Prospects of meaningful use 2 step examined progress

Slide show: Innovative health care (click the image to enlarge and complete slide show) there is little chance the Centers for Medicare & Medicare Services (CMS) and the Office of the National Health Information Technology Coordinator (ONC) can inject some important principles by Council of the President's advisers on Science and technology (PCAST) report (pdf) in step 2 its program of measures incentives meaningful use. The reason why it is a long kick is that the industry does not have a wrapper for message exchange Universal standardized language (UEL), according to Stan Huff and Dixie Baker, both members of PCAST Workgroup, a sub-group of the Committee of policy for the success of ONC.

Workgroup Chairman Paul Egerman, a former software entrepreneur, set the tone for the meeting by noting that the mandate of the Group was to discuss the PCAST report "implications and feasibility" on meaningful use not of "no step to criticize the report"",." if it is good or bad or good or bad

Although that continually pressed by Egerman - operating under the charge of PCAST and the National Coordinator David Blumenthal, M.D., this move ONC nation to the recommendations of the report "with boldness and aggressive" - the duo adamantly injection of any measure in step 2 requiring the use of a wrapper GUE.

"My concern calendar, said Stanley Huff, M.D., Professor of Biomedical Informatics at the College of medicine and the CMIO at Intermountain Healthcare University of Utah." If we talk about this [the elements of the CCD] thrust in a wrapper GUE, which implies that in the time limit for step 2, there is a GUE which has been defined, approved, and, hopefully, prototyped - that we know is fit to the finet I really wonder if this can happen in the calendar of step 2. ?

Doug Fridsma, M.D., Ph.d., Director of the CNO Office of standards and interoperability, said that all measures of phase 2 had been finalized for the notice of Proposed Rulemaking (NPRM) in September, which would mean that everything should be "" finished, approuvéset piloted by July.""

In response, Baker, Ph.d. and SVP, CTO and technical fellow Business of Science Applications International Corp. health and life sciences, promptly said, "then I agree with Stan." Since we do not have a common model of GUE metadata in place, I think that it is true that a GUE is not feasible by step 2. ?

Baker then has to drive home the point in speaking of her work emerging privacy and security standards working group. "We are preparing just at the end of presenting recommendations for standards of digital certification to be developed by the team of interoperability and standards framework.". I think that a better target [for a GUE] is step 3. ?

Huff continues: "the standards are not in place, and there are no implementations in place." This thing must be locked so that you have a specification of persons can start programming against later this year. All these things are feasible, they are wonderful things, but the timeline is simply not right so that you have enough the comments of the public, people prototype, it and prove that it works. ?

But Huff said there was something that could be done to move significant use in the direction of PCAST. "We could say - and it is implied - that you will need to be able to send a CCD LOINC and SNOMED to a PHR, what is feasible." What is not feasible is when you say wrapper, or pass a PCAST approach with a uel, which does not feasible in July.

To this, a member of the Working Group noted that, if the evaluation of the Huff was correct, the industry was in "bad state of affairs."

"It may be a bad state of affairs," said Huff, but I think that this is exactly where we are. ?

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