systems, best practice on alerts and decision support. Some of the items that are screaming out for some basic standards. Still, it’s a start.

By: LMM

LMM — Tue, 13 Jul 2010 18:44:34 +0000

Can you tell me how or where this Problem List criteria was clarified?

Mr. HIStalk Says:
14Problem list clarified – coding doesn’t have to be done concurrently – the codes can be added later by anyone.

July 13th, 2010 at 9:01 am

[From Mr. HIStalk] Page 89: “We did not and do not intend that coding of the diagnosis be done at the point
of care. This coding could be done later and by individuals other than the diagnosing provider. “