In response to reader commentary on the Health IT Strategist reader poll HITS readers have proposed that the Certification Commission for Healthcare Information Technology consider ease-of-use before certifying an EHR system. Do you believe CCHIT's EHR certification criteria should include a usability rating?":
What a perfect thread to dispel the expectation that switching electronic health records is an optioneven with unlimited resources. The file structures or lack of record structures are extremely different between EHR products. Porting a complete electronic record from product A to product B for ongoing care or records retention will always result in a loss of granularity. Text fields cannot be successfully parsed to update discreet fields and structured data elements without thousands of dollars.