by GREG SLABODKIN NEW DEVELOPMENT: Clinical decision support software now in the regulatory crosshairs The report on a risk-based health IT framework, which was due to Congress by January, includes mobile medical applications--a technology area previously addressed by the FDA's September 2013 final guidance on mobile medical apps. However, one area that wasn't covered in the final guidance but is included in the FDASIA-mandated report to Congress is the topic of clinical decision support software. In the proposed regulatory strategy for health IT released today, the report states that "most clinical decision support (CDS) functionalities can be categorized as health management health IT and that the "FDA does not intend to focus its oversight on CDS with health management health IT functionality.
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FDA, FCC, ONC Release Risk-Based HIT Regulatory Framework
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Ethics and HIT
Challenges...
http://jamia.bmj.com/site/icons/amiajnl8946.pdf
http://jamia.bmj.com/site/icons/amiajnl8946.pdf
- patient safety should trump all other values; corporate concerns about liability and intellectual property ownership may be valid but should not over-ride all other considerations;
- transparency and a commitment to patient safety should govern vendor contracts;
- institutions are duty-bound to provide ethics education to purchasers and users, and should commit publicly to standards of corporate conduct; and
- vendors, system purchasers, and users should encourage and assist in each others’ efforts to adopt best practices.