- ONC wants EHRs to be equipped with a “report a problem” type button that would collect information about the issue and send it to Patient Safety Organizations using AHRQ’s Common Formats.
- Certification bodies will be required to “conduct surveillance” to ascertain that the capabilities of a given certified EHR are the same in the field as they were observed in certification testing.
- Certification body surveillance will also monitor EHR vendor responsiveness to user complaints.
- ONC will monitor FDA’s MAUDE medical device problem reporting database to find reported events that are related to health IT.
- Meaningful Use and certification standards will be expanded to cover more patient safety-related objectives.
- ONC will create tools that will allow provider EHR users to assess patient safety in their organizations.
- ONC awards the Joint Commission a sole source contract to assist the ONC in detecting and proactively addressing health IT-related safety issues across a variety of care settings. The Joint Commission will develop an IT incident classification system, provide de-identified reports on related sentinel events, conduct at least five event investigations each in hospitals and practices, develop provider tools to help providers understand IT-related sentinel events, and publish a research paper that analyzes IT-related sentinel events.
From Evangelist: “Re: Epic. Killing it in large practices.”More than half of all EMR-using practices that have 40 or more doctors use Epic, according to SK&A. Allscripts and eClinicalWorks each serve a substantial percentage of the smaller offices and the top 20 vendors support almost three-quarters of all practices using an EMR. Where people get in trouble is trying to infer from this limited information who’s buying what, which is more a question of practice ownership rather than practice size as hospitals keep buying out doctors and sticking Epic and Cerner in there.From Pointy Head: “Re: McKesson. Killing the MED3OOO Unity project and sunsetting InteGreat in favor of Practice Partner. There have been layoffs.” Unverified. McKesson acquired MED3OOO in October 2012 and claimed major go-forward love for InteGreat, so that’s quite a change in stated direction if so.
From Iknowa: “Re: Inova. Will collaborate with ValleyHealth, which has hospitals in Virginia and West Virginia, in several strategic areas, including IT. Inova brought its final two hospitals live on Epic over this past weekend, with all five now live on both financials and clinicals.”
From Patient Portal Believer: “Re: portals. Mr. H, you are spot on about the need for a strong patient portal strategy. EMR vendors that don’t currently have a tested and feature-rich patient portal should go out and acquire a portal vendor while there are still a few companies available. The portal is too important to MU2 and beyond to ‘partner’ with a portal vendor and it’s too late in the game to still be developing your homegrown solution. Yet, there’s still a handful of sophisticated inpatient EMR vendors without a portal answer. Hard to believe.“
From HITEsq: “Re: IRS conservative targeting scandal. RHIOs seeking non-profit tax exemptions were sent to the IRS group that reviewed Tea Party applications.” A New York Times article from last week says the IRS targeted not only conservative groups, but any groups whose use of non-profit application keywords suggested political activities. Among the keywords the IRS used to trigger further scrutiny was “regional health information organizations.”
From West Coast Angel: “Re: RECs. Over half of the 63 ONC grant-funded Regional Extension Centers are developing new service lines in privacy and security, patient engagement, practice optimization, and new service delivery models like ACOs. First round will go live in September.”
Flagler Hospital (FL) went live this past weekend on Allscripts SCM, ED, lab, radiology, HIM, registration, scheduling, billing, pharmacy, medication administration, and CPOE. According to HIStalk friend CIO Bill Rieger, “So far so good. Mandatory compliance for physician training has led to some great conversations. The Breakaway Group training simulator program has worked and benefited us Day 1 more than we thought it would. MAKE Solutions workflow testing team work really saved us a lot of Day 1 pain as well. Kudos to the Allscripts team for excellent support and response.” CMIO Michael Sanders, MD dressed for the occasion in a brand new Kevlar vest and garish go-live socks, while the command center crew kept on top of the trouble tickets.
The Hoosier Healthcare Innovation Challenge will present three developer challenges in Indianapolis on July 12: reduce infant mortality by delivering educational information, eliminate duplicate messages caused by multiple Continuity of Care Documents, and perform medication reconciliation across inpatient and outpatient encounters. Teams can receive cash and an in-kind services worth up to $25,000.
An unnamed South Carolina hospital’s humorous employee training video demonstrates the frustration patients feel when asked mandatory Meaningful Use questions. “I live in the US of A. My primary language is American.”
Walgreens will pay $1.38 million to a woman who sued the drug chain for filling a prescription incorrectly written by her doctor. The doctor realized that she had specified 100 mg of promethazine, quadruple the intended amount, and called the pharmacy to cancel it. The pharmacist did so, but a computer problem allowed the prescription to be filled anyway. The patient claimed side effects caused her to be fired.
One of the 850 employees laid off last month by St. Vincent Health (IN) was CMIO Alan Snell, MD. The health system also gave a pink slip to its chief medical officer.
Ohio State University’s Wexner Medical Center paid almost $1 million in legal fees and fines in a frantic effort to avoid having its clinical lab shut down by the federal government. That effort, aided by appeals by the state’s lawmakers to HHS, was successful. The hospital’s laboratory information system incorrectly flagged a proficiency test to be sent out to an external lab and a medical technology student didn’t catch the mistake.
Weird News Andy is fascinated that dogs are being trained to detect hyperglycemia in children by their smell, allowing them to paw the child as a signal to take corrective action. He also concludes that “you can’t legislate intelligence” after reading the story of a woman who mixed up Super Glue and cold sore cream with predictably gripping results and another in which six armed police officers take down the suspected “Surgical Mask Bandit” in a Wells Fargo bank, only to find that he’s a chemo patient making a withdrawal.
- Vocera demonstrates how its badges work with the Stanley Hugs infant protection solution.
- Infor integrates NextGate EMPI and identity management solutions with its Cloverleaf integration and information exchange suite.
- ZirMed announces that its first claims acceptance rate is averaging 98 percent or higher.
- Sunquest launches a new website.
- SIS posts a blog entry called “Careers in Nursing Informatics: Applying Your Knowledge.”
- The ONC Beacon-EHR Vendor Affinity Group names SuccessEHR National Director of Government Affairs Adele Allison the group’s co-chair, along with Chuck Tryon of MyHealth Access Network.
- Truven Health Analytics releases the Truven Health Unify ACO solution to help Medicare shared savings program participants manage their ACOs.
- Forrester Research names CommVault a leader in The Forrester Wave: Enterprise Backup Software, Q2 2013.
- Jonathan Handler, MD, MModal’s CMIO, shares his thoughts on population health data and why doctors struggle with it.
- T-System creates a video on its RevCycle+ RCM solution.
- St. Cloud Orthopedics (MN) discuss how the practice earned $342,000 in Medicare incentives payments following its implementation of SRS EHR.
- A Windows 8.1 version of AirStrip ONE Cardiology will be released as part of the company’s strategic partnership in Microsoft’s AppsForSurface program.