March 31, 2014

The NIST Folks Chime-In on EHR Workflow and Usability

Filed under: CMS,EHR Incentive,Meaningful Use — Tags: , , — HankMayers @ 10:27 am

The National Institute of Standards and Technology (NIST) was directed by Congress to work with the ONC on the CHERT certification process as well as generally advise on the EHR effort. Given their background on the application of advanced technology, it is good to hear from them. Their findings reinforce much of what EHR implementers experience every day. One only hopes that the ONC can help champion this work in some fashion, and that the vendor community does not miss these considerations as they scramble to meet 2014 and 2015 CHERT changes.

While it is great to have the NIST credibility behind this topic, I have only one beef with their work; An organization with as broad a scope as they have, isn’t it about time that this analysis include a strong focus on mid-levels and other practitioners, who also must make considerable use of the EHR? With the advent of the PCMH, the significance of their use of the EHR is continuing to rise, and how the EHR enhances the staff integration of knowledge and activity is a key consideration.

If the NIST folks elect to perform a similar analysis of the INPATIENT world (which I hope they do), nurses, techs, and other classes of patient-serving folks are heavy users of EHRs in their own right.

One final observation: CMS’ ambulatory workflow in their DOCIT effort should have been included in the NIST research.

Thoughts anyone??

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