The Office of the National Coordinator's Health IT Standards Committee Implementation Workgroup recently had a meeting, Jan. 10-11, 2010.
They've posted the testimony and supporting documents here: http://healthit.hhs.gov/portal/server.pt?open=512&objID=1482&&PageID=17128&mode=2 .
I've copied & pasted these document links directly from the site, at 12:45 PM EST 1/14/2011:
- Instructions and Questions for Panelists [PDF - 381 KB]
- Presenter Bio Sketch [PDF - 549 KB]
- Paul Kleeberg, MD [PDF - 443 KB]
- Dan Nelson -Testimony [PDF - 330 KB]
- Lisa Levine [PDF - 125 KB]
- CCHIT -Testimony [PDF - 95 KB]
- Alisa Ray -Testimony [PDF - 219 KB]
- Patricia Daiker - Bio [PDF - 75 KB]
- Medhost [PDF - 100 KB]
- Cerner - Testimony [PDF - 716 KB]
- John Travis [PPT - 486 KB]
- Brad Melis [PDF - 100 KB]
- Hammer -Testimony [PDF - 214 KB]
- Linda Reed - Testimony [PDF - 320 KB]
- James Fuzy [PDF - 146 KB]
- Reid W. Coleman [PDF - 164KB]
- Careen Whitley -Testimony [PDF - 238 KB]
- Lyle Berkowitz Presentation [PPT - 325 KB]
- Lyle Berkowitz -Testimony [PDF - 289 KB]
- Robert Murray -Testimony [PDF - 135 KB]
- Willa Drummond [PDF - 135 KB]
- Willa Drummond - Vital Sync System Test Bed [PDF - 128 KB]
- Willa Drummond - Collection of Problem Scenarios from Professional List Serve [PDF - 255 KB]
- Willa Drummond - Timeline [PDF - 413 KB] *
- Willa Drummond - Ten Commandments for Computerized Healthcare Information Systems [PDF - 431 KB]
- Richard Sadja -Testimony [PDF - 291 KB]
- Harm Scherpbier [PDF - 24 KB]
- Sunquist -Testimony [PDF - 542 KB]
- Nanvy Vogt -Testimony [PDF - 44 KB]
- Chuck Christian [PDF - 95 KB]
- Denni McColm -Bio [PDF - 78 KB]
- Denni McColm -Testimony [PDF - 449 KB]
- Russ Branzell [PDF - 13 KB]
- Len Bowes [PDF - 301 KB] *
- Gillette Congressional Tesimony [PDF - 163 KB]
The problem is, some of the URL's are simply wrong, including several of the ones I've bolded.
For instance, I tried to download Dr. Willa Drummond's documents:
- Willa Drummond [PDF - 135 KB]
- Willa Drummond - Vital Sync System Test Bed [PDF - 128 KB]
- Willa Drummond - Collection of Problem Scenarios from Professional List Serve [PDF - 255 KB]
- Willa Drummond - Timeline [PDF - 413 KB] *
- Willa Drummond - Ten Commandments for Computerized Healthcare Information Systems [PDF - 431 KB]
The links for "Collection of Problem Scenarios from Professional List Serve" and "Ten Commandments for Computerized Healthcare Information Systems" are simply wrong.
They lead to the incorrect documents as of this writing.
By experimentation (borne of experience!), I found I could locate the correct documents by manually altering a number in the URL.
For example, to locate the "Problem Scenarios" document whose URL is linked as:
http://healthit.hhs.gov/portal/server.pt/document/949972/drumexsum-imwg-11011_pdf
I had to alter the number 949972 to 949973, like this:
http://healthit.hhs.gov/portal/server.pt/document/949973/drumexsum-imwg-11011_pdf
I further had to experiment to find the "Ten Commandments" document, also erroneously listed as at this URL ...
http://healthit.hhs.gov/portal/server.pt/document/949972/drumexsum-imwg-11011_pdf
... but actually here at 949971:
http://healthit.hhs.gov/portal/server.pt/document/949971/drumexsum-imwg-11011_pdf
Presumably these erroneous indices will be fixed at some point. Are they due to computer and/or software error, or human error -- as in medicine, due to busy schedules, cognitive overload from a suboptimal IT user experience, and other factors?
I do not consider these errors "minor" or at all humorous. Leadership by example - through fine attention to detail - in a supposed "HITECH" paperless-medicine promoting government organization - is what I expect.
Similar "misidentification" errors in EHR systems can and do cause medications to be missed or given to the wrong patient - such as in the example at the Trinity Healthcare System as mentioned in my post "Huffington Post Investigative Fund: FDA, Obama Digital Medical Records Team at Odds over Safety Oversight" where an EHR "upgrade" caused considerable risk:
... Computers at a major Midwest hospital chain went awry on June 29, posting some doctors� orders to the wrong medical charts in a few cases and possibly putting patients in harm�s way.
The digital records system �would switch to another patient record without the user directing it to do so,� said Stephen Shivinsky, vice-president for corporate communications at Trinity Health System. Trinity operates 46 hospitals, most in Michigan, Iowa and Ohio.
[In other words, data entered by clinicians was going into the wrong charts. How many charts were involved? Does the hospital system even know, I wonder? - ed.]
Less than two weeks later, an unrelated glitch caused Trinity to shut down its $400 million system for four hours at 10 hospitals in the network because electronic pharmacy orders weren�t being delivered to nurses for dispensing to patients, he said.
See the many questions I raised about this episode at the followup post "More on Huffington Post Investigative Fund: "FDA, Obama Digital Medical Records Team at Odds over Safety Oversight." (I understand that the initial "fix" to the problem of "orders going to the wrong chart" was to prevent clinicians from opening more than one chart at a time, thus further interfering with clinicians' work.)
"Glitches" cause sometimes crucial data to be lost, and even patients to be harmed or killed (e.g., see the gray banner at top of my site on HIT failure, and my recent post "EHR Problems? No, They're Merely Anecodotal; the Truth Must Be That I Attract Bad Electrons and Stale Bits" on this blog).
Ironically, the First Commandment in the mislinked Ten Commandments document above is:
"The Computer shall find and collate all data generated by other computers."Perhaps it should read:
"The Computer shall find and correctly collate all data generated by other computers."
-- SS
1/14 addendum:
I looked specifically for those documents as my first retrievals on the HHS site due to past correspondence with Dr. Drummond. The pinball machine then tilted.
Perhaps it is simply those bad electrons and stale bits that follow me around once more.
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