July 14, 2009 – The Electronic Health Records Association (EHR Association) made specific recommendations to the Office of the National Coordinator for Health Information Technology (ONC) on measurable criteria for achieving "meaningful use" of EHRs, as called for in the American Recovery and Reinvestment Act of 2009 (ARRA).

The association specifically calls for 2011 objectives to be based on software and standards currently deployed and implemented, with a focus on adoption and use of comprehensive EHRs and recognition of the need for differences between inpatient and ambulatory meaningful use criteria.

"Acquiring EHR technology does not automatically or quickly achieve 'meaningful use' and its intended benefits," said Justin Barnes of Greenway Medical, EHR Association chairman. "As vendors, we understand all too well the complex process of analyzing workflow, configuring systems to meet the needs of each environment and training clinicians. We encourage ONC to allow adequate time for this process so that the taxpayers receive value for their investment in HIT - more efficient and effective care delivery."

Other recommendations focus on computerized provider order entry (CPOE), tying it to electronic medication administration records (eMAR) and targeted order sets for specific chronic diseases. "We know that CPOE is not likely to be successfully implemented if physicians don't have all the related information they need to make good medical decisions," said Mark Segal, Ph.D., GE Healthcare, EHR Association vice chairman.

"Quality reporting is another area that requires consideration," Barnes said. "Much good work has been done by CMS and NCQA on quality measures and reporting, and we should build on that, with 'meaningful use' focusing on data collection in the EHR and reporting of quality measures based on resulting EHR data, rather than data from administrative or billing systems. In addition, starting in 2011, there should also be measures to evaluate the use of quality measures for patient care management."

The association also took the opportunity to reinforce its long-standing position that reporting and interoperability must be based on standards, using the Health Information Technology Standards Panel (HITSP) work that has been ongoing since 2005. HITSP operates under the auspices of ONC.

For more information: www.himssehra.org


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