NIST Draft Test Procedures added and updated

Check out the NIST Draft Test Procedures site; the following test documents have been updated: Drug-drug, drug-allergy, drug formulary checks Medication reconciliation. Electronically complete medication reconciliation of two or more medication lists by comparing and merging into a single medication list that can be electronically displayed in real-time. Access control. Assign a unique name and/or number for identifying and tracking user identity and establish controls that permit only authorized users to access electronic health information.

I got a note about OSCON from Fred Trotter this morning and read it with great enthusiasm: I am happy to spread the news that OSCON, probably the most important Open Source conference in the country, will have a healthcare track in 2010. Andy Oram has explained the decision to add a healthcare track to OSCON. They have asked me to help promote the conference and I want to be sure that our community offers up the very best in talks and technical content.

CCHIT has probably been hearing lots of rumblings about the ONC and HHS’s inability to provide meaningful use certification fast enough for providers and hospitals to get start with product and vendor selection. At healthSystemCIO.com Anthony reports that CCHIT will be offering, staring in just a couple of weeks, their Preliminary ARRA Certification once again. According the healthSystemCIO: The program materials, including revised program policies, applications, criteria, test scripts and other guidance will be available at http://www.

This came from the nice folks at ONC this morning: On March 25, 2010 from 4:00 – 5:00 p.m. EDT, The Office of the National Coordinator for Health Information Technology (ONC), with the National Institute of Standards and Technology (NIST), will present a webinar on the recently released Certification Programs for HIT Notice of Proposed Rulemaking (NPRM). Public comments on the NPRM are now being accepted. The temporary certification program’s comment period ends April 9 and the permanent certification program’s comment period ends May 10.

As I’ve mentioned in previous posts, there’s been some good progress by NIST to create meaningful use test procedures for certifying bodies that will need to evaluate EMRs. They already have 8 test documents for various MU criteria including up-to-date problem list, active mdications list, active allergy list, vital signs, BMI calculations, growth charts plotting, smoking status tracking, and (as of today) medication reconciliation. I contacted the nice folks at NIST and wondering if they’d have an RSS feed or something for the changes — they said they liked the idea and would put something into place as soon as they could.

ExecutiveBiz.com has nice post this week on 26 ways to grow your healthcare IT business. There are some good ideas in the posting and are summarized here. Recognize healthcare IT as more than an IT opportunity. Maintain specific focus on each and every customer. Help your team see the larger picture. Speak the language of your customers. Participate in the standards-setting conversation.

A few weeks ago the Office of E-Health Standards & Services at the Centers for Medicare & Medicaid Services (CMS) did some nice training on the EHR Incentives NPRM. This is a great overview of the ARRA HITECH act as it is understood by CMS and should override any understandings by mere mortals like us. It includes information about meaningful use, eligibility, core quality measures, and payments. It’s worth checking out.

A doctor friend of mine and I were talking about our HIMSS trip and how many physicians told us were getting “sick and tired” of the business of medical practice. I spoke with a number of docs there looking to get out of medicine and into technology, marketing, management, or other fields. I thought for sure that there couldn’t be that many physicians looking for a career change. Boy, was I wrong.

A friend of mine just sent out the following note: There have been developments in the last few days that have caused CCHIT to pause “providing direction on the requirements for test step demonstration for the Interim Final Rule Stage 1 criteria. The reason is because NIST is now publishing Test Methods and Procedures on their website that Certifying Bodies will have to comply with. Therefore, we (CCHIT) will be reviewing their published materials and revising our test scripts for Meaningful Use to match.

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