Latest Commentary

Consensus on interoperability standards may prove elusive

It looks like the Office of the National Coordinator for Health IT's interoperability roadmap has already hit its first speed bump. The Health IT Standards Committee's Interoperability Standards Advisory task force reported this week on the public comments received on ONC's 2015 Interoperability Standards Advisory, the first deliverable in support of the agency's national interoperability roadmap. The results do not appear promising.

Positive news about health information exchange, EHR usability ... and even IT vendors

There's so much bad news about electronic health records, generally, that it's refreshing to read about some positive developments this week. For one, it looks like health information exchanges (HIEs) are finally coming into their own.

Meaningful Use rules should focus more on how vendors protect patient data

As the Centers for Medicare & Medicaid Services begins to sort through the comments it's received on the proposed "flexibility" rule softening Stages 1 and 2 of Meaningful Use for...

The public should know which vendors take usability seriously

Many electronic health record studies seem to state the obvious. But every so often, a study delves into new territory and makes one sit up and take notice.

That's how I feel about this new study in the Journal of the American Medical Informatics Association about EHR usability.

Medical malpractice: How EHRs are changing the game

EHRs not only are transforming how healthcare is performed, they're also on the cusp of reshaping the law surrounding that care. Are they the right changes? Or do we need to take a step back and reassess them?

Meaningful Use is not the right model for a telemedicine incentive program

Telemedicine has been receiving a lot of media attention recently, with initiatives in Congress, the Federation of State Medical Board's Interstate Licensure Compact now ready to launch, and more health insurers than ever paying for it. So I'm a bit surprised that a recent proposal published in Telemedicine and e-Health has garnered so little attention, positive or negative.

We need to get to the root of the coordination of care problem

Why is there still such as disconnect between the Meaningful Use program's vision of interoperability and its use in the real world?

Not all EHR research can be taken at face value

Electronic health record research is typically scientific, evidence-based, reliable and authoritative. But sometimes a study seems to miss the mark. Case in point: the venerable Journal of the American College of Cardiology has just published a new study that found that EHR-using hospitals did not have higher quality of care for Ischemic stroke patients than hospitals using paper records.

Let's move from patient safety research to patient safety accountability

I've expressed concern before that ONC paints a Pollyanna portrait of its success. So I found its recent issue brief on health IT and patient safety refreshing. Yes, it's a very rosy...

EHR fraud: A slippery slope

The future of health IT was looking pretty rosy this week in the afterglow of last week's annual Healthcare Information and Management Systems Society conference in Chicago. Interoperability....