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HCIT Wins Best of Staffing 5 Consecutive Years

CSI Healthcare IT wins Inavero’s 2017 Best of Staffing Talent Diamond Award. Diamond Award winners have won the Best of Staffing Award for at least 5 years in a row, consistently earning industry- leading satisfaction scores. Focused on helping to connect people with the right job openings with US companies, our HCIT division has earned The CSI Companies the Diamond Award distinction. Read more here.

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What the 2017 Interoperability Standards Advisory Mean

What the 2017 Interoperability Standards Advisory Mean

By Adrianna Iorillo

The 2017 Interoperability Standards Advisory (ISA) that was released late December will mean sharper compliance guidelines for EHR systems. Groups like the American Hospital Association (AHA) advocated for an increase in specific requirements and more transparency in the decisions.

Here is what it means for hospitals and healthcare facilities:

  • ISA will broaden its reach to include big data in medical research and public health.
  • There will be clearer definitions of data elements and expected responses to standardize results for better measurements nationally.
  • More categories of data are outlined, including nursing and medical research nutritional health.
  • Device data from medical equipment and personal health devices are included in the measurement of interoperability specs.
  • Phases of the implementation lifecycle are considered and treated separately.
  • Project links are included for improved transparency in ongoing specification changes.
  • ISA will set the stage of data collection to help achieve future data goals.

Since 2015, ISA’s focus has been on improving health care quality and improving patient outcomes through communication sharing of test results and medical records. Between 2018-20, the goal will be to evaluate the outcomes and look for ways to lower costs and improve patient health.  Then from 2021-2024, ISA is projected to have a national data registry that continuously evaluates data to improve population health and individual care.

Also worth noting is the final data element categories and content are provided on the updated website [link to: https://www.healthit.gov/standards-advisory/draft-2017].  Content is listed to show what is requested by category so that all the data is included and in the format in which it should be presented. More standardized data means better data mining results.


For more information on how the Interoperability Standards Advisory will affect your hospital or healthcare facility, please contact CSI Professional Services Team Member Adrianna Iorillo at aiorillo@thecsicompanies.com.

How Will ONC Health IT Certification Program Support Hospitals

How Will ONC certified1Health IT Certification Program Support Hospitals
By Adrianna Iorillo

The latest ONC Health IT Certification Program is another step in the journey of matching IT technology expectations with healthcare software functionality by setting established regulatory certification program requirements. These approved standards seek to streamline and unify the criteria and measurements to regulate and protect patients and their data, meeting the goals of phase 3 meaningful use.

Hospitals will benefit from the new standards because they can now gain more support for their IT investment dollars when vendor partners comply with standardized universal rules. In addition, hospitals can be more secure because the data transferred is more accurate and timely for physicians to make the best informed decisions on their patients care.

Phase three of meaningful use requires the software tools used by physicians to increase their electronic communications to both outside care entities and patients. This means that for physicians to have 80 percent of their prescriptions performed using e-prescribing services to reconcile medication requests, 50 percent of referrals will come electronically and 40 percent of referred patients will have records come through data exchanges. All three of these measures support the efforts of each hospital to more safely and efficiently see patients with less manual labor intervention and decreased time intervals between request and review.

The patient is another beneficiary. Due to meaningful use goals, patients have more control over their records, as they have access to view and download their own data instead of requesting paper copies, in person, for a fee. Another benefit to the patient is that the certification is an assurance of interoperability of data exchanged between care entities. Software evaluated and critiqued for efficiency in delivery helps maintain that the patient’s caregivers are making the most informed decisions on care plans based on data that is both accurate and secure.

For more information on the latest ONC Health IT Certification Program, please contact Professional Services Team Member Adrianna Iorillo at aiorillo@thecsicompanies.com.

Hospitals and the Role of Direct Messaging

Hospitals and the Role of Direct Messaging

By Adrianna Iorillotwitter-direct-message


In October 2012, direct messaging became a meaningful use initiative. Since then, hospitals have been migrating toward this idea of securing electronic messaging to communicate with patients on relevant health information. Secure messaging fills the space between generally siloed EHR data and connected partners that are part of their interoperability structure.

Pharmacies, labs, affiliated providers, government and private claim clearinghouses are some of the typical secure connections, but direct messaging allows the same encryption assurance to patients. This initiative has led to Health Information Service Providers (HISPs) or telecom resources that can provide secure, direct addresses and security certificates so hospitals can connect safely with patients and other care providers to receive and send data via a specialized network.

Key factors

Direct messaging can be a useful tool if it is integrated effectively into the physician’s normal workflow. Adding another routine or alert to an existing EHR requires training and integration to function properly. Undoing duplication of efforts can lead to non-compliance in EHR usage, so direct messages need to work within the workflow patterns, within the existing software and without creating the need for replicated data entries.

The meaningful use guidelines require that the system can provide a summary of care record and a patient’s medical file. A patient must be able to view, download or send both of these and have the direct messages and their actionable directions included.

If a health system is able to work these into the physician’s workflow and have that data included as discrete elements in the flow sheets, a health provider now has more vital data to review and assess for better care outcome decisions.

Current status

Although direct messaging hasn’t had the overwhelming adoption rate that was initially expected, the impact of more immediate data or data that may have gone unreported, can lead to more positive patient outcomes. An open dialogue and path for communications, like direct messaging, bridges a huge gap in quality of care for questions, compliance and reassessed treatment plans.

For more information on direct messaging, please contact Professional Services Team Member Adrianna Iorillo at aiorillo@thecsicompanies.com.

Do you want to learn more about these topics or find out how CSI can help, contact us!
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