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North American Connectathon 2013 Provides Testing Ground for Meaningful Use Stage 2 Requirements

CHICAGO – (February 27, 2013) In an effort to advance interoperability in the U.S., IHE USA and the Health Story Project offered  Health Level Seven’s (HL7) Consolidated Clinical Document Architecture® (C-CDA) standard as part of the testing process at the IHE North American (NA) Connectathon 2013. When implemented into electronic health records (EHRs) and health information exchanges (HIEs), HL7’s C-CDA contributes a critical component of a patient’s medical record, including the physician’s progress notes, discharge summaries, and other clinical documents. U.S. physicians create over a billion clinical notes each year. These notes contain most of a patient’s clinical records, and most EHRs are not capable of integrating this type of data into their systems.

“Eighteen vendors registered to test 27 systems for C-CDA – including, a diverse group of EHR, document imaging and HIE vendors. After years of working with EHR and HIE vendors and encouraging acceptance of C-CDA document types, Health Story members are thrilled about the potential uptake of C-CDA and its role in contributing to comprehensive electronic patient stories,” said Joy Kuhl, Executive Director of the Health Story Project.

IHE USA and Health Story Project are excited to announce that 18 companies earned a passing test score for C-CDA testing at the NA Connectathon 2013, gaining a competitive advantage in meeting Meaningful Use Stage 2 requirements for adoption of C-CDA.

Successful Consolidated CDA Test Participants:

Allscripts

athenahealth

CareEvolution, Inc.

Certify Data Systems

Corepoint Health

Epic

GE Healthcare

Greenway Medical Technologies

Iatric Systems, Inc.

ICT Health

InterSystems

Notable Solutions, Inc.

Nuance Communications

Mirth Corporation

Nextgen Healthcare

Oracle America

VitalHealth Software

Vitera Healthcare Solutions

Please visit IHE USA to learn more about Consolidated CDA, the NA Connectathon, and Consolidated CDA test participants.

About IHE USA

IHE USA (www.iheusa.org) is a not-for-profit organization established in 2010 that operates as a deployment committee of IHE International®. The mission of IHE USA is to drive adoption of standards-based interoperability to improve patient care through innovation, standards profiling, testing, education and collaboration. IHE USA improves the efficiency and effectiveness of healthcare delivery by supporting the deployment of standards-based electronic health record systems, facilitating the exchange of health information among care providers, both within the enterprise and across care settings, and enabling local, regional and nationwide health information networks in the United States, all in a manner consistent with participation in IHE International, Inc.

About Health Story

The Health Story Project was founded five years ago by the Association for Healthcare Documentation Integrity (AHDI), the American Health Information Management Association (AHIMA), the Clinical Documentation Industry Association, Lantana Consulting Group, and M*Modal. It is now a collaborative of over two dozen healthcare vendors, providers and associations. Health Story accelerated development of HL7 Clinical Document Architecture (CDA) Implementation Guides for common types of clinical documents, bringing them through the HL7 ballot process and promoting their adoption within the industry. Over the previous five years, the initiative produced the first set of national data standards for clinical documents – use of which supports requirements for Meaningful Use of EHRs. The Health Story vision is for complete patient stories to be available in electronic medical records.  You can see Health Story in action at HIMSS13 in the Interoperability Showcase.

February 27, 2013 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

IHE North American Connectathon and Conference 2013 Introduces New Features to Advance Health Information Exchange

CHICAGO – (February 6, 2013) – A significant new step was taken toward the interoperability of Electronic Health Records (EHRs) with the introduction of a pilot Certification Program at the IHE North American (NA) Connectathon and Conference, which concluded last week. The Connectathon testing event drew over 500 of the industry’s top engineers, while the one- day educational conference attracted well over 125 participants.

A new IHE USA Pilot Certification program was introduced during the IHE NA Connectathon 2013, which concluded last week. Also featured was testing for eight IHE International Domains and Health Level 7’s Consolidated CDA.

“The overwhelming majority of attendees at the IHE NA Connectathon Conference 2013 were first time attendees. This demonstrates the importance of interoperability and the essential role of IHE in enabling the meaningful use of health information technology. Connecting key stakeholders with the tools and resources they need to achieve interoperable systems is essential for enabling quality care,” noted Joyce Sensmeier, RN-BC, MS, CPHIMS, FHIMSS, FAAN, President, IHE USA.

IHE USA partnered with ICSA Labs to launch a new IHE Certification Program for health IT systems.. Using an accredited, standards-based certification program, IHE USA will be able to certify that systems are, in fact, interoperable against established criteria.

“The IHE USA Certification Pilot Program, implemented in partnership with ICSA Labs, was a resounding success. A dozen vendors participated in this inaugural effort that complements existing testing of IHE integration profiles at the Connectathon. This accredited, standards-based Certification program will greatly enhance the value of IHE Integration profiles in products that are available in the marketplace.” says Ms. Sensmeier. “We look forward to leveraging feedback from the pilot to augment future efforts that demonstrate IHE’s role in advancing interoperable standards-based systems,” she added.

Eight of the participants at the Connectathon were registered for certification testing on over 70 profiles. Results are being evaluated by the ICSA Labs Certification Body, which will grant certification based on requirements set forth by IHE USA, and the general principles covered by ISO/IEC Guide 65 for organizations providing product certification. Certification also will include industry-standard system surveillance activities that ensure that certified products continue to perform as tested, over time.

Certified products will be published by IHE USA, as well as in the official ICSA Labs product directory. Three tiers of Certification will be awarded:
• Tier 1: Conformance to IHE profiles
• Tier 2: Demonstrated interoperability amongst disparate systems
• Tier 3: Validated Implementations of deployed certified technology

“The Certification Program will benefit the purchasers and end users of the products that have proven IHE capabilities,” noted Amit Trivedi, Program Manager, ICSA Labs.

This year, in addition to the Certification Program, another new feature was added to the IHE NA Connectathon: testing of HL7’s Consolidated CDA standard.

The HL7 Clinical Document Architecture (CDA) is a document markup standard that specifies the structure and semantics of “clinical documents” for the purpose of exchange. For testing at the Connectathon, the HL7 Consolidated CDA (C-CDA) offered a combined library of CDA templates and common document types, from progress notes to discharge summaries and more. C- CDA is now stipulated in Standards and Certification Criteria of Meaningful Use Stage 2.

“Over two dozen vendors signed up to test 27 systems for C-CDA – including a diverse group of EMR, document imaging and HIE vendors.  After knocking on the virtual doors of EMR and HIE vendors for years encouraging acceptance of CDA document types, I have to say that the Health Story members are thrilled about the potential uptake of C-CDA and its role in contributing to comprehensive electronic patient stories,” said Joy Kuhl, Executive Director of the Health Story Project.

Over 500 of the industry’s top engineers attended the largest interoperability testing event in the U.S. The Connectathon, which is the health IT industry’s only large-scale face-to-face testing event had over 100 vendors and 160 test systems, demonstrating powerful advancements in health IT. Approximately 70,000 sq. feet of the Hyatt Regency basement was occupied for the testing. There were attendees from 11 countries—including Austria, Brazil, China, France, India, Italy, Japan, Korea, Netherlands, Saudi Arabia, and Syria.

Introduced in 1999, the IHE Connectathon has been an annual event with continued growth in the level and scope of participation. A parallel event in Europe was established in 2001 and has followed a similar trajectory.

IHE Connectathons are professionally managed and independently monitored testing events. A technical project management team develops detailed test plans for each role being tested at the Connectathon and organizes the process to maximize interoperability testing between corresponding systems from different vendors. Independent monitors observe and record test results, which are published in the Connectathon results database.

About IHE USA
IHE USA (www.iheusa.org) is a not-for-profit organization established in 2010 that operates as a deployment committee of IHE International®. The mission of IHE USA is to drive adoption of standards-based interoperability to improve patient care through innovation, standards profiling, testing, education and collaboration. IHE USA improves the efficiency and effectiveness of healthcare delivery by supporting the deployment of standards-based electronic health record systems, facilitating the exchange of health information among care providers, both within the enterprise and across care settings, and enabling local, regional and national health information networks in the United States, all in a manner consistent with participation in the activities of IHE International, Inc.

About IHE International
IHE International, Inc. (www.ihe.net) is the global hub of the IHE initiative, a multi-stakeholder effort started in 1997 to promote the effective use of electronic health records and health information technology (HIT) by driving the adoption of standards-based solutions for interoperability. IHE International brings together HIT experts and stakeholders in more than a dozen clinical and operational domains to develop implementation guides called IHE Profiles that define the use of standards to address specific HIT interoperability needs. It also oversees a process of testing that fosters the adoption of IHE Profiles in real-world HIT products and care settings. IHE interoperability solutions are implemented in hundreds of products and in care sites around the world.

February 11, 2013 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

IHE USA and Health Story Advance Sharing of the Patient Story

Integrating the Healthcare Enterprise (IHE) North American Connectathon will include testing of the Health Story supported Consolidated CDA® during the largest health IT testing event in the United States.

CHICAGO – (July 25, 2012) – A patient’s clinical history offers detailed and valuable health information, data not always available in an accessible format in a digital medical record. To help simplify sharing that patient story with clinical data, IHE USA and the Health Story Project will offer testing of Consolidated Clinical Document Architecture, known as Consolidated CDA, at the annual IHE North American Connectathon 2013, where health IT systems test information exchange across organizational boundaries to demonstrate the capabilities and benefits of those systems.

The Health Story Project and IHE have collaborated closely since the project’s inception in 2008. This alliance leverages IHE integration profiles and the Consolidated CDA standard from Health Level Seven International (HL7) to offer a clear communication path and common language for health IT standards.

As the adoption of interoperable health IT systems continues to grow under the mandate of the HITECH Act, the Office of the National Coordinator (ONC) recently referenced use of Consolidated CDA as a proposed requirement for Stage 2 meaningful use of EHR systems. The potential ruling has accelerated efforts toward adoption of Consolidated CDA and the resulting need for testing to validate CDA content with IHE integration profiles at the IHE Connectathon.

The Connectathon offers a timely and efficient testing option, since the 2013 event will be held in Chicago from Jan. 28 – Feb. 2, 2013, at the Hyatt Regency Chicago, 151 E. Wacker Drive. In January 2012, the IHE North American Connectathon reached record-breaking participation, with over 120 participating organizations testing more than 150 systems advancing the health IT industry and patient safety.

“We produce over a billion clinical documents in the U.S. each year—it’s a tremendous source of clinical information that is underutilized in current computer-based record systems,” said Joy Kuhl, executive director, Health Story Project.  “Having information from clinical documents available in a CDA-structured format will make it easier for providers to participate in quality reporting, improvement, research and other activities.”

“Offering Consolidated CDA testing with Health Story at the 2013 Connectathon will help vendors prepare for upcoming meaningful use Stage 2 and certification testing,” said Joyce Sensmeier, president, IHE USA.  “We are pleased to collaborate with Health Story to bring this testing opportunity to the industry.”

About IHE USA

IHE USA (www.iheusa.org) is a not-for-profit organization established in 2010 that operates as a deployment committee of IHE International®. The mission of IHE USA is to drive adoption of standards-based interoperability to improve patient care through innovation, standards profiling, testing, education and collaboration. IHE USA improves the efficiency and effectiveness of healthcare delivery by supporting the deployment of standards-based electronic health record systems, facilitating the exchange of health information among care providers, both within the enterprise and across care settings, and enabling local, regional and nationwide health information networks in the United States, all in a manner consistent with participation in IHE International, Inc.

About Health Story

The Health Story Project was founded four years ago by the Association for Healthcare Documentation Integrity (AHDI), the American Health Information Management Association (AHIMA), the Clinical Documentation Industry Association, Lantana Consulting Group, and M*Modal. It is now a collaborative of over two dozen healthcare vendors, providers and associations. Health Story accelerates development of HL7 Clinical Document Architecture (CDA) Implementation Guides for common types of clinical documents, brings them through the HL7 ballot process and promotes their adoption within the industry. Over the previous four years, the initiative produced the first set of national data standards for clinical documents – use of which supports requirements for Meaningful Use of EHRs. Health Story Promoter members include Fujitsu, Inofile, Lantana Consulting Group, M*Modal, Nuance, Optum and Verizon.  The Health Story vision is for complete patient stories to be available in electronic medical records.

August 15, 2012 I Written By

ChartLogic Launches Stella at HIMSS; New EHR Overlay Uses Voice Recognition Technology Similar to Apple’s Siri – #HIMSS12

SALT LAKE CITY–(BUSINESS WIRE)–ChartLogic, a leading national provider of EHR systems, today announced Stella, a voice recognition overlay compatible with all leading EHR systems. Utilizing the same type of cloud-based natural language processing (NLP) employed in Apple’s Siri, Stella can greatly speed workflow for physicians by enabling them to use iPads, iPhones and other mobile devices with their hospital’s EHR system.

Stella is being demonstrated at HIMSS 12 at ChartLogic’s booth #14024. Stella is also one of the key technologies selected for use in the Health Story Project, which is located in the HIMSS 12 Interoperability Showcase.

“Stella leverages the speed and ease-of-use of voice dictation, which is preferred by many physicians. Stella allows physicians to dictate, type, or touch (iPad) to review and create clinical documentation. While including a dictation option, it goes much further, using NLP to understand medical terminology and voice commands,” said Brad Melis, founder and executive vice president, ChartLogic.

Stella allows physicians to “bring their own device.” Working as an overlay application, it provides access via mobile devices to hospital EHR systems without the need to replace or revamp the current system.

Melis noted that Stella will help medical groups meet the proposed interoperability standards for meaningful use. For example, Stella will facilitate documenting and transmitting clinical care documents because it is the first cloud-based EHR application that natively incorporates the new CDA (common document architecture) Level 2 standard. This helps meet the proposed meaningful use requirement that EHRs have the capability of producing human readable (and computable) documents.

ChartLogic

Founded in 1994, serves more than 2,000 physicians nationwide. ChartLogic EHR is certified for meaningful use and more than 200 ChartLogic customers have qualified for incentive payments. ChartLogic’s EHR suite includes electronic medical records, a patient portal, medical billing software, document management and interactive patient education. For more information, visit www.chartlogic.com.

February 17, 2012 I Written By

HL7, IHE and the Health Story Project Encourage HL7 Ballot Participation: Proposed Standards to Support Meaningful Use of EHR Systems

HL7, IHE and the Health Story Project encourage review and comment on proposed health information exchange specifications that support meaningful use of electronic health record (EHR) systems.

The proposed specifications are the result of an industry project, the “HL7/IHE Health Story Implementation Guide Consolidation Project,” which is a collaboration of Health Level Seven (HL7) International, Integrating the Healthcare Enterprise (IHE) and the Health Story Project.  Working through the HL7 standards development organization, volunteers consolidated exchange standards for eight common types of clinical documents along with the HL7 Continuity of Care Document (CCD) standard into one comprehensive implementation package that establishes a foundation for health information exchange.  Through the consolidation and harmonization effort, the project addressed minor areas of ambiguity within the specific Standards Final Rule requirement to implement the HL7 Clinical Document Architecture (CDA) Release 2, Continuity of Care Document according to HITSP/C32.

ONC’s Office of Standards and Interoperability (S&I) hosted the volunteer effort within its S&I Framework and facilitated the project through HL7 and IHE with support of its contractors.

In addition to securing support from the ONC S&I Framework, HL7, the Health Story Project and IHE, a number of EHR, clinical document management, infrastructure, middleware and natural language processing vendors contributed volunteers.  “This project caps over five years of strong volunteer efforts within HL7, IHE, Health Story and ONC,” said Liora Alschuler, co-chair of the HL7 Structured Documents Work Group and a co-founder of the Health Story Project, which is aimed at integration of the full patient story within EHR systems.  “The consolidation into a single, cohesive set of structured templates is a huge step forward for interoperability in the U.S.”

“The project provides a great example of how foundational standards efforts can be leveraged to meet today’s interoperability needs,” said Joyce Sensmeier, RN, president, IHE USA. “It is rewarding to see this harmonization work move forward so quickly to make implementation-ready tools available for wide-spread industry adoption.”

“We are pleased that HL7 was able to participate in a transparent and open process for this standards harmonization work. The results of the initial activity were extremely encouraging,” said Charles Jaffe, MD, PhD, CEO, HL7 International. “The HL7 ballot is now open, and we encourage all stakeholders to participate in this industry-wide project. It is our hope that these documents receive wide review and feedback. We look forward to broad collaboration in the refinement of these documents, ultimately creating quality standards that support meaningful use.”

Those interested in participating in the HL7 ballot must sign up for the ballot pool on the HL7 web site by May 2.  Ballots are due May 9. Instructions for participating are available at http://www.hl7.org/participate/onlineballoting.cfm?ref=nav.  A webinar overview about the Consolidation Project that includes ballot instructions is available on the Health Story Project web site at http://www.healthstory.com/news/news.htm.

For more information and/or to get involved in future project work, please visit the project Wiki site at http://jira.siframework.org/wiki/display/SIF/CDA+Consolidation+Project.
About HL7 International
Founded in 1987, Health Level Seven International is the global authority for healthcare Information interoperability and standards with affiliates established in more than 30 countries.  HL7 is a non-profit, ANSI accredited standards development organization dedicated to providing a comprehensive framework and related standards for the exchange, integration, sharing, and retrieval of electronic health information that supports clinical practice and the management, delivery and evaluation of health services. HL7’s more than 2,300 members represent approximately 500 corporate members, which include more than 90 percent of the information systems vendors serving healthcare. HL7 collaborates with other standards developers and provider, payer, philanthropic and government agencies at the highest levels to ensure the development of comprehensive and reliable standards and successful interoperability efforts.  For more information, please visit: www.HL7.org.

About Health Story
The Health Story Project was founded a little over three years ago by the Association for Healthcare Documentation Integrity (AHDI), the American Health Information Management Association (AHIMA), Lantana Consulting Group, the Medical Transcription Industry Association (MTIA), and M*Modal. It is now a collaborative of over two dozen healthcare vendors, providers and associations. Health Story accelerates development of HL7 Clinical Document Architecture (CDA) Implementation Guides for common types of electronic healthcare documents, brings them through the HL7 ballot process and promotes their adoption within the industry. Over the previous three years, the initiative supported the development of eight technical implementation guides for standard electronic documents, including the Consultation Note, Diagnostic Imaging Report, Discharge Summary, History and Physical, Operative Note, Procedure Note, Progress Note and Unstructured Documents. Health Story Promoter members include A-Life Medical, Emdat, Fujitsu, GE Medical, InfraWare, MedQuist, Nuance, Osmosyz, 3M and Verizon.  For more information, please visit: www.healthstory.com.

About IHE
IHE USA is a not for profit organization founded in 2010 that operates as a deployment committee of IHE International®. The mission of IHE USA is to drive adoption of standards-based interoperability to improve patient care through innovation, standards profiling, testing, education and collaboration. IHE USA improves the efficiency and effectiveness of healthcare delivery by supporting the deployment of standards-based electronic health record systems, facilitating the exchange of health information among care providers, both within the enterprise and across care settings, and enabling local, regional and nationwide health information networks in the United States, all in a manner consistent with participation in the activities of IHE International, Inc.  For more information, please visit: www.iheusa.org.

May 1, 2011 I Written By