A Busy Summer for HIT Standards Committee

Paul Tang, M.D.He noted that commenting organizations expressed strong support for several objectives, including:• E-prescribing for discharge prescriptions• Electronic clinical progress notes• Electronic medication administration record• Patient-provider secure messaging• Recording patient preferences for communicationsTang said there is mixed support for these new objectives:• Advanced directives for eligible providers (from menu to core is the proposal)• View and download longitudinal record• List of care team members• Longitudinal care planTang said that concerns about new objectives often related to the clarity of definitions and the timelines for developing and implementing new functionality.The MU Workgroup appears to be moving toward a phase-in approach that separates existing functionalities from new functionalities. In this model 2013 would be Stage2a, using existing certified EHR functions with all-core objectives, increased performance thresholds and new quality measures; 2014 would bring Stage 2b objectives requiring new EHR functionalities.“Dividing Stage 2 would raise the ante in terms of thresholds to qualify, while recognizing the implications of implementing new functionality,” Tang added. Final Stage 2 MU recommendations will be presented for Policy Committee approval on June 8.Doug Fridsma, M.D., Ph.D., the director of the Office of Standards and Interoperability in the Office of the National Coordinator for Health Information Technology, said he was convening a “summer camp” for standards teams to grapple with the goals policymakers have identified as they move from Stage 1 to Stage 2. The work, he said, would include identifying gaps in standards and doing triage work.