David More wrote:
> Hi Tim,
> 
> Not quite what Enrico has in mind - but better than nothing - as largely 
> functionally 
> based - ie must detect interactions etc.
> 
> The US only started this effort about a year ago..so I wonder why all the 
> claims it is too 
> hard to do.

It seems (to me) that there is an article of faith amongst health
informaticians that it is really hard to do things. Also that it will
cost a lot of money. "Things" and "it" refer to any and every health
informatics-related project ever done or contemplated by anyone, anywhere.

> Next year initial list of hospital systems approved - and an upgraded and 
> richer set of 
> ambulatory requirements to keep certification.

Yes, including interoperability requirements, which (wearing my public
health hat) I was pleased to see included data exchange with public
health agencies using CDC standards and protocols.

I also note that the CCHIT criteria contain not-so-veiled criticism of
the various health informatics standards agencies eg with respect to
public health data exchanges, the criteria states that CDC needs to get
its act together to harmonise its (sprawling) suite of standards and
protocols, ASAP.

> Very reasonable steps which NEHTA should be emulating - along with all the 
> future stuff 
> they are working on.

If they were smart, NEHTA would engage you, David, to help them with
this task. At this point I am reminded of something LBJ said:
http://en.thinkexist.com/quotation/better_to_have_them_inside_the_tent_pissing_out/165223.html

Tim C

> On Sun, 23 Jul 2006 08:31:25 +1000, Tim Churches wrote:
>> Ken Harvey wrote:
>>> Editorials: Should clinical software be regulated? 
> http://www.mja.com.au/public/issues/184_12_190606/coi10287_fm.html Enrico W 
> Coiera and 
> Johanna I
>>> Westbrook MJA 2006; 184 (12): 600-601
>>>
>> The Certification Commission for Healthcare Information Technology (CCHIT) 
>> in the US has 
> just announced the first batch certified "EHR systems for ambulatory
>> care", a category which I would think includes the US equivalents of the 
>> primary care 
> clinical systems which are in widespread use in general practice inhere
>> in Oz:
>>
>> http://www.cchit.org/certified/products.htm
>>
>> The certification criteria are all available from the same Web site. Not the 
>> sort of 
> regulation which Enrico and Johanna had in mind, perhaps?
>> Tim C

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