January 13, 2010

Does The CMS 12/30/09 EHR Incentive Program Require Use of Patient Portals??

Filed under: CMS,EMRs,Meaningful Use,Patient Portals,PHRs — Tags: , , , , , , — HankMayers @ 11:32 am

There are many interesting items in the CMS 12/30/09 EHR document that we’ll be talking about in this blog over the next several weeks. The one I want to touch on today is the material in pp. 92 & 93. This Eligible Practitioner Objective require that “10% of their unique patients are provided timely electronic access to their health information.” The CMS explanation of this requirement on the following page is “…have timely access to their health information (for example, have established a user account and password on a patient portal).”

While the CMS narrative goes on to acknowledge that patient internet access will be a challenge (but believes 10% is reasonable for the present), it fails to acknowledge that patient portals, or Personal Health Record services, are some of the newest and less available features in the EMR market at the present time. There clearly is a lot of effort going on right now to create these features in the EMR product market. But is it really reasonable to make this a 2011 criteria – wouldn’t 2013 be better?

Comments anyone?

Hank Mayers

July 2, 2009

Maybe Meaningful Use Will Not Require Buying a Full EMR Solution?

Filed under: Uncategorized — Tags: , , , — HankMayers @ 11:47 am

It appears that the CCHIT has taken a major step on 6/18/09 by preparing to allow provider entities to implement EMR solutions that are not based on purchasing a comprehensive, and in some cases, high cost, vendor package. It is my opinion that this is a MAJOR concession to the small practice entities, or other healthcare entities that have have built EMR capability over time with multiple solutions for which they added needed integration. The implementation of this change by CCHIT is subject to the finalization of meaningful use by the feds this fall.

For entities that do not want to purchase a comprehensive EMR, they would be able to opt for the EHR-M ProgramA new, modular certification program for electronic prescribing, personal health records, registries, and other technologies. These components would have to be certified products

There will also be Site-Level Certifications – …enable providers who self-develop or assemble EHRs from non-certified sources.

What draw-backs might the ONC perceive with this recommendation from the CCHIT?

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