FYI.....

Joseph

                *MEDICARE NEWS*

                For Immediate release
                CMS Office of Media Affairs
                September 19, 2005


    *CMS DELIVERS ELECTRONIC HEALTH RECORD SOFTWARE TO PHYSICIAN OFFICES*
    *Evaluation Version Of Vista-Office Expected To Improve Quality of
    Care And Stem Costs*

                The Centers for Medicare and Medicaid Services (CMS)
                today released an evaluation version of VistA-Office
                Electronic Health Record (Vista-Office), an adaptation
                of the Veterans Health Administration electronic health
                record (EHR) technology. This version of the technology
                will allow for an evaluation of VistA-Office EHR and an
                assessment of its effectiveness in private physicians
                offices.

                The evaluation version will be distributed by qualified
                vendors and evaluated for usability, effectiveness,
                implementation and potential for what is known as
                interoperability, or the ability to communicate,
                exchange, and use data with other systems and software.
                As a result of this evaluation, software vendors will be
                able to further improve the software and develop a
                version of VistA-Office EHR that is certified in
                accordance with a process recognized by the Department
                of Health and Human Services (HHS).


                “The President has set a national goal for most
                Americans to have an electronic health record within a
                decade, and CMS is working with providers to make that
                happen,” said CMS Administrator Mark B. McClellan, M.D.,
                Ph.D.  “The release of an evaluation version of
                VistA-Office will provide a testing laboratory for
                interoperability and will supplement efforts by the
                American Health Information Community to establish a
                certification criteria and process.  When fully
                realized, electronic health record software will help
                physicians improve health care quality while avoiding
                unnecessary costs.”

                A certification process will identify standards and
                minimum requirements to allow electronic health record
                systems to share important data across settings of care
                and perform the most important functions of an
                electronic health record system while maintaining
                privacy and security of data.  EHRs that become
                certified and that can enable the reporting of quality
                measures will support CMS quality improvement goals.
                These systems will also help achieve a national goal of
                widespread adoption of interoperable EHRs within ten years.

                The release will also allow for the evaluation of
                VistA-Office EHR in physician offices, with particular
                attention to whether and how physician offices can
                implement the software effectively. This process will
                take place while HHS Secretary Mike Leavitt, through the
                Community, considers approaches for certifying
                interoperability and functional capabilities of
                electronic health records systems.

                The modified Vista-Office software retains existing
                VistA functions of such transactions as order entry,
                documentation templates, and clinical reminders, and is
                enhanced with other important functions including
                physician office patient registration, reporting of
                quality measures, and printing/faxing of medication
                prescriptions.

                The Vista-Office evaluation software is not “free”
                software.  There is a small fee for obtaining the
                software on computer disk, and there will be other fees
                an office will need to pay to use the software including
                licensing and support fees for the database program and
                CPT® codes. The added office staff cost associated with
                the implementation of an EHR   will also be a part of
                the total cost of ownership and will play a part in
                physicians' decisions to adopt and test Vista-Office.

                In addition, offices will generally need vendor support
                for installation, configuration, and maintenance,
                similar to support with any other electronic health
                record.  To address this need, CMS has funded a
                Vista-Office Vendor Support Organization, WorldVistA, to
                provide training for vendors.  The evaluation of these
                vendor services is an important objective of the initial
                VOE release.

                During this initial evaluation period, the software will
                be available from qualified vendors.  Physicians and
                clinics that are interested in participating in the
                program as an evaluation site, should visit
                _www.vista-office.org_ <http://www.vista-office.org> to
                learn more about this opportunity.  More information
                about the vendor training and a list of qualified
                vendors can be found at _www.worldvista.org_
                <http://www.worldvista.org>.

                For more information, visit the CMS website at:/
                //__/_www.cms.hhs.gov/quality.pfqi.asp_//
                <http://www.cms.hhs.gov/quality.pfqi.asp>/////./

                ###



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