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EMR Trade Group Asking the ONC When Are You Going to Have the Certification Software Up and Working Again-Can’t Get System

Posted Jan 28 2013 4:33pm

Who doesn’t have software bugs today, stock exchanges, Medical Quack, ONC and the list goes on and on and it’s part of life today and when things come to a screeching halt everyone screams. image We have this happen in all parts of our lives but when it means can’t get money from somewhere or meet deadlines, all you know what breaks loose.  That is what we have here with the EMR Trade Group asking.  Nobody but your programmers knows for sure and it may take them a while to give you an answer. 

Darn queries sometimes just don’t work right or for some reason they go crazy and develop a bug one day and don’t work like they used to.  The ONC sent a letter to the certification bodies stating there are problems.  The customers (hospitals and doctors) who want to get certified are crawling up the backside of the certification entities because they want to get certified for Stage 2 and that can’t happen as the 2014  criteria can’t be certified.   I don’t know who wrote the proprietary software for them but you can bet there’s a little heat there too.  You can read a few more details from last week on what is occurring at EHRScope below. 


I keep telling everyone the short order code kitchen burned down a few years ago and now with more and more events occurring withimage complexities some might believe me.  There was even the case of GE Centricity needing to fix their algorithms before it could be certified back in 2011.   Just think a little though as we are talking software and on markets you have stuff like this happening every day with charts to prove it.

Allscripts had their problems but their issue was trying to push a deadline on developers and you just can’t do that as they can’t go any faster, so better to take your lumps honestly and early as stuff like this happens.

I laughed like crazy with my own personal experience with Google Plus and I can laugh at this as it is only social network stuff and not critical, but all of a sudden one day the machines said I didn’t meet Google’s Name policy any more…and I did laugh as Barbara should be fine but the machines didn’t like Ducks and I don’t know how Beavers and Crows faired here, but remember rogue algos do happen.  This is just funny to read though.


The choices are to fix this portion of the code for certification or to drop it all together as we certainly don’t have time to write a new module from ground up, so today the ONC is Chapter 52 of my ongoing series “The Attack of the Killer Algorithms”.  Stay tuned for the next chapter as those in charge will probably have more than one options and maybe a couple new ones before this is all fixed.  Unfortunately in the data business sometimes bugs love company.  BD



On Jan. 22, the trade group sent the Office of the National Coordinator for Health Information Technology an eight-page letter detailing technical problems with the ONC-led EHR testing and certification regime. To press the urgency, the association asked ONC to reply in five days.

The letter said software developers can't get their systems approved for use in Stage 2. That's because the EHRs can't be tested and certified against the 2014 Edition Certification Criteria. Compliance with the 2014 Edition criteria indicates that an EHR has the right stuff to enable providers to meet their meaningful use targets under Stage 2. But the five ONC-approved independent testing and certification bodies can't do their jobs because several essential testing “tools”—custom-made software programs government contractors developed for the ONC—have not been completely debugged.

The EHRA letter focuses on a tool called Cypress, for use in testing EHRs on the accuracy of their calculations of Stage 2 clinical quality measures. The letter also touches on some buggy, faux patient data used in the testing process. The EHRA letter called Cypress “insufficient,” saying the data, if used, “would lead to inaccurate test results.”

On Jan. 23, Carol Bean, director of the ONC's certification office, sent a memo to the testing and certification bodies, acknowledging problems with a different tool, the program's Transport Test Tool. That tool, developed for ONC with help from the National Institute of Standards and Technology, is designed to test EHRs on Stage 2 requirements for exchange of patient-care summaries and other secure messages, important first steps under the program in a long march toward EHR interoperability.

http://www.modernhealthcare.com/article/20130126/MAGAZINE/301269973?AllowView=VW8xUmo5Q21TcWJOb1gzb0tNN3RLZ0h0MWg5SVgra3NZRzROR3l0WWRMWGJWZjhIRWxYOU9qTENvK25lK0g4UkxiNm5lMDVvbEE9PQ==

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