The future of healthcare technology in the United States was recently shaken up with the announcement of a proposed rule by the Assistant Secretary for Technology Policy and the Office of the National Coordinator for Health Information Technology. This rule, if passed, would bring about a significant change in the certification criteria for health IT developers, a move that has been met with both excitement and apprehension.
The proposed rule, announced on Monday, aims to roll back the current certification requirements for health IT developers. These requirements were put in place to ensure that electronic health records (EHRs) met certain standards in terms of functionality and interoperability. However, many in the healthcare industry have argued that these requirements are burdensome and hinder innovation in the field of health IT.
The new proposed rule seeks to address these concerns by revising the certification criteria to make them more streamlined and focused on core functionalities. This shift is in line with the overall goal of the government to promote innovation and technological advancements in the healthcare sector.
One of the major changes in the proposed rule is the removal of the requirement for health IT developers to provide application programming interfaces (APIs) for their products. This has sparked some concerns among advocates for patient access to health records. However, the Office of the National Coordinator has clarified that APIs will still be required for certain functionalities such as patient access to their records.
Another important aspect of the proposed rule is the development of a new certification pathway for health IT developers. This new pathway, called the “Conditions and Maintenance of Certification,” would allow developers to make updates to their products without going through the recertification process every time. This would not only save time and resources for the developers but also ensure that the products are constantly improved and updated to meet the changing needs of the healthcare industry.
The announcement of this proposed rule has been met with enthusiasm from many in the healthcare and technology sectors. The American Medical Association (AMA) has praised the proposed changes, stating that they will provide “much-needed relief for physicians and other healthcare providers as they adopt and use electronic health records.” The AMA also believes that these revisions will foster innovation in health IT and improve patient care.
The proposed rule has also been supported by the Healthcare Information and Management Systems Society (HIMSS), a global organization that promotes the use of information technology in healthcare. They believe that the new certification criteria will not only maintain high standards for EHRs but also encourage the development of new and innovative technologies to improve patient outcomes.
On the other hand, there have been some concerns raised by certain groups about the potential negative impact of these changes. The American College of Physicians (ACP) has expressed worries that the proposed rule may “lower the bar” for quality and security in health IT. However, they have also acknowledged that the proposed rule offers some positive changes that will benefit healthcare professionals.
It is important to note that the proposed rule is not final and is open for public comment until June 3, 2019. This means that there is still an opportunity for stakeholders to provide feedback and suggestions before any final decision is made.
In conclusion, the proposed rule by the Assistant Secretary for Technology Policy and the Office of the National Coordinator for Health Information Technology is a step in the right direction towards promoting innovation and streamlining the certification process for health IT products. While there may be some concerns raised by certain groups, it is important to remember that the ultimate goal is to improve patient care and outcomes, and this proposed rule is a positive move towards achieving that goal. Let us embrace these changes and work together to shape the future of healthcare technology in the United States.

