The Office of the National Coordinator for Health IT 's first surveillance guidance, issued earlier this month to help the ONC-Authorized Certification Bodies (ONC-ACBs) monitor the electronic health record products they have certified, covers a lot of ground. It identifies ONC's current surveillance priorities: exchange capabilities, safety related capabilities, security capabilities and population management capabilities. The guidance also flags that the ONC-ACBs should focus on how EHR developers handle complaints about their products. So why do I have the feeling that ONC has a different agenda than simply giving the ONC-ACBs a new tool?

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