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First wave of MU Stage 2 (2014 Edition) Draft Test Procedures Released

If you’re in charge of getting your software ready for MU Stage 2, please be sure to keep a regular eye on the 2014 Edition Draft Test Procedures page on the ONC site. Here’s the overview: The Office of the National Coordinator for Health Information Technology (ONC) has posted the first wave of draft Test Procedures and applicable test data files for the 2014 Edition EHR certification criteria. The Test Procedures, once finalized and approved by the National Coordinator, will be used for testing and certifying EHR technology under the ONC HIT Certification Program (formerly referred to as the Permanent Certification Program or PCP).

A new NIST new guide The Common Misuse Scoring System (CMSS): Metrics for Software Feature Misuse Vulnerabilities, (NISTIR 7864) is available for download. In the health IT and medical device security world we’re often wondering how to classify vulnerabilities so that we can appropriately prioritize them and ensure they get corrected. Here’s how NIST describes their new guide (copied from their website, emphasis is mine): A new guide from the National Institute of Standards and Technology (NIST) describes a “scoring system” that computer security managers can use to assess the severity of security risks arising from software features that, while beneficial to accomplishing a task, are at least partially designed under an assumption that users are operating these features as intended.

The fiscal challenges confronting the healthcare industry around the world requires shifting the delivery of care from expensive centralized settings to lower cost settings while seeking to improve quality and patient experience. Organizations such as hospitals, Integrated Delivery Networks (IDNs) and newly created Accountable Care Organizations (ACOs) are trying to find the right mix of technology, facilities, clinical personnel, and information sharing to address these issues. Telehealth and “connected care” experiments have shown that many types of expensive care that had been, in the past, reserved for office visits or hospital attendance can easily be done in the home or a lower cost setting.

Most health IT interoperability and connectivity discussions these days center around HL7, CCD, and other structured data interchange. However, the vast majority of data (in terms of size) is shared as images and documents. The DICOM and PACS standards are very successful but given the number of questions I get about them from readers it seems there’s still a lot of guidance and support needed. To help answer some of the most common technical questions, I reached out to a fellow health IT expert, Herman Oosterwijk from OTech.

There are very few “no brainers” in hospital technology purchases – most of the decisions about what to buy and how to implement what we buy are complex. However, one decision is pretty easy – you have to put in asset management and tracking solutions for obvious reasons. But, how do you make sure that you can achieve a meaningful ROI on your purchase? I reached out to Marcus Ruark, Vice President at Intelligent InSites, and a seasoned technology executive with a deep understanding of healthcare operations and business processes to help answer that question.

The Department of Defense (DoD) recently released their mobile device strategy that talks about how to enable the use of mobile devices in defense applications. The DoD ‘s requirements around security and reliability for mobile apps and devices are just as stringent as those that should be implemented in healthcare so there’s probably a lot for CIOs and CTOs to take from it. The DoD Mobile Device Strategy focuses on “improving three areas critical to mobility: wireless infrastructure, mobile devices, and mobile applications, and works to ensure these areas remain reliable, secure and flexible enough to keep up with fast-changing technology.

The nice folks at HealthAdministrationDegrees.com recently interviewed me about my thoughts on healthcare IT and how to get jobs in the industry. The following questions came up: How did you get started blogging, and what was the goal behind your blog the Healthcare IT Guy? How can someone get started working in healthcare IT? How important is it to have a medical or healthcare background in addition to an IT background?

I spend a good deal of time with clients these days who are trying to connect web services, implement service oriented architecture (SOA), and moving to the cloud. All these requirements are focused on integration of multiple, sometimes legacy sometimes modern, systems but most of them still require lots of HL7 interfacing. Some of my clients start their integration efforts hoping that there is something better or more modern than HL7 but the truth is that HL7 and interfacing remains the backbone of health system integration.

Like many of you, I made the annual pilgrimage to the HIMSS Conference last month; here’s what I learned while I was in Vegas and my takeaways for the rest of the year. Major developments in Health IT for the rest of 2012 It was discussed a lot in the educational sessions and vendors didn’t talk about it much, but the new realities of complex business models (like PCMH and ACOs) mean that standardization of clinical workflows won’t really be possible for a while.

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