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CCHIT Gives First Chits for Acute-care EMRs

November 5, 2007
by vciotti
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The Certification Commission for Healthcare Information Technology (say that 3 times fast!) or CCHIT just certified 4 acute-care EMRs, versus the 90-some ambulatory EMRs they've certified over the past few years. The 4 acute care winners are:Â

· 2 small-hospital systems: CPSI and HMS (out of Nashville, not the NYC managed care vendor of the same acronym)

· 2 large hosptial systems: Eclipsys and Epic

They also gave "conditional" certification to 2 others who need to yet verify they are operational in a live site:

· Siemens, whose Soarian has been on the market for 5 or more years (hard to believe they don't have a live site somewhere!?)

· Prognosis Health Information Systems, ChartAccess 1.0 (anyone ever hear of them?)

So now what? Will that make Meditech, McKesson, Cerner, et al, start flying their demo teams into Chicago daily to play catch-up? Especially McKesson, who is one of the funding sources for CHCIT...Â

Does CCHIT certification really mean a hill of beans to CIOs? I'd be more impressed if they published a list of those vendors who applied and failed.... would tell you who to avoid!



Wow, a breathtking vision: user input! Software that would make life easier instead of harder... Haven't heard such dreams since my daughter graduated from nursing school and was out to care for patients.

I think most vendors believe their products really do help care givers. Maybe not in such a sweeping, futuristic way, but in the niche they were written for. Kurzwiel was just on PBS last night with his stunning vision of extending life expectancy. He's the father of voice recognition, although his early (circa 1980s) systems were pretty crude and didn't meet with much market success.

Any vendors out there care to respond?

When will someone actually create asoftware program that doesn't simply automate for the sake of automation?
Coming from 16 years of healthcare administration in both medical labs and post acute rehab/nursing facilities, I have yet to find one that actually generates value for all users.

Often platforms are built without real input from the end user as well as their mid level and upper level managers full collaboration.

I have a vision of a program that creates real efficiency for end users that will free up more time to focus on the patient. By streamlining documentation in voice recognition, hot word memory recall, and touch screen interface. It would allow for alerts to be sent to managers when tasks are not completed or simply delayed. It would streamline information to decision makers in real time allowing for precision decisions. Lastly it would interface with the timeclock to allow work to be transferred as apporpriate or for overtime to be requested and approved based on volume of work still needing completion.

Information should not have to be found but information should find us. We have the technology to create this sort of e-Manager that would constantly mine data from eCharts, request it from our staff via email or ear piece such that we no longer pull efficientcy reports or wonder if a stat lab got drawn within a specified period of time..that information would come running to us via the electronic medium.

I'm no programmer, obviuosly, but if I were, I'd typer the billion "if...then" statements to make something like this happen.

We wouldn't need a CCHIT to tell us which software program to buy if the applications would actually solve problems and no simply store data.

hey vince,

any idea why the only big names here are epic, eclipsys and siemens? What happened to the rest of the gang?

My guess is that CCHIT has a thorough and rigorous process they put the vendors through, with forms, applications, etc., and they process applications on a first-come, first-served basis. I'm sure the other 20-odd (sic) HIS vendors will be applying soon...

They're fees are quite a challenge for smaller vendors, however, around $30K for the ambulatory certification. A in the bucket for $1B firms like Cerner and Siemens, but a bit more daunting for smaller vendors like CPSI (doing around $90M per year) and HMS (around $40M per year). Shame they don't pull the same stunt vendors do and charge clients by their size: large fees for large vendors, small fees for small vendors!

January 2008 update - 3 more acute care EHR vendors certified:

· Cerner Millennium PowerChart 2007 by Cerner Corporation
· Meditech's Advanced Clinical Systems, MAGIC 5.6
· Siemen's INVISION Clinicals Version 27.0 with Siemens Pharmacy and Med Administration Check (MAK), Version 24.0 (pre-market conditional)