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Will HHS Certification criteria be better than CCHIT?

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lroman Posted: Mon, Jul 20 2009 2:50 PM

Apparently CCHIT is going out the door! Not completely but, they will no longer be in charge of creating overly extensive and detailed criteria.

HHS will now set the criteria for certification. I Wonder how long this will take? Until then we are stuck with good old CCHIT.

The HHS criteria will focus on the following:

 - Meaningful use

 - Security

 - Privacy

 - Interoperability

Will HHS make certification just as difficult to come by ?

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alborg replied on Mon, Jul 20 2009 10:59 PM

The problem that CCHIT has had is with the perception that it was formed by "enterprise" vendors, is run by "enterprise" vendors, and generally suffers from a perceived conflict of interest. I wonder where all this doubt started? (think: emrupdate!) Stick out tongue

It's not just a "perception" anymore, though. Check out the following post (posted earlier today at Histalk):

"BlueDogSpirit Says: Does anyone know the reason why Linda Kloss, CEO of AHIMA, is stepping down after 15 years? AHIMA was one of three founding organizations of CCHIT. Does this have anything to do with the IRS looking at (and still reviewing) HIMSS’ tax records and discovering the “loans” between CCHIT and HIMSS? Is H. Stephen Lieber (CEO of HIMSS) and Mark Leavitt (Chair of CCHIT) next?"

URL: http://histalk2.com/2009/07/18/monday-morning-update-72009/comment-page-1/#comment-4825

Oh my- is CCHIT now finally being audited by the IRS for at least some of its inappropriate financial behavior? Finally, the fat lady sings... Yes

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lroman replied on Tue, Jul 21 2009 8:24 AM

 

alborg:

Oh my- is CCHIT now finally being audited by the IRS for at least some of its inappropriate financial behavior? Finally, the fat lady sings... Yes

Wow Al,

I had no idea they were being audited.. In reference to the question from the post, how long will it be before the HHS criteria is released.. I recieved an email from CCHIT and it states:

" For providers and hospitals to have any chance of meeting ARRA incentive requirements in 2011, certified EHR technologies must be promptly available,” said Dr. Leavitt.  “To do that, we will launch preliminary HHS/ARRA EHR technology certification programs in less than 90 days, drawing upon our inspection and certification experience and marketplace knowledge.  Our HHS/ARRA certification will be available to modular, open source, and self developed technologies as well as comprehensive EHRs.   Our current, very comprehensive certification programs -- though no longer the sole route to government certification -- will become even more robust to serve EHR purchasers who want maximal assurance of EHR completeness and integration.” 

So I guess in three months they will come up with new criteria. It will probably be a carbon copy of meaninful use and some copy paste from CCHIT's security and interoperability criteria 09..

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DrMurdoch replied on Tue, Jul 21 2009 12:20 PM

CCHIT was a vendor special interest group that failed.

My EMR is: Synapse It is what we know already that often prevents us from learning.  Pioneers are the ones with the arrows in their backs.

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lroman replied on Tue, Jul 21 2009 12:51 PM

DrMurdoch:

CCHIT was a vendor special interest group that failed.

 

REALLY?

 

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The ONC has largely adopted CCHIT standards.

It is very difficult to create a meld of private and public stakeholders and organization like CCHIT has assembled. It apparently includes 20% physicians, as well as government, public health, IT vendor, legal and privacy experts, RN's, large and small hospital IT administrators, consumer advocates, and standards experts from across the country.

CCHIT appears to run on business principles with business cycles in mind, which is a leaner perspective than typical government legislative bodies. CCHIT will probably not die becasue of this, but will adapt to the needs not only of government but also the consumer, which is the real goal -- to assure the health IT purchaser of product suitability through certification. 

CCHIT's initial mission may now be evolving, but it will be more important in an exploding marketplace with sometimes cloudy requirements for EHR adoption. CCHIT envisions multiple certification pathways, and is thinking about many HIT development models in a flexible manner.

I suspect the ONC will continue to rely heavily on CCHIT criteria as time goes by. CCHIT is evolving. It is likely to be little influenced by lobbyists, who want shortcuts to meaningful use and certification, that are currently naysaying CCHIT. The very robust nature of the CCHIT organization will make it somewhat immune (in the long run) to the current motivated bashing. 

 

 

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gchiu replied on Thu, Jul 23 2009 1:46 AM

perspectoff:
The ONC has largely adopted CCHIT standards.

I think you mean ONC has largely ignored CCHIT standards.

 

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Oh give me a break -- are you the Rush Limbaugh of HIT blogs?

 

HISTalk is a laughable joke. That's what you're using as a source?

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Which ones?

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gchiu replied on Thu, Jul 23 2009 1:54 AM

perspectoff:
HISTalk is a laughable joke. That's what you're using as a source?

Try http://healthit.hhs.gov/

and download all the transcripts and the meaningful use matrix.

 

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DrMurdoch replied on Thu, Jul 23 2009 9:01 AM

perspectoff:

CCHIT appears to run on business principles with business cycles in mind 

CCHIT was a By Vendors, For Vendor associated right from the very very beginning.

CCHIT cares about their paying member's profits first and foremost.

 

 

My EMR is: Synapse It is what we know already that often prevents us from learning.  Pioneers are the ones with the arrows in their backs.

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Ducknet replied on Mon, Jul 27 2009 3:03 PM

Just interviewed the VP of Sales with Care 360 from Quest Diagnositcs and hope to have the post up by the end of the week.  There's quite a bit about RHIO and HIT information included along with their integration services.  Later this year they also plan to have their EHR in full swing.  It is used now in Manhattan to a degree with the HIE of the 11 hospitals that was in the news last week.

Also, on another note, I should have my interview with Blackberry done this week up in a few days as well where we discussed medical applications they have available. 

There's a lot of talk right now on CCHIT I agree and who knows where it will all end up as things are changing so quickly with technology, especially with aggregation and the RHIOS seem to be coming out of their comas.

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lroman replied on Mon, Jul 27 2009 4:12 PM

Ducknet:

Just interviewed the VP of Sales with Care 360 from Quest Diagnositcs and hope to have the post up by the end of the week.  There's quite a bit about RHIO and HIT information included along with their integration services.  Later this year they also plan to have their EHR in full swing.  It is used now in Manhattan to a degree with the HIE of the 11 hospitals that was in the news last week.

Also, on another note, I should have my interview with Blackberry done this week up in a few days as well where we discussed medical applications they have available. 

??????????

 

It seems like there is no clear end in sight of this CCHIT battle. I personally feel that most of their criteria was/is overly extensive and lacking real substance. Although meaningful use is quite complex, I think it will prove to be a lighter load than CCHIT's certification's volumes of meaningless criteria.  Interoperablity and security are important, but improving patient care and prevention focused care is and should be the top priority, not reminder letters.

 

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