API component of

Promoting Interoperability

07/16/2019                                             Written By: Liz Morgan, HCI Sales Director

There isn’t a week that goes by that we don’t receive a question about the Provider to Patient Exchange or API component of Promoting Interoperability. With the measure carrying a weight of 40 points in the new manner of 2019 scoring methodology and needing to amass 50 points, it is understandably a consideration.

With MEDITECH Greenfield, I was hoping to see some application development so hospitals would have a choice. Unfortunately, the economics of developing applications for patients to choose are quite anemic. Patients should not have to pay for their own health information and almost certainly, are not willing to do so without some other value associated. Even large organizations known for cutting edge development and deep pockets aren’t touching it. Google Health anyone?

When apps are developed, the hospital will have to test the ability of those apps to work in their environment. There is also the scary thought of a hospital being responsible for any breach on an 3rd party app that is promoted. You can check that information out on the HHS website.

MEDITECH does have quite a bit of information on their website. You might want to check it out and check back often.

To me, the key is the wording of the attestation requirements:

Provide Patients Electronic Access to Their Health Information

  • DENOMINATOR: The number of unique patients discharged from an eligible hospital or CAH inpatient or emergency department (POS 21 or 23) during the EHR reporting period.
  • NUMERATOR: The number of patients in the denominator (or patient authorized representative) who are provided timely access to health information to view online, download and transmit to a third party and to access using an application of their choice that is configured to meet the technical specifications of the API in the eligible hospitals or CAHs CEHRT.

Making certain you have the API component of Promoting Interoperability configured and available sets you up for success with this measure. In addition, keep your portal up and rolling!



Sunsetting Legacy Systems

03/11/2019                                             Written By: Liz Morgan, HCI Sales Director

Vendor Neutral Archive (VNA). Does it sound familiar? It isn’t a common term, nor is it used often by vendors offering solutions. A Vendor Neutral Archive is important because it can host the data of multiple legacy systems. It also gives you tools to access the data in a manner that makes sense. The HCI Solution believes the data shouldn’t be accessed as a destination – go here to view this data. The data should be accessed within the regular workflow for you hospital. Important characteristics include:

  • Industry Standard Hardware Technology
  • Workflows for Business Process
  • Document Type Independence
  • Open System Integration for In and Outbound
  • Electronic Signature
  • Optical Character Recognition (OCR)
  • Thick and Thin (web) Client
  • Activity and Auditing Reports

The HCI Solution can Help you understand your hospital stakeholder requirements, the extraction, hospital workflow, access, and access auditing. Don’t pay for legacy systems one more day. You can free your organization from maintenance payments with planning and execution. We can help make that your reality!

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Accelerated Clinical Alerts

11/14/2018                                             Written By: Liz Morgan, HCI Sales Director

Laboratory diagnostics are critical to clinical decision making and the managed care for most disorders. The Clinical Laboratory Standards Institute states that, “quality testing encompasses aspects spanning throughout the total testing process.” This begins on the continuum with test ordering and concludes with results communication to the requesting physician. The identification and timely communication of results are regarded as one of the essential elements of good laboratory practice.

Although the agreement in the various national and international organizations is consistent, the practices of critical results management vary tremendously. Although this has been a focus for many years, many organizations have difficulty in practice. All recommendations call for the mandatory need to implement practices of communicating critical results and notification or acknowledgement recording.

Technology can solve this issue of efficient and timely communication with clinicians. This can easily be accomplished in this day of secure communications via a mobile device. Add in a platform agnostic product with no need for an application download, a means to acknowledge results, and you have an easy manner in which to accomplish clinical alerting.

Or if that time doesn’t work for you email us at