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Standards & Certification Criteria Final Rule: Interoperability Summary

Posted Jul 16 2010 6:23am

Link: HHS HealthIT Standards IFR

I reviewed the new rule on HIT as adopted and published 7/14. There are some significant issues that will require interoperability not only external to the facility or practice, but also from within.Here's a brief synopsis of criteria as adopted in the interim rule... final 2013 and 2015 criteria not available yet on the federal register, but expected later this month. Based upon what has been published for 2011, I suspect that many of the new (2011-15) objectives and measures will remain similar to 09 objectives and measures, as written.

2013 Interoperability Objectives
  • Provide clinical decision support at POC (e.g. reminders, alerts)
  • Conduct closed loop medication management, including eMAR and computer-assisted administration
  • Access for all patients to PHR populated in real time with EHR data [IP, OP]
  • Upload data from home monitoring device
  • Summary care record shared in transitions
  • Receive immunization histories & recommendations from immunization registries
  • Provide sufficiently anonymous electronic syndrome surveillance data to public health agencies with capacity to link to personal identifiers

2015 Interoperability Objectives
  • Medical device interoperability
  • Access comprehensive patient data from all available sources - includes aggregation of clinical summaries from multiple sources and NQF endorsed Care Coordination Measures (TBD)
  • Automated real-time surveillance (AE, Near Misses, disease outbreaks, bioterrorism)
  • Clinical Dashboards
  • Incorporate and utilize technology to segment sensitive data
Interoperability vendors are a small group. For technical information on device interoperability, visit Nuvon's Web Site .

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