News | December 04, 2009

Hospitals Likely to Miss EHR ‘Meaningful Use’ Deadlines

December 3, 2009 – Vendor readiness, lack of staff and access to capital will make implementation of the HIT Standards Committee standards in time to meet currently established deadlines unlikely, say most Healthcare CIOs.

The College of Healthcare Information Management Executives (CHIME) conducted a recent survey, which drew 176 responses from Healthcare CIOs. The interviewees worry they will not be able to implement standards, such as establishing “meaningful use” of healthcare data in an EHR.

The HIT (Healthcare Information Technology) Standards Committee recommended roughly 20 standards for the electronic exchange of health information. Implementing applications that use those standards are expected to impact health organizations’ chances of qualifying for stimulus payments based on achieving the meaningful use of EHR.

Nearly two-thirds of all respondents said they were at least somewhat worried about their ability to implement standards-based applications and how that would affect meaningful use determinations for their organizations. Only 8.3 percent said they were not worried about achieving deadlines. Some 37.3 percent of respondents said they were either very concerned or worried about meeting deadlines for implementing standards; 27.8 percent said they were somewhat worried; 26.6 percent said they were a little worried.

“Early attempts at standardization were not rousing successes,” said David Muntz, senior vice president and CIO at Baylor Health Care System in Dallas. “It’s hard to believe that we will be able to adapt to new standards in time to qualify for the rewards from the stimulus. I’m hopeful we’ll be there before the penalties are levied.”

There was significant concern that healthcare IT application vendors will not be ready to offer standards-based products that will enable providers to meet the deadline; 21.6 percent of all respondents listed vendor readiness as their top concern.

The need to implement upgraded or new systems in order to comply was mentioned as the top concern by 14.8 percent of all respondents. Also mentioned as the top impediments were insufficient capital, 15.3 percent; lacking staff with needed skill sets, 10.2 percent; and insufficient staff, 8.5 percent.

Pam McNutt, senior vice president and CIO for Dallas-based Methodist Health System noted that for organizations with clinical documentation already in place will have to retool nomenclature to map to the standard’s nomenclature.

SNOMED CT, the standard designated for clinical problems and procedures, is the most widely deployed vocabulary standard, with 51.1 percent of respondents reporting that their systems can support the nomenclature. LOINC, the standard vocabulary for laboratory tests, is supported by systems at the organizations of 40.5 percent of respondents, while 43.9 percent said LOINC is not supported by their IT systems.

Other vocabulary standards have much less penetration. For example, 59 percent of respondents said their systems don’t support RxNorm, the proposed standard for drug and medication allergies, while 51.7 percent of respondents said their systems don’t support UCUM, the proposed standard for units of measure, and 55.8 percent said their systems don’t support UNII, an ingredient allergies standard.

In terms of content standards, providers’ answers suggest they are not as far along in implementing systems that are based on newer standards. For example, 51.2 percent of respondents said the systems of their organizations support HL7 v2.5.1 for clinical messaging, but fewer than 25 percent can support NCPDP and HL7 standards for pharmacy order content.

For more information: www.chime.org

Related Content

DrChrono Teams With DeepScribe to Automate Medical Note Taking in EHR
News | Electronic Medical Records (EMR) | August 01, 2019
DrChrono Inc. and DeepScribe announced a partnership so medical practices using DrChrono EHR can use artificial...
Artificial Intelligence Solution Improves Clinical Trial Recruitment

A nurse examines a patient in the Emergency Department of Cincinnati Children’s, where researchers successfully tested artificial intelligence-based technology to improve patient recruitment for clinical trials. Researchers report test results in the journal JMIR Medical Informatics. Image courtesy of Cincinnati Children’s.

News | Artificial Intelligence | July 31, 2019
Clinical trials are a critical tool for getting new treatments to people who need them, but research shows that...
New AI Tool Identifies Cancer Outcomes Using Radiology Reports
News | Artificial Intelligence | July 29, 2019
Scientists at Dana-Farber Cancer Institute have demonstrated that an artificial intelligence (AI) tool can perform as...
Johns Hopkins Named Qualified Provider-led Entity to Develop Criteria for Diagnostic Imaging
News | Clinical Decision Support | July 18, 2019
On June 30, 2019, the Centers for Medicare & Medicaid Services (CMS) announced the Johns Hopkins University School...
Podcast | Information Technology | June 26, 2019
The technology has some hurdles ahead of it.
M*Modal and Community Health Network Partner on AI-powered Clinical Documentation
News | PACS Accessories | June 13, 2019
M*Modal announced that the company and Community Health Network (CHNw) are collaborating to transform the patient-...
The Current Direction of Healthcare Reform Explained by CMS Administrator Seema Verma
News | Radiology Business | June 11, 2019
June 11, 2019 — Centers for Medicare and Medicaid Services (CMS) Administrator Seema Verma addressed the American Med
Feature | Electronic Medical Records (EMR) | May 30, 2019 | By Larry Sitka and Jef Williams
Medical imaging and informatics are critical to delivering care and managing wellness.
3 Recommendations to Better Understand HIPAA Compliance
Feature | Information Technology | May 17, 2019 | Carol Amick
According to the U.S.
HHS Extends Comment Period for Proposed Electronic Health Information Interoperability Rules
News | Electronic Medical Records (EMR) | April 19, 2019
The U.S. Department of Health and Human Services (HHS) is extending the public comment period by 30 days for two...