I heartily applaud the document you have put together. I have been an
advocate of the use of Usability, Interoperability and Affordability
as the criteria-domains for selection of EHR systems; but as far as
certification is concerned, I am in full agreement that "thin
certification" based on the ability to prove standards-based
interoperability should be the approach taken.
I had forwarded a link to Shahid Shah (
http://www.healthcareguy.com/),
who has expressed an interest in serving on the newly-created HHS
"Health IT Standards Committee" which will be the body that decides on
certification criteria this year. He is very supportive of
interoperability as the main thrust of HIT, and sees the shortcomings
of the CCHIT approach as described so well in the paper.
Robert Rowley MD
Chief Medical Officer
Practice Fusion, Inc.