Chilmark Research

Advice to Karen Bell, CCHIT Head

I previously posted about the new head of CCHIT, Karen Bell . Most of you probably know that I’m not a huge fan of CCHIT, but I’ve decided that I’d like to give Dr. Bell some advice for CCHIT. Free consulting. How cool is that? Here we go… If Dr. Bell really wants to solidify CCHIT’s position in the EHR world she’ll find a way to show that the CCHIT EHR certification improves usability, EMR implementation success, reimbursement, etc. CCHIT has some vague terminology about the “assurances” that CCHIT certification provide . Unfortunately, they end up being empty assurances about things that doctors don’t really value. I’d be really impressed to see an independent study done on the EMR implementation success of CCHIT certified EHR versus non-certified EHR. Or how about a study comparing the usability of CCHIT certified EHR versus non-certified EHR. Let’s see some real data on assurances that doctors actually care about. Do that and everyone will want a CCHIT certified EHR. Unfortunately, if you do go this route, you need to be open to the possibility that an independent study would find that CCHIT certified EHR have a higher EMR implementation failure rate or that CCHIT certified EHR are less usable. What would CCHIT do then (besides try to manipulate the study to look the way they want)? What’s more unfortunate, is that studies like this should have been performed before Congress decided to just include the term “certified EHR” without actually knowing what consequence (good or bad) that term might have on the EHR industry. Related posts: New CCHIT Head, Karen Bell As always, Chilmark Research has a nice post up talking... CCHIT Head Mark Leavitt Interviewed at HIMSS This is basically the second part in a 3 part... ONC Head Blumenthal Says Certified EHR Not Good Enough John over at Chilmark Research has a really good find...

New CCHIT Head, Karen Bell

As always, Chilmark Research has a nice post up talking about the new head of CCHIT, Karen Bell. You can see the official CCHIT announcement here. Chilmark brings up two interesting points about what he thinks we can expect from Karen Bell as head of CCHIT. Dr. Bell knows Washington DC and HHS quite well from her many years there. She is effective in a highly politicized environment and will be able to effectively lead CCHIT through that political minefield. … Dr. Bell will put up a Chinese Wall between CCHIT and the HIT vendor organization, HIMSS. She is fully aware of the perceived conflicts of interest between CCHIT and HIMSS and will seek to create some distance between these two organizations. I first must say that the first part is a really smart move by CCHIT. I’d always wondered why CCHIT didn’t have more influence and connection in Washington. That seems like a core competency that they’d want to have to survive. They should have had all the information from HHS before anyone else and they didn’t. I wonder if Dr. Bell will be able to do that for them now. The second part seems a bit like Chilmark dreaming and hoping. I have a strong feeling that Dr. Bell does indeed realize the conflict and would desire to create that separation. However, I have serious doubts that she will change much of the structure even if she could (which I think might not be possible). I say this first because Dr. Bell was a representative on CCHIT’s board of commissioners from 2006-2008. Why didn’t she effect this separation back then? Seems like the board of commissioners would have some reasonable control over this. The answer might lie in the inability to make such a change. Notice I didn’t say her inability . I said the inability . It’s quite possible that there are just too many external pressures for her to break CCHIT’s strong ties with EMR vendors. Of course, nothing would make me happier than for Dr. Bell to prove me wrong. No doubt that would be a most impressive accomplishment. With all of this said, the real question is, “Does anyone care?” As Chilmark aptly points out, “have yet to see any demonstrable proof that CCHIT certification has moved the EHR/EMR adoption needle in any statistically meaningful way” Beyond that, if ONC does there job, doctors will finally get the information that it’s ARRA EHR Certification that matters and not CCHIT certification. That will take some time to change, but it’s starting to happen. If (and when?) it happens, will anyone care much about CCHIT anymore? Related posts: CCHIT Head Mark Leavitt Interviewed at HIMSS This is basically the second part in a 3 part... ONC Head Blumenthal Says Certified EHR Not Good Enough John over at Chilmark Research has a really good find... Sole Reliance on One EHR Certififying Body – CCHIT There’s a whole lot of discussion going on (rightfully so)...