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  1. Greg Low, RPh, PhD
    Nov 19 - 10:44 am

    Regarding SGRP #103, there is mention of reviewing orders against a formulary for the purpose of “generic substitution”. I’d encourage consideration of the difference between generic and therapeutic substitutions.

    In nearly every state, pharmacists and pharmacies can substitute rated bioequivalent generics for prescriptions ordered under a corresponding trade name. There is little additional value from the EHR in this area, and it would be a shame to impact workflows where there is little opportunity. The greater value is in assisting prescribers in identifying therapeutic substitutions, where the prescriber might deem that another drug in the class will achieve the same clinical effect, but at a lower cost to the patient. This is an area where EHRs have shown greater promise.

    My institution has worked in this area previously and would be glad to share examples if this isn’t clearly explained.

    Thank you,

  2. Patrick Duffy
    Nov 19 - 4:34 pm

    As MU becomes more demanding the requirement for more processes and procedures grows. This is developing into a “silo” process system.

    Perhaps following the lead of many other countries priority should be given and maybe incentives for a business wide QMS. This would make the management and therefore cost of processes easier and cheaper. Put quality at the heart of the business and the product quality will follow.

    “Don’t build your house without a firm foundation”

  3. Andrew
    Nov 23 - 11:52 am

    Can you post the Docket ID so we can find it on the website?

    • ONC Blog Team
      Nov 28 - 2:22 pm

      Andrew,

      The Docket ID# is HHS-OS-2012-0007. In addition, the blog post has been updated to include the direct link to the regulations.gov page: HHS-OS-2012-0007.

      • Akshay
        Jan 23 - 3:29 am

        Thank you for Providing Docket ID.

      • Nagaraju G
        Jun 20 - 10:31 am

        Thank you for your Docket ID, that would help me

      • SaiPraveen
        Nov 28 - 12:57 am

        Finally! Thanks for leaving Docket ID here ONC Team.

      • Kishor
        Feb 18 - 8:20 am

        Thanx for id.

      • Recruitmentnresult
        Feb 18 - 10:07 pm

        once again.. thanks for providing… i love it…

    • result
      Jan 11 - 5:17 pm

      You should acknowledge and thank these workgroups for your tireless hours they’ve got put into obtaining these recommendations.

  4. Richard Purcell
    Nov 29 - 2:04 pm

    We have a mobile web solution for patient/caregiver/provider connection that allows for HIPAA compliant information exchange and health care collaboration. The problem within the current framework for EMR certification by ONC is the requirement to be a full EMR. Organizations with full EMRs cannot readily add on modules without building custom APIs involving the IT Teams of the hospital/organization, the EMR vendor, and the modular software developer. The HL7 standards provide a general framework for connection, but implementation of an open-source API for connecting a collaboration tool to the EMR system would greatly facilitate MU Stage 3 adoption.

  5. P. Chubbuck
    Dec 05 - 9:27 pm

    Please give clear data to explain exactly what a certified EHR product should meet. To meet Stage I MU with a certified EHR the vendors are charging thousands in addition to the cost of the certified product and when questioned they state that the product is certified for Stage I MU but the provider is still required to purchase additional capabilities if they want to apply for Stage I MU. What will they be charging for a provider to meet the next stages and how are certified EHRs able to pass when they can’t even meet Stage I?

    • ONC Blog Team
      Dec 10 - 2:52 pm

      We suggest you work with the local Regional Extension Center (REC), which can help you review contracts before signing to ensure that you have selected a product that meets your needs and allows you to meet your bottom line. You can find a list of RECs at http://www.healthit.gov/providers-professionals/regional-extension-centers-recs

      • Shyam
        Jun 20 - 1:59 pm

        Thanks for the list of RECs, its really useful, I hope its the updated list.
        Thanks again.

        • Anjali
          Dec 24 - 6:26 am

          Hope it is the updated list. Great to hear still there is time to apply. Thanks.

          • Manabadi
            Jan 31 - 11:48 am

            Yes Anjali. We want to acknowledge and thank the following workgroups for the tireless hours they have put into collecting these recommendations

    • Joy
      Dec 16 - 1:43 pm

      i would definitely like to work with Irec again, thanks

      • Valena
        Jan 30 - 9:38 am

        Finally! Thanks for leaving Docket ID here ONC Team.

  6. Judy Carney
    Dec 31 - 9:17 am

    I find that placing humans into data driven information does not always provide a clear indication of the whole of a person’s living situation. I have a rehab company that works in skilled nursing and home health. In fact, very seldom is it possible to provide the care and the time to a patient and their family. It is usually care or time to complete data input which is not reliable. I would like to be able to indicate that there are “other” factors that influence decision making. I think this can cut down on re-entries to hospitalizations. I think that therapists are really on the ground floor of the foundation of this system.

  7. Kristian Morenz
    Feb 12 - 9:39 am

    I prefer to work with the local Regional Extension Center.

  8. Charles L.
    Mar 20 - 3:50 pm

    We this helps to improve healthcare am for it 100% but I am concern about who will have access to my personal information.

  9. Suresh
    Jun 05 - 7:46 am

    i opt to work with lrec thank you once again…

  10. ami
    Aug 07 - 11:30 pm

    hello
    I’ve missed the submission, is there any way to get a chance in future?
    Please make me aware in future.
    Thank you.

    • ONC Blog Team
      Dec 16 - 4:01 pm

      Thank you for your comment. The deadline for comments is 11:59 p.m. ET on January 14, 2013.

  11. ARYAN
    Sep 16 - 1:48 pm

    We want to acknowledge and thank the following workgroups for the tireless hours they have put into collecting these recommendations

  12. Bhumi Faldu
    Nov 29 - 1:32 am

    i opt to work with lrec thank you once again…

  13. Jassy
    Dec 07 - 5:58 am

    Thanks to ONGC blog team . You should acknowledge and thank these workgroups for your tireless hours they’ve got put into obtaining these recommendations.

  14. Sucha
    Dec 12 - 12:34 am

    It was fun to Work with the LREC. thanks a lot !

  15. bhushan
    Jan 21 - 3:25 am

    LREC is awesome.. really i mean it

  16. Sweety
    Jan 29 - 10:42 pm

    Yo, Thanks to ONGC blog team . You should acknowledge and thank these workgroups for your tireless hours they’ve got put into obtaining these recommendations.

  17. Adaywa
    Feb 17 - 12:26 pm

    Irec rocks! thanks ONC team.

    • Kangna
      Feb 19 - 12:39 pm

      Brother I agree with you and Thanks for Docket ID.

  18. Vishnu
    Mar 05 - 6:22 am

    Thank you ONC !

    Really nice that you published the DOCKET ID.Will be updated !

  19. Katherine
    Aug 06 - 9:00 pm

    Thanks to the work groups

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