and CMS public policy makers have done a laudable job of specifying in considerable detail their expectations for HIE participation.
So far, the meaningful use of EHRs as defined by ONCHIT
extends as far as hospitals and primary care physicians.
And while it hasn't been mandated yet, this idea of being able to share clinical information is defined as part of the meaningful use criteria that ONCHIT
has developed, so one way or the other, we need to be able to show that we can share clinical data.
It's incumbent upon HHS, CMS and ONCHIT
to scenario-play their meaningful use certification requirements all the way down the line to find the wiggle room some will exploit.
Because of what ONCHIT
has set out to describe as meaningful use in 2011, 2013, and 2015, the longer an organization waits to begin an implementation, the higher the bar is set in terms of what they must achieve in the very first year.
While there have been several useful activities undertaken by ONCHIT
related to standards and certification of EHR systems, actual progress towards creating a national interoperable network has been limited to a handful of pilots, some completed and more just beginning.
The acronym for the Office of the National Coordinator for Health Information Technology has been simplified from ONCHIT
2 million slated for ONCHIT
and $50 million to the Agency for Health Research and Quality (AHRQ) for IT demonstration projects.
Three of the requests for proposals, which were due in July, were from ONCHIT
, covering standards harmonization, the compliance certification process and NHIN architecture.
With a $480,000 grant from ONCHIT
, AHIMA's Foundation for Research and Education will examine whether automated coding software can favorably reduce the incidence of attempted fraud.