Health Professionals And Nurses Essay Discussion Paper
1. What progress has ONC made since the HITECH Act was passed in meeting the need for interoperability and information security standards for EHRs and health IT systems? 2. What are the strengths and weaknesses of the current health IT standards identification and development process, and what should the top standards-related priorities be for future health IT activities?
During preparation of the written comments, previous testimony, position statements, and background materials were leveraged. Several board members, leaders in privacy and security efforts, leaders in standards and standards harmonization efforts, and volunteer leaders from the HIMSS EHR Association were interviewed. Multiple rounds of editorial and content review took place prior to calling the testimony “final” and ready for submission. Next, oral comments were prepared, keeping them to a maximum of 5 min. The testimony was boiled down to the key points that could be delivered in that brief time frame yet still make sense. Repeated practice sessions drove home the realization that 5 min is very little time! Then came the “murder squad,” a dry run facing a team of experts who drilled Johnson with questions that she might be asked by House Subcommittee members. She said later that it may have been more nerve-racking to face peers than to face the House Subcommittee itself! In this practice session, the key lessons learned were to get to the point quickly and use the responses to panel members’ questions as an opportunity to reemphasize key points from the testimony. Other homework included reviewing the list of House Subcommittee members to recognize their faces and learn their districts, political parties, recent activities, and any relevant legislation they had recently introduced or supported. On the day of the testimony, a meeting was held with the team in the House of Commons cafeteria to share last-minute updates and further refine the strategy. Johnson then proceeded to the office of the House Subcommittee chairman, where the panelists were introduced to each other. The chairman joined the panelists at the prehearing session, facilitating the dialog in a casual setting to put the panelists more at ease Health Professionals And Nurses Essay Discussion Paper
During this session, the panelists learned that the hearing had been at risk of cancellation since the House had adjourned the night before and many of the House Subcommittee members had left Washington for their home states. However, the chairman’s staff commented that the chairman is very committed to the advancement of health IT as well as to the House Subcommittee’s HITECH Act oversight role, and therefore he did not cancel the hearing. At the scheduled time, the panelists entered the hearing room and took their seats at a row of tables on the main floor. The House Subcommittee chairman, members, and staff were seated at the front of the room, one level above the main floor, and the public audience was seated at the back of the room. In front of each panelist was a microphone, timer, and stop light that tracked each speaker’s time limit. During the testimony, the stop light changed from green to yellow and then to red when each speaker’s 5-min time limit was reached. Throughout the hearing, the chairman was very gracious, noting his appreciation of the panelists’ contributions. In part because of her thorough preparation, Johnson gave her prepared oral testimony flawlessly. Although not asked any direct questions, she chimed in to help answer several other questions that were asked of other panelists in order to offer key points germane to the discussion. The hearing was broadcast live on the internet; a transcript of the testimony is available in the public record of the hearing, and a video clip of the testimony can be found on YouTube. While Mr. Smith Goes to Washington made James Stewart a major movie star, Johnson’s aspirations were quite simple: that the recommendations on how to improve patient care and reduce costs would be heard and that steps toward implementation would be taken.
1. How can healthcare providers best leverage their clinical background when providing testimony as expert witnesses?
2. When preparing testimony, should a healthcare expert witness focus primarily on healthcare delivery, or should his or her clinical background be used more as a context for the discussion? What are the advantages and disadvantages of each approach?
Nelson, Ramona; Staggers, Nancy. Health Informatics – E-Book (p. 491). Elsevier Health Sciences. Kindle Edition Health Professionals And Nurses Essay Discussion Paper