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The following is a compilation of the ever-growing list of grass roots efforts from the http://emrupdate.com members educating the public about the realities of the CCHIT initiative:
Al Borges, M.D.
alborg: The following is a compilation of the ever-growing list of grass roots efforts from the http://emrupdate.com members educating the public about the realities of the CCHIT initiative: Letter to Dr. Mark Leavitt, http://www.emrupdate.com/forums/thread/49593.aspx Letters sent directly to the Certification Commission for Healthcare Information Technology (CCHIT) , http://www.emrupdate.com/forums/1/56036/ShowThread.aspx and http://www.emrupdate.com/forums/thread/56240.aspx, http://www.emrupdate.com/forums/thread/56639.aspx Letter to Mr. Lowes (senior editor, Medical Economics) in reply to his article- "The Best EHRs For Small Practices - A Comprehensive Survey From Two Companies Reveal The Cream Of The Crop.", http://www.emrupdate.com/forums/thread/54518.aspx Letters to the editor of Medical Economics in response to their article "Bush's order: the end for non-certified systems?", http://www.emrupdate.com/forums/thread/55673.aspx Letter to the editor (Medical Economics) by Joseph, http://www.emrupdate.com/forums/thread/56240.aspx Letter sent to the American College of Physicians, http://www.emrupdate.com/forums/1/56036/ShowThread.aspx Letters sent to the Federal Trade Commission, http://www.emrupdate.com/forums/thread/56115.aspx Letter to the Honorable Newt Gingrich (he's attended numerous committees on CCHIT), http://www.emrupdate.com/forums/permalink/56270/56270/ShowThread.aspx#56270 Letter to Healthcare Informatics Extra Online, http://www.emrupdate.com/forums/thread/56300.aspx, and http://www.emrupdate.com/forums/56276/ShowThread.aspx#56276 Letters to HDM Magazine, (Al) http://www.emrupdate.com/forums/56322/ShowThread.aspx#56322, (Joseph) http://www.emrupdate.com/forums/thread/56240.aspx POLL: A recent poll showing that 72% believe that the FTC should come down hard on CCHIT is here: http://www.emrupdate.com/forums/thread/56321.aspx Letter to Dr. Kibbe (AAFP), http://www.emrupdate.com/forums/56448/ShowThread.aspx#56448 Letter to the Health & Human Services, http://www.emrupdate.com/forums/thread/56115.aspx Letter to Time magazine, http://www.emrupdate.com/forums/thread/56598.aspx Private email between Chris and Bill Crounse, MD (Healthcare Industry Director, Microsoft)-> let's just say that for now Mr. Crounse is for CCHIT. Letter to Senator Clinton (she's strong on bringing about a cost effective healthcare system), http://www.emrupdate.com/forums/56626/ShowThread.aspx#56626 PRESS RELEASE: The original press release by Robert Gleeman is here: http://www.emrupdate.com/blogs/emrinterviews/archive/2006/10/09/CCHIT-takes-a-hit-from-Washington_2C00_-D.C.-area-doctor-who-claims-new-certification-group-restrains-free-trade-in-EMR-_2800_Electronic-Medical-Record_2900_-software.aspx Press Release to Long Beach Press, http://www.emrupdate.com/forums/thread/56582.aspx Press Release to LA Times, http://www.emrupdate.com/forums/thread/56582.aspx Press Release to 3 local papers (LA Times, Long Beach Press, and Daily Breeze) by Chris, http://www.emrupdate.com/forums/thread/56582.aspx Article on ArriveNet Health Press Release on 10/9/2006, http://press.arrivenet.com/health/article.php/859811.html Press Release I-Newswire,10/10/2006- http://i-newswire.com/pr76052.html Press Release MB Publishing, 10/10/2006- http://www.malebits.com/article4278.html Press Release RedTram, 10/11/2006- http://www.redtram.com/go/49303064/ (above "US to declare war on Russia" & "Husband and wife hang themselves on the same day") Letter to Health&Human Services, http://www.emrupdate.com/forums/thread/56639.aspx Letter to the American Academy of Pediatrics, http://www.emrupdate.com/forums/thread/56639.aspx Press Release sent to LSJ.com, http://www.emrupdate.com/forums/thread/56582.aspx Press Release sent to Forbes.com, http://www.emrupdate.com/forums/thread/56582.aspx Letters sent to Forbes, USA Today, Washington Post, NY times, 60 minutes, LA times, http://www.emrupdate.com/forums/thread/56598.aspx Letter to Ms. Julie Miller (julie.miller@advanstar.com), editor-in-chief Managed Healthcare Executive Magazine, http://www.emrupdate.com/forums/ShowThread.aspx?PostID=56972#56972 Letter to Dr. Christman of the AAPS, http://www.emrupdate.com/forums/thread/56971.aspx Letter to editor by Joseph gets published in Healthcare IT, http://blogs.bsti.com/healthcare/?p=419 (http://www.emrupdate.com/forums/57019/ShowThread.aspx#57019) Letters sent to the EMR and HIPAA blog site, http://www.emrandhipaa.com/administrator/2006/06/22/interview-of-practice-partner-ceo-and-president-cchit-commissioner-talks-about-cchit-certification-increasing-ehr-adoption/, http://www.emrupdate.com/forums/thread/57465.aspx Letter sent to the HDM Newsletter in answer to the story "Blues Plan to Pay for EMRs", http://www.emrupdate.com/forums/thread/57520.aspx Wikipedia CCHIT definition correction, http://www.emrupdate.com/forums/thread/57592.aspx Letter to Dr. Simmer, Blue Cross, Blue Shield of Michigan, http://www.emrupdate.com/forums/thread/57787.aspx Letter to Medical Strategic Planning Blog, http://www.emrupdate.com/forums/57838/ShowThread.aspx#57838 Letter to the blog- LinuxMedNews by Jason 11/1/2006, http://www.linuxmednews.com/1153364300/index_html Blog postings by Al and Joseph in the blogsite The Healthcare IT Guy, 11/1/2006- http://www.healthcareguy.com/index.php/archives/265 Letter to Microsoft, 11/3/2006, http://www.emrupdate.com/forums/thread/58098.aspx Letter sent to Medical Economics, 11/12/2006 in response to article, http://www.emrupdate.com/forums/58709/ShowThread.aspx#58709 Al posted letter to blog site Healthcare IT, 11/15/2006- http://blogs.bsti.com/healthcare/?p=413 Medical Economics "Readers React" listing letters-to-the-editor from Joseph, David, and Al, 11/17/2006- http://www.memag.com/memag/article/articleDetail.jsp?id=384858 Blue Dot blog site references this very index, posted on 11/18/2006- http://bluedot.us/users/kencam/dot/69707234606 Letter to the editor sent to the Government Health IT blog, 11/18/2006- (original article here) http://www.govhealthit.com/article96605-10-27-06-Web Another letter to the editor sent to the Government Health IT blog (to the editor-in-chief), jmonroe@fcw.com -> http://www.emrupdate.com/forums/thread/59035.aspx Innovative IT for Healthcare publishes a blog post disagreeing with our insight, "Some CCHIT Follow-up", 12/1/2006- http://calyxllc.typepad.com/it_for_healthcare/2006/12/some_cchit_foll.html Health Data Management article- "Does I.T. Certification Favor the Big Boys?" about the anti-CCHIT activities at our website (12/4/2006)- http://www.healthdatamanagement.com/html/current/CurrentIssueStory.cfm?articleId=14356, and (discussion) http://www.emrupdate.com/forums/thread/59677.aspx Health Data Management editorial- "It's Time to Fine-Tune EMR Certification" (12/4/2006)- http://www.healthdatamanagement.com/html/current/CurrentIssueStory.cfm?articleId=14355, and (discussion) http://www.emrupdate.com/forums/thread/59771.aspx A post into the Calyx website (Borges, 12/16/2006)- http://www.emrupdate.com/forums/ShowThread.aspx?PostID=60833#60833 Another post into the Calyx website (Borges, 12/17/2006)- http://www.emrupdate.com/forums/thread/60879.aspx; also both of these Calyx letters now reside in the same page at http://calyxllc.typepad.com/it_for_healthcare/2006/12/some_cchit_rebu.html#comment-26789418 Joseph Gets Published in the ACP Online Journal!, http://www.emrupdate.com/forums/thread/61073.aspx
Idle hands are the devil's workshop my grandmother always used to say.
There is no doubt in my mind that Dr. Alberto Borges is the founder and worldwide leader of the anti-CCHIT movement. Unlike CCHIT leaders, to whom millions of dollars have been paid, our friend and fellow member Al has made NO MONEY on all this work. Quite the contrary, it has cost him plenty in terms of personal time and personal conflicts.
That's what I call a hero, a kind of bravery which--whether you agree with the basic concept behind it or not--you just have to respect as an American. That's you, Al!
Robert Gleeman, Medical Journalist for EMR Update.com Email: robert@emrupdate.com Tel: 1-650-968-6359 Skype and ooVoo user name: robertgleeman EMR progress is a matter of fact. EMR Update supports your right to know.
opus313:Idle hands are the devil's workshop my grandmother always used to say.
Playing Nero while Rome burns?
PS: there's a psych group here complaining about their difficult transition to Nextgen from paper.
Graham http://www.synapse-ehr.com/ Synapse - the EMR for the superior physician
In the current round of talks concerning the physician pay cut, P4P, etc to come up with a permanent fix by 7/2008 are so secretive that not even the AMA is allowed to attend! (see this link) The reason for the What's Wrong with HIT... slideshow was to get all the material in these letters into a downloadable, easily distributable, readable medium.
If they truly tie in a FUNDED CCHIT-certified EHR tie-in provision by this summer, then you'll see the day that the "Medicare Rome" does burn... I believe that most providers will stop taking on new patients first, then opt out altogether by 2009.
Thanks for the cudos, Robert! It's a lot of hard work, but I hope that we end up with a decent outcome with a normal, progressive HIT market. Bob, even NextGen will thrive and grow as things mature with time, like a fine wine...
gchiu: PS: there's a psych group here complaining about their difficult transition to Nextgen from paper.
I am not a fan of Nextgen, but then I am a bit biased. However, any transition from a paper system to EHR is difficult. They just don't want to give up those appointment books and reams of forms.
T. J. WilkinsonPresidentBF Services, Inc.teejer@comcast.net
gchiu: opus313:Idle hands are the devil's workshop my grandmother always used to say. Playing Nero while Rome burns? PS: there's a psych group here complaining about their difficult transition to Nextgen from paper.
If Rome is burning (btw great line) we are toasting marshmallows - we just completed another record quarter...
Also, thanks Graham, I spoke with the physician in question today. She has some legitimate points. Psych docs have a lot of stuff that needs to probably remain as dictation, as each case in very different and requires precise wording to document properly. Someone made the point (Brendon maybe) that Psych does not lend itself well to any EMR. That is why market penetration into the Psych market is particulary low. This group actually looked at a number of Psych specific programs and determined that they were wholly inadequate. We had some content that we had developed for a couple of behavior health groups that have installed NG and they felt they could work with that as a base. I gather that they have been unable to elegantly marry the existing stuff with their more advanced needs. We need to either find a way to help them work through their issues or owe them a fair answer that this doesn't make sense. I told that to the doctor today and contacted the appropriate internal resources and will do a conference call with the group and see what happens. Either way, we will stand behind the product
I agree that a lot more could be done to benefit the Psych market in particular, but I know that my end users are SOOO much happier with an EMR than they were with paper charts. So I have to fundamentally disagree with you that Psych doesn't lend itself well to an EMR. There are tremendous and wonderful advantages to using an EMR in psych. In fact, the implementation of the EMR was easier in Psych than it was in our Health Center.
John Lynn My EMR and HIPAA BlogMy New EMR and EHR Blog My EMR Selection e-Book
Assuming the EMR can work good with free text and is designed around this. It does have some unique issues that are easy to fix for developers but would not necessarily appear in the out of hte box product and need some product development to gain customer satisfaction.
John, did you read the problems of output from a text box that could not be formatted. That means it is not stored as RTF in the database but as Raw Text and not formated in the document from the raw text. This is development issue, not user issue.
I am not saying EMR is not better then no EMR, but I am not so sure everyone would agree with me on that. I am saying it could be difficult in some specialties with some odd issues to implement to 100% expectation, or in this case, just put out a note that is representative of the practice and industry norms.
Al,
In your list, I did not see any mention of my interview with On the Record Magazine, where I spoke to a reporter about the pitfalls of CCHIT. I am looking for the reference. It was "EMR Update in the news: Gleeman interviewed in On the Record article" or something like that, but I can't quite find it. I'll keep looking.
Ah! Here it is: http://www.emrupdate.com/forums/p/8848/65015.aspx
And the interview is located here: http://www.fortherecordmag.com/archives/ftr_04022007p14.shtml
I tried to put in the followning line:
4/2/2007 Robert counterbalances an essentially pro-CCHIT article http://www.fortherecordmag.com/archives/ftr_04022007p14.shtml
But the emrupdate site doesn't let me log on to edit it. Hmmm. I'll try again later!
(bump)
Any wonder why CCHIT was cut off by the HHS on 7/16/2009? This was only the first 6 months of the 3 year fight!
Things did take a little longer than I thought.
Al
alborg: Any wonder why CCHIT was cut off by the HHS on 7/16/2009?
Any wonder why CCHIT was cut off by the HHS on 7/16/2009?
You may be celebrating a bit too soon, Al.
CCHIt is the only ARRA certifying body open for business (as of Oct. 7). They have all their test scripts, documentation and infrastructure in place and are taking applications for both full CCHIT and ARRA certifications. The ARRA is much more superficial, but somehow when you add it all up, it costs the same as full CCHIT. Go figure..... It also looks like EMRs have to submit claims electronically or partner with someone that does. That particular logic escapes me... Does that mean that PM systems will have to certify on these criteria?
Anyway, unless someone, somewhere, is feverishly working on setting things up to compete with CCHIT quickly, they will remain the de facto certification standard for ARRA.
Margalit Gur-Arie
My brand new Blog: On Healthcare Technology