Accurate patient matching continues to be a challenge in healthcare, especially in an HIE environment (see my earlier HIMSS posting). No simple solution appears to be at hand. The issue is also inextricably linked to issues of patient identity which are also difficult to solve at our current level of technology. Several approaches have emerged, however, which do not yet seem to be converging. I would characterize the major approaches as follows:
In September 2015 ONC released a new report based on the activities of the HIE Personal Health Record (PHR) Community of Practice. The information is interesting and relevant to IIS as they contemplate patient/consumer access to their systems.
HLN has also done some work in this area (see bottom of this page).
The controversial report of the demise of CMS EHR Incentive Programs and Meaningful Use (MU) were greatly exaggerated. The confusion began with a statement (now removed) that CMS Acting Administrator Andy Slavitt made at a healthcare conference on January 11, 2016. He was discussing the changes coming in the next few years to the Medicare program under MACRA, the Medicare Access & CHIP Reauthorization Act of 2015. Among other things, Mr. Slavitt said, “Now that we effectively have technology into virtually every place care is provided, we are now in the process of ending Meaningful Use and moving to a new regime culminating with the MACRA implementation. The Meaningful Use program as it has existed, will now be effectively over and replaced with something better.”
This release of ICE (See Download page) includes support for the latest release of OpenCDS and support for 14 routinely administered vaccine groups (DTP, H1N1, HepA, HepB, Hib, HPV, Influenza, Meningococcal, MMR, Pneumococcal Conjugate, Pneumococcal Polysaccharide, Polio, Rotavirus, Varicella) as documented on the Default Immunization Schedule page.
Dr. Arzt, President of HLN, gave a presentation about an Open Source HL7 quality assurance tool for syndromic surveillance ADT messages at the 2015 CSTE annual meeting in Denver on December 9.