John D. Halamka (CIO at Beth Israel Deaconess MC and Harvard Medical School) provides excellent summary of the IFR:
“The rule is the right mixture of harmonization and compromise. Not every stakeholder will be happy with it, but it is good enough. It moves us all forward toward the goal of less optionality, more constraints, and vocabulary controlled semantic interoperability.” – Dr. John Halamka, CIO at Beth Israel Deaconess Medical Ceter and CIO Harvard Medical School
Dr. John Halamka, who is the CIO at Beth Israel Deaconess MC and Harvard Medical School, provides an excellent summary of the just-released Interim Final Rule (IFR).
He includes discussion of the integration standards required to ultimately provide “meaningful use” — how healthcare providers will integrate with each other in the coming years.
All the usual suspects are there — HL7 V2.X, LOINC, NCPDP, CDA, and CCD. Interesting parts of the analysis:
- I was surprised with the continued willingness to let CCR be a formal option in addition to CCD.
- The impact on labs with the “obvious winds” blowing towards pure LOINC and UCUM mean much better interoperability in the long term and tons of pain in the next decade.
- Transport options wisely allows either use of socket-layer encryption or VPN-layer protection. This provides a solid “big tent” to allow existing in-place technology to help move data.
- The various vocabulary changes are going to cost billions.
The impact of the standards required by meaningful use will be huge. IMO, ultimately very few systems will be left quietly alone and unimpacted.
- HHS/ONC Interim Final Rule (IFR) – Health Information Technology: Initial Set of Standards, Implementation Specifications, and Certification Criteria for Electronic Health Record Technology.
- Dr. Halamka’s posting on his “Life as a Healthcare CIO” blog Life as a Healthcare CIO: Interim Final Rule on Standards
- Meaningful Use Resources by Corepoint Health Articles on HITECH & Meaningful Use
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