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CSV vs CSA:  From "Test Everything" to "Test What Matters"

The FDA’s shift from Computer System Validation (CSV) to Computer Software Assurance (CSA) is often described as a move from “test everything” to “test what matters.”  


For clinical laboratories and blood banks, that is both liberating and unsettling. We work in environments where patient s...


14 Aug 2025 06:33 PM
Your Grocery App Shouldn’t Know You Better Than Your Health System

At the recent White House health tech event, CMS and more than 60 organizations—including Amazon, Epic, Apple, Google, and OpenAI—committed to modernizing healthcare with better data infrastructure, interoperability, and patient-facing digital tools.

The goal:

      • Patient-centered digital health
      • FHIR-based...
07 Aug 2025 01:54 PM
Real World Testing Wasn’t So Real—So What Do We Actually Lose?

HHS recently proposed eliminating the“real world testing” (RWT) requirement for certified health IT vendors under the ONC Health IT Certification Program. RWT was originally introduced as part of the 21st Century Cures Act to ensure that certified systems performed safely and effectively in the...

24 Jul 2025 01:54 PM
AI in Software Testing: Hype vs. Reality in Health IT

There’s a lot of talk about artificial intelligence transforming software testing — particularly in healthcare. Phrases like “autonomous testing” and “AI-driven QA” are making the rounds in vendor decks and tech blogs. But in the real world of clinical software and regulated Health IT environments, ...

10 Jul 2025 01:43 PM
Automated Testing in Clinical UAT: Smart When Repetitive, Risky When Misused

Healthcare systems are under intense pressure—staffing shortages, tighter budgets, rising operational demands—all while navigating the relentless pace of digital transformation.

When we talk about improving operational efficiency, testing often flies under the radar. Let’s be honest—software validati...

03 Jul 2025 09:55 PM