Community Wellness Centers of America, LLC’s (CWCOA) strategic partnership with OmniMD was formed as part of a pilot healthcare program to integrate Electronic Health Records (EHR) technology into the initiative for South East Queens as detailed in CWCOA’s 465 page report, submitted by Senator Huntley to Governor Cuomo, titled “Integration of a Cost Effective Plan for Jamaica/Queens.

This healthcare initiative’s purpose is to provide not only needed medical services to the community, but also provide employment for our residents. To begin this process, community residents will be trained in electronic health records (EHR) technologies creating employment opportunities in the field of internet healthcare which will address the disparities in Southeast Queens.

Unemployed community residents will be trained in the computer facility located within Rochdale Village and cover various disciplines in both internet technology and the use of EHR technologies with specific applications for clinics, physicians and residents which enables them to gain meaningful employment in this community.

Trained residents will be working with participating hospitals, medical schools, and academic institutions in preparation for an integrated healthcare program establishing the platform in building an accountable care organization (ACO) to better serve the community’s healthcare needs.

Dr. Robert Evans, CEO/President of CWCOA stated, we have secured the support from renowned healthcare institutions, specialty physician group practices and State supported services for mental illness and HIV/AIDS to provide easily accessible medical services for our community which includes walk-in clinics, cardiovascular and diabetes services. All of these services will undoubtedly provide various employment opportunities for residents interested in the field of medical services.

Dr. Evans also stated that he and Mr. Divan Da’ve / CEO of OmniMD have worked together on several successful projects including the Healthy Heart Project which was a cardiovascular screening held free of charge in Rochdale, November 2010, and attended by hundreds of residents,  legislators and stakeholders within the community.

CWCOA healthcare initiative will empower the community to fight disparities in healthcare which is supported by both State Senator Shirley Huntley’s office and members of the Rochdale Board of Directors; these members include Joe Evans, Gene Castro and Jeanne Hall

MISSION OBJECTIVES WITH HEALTHCARE INFORMATION TECHNOLOGIES

CWCOA mission in developing a comprehensive approach and using healthcare information technologies is to identify the specific disparities, and tailor culturally competent clinical quality improvement initiatives that:

• Automate and standardize the collection of race/ethnicity and all relevant data;
• Enables us to prioritize the use of the data for identifying disparities and tailoring     improvement efforts for the treatment and educational programs required to address chronic illnesses and diseases;
• Focus our healthcare information technology efforts to address fragmented care  delivery for racial/ethnic minorities and provide in-home telemedicine services and access to personal healthcare records through secured access contained within OmniMD electronic health records (EHR) technology system; and
• Development of standard practice patterns of care integrated with hospitals and medical services in our community that will provide this healthcare program with increased data analytic capacity to better coordinate care and improve the timely deliverance of care which is fully interoperable with any healthcare information system our local hospitals have adopted.

About OmniMD™:

OmniMD™, Version 11.0 is an ONC-ATCB 2011-2012 certified EHR. OmniMD™, Version 11.0 is a CCHIT Certified® 2011 Ambulatory EHR with Five Star Usability Rating. OmniMD™ suite of Electronic Health Records (EHR) and Practice Management System (PMS) product and services offer unparalleled reliability, ease-of-use, efficiency, and customizability. The comprehensive feature set is customer-driven, innovative and continuously updated to keep pace with rapid changes in healthcare industry. The specialty-specific EHR covers over 30 medical specialties, and is fully customizable to suit individual needs and workflow settings. From EHR to practice management to electronic claims, OmniMD™ empowers healthcare organizations to effectively address their financial, administrative, clinical, and regulatory needs. OmniMD™ is division of Integrated Systems Management Inc.

Media Contact (OmniMD™)
pr@omnimd.com
(914) 332-5590 Ext 169

OmniMD™
303 South Broadway, Suite 101
Tarrytown, NY 10591
Ph: 914-332-5590 Ext. 169
Fax: 914-909-5280
www.omnimd.com
www.ismnet.com

Copyright © 2010. OmniMD™. All Rights Reserved.
OmniMD™ is a trademark of Integrated Systems Management Inc.

FOR IMMEDIATE RELEASE: January 5, 2011
Media Contact:
Ted Dave
pr@omnmd.com
tdave@omnimd.com

January 5, 2011 – Integrated Systems Management Inc announced today that OmniMD™ EHR, Version 11.0 is 2011/2012 compliant and was certified as a Complete EHR on January 4, 2011 by the Certification Commission for Health Information Technology (CCHIT®), an ONC-ATCB, in accordance with the applicable (eligible provider) certification criteria adopted by the Secretary of Health and Human Services. The 2011/2012 criteria support the Stage 1 meaningful use measures required to qualify eligible providers and hospitals for funding under the American Recovery and Reinvestment Act (ARRA).

According to Divan Dave, CEO, of OmniMD™ “This certification is another step in our commitment to provide providers with intuitive, easy-to-use, affordable technologies that help them improve patient care, reduce their costs and qualify for government incentives”.

The ONC-ATCB 2011/2012 certification program tests and certifies that Complete EHRs meet all of the 2011/2012 criteria and EHR Modules meet one or more – but not all – of the criteria approved by the Secretary of Health and Human Services (HHS) for either eligible provider or hospital technology.

“CCHIT is pleased to be testing and certifying products so that companies are now able to offer these products to providers who wish to purchase and implement certified EHR technology and achieve meaningful use in time for the 2011-2012 incentives,” said Karen M. Bell, M.D., M.S.S., Chair, CCHIT.

OmniMD™ EHR, Version 11.0 certification number is CC-1112-484340-1. ONC-ATCB 2011/2012 certification conferred by CCHIT does not represent an endorsement of the certified EHR technology by the U.S. Department of Health and Human Services nor does it guarantee the receipt of incentive payments.

The clinical quality measures to which OmniMD™ has been certified include:

NQF 0421 - Adult Weight Screening & Follow-Up
NQF 0013 - Hypertension: Blood Pressure Measurement
NQF 0028 - Tobacco Use Assessment and Cessation
NQF 0041 - Influenza Immunization
NQF 0024 - Weight Assessment and Counseling
NQF 0038 - Childhood Immunization Status
NQF 0034 - Colorectal Cancer Screening
NQF 0043 - Pneumonia Vaccination Status
NQF 0067 - CAD: Oral Antiplatelet Therapy
NQF 0084 - Heart Failure: Warfarin Therapy

OmniMD™ EHR Version 11.0 is also certified in CCHIT’s separate and independently developed certification program. OmniMD™ Version 11.0 is a pre-market CCHIT Certified® 2011, Ambulatory EHR. Integrated Systems Management Inc. has certified its EHR technology in both programs to provide greater assurance to its customers.

About Integrated Systems Management, Inc

Founded in 2000, OmniMD™ integrated Electronic Health Records and Practice Management (PMS) products and services, offers unparalleled reliability, ease-of-use, efficiency and customizability. OmniMD™ Ambulatory EHR has also earned a designation as a pre-market CCHIT 2011 Certification with the highest 5 Star Usability Rating ensuring OmniMD™ commitment to have a comprehensive, secure, scalable, intuitive and interoperable EHR system. OmniMD™ Ambulatory EHR Version 11.0 is CCHIT 2011 Pre-Market Certified, web-enabled and support devices ranging from Tablet PCs to Smart phones. OmniMD™ offers a comprehensive set of services such as Health Transcriptions, Document Management, Patient Portal, Patient Reminder and Eligibility Verification as part of an integrated solution under one roof helping practices to effectively addressing their financial, administrative, clinical, and regulatory needs. OmniMD™ Ambulatory EHR Version 11.0 is built as a true Software as a Service solution.  It can be deployed as an Enterprise or a Subscription based Service as per the practice requirements.  OmniMD™ is designed to exceed the present and future needs of the healthcare industry. OmniMD™ is robust, scalable, interoperable, secure, intuitive and customizable with rapid deployment model. OmniMD™ EHR has also achieved Surescripts® Gold Solution Provider status, which allows for interoperability with the nation’s community pharmacies - improving the safety, efficiency and quality of the prescribing process. Gold Solution Provider status is granted to vendors whose software products have surpassed Surescripts’ baseline product certification, by demonstrating a higher level of commitment to e-prescribing, enhanced security, excellent customer support and service. OmniMD™ is a division of Integrated Systems Management, Inc. – ISM Inc. - (www.ismnet.com) a leader in Software Development and Information Technology Consulting since 1989.

About CCHIT

The Certification Commission for Health Information Technology (CCHIT®) is an independent, 501(c)3 nonprofit organization with the public mission of accelerating the adoption of robust, interoperable health information technology.  The Commission has been certifying electronic health record technology since 2006 and is approved by the Office of the National Coordinator for Health Information Technology (ONC) of the U.S. Department of Health and Human Services (HHS) as an Authorized Testing and Certification Body (ONC-ATCB).  More information on CCHIT, CCHIT Certified® products and ONC-ATCB certified electronic health record technology is available at http://cchit.org.

About ONC-ATCB 2011/2012 certification

The ONC-ATCB 2011/2012 certification program tests and certifies that EHR technology is capable of meeting the 2011/2012 criteria approved by the Secretary of Health and Human Services (HHS). The certifications include Complete EHRs, which meet all of the 2011/2012 criteria for either eligible provider or hospital technology and EHR Modules, which meet one or more – but not all – of the criteria. ONC-ATCB certification aligns with Health Information Technology: Initial Set of Standards, Implementation Specifications, and Certification Criteria for Electronic Health Record Technology published in the Federal Register in July 2010 and strictly adheres to the test procedures published by the National Institute of Standards and Technology (NIST) at the time of testing.   ONC-ATCB 2011/2012 certification conferred by the Certification Commission for Health Information Technology (CCHIT®) does not represent an endorsement of the certified EHR technology by the U.S. Department of Health and Human Services nor does it guarantee the receipt of incentive payments.

“CCHIT®” and “CCHIT Certified®” are registered trademarks of the Certification Commission for Health Information Technology.

It was inevitable, given the short timeline and the apparent seat-of-the-pants nature of the rulemaking process, but CMS is preparing a guidance document intended to clarify several details and fix some inconsistencies in the final Stage 1 rule for meaningful use of EMR.

At last week’s meeting of the Health IT Policy Committee’s workgroup on meaningful use, Tony Trenkle, director of the CMS Office of e-Health Standards and Services, said the guidance will provide more detail on the objectives and measures in the rule and “should help clarify issues and help the [committee] plan for recommendations for future stages,” Government Health IT reports. The clarifications should be out “shortly,” Trenkle promised.

Meanwhile, the workgroup is looking ahead to Stage 2 of meaningful use, 2013-14, which will have higher thresholds of compliance than Stage 1, while trying not to deter hospitals and physicians from adopting EMRs. “We want to pay particular attention to smaller practices and hospitals,” workgroup chair Dr. Paul Tang said, according to Government Health IT. “We want to raise the tides but not sink the boats.”

For the next stage, the workgroup likely will attempt to find a happy medium between the initial standards for 2011-12 and the more rigorous requirements for Stage 3, which is set to begin in 2015. For example, Stage 1 requires physicians to write 30 percent of their prescriptions electronically and federal officials ultimately would like to see a 90 percent e-prescribing rate, so expect the Stage 2 standard to be 60 percent.

The Health IT Policy Committee would like to take some of the reporting burden off of providers, so Stage 2 probably will call for EMRs to have more standard and coded data for easier extraction. “”We hope that they are capturing the information as part of patient care and not a separate activity,” Tang said.

Expect the workgroup to have Stage 2 recommendations ready for public consumption by October, and to seek comments on its preliminary plan in December.

Source       :         http://www.fiercehealthit.com/story/cms-developing-meaningful-use-guidance-remove-contradictions/2010-09-27?utm_medium=nl&utm_source=internal

WASHINGTON – An alliance that claims more than 2,300 community-based hospitals as members is pressing Congress for a legislative fix to the final rule on meaningful use to ensure that every hospital receives its fair share of incentive payments under the HITECH Act.

After having tried in vain to have the issue addressed before the federal rule was final, the Premier healthcare alliance submitted its statement Tuesday to the House Committee on Ways and Means Subcommittee on Health at a hearing on meaningful use EHR. The panel chairman is Pete Stark (D-Calif.).

At issue: health systems with multiple inpatient facilities operating under one provider number.

The final meaningful use rule would allow only one Medicare incentive base payment per year for multiple inpatient facilities operating under the same Medicare provider number. By contrast, an identical health system whose inpatient facilities each operate under its own Medicare provider number would receive a base payment for each facility, Premier noted.

“This is a crucial issue for Premier alliance hospitals and could financially handicap co-located and multi-campus hospitals’ ability to implement EHRs in a timely manner,” the alliance wrote in its statement. “More than 50 Premier alliance hospital systems representing more than 100 inpatient facilities are affected by this methodological error by CMS, which will cost them millions of dollars in EHR incentive payments.”

“Despite receiving hundreds of comments on this specific issue in response to its proposed rule published on Jan.13, the Centers for Medicare & Medicaid Services (CMS) chose not to make any changes to its methodology for calculating a qualifying hospital’s Medicare and Medicaid EHR incentive payment,” Premier said. “By not modifying its methodology, CMS creates an arbitrary and inequitable distinction between identical hospital systems based solely on whether a system has multiple inpatient facilities operating under a single Medicare provider number.”

The government released the final rule on meaningful use on July 13. Initial industry reaction was mostly positive, with kudos given to CMS and the Office of the National Coordinator for Health Information Technology for having dropped an all-or-nothing approach and provided greater flexibility in the rule.

Source  :  http://www.healthcareitnews.com/news/alliance-calls-legislative-fix-meaningful-use

WASHINGTON – Federal officials released the long-awaited final rule on meaningful use Tuesday, with Wednesday morning showing most major organizations still wading through the more than 800 pages of regulations for an in-depth reaction. Initial response seemed to be cautiously optimistic, but the American Hospital Association expressed concerns.

Leaders of the American Hospital Association said on Tuesday they are still conducting an in-depth review of the regulation. They are initally pleased with the added flexibility and removal of some of the “unnecessary administrative burdens” in the final rule, they said.

But that’s where the positive reaction ends. Overall, AHA leaders said they remain concerned that the requirements may be out of reach for many hospitals. “Unfortunately, CMS continues to place some barriers in the way of achieving widespread IT adoption,” AHA said in its statement.

AHA concerns include:

• Individual hospitals in multi-campus settings are unfairly excluded from incentive payments. Hospitals within a healthcare system should each be eligible for incentives;
• The rule may adversely impact rural hospitals and exacerbate the digital divide in healthcare;
• The rule requires hospitals to immediately use Computerized Provider Order Entry (CPOE), “which can be complicated, costly to implement and takes time to do right;”
• The rule, in combination with the certification process, “penalizes early adopters” by requiring them to upgrade or replace already functional systems;
• The rule limits how quickly hospitals can adopt a certified EHR that can benefit patient care.

“Given limited vendor capacity and workforce shortages, many hospitals will not have timely access to certified products, since no certified EHR systems are available today,” AHA said.

Others more optimistic

William F. Jessee, president and CEO of the Medical Group Management Association said MGMA is pleased the federal government acknowledged many of MGMA’s serious concerns regarding the proposed rule.

“While challenges remain, the final rule provides a better approach to the ‘real-world’ issues faced by practices as they move toward ‘meaningful use’ of EHRs,” he said.

“Improvements sought by MGMA contained in the final rule include a reduction in the originally unrealistic thresholds related to e-prescribing, administrative transactions and computerized physician order entry, among others,” Jessee said.

Jessee said MGMA will “work closely” with the Centers for Medicare and Medicaid Services to incorporate additional changes.

The Healthcare Information and Management Systems Society (HIMSS) is expected to have an initial reaction ready by sometime Wednesday, with an in-depth analysis forthcoming, HIMSS leaders said.

H. Stephen Lieber, HIMSS president and CEO said HIMSS members “appreciate and understand the cultural and technical challenges that healthcare providers face in meeting the requirements for meaningful use,”and “HIMSS will be a leader in the transformation.”

Leaders of the College of Healthcare Information Management Executives (CHIME) said on Tuesday they are “actively reviewing” the final rule.

“It’s definitely time to begin a coordinated effort to implement electronic health records by providers nationwide,” said CHIME President and CEO Richard Correll. “We have been supportive of the federal government’s actions to encourage widespread implementation of EHRs, and we are increasing our educational programming in support of our members’ efforts to succeed in this new era of IT adoption”

The Markle Foundation, the Center for American Progress, and the Engelberg Center for Health Care Reform at Brookings issued a joint statement backing health IT adoption incentives.

“The requirements must be ambitious enough to make the investments worthwhile, but not so onerous that they discourage large numbers of doctors and hospitals from participating,” leaders of the organizations said.

Carol Diamond, MD, managing director of the Markle Foundation said the final rule has added flexibility to encourage provider participation.

The organizations are still reviewing the regulation in detail, they said.

Source  :  http://www.healthcareitnews.com/news/stakeholders-still-assessing-final-meaningful-use-rule

Tuesday at 10 am, CMS and ONC released the final rules that will guide electronic health record rollouts for the next 5 years.

Here’s my analysis of the key changes in the Final Rule:

1. HHS has adopted the HIT Policy Committee recommendation to frame Meaningful Use as core requirements and discretionary requirements. In so doing, they have reduced the total number of requirements and introduced choice.

In the NPRM there were 25 requirements for Eligible Professionals and 23 for hospitals.

In the Final Rule there are 15 core requirements for Eligible Professionals and 14 for hospitals.

There are 10 discretionary requirements from which 5 must be chosen.

2. Thresholds have been reduced in many cases. For example, CPOE had a threshold of 80% of orders for Eligible Professionals and 10% of orders for hospitals. The language in the final rule focuses on order entry of medications and requires that 30% of patients with medication orders to have at least 1 medication order entered electronically. This requirement applies to both Eligible Professionals and Hospitals.

3. Administrative Simplification has been postponed to Stage 2.

4. Decision Support rules changed from 5 to 1

5. Required Clinical quality measures have been reduced to 6 for professionals and 15 for hospitals. For professionals, there are 3 core measures required, 3 alternative core measures, and a choice of 3 from a pool of discretionary measures. Reporting by attestation is required in 2011, electronic reporting is required in 2012. Clinical quality measurements for specialists have been eliminated for stage 1. There has been great effort to align meaningful use with PQRI measures.

6. The NPRM did not include the recording of advanced directives or a provision for providing patients with educational materials. The final rule includes these as discretionary meaningful use requirements.

Overall this final rule maintains a balance between the policy objectives sought and the technology changes possible that are achievable now. There will still be 3 stages of meaningful use and later stages will be more demanding. All the original stage 1 requirements will still be part of meaningful use by stage 2.

In January of 2011, the clinicians may begin the 90 day process of using a certified record per meaningful use requirements. Attestation of this use begins in April 2011. CMS payments will begin May 2011.

ONC also released the final rule on Standards and Certification today. They have done a remarkable job adding detailed implementation guidance specificity for patient care summaries, public health laboratory reporting, syndromic surveillance, and immunizations. It’s a tricky balance to ensure there is enough specificity to test and certify EHRs and modules for interoperability while at the same time encouraging innovation. The final rule issued today achieves that balance perfectly, ensuring that only mature implementation guides are specified, leaving room for innovation in such as areas as how to transport data from point to point via NHIN Direct and other demonstration projects.

Overall, a very good day for ONC, HHS and stakeholders. The final rule means Meaningful Use will be achievable by many. The Standards and the process to certify their use are sufficiently specific. I’m impressed.

Source :- http://www.healthcareitnews.com/blog/meaningful-use-and-standards-are-finalized

By, Diana Manos

CHICAGO – Officials of HIMSS Analytics, the not-for-profit subsidiary of the Healthcare Information and management System Society (HIMSS), announced Wednesday they would be adding new questions to their annual study on meaningful use to gauge hospitals’ readiness.

With hospitals expected to complete the first phase of deadlines for meaningful use by 2011 to qualify for bonuses under the American Recovery and Reinvestment Act of 2009, HIMSS Analytics will ask hospitals about their inclusion of structured document standards to convert narrative data to a structured format importable to an electronic medical record (EMR).

HIMSS Analytics tracks the EMR implementation status of more than 5,000 U.S., non-governmental hospitals through its annual study with hospital CIOs. The data gathered provides a detailed look at the clinical and financial application environments in U. S. hospitals.

HIMSS Analytics also developed the Electronic Medical Record Adoption ModelSM - or EMRAM - to score hospitals in the HIMSS Analytics Database on their .progress in completing the eight stages to creating a paperless patient record environment.

“In our evaluation of EMR Adoption Model scores over 2008-2009, we found that hospitals are continuing to advance the care delivery capabilities of their EMR environment,” said John Hoyt, vice president of HIMSS Healthcare Organizational Services.

“ARRA funding incentives are driving EMR implementation,” Hoyt said. “With this expanded arsenal of data, HIMSS Analytics can help healthcare providers better understand and follow the Meaningful Use requirements while moving higher on the EMRAM scale.”

According to Liora Alschuler executive committee representative of the Health Story Project, which helped write the new questions for HIMSS Analytics, much of the information in a patient’s medical record may be entered by the physician or nurse in chart form, such as notes taken during a clinic visit, lab reports or other information that contributes to the completeness of individual health history.

Health Story produces data standards for the flow of information between common types of healthcare documents and electronic medical records, Alschuler said.

Alschuler, principal, at Alschuler Associates, LLC, said the Health Story standards are based on HL7 Clinical Document Architecture reusing templates from the Continuity of Care Document. The Health Story Project, founded a little over two years ago, is a nonprofit collaborative of healthcare vendors, providers and associations.

“The members of Health Story believe that all of the clinical information required for good patient care, administration, reporting and research should be readily available electronically, including information from narrative documents,” Alschuler said. “With the data gathered from the HIMSS Analytics Study, we will know how hospitals are using document standards to enrich the flow of information to their EMRs.”

Officials at HIMSS Analytics said they expect to begin reporting on hospital readiness for meaningful use in September 2010.

Source: http://www.healthcareitnews.com/news/himss-analytics-gauge-hospital-readiness-meaningful-use

By Neil Versel

If nothing else, it should at least be easy to register to receive federal incentive payments for meaningful use of EMRs.

CMS has awarded a $1.6 million contract to CGI Federal, a Fairfax, Va.-based unit of Montreal-based technology consulting firm CGI Group, to revise the existing Provider Enrollment Chain Ownership System (PECOS) so physicians and hospitals can attest to meeting the requirements for meaningful use that will qualify them for Medicare bonuses. PECOS currently manages and verifies enrollment of Medicare providers and vendors.

Build-out of the online system to accommodate EMR incentive enrollment should take about 10 months, CMS says. Hospitals, however, could be eligible for the bonuses as soon as the end of December, since the rules for meaningful use, as currently proposed, only requires providers to meet the standards for 90 consecutive days in 2011. Medicare Part A, which applies to inpatient care, follows the federal fiscal year, which begins Oct.1.

For more information:
- see this Government Health IT story
- read this CMS notice about the contract award

Above article publish on http://www.fierceemr.com/story/providers-will-attest-meaningful-use-cms-registration-system/2010-04-22

By Neil Versel

A short implementation timeline, a perceived lack of attention to specialists and, naturally, financial concerns, have critics believing that the federal stimulus won’t be enough to convince many doctors adopt EMRs. At a two-day meeting of the Health IT Policy Committee that wrapped up yesterday, physicians in small practices, and who work in underserved communities, said that there are too many problems with the proposed definition of “meaningful use” of health IT for the American Recovery and Reinvestment Act to have its intended effect of increasing efficiency and boosting the quality of care.

The American College of Obstetricians and Gynecologists expressed the view that the requirements, as proposed in July, are not related to EMR adoption within its particular specialty. “The meaningful use measures for ARRA should determine whether a physician has met the objectives shown in the meaningful use matrix, not whether the EMR is being used to report clinical quality measures that rarely apply to that physician’s patients,” ACOG representative Dr. Albert L. Strunk testified, according to Healthcare IT News.

A hospital CEO from Nebraska said that the new EMR requirements would hinder an existing quality improvement strategy. Community hospitals, this witness said, also would like to see more specificity about interoperability to make sure the hospital can communicate electronically with independent physicians.

Above article published on http://www.fierceemr.com/story/hit-policy-committee-hears-critics-meaningful-use-proposal/2009-10-29

By Neil Versel,

National health IT coordinator Dr. David Blumenthal isn’t allowed to say what the final rules for meaningful use of EMRs will look like until HHS releases its formal proposal, but every time he gives a speech, he drops a new hint or two about what he’s thinking. Monday in San Francisco, Blumenthal largely gave attendees at the American Medical Informatics Association’s annual symposium what they wanted to hear by reiterating his philosophy that technology simply is an enabler of quality improvement, not a panacea for healthcare.

“The meaningful use framework will be about the goals of care, not the technology,” Blumenthal said. While he didn’t elaborate on that statement, he did state the position of the Obama administration–one largely held by the informatics community, if not the broaded healthcare industry–that the billions of dollars in federal subsidies aren’t simply meant to buy EMRs for providers. “It’s not the money that will turn out to be the most important,” Blumenthal said.

Instead, the net $19 billion investment is a way to demonstrate that EMRs should and will be accepted in the fairly near future as “symbolic of professionalism in medicine,” just as much as the stethoscope or examination table are today. “The idea that government should subsidize health IT will be as foreign an idea that the government should buy stethoscopes or exam tables for doctors,” Blumenthal explained.

“Information is really the lifeblood of medicine,” Blumenthal added. “Health information technology is its circulatory system.”

During the Q&A portion of the session, legendary medical informaticist Dr. Clement McDonald, the longtime director of the Regenstrief Institute for Health Care in Indianapolis and now the head of the Lister Hill National Center for Biomedical Communications of the National Library of Medicine, questioned this analogy. McDonald said HHS should approach health IT the way the Environmental Protection Agency regulates water quality. “Put a little onus on the polluters,” McDonald said, referring to providers of “dirty” data that’s useless. He drew a small round of applause.

Above article published on http://www.fierceemr.com/story/meaningful-use-will-focus-goals-care-not-technology-blumenthal-says/2009-11-16