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Priorities for the Health IT Standards Committee. Demographics--Stage 3 includes expansion of existing fields. CDS attributes for certification Display source/citation of CDS Configurable based on patient context (e.g., problems, meds, allergies, lab results)
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Priorities for the Health IT Standards Committee • Demographics--Stage 3 includes expansion of existing fields • CDS attributes for certification • Display source/citation of CDS • Configurable based on patient context (e.g., problems, meds, allergies, lab results) • Presented at a relevant point in clinical workflow • Alerts presented to users who can act • Integrated with EHR (ie., not standalone) • eMAR attributes for certification • 1) Check for right patient • 2) Check right medication • 3) Check right dose • 4) Check right route • 5) Record time medication administered • View and capability to download information • 1) Track number of views • 2) Track number of downloads • 3) Electronically counted for compliance and measurement • Summary of care record/plan: Stage 2 includes additional data elements • to be included in the record/plan
Priorities for the Health IT Standards Committee • Hospital labs provide structured electronic lab results in LOINC, where available • PH objectives: consider a single standard to be used for the submission of all public health data • PH objective of submitting reportable cancer conditions: Possible use of IHE cancer reporting implementation guide • Timely Electronic Access: P&S Tiger Team consider including a warning message before downloading personal health information
Priorities for the Health IT Standards Committee for • Privacy and Security • Standards for recording family history • Patient-generated data submitted to public health agencies • Add new fields in demographics per IOM report • Capability to retrieve AD from EHR • Mechanism for patient entered data Single factor authentication (user and password) for patient online account Audit trails for access to patient online account Provisions for data provenance View and download function should be secure Compliance with NWHIN governance policies should be included in Stage 3 certification criteria. Stage 3
Summary Recommendations • Delay transition from stage 1 to stage 2 by one year only for providers who qualify for MU in 2011 • Approve recommendations for stage 2 Meaningful Use objectives • Refer stage 2 objectives to HITSC for recommendations on applicable standards
