April 28, Submitted electronically via
|
|
- Frederick Goodman
- 8 years ago
- Views:
Transcription
1 April 28, 2014 Department of Health and Human Services Office of the National Coordinator for Health Information Technology Attention: 2015 Edition EHR Standards and Certification Criteria Proposed Rule Hubert H. Humphrey Building Suite 729D 200 Independence Avenue, S.W. Washington, D.C Submitted electronically via RE: RIN 0991-AB92, Voluntary 2015 Edition Electronic Health Record (EHR) Certification Criteria; Interoperability Updates and Regulatory Improvements Dear Sir or Madam: Prescriptions for a Healthy America (P4HA; is pleased to submit comments on the 2015 Edition EHR Standards and Certification Criteria Proposed Rule. P4HA is a multi-stakeholder alliance representing patients, consumers, providers, pharmacies, pharmaceutical manufacturers, medication compliance packagers, technology companies and employers. We came together to raise awareness on the growing challenges posed by medication non-adherence, as well as to advance public policy solutions that will help reduce health care costs and improve the lives of patients across the nation through medication adherence interventions. Medication adherence is when a patient takes their medications as prescribed, which includes taking it according to the specific dosage, time, and frequency prescribed. A breakdown in any one of these elements has the potential to result in unanticipated side effects and complications. Despite this, studies show that: Half of all patients do not take their medications as prescribed; Twenty percent of all new prescriptions go unfilled; and Adherence is lowest among patients with chronic illnesses. Poor medication adherence, or non-adherence, affects patient health by reducing the ability to effectively manage and control chronic diseases. Non-adherent patients are more likely to experience preventable disease progression, increased hospitalizations, doctor and emergency room visits and other problems arising from poor health, which can significantly increase costs. For example: At least 125,000 Americans die annually due to poor medication adherence; i As adherence declines, emergency room visits increase by 17 percent and hospital stays rise 10 percent among patients with diabetes, asthma, or gastric acid disorder; ii
2 Poor medication adherence results in 33 to 69 percent of medication-related hospital admissions in the United States, at a cost of roughly $100 billion per year; iii and NEHI estimates that total potential savings from adherence and related disease management could be $290 billion annually 13 percent of health spending. iv The Medicare and Medicaid EHR incentive program (Meaningful Use (MU)) holds great promise as a tool to advance medication adherence strategies. Various functionalities and measures associated with MU can assist both providers and patients in improving medication adherence. We urge the Department to focus more intently on the various aspects of Meaningful Use, including changes in the 2015 Edition Proposed Rule, which might be applied to reducing medication non-adherence. Doing so will help address the significant defects produced by nonadherence, including increased costs and poor health outcomes. Our comments on the proposed rule are outlined below. General Comments The anticipated rapid advancement of new models of care and payment, and the evolution in health information technology capabilities between now and 2017, when the Stage 3 standards are due to take effect, calls for new capabilities for EHRs. The sooner these capabilities are envisioned, created, tested, and deployed, the better. We applaud ONC for moving forward to fix the known problems associated with the 2014 Edition in the proposed rule, which envisions a market in which both the 2014 and 2015 editions of products will be available. These products will not have the same certified functionalities, and we are concerned this may create confusion among eligible providers. We believe ONC should fix the known problems in the 2014 Edition and release the 2015 Edition as an iterative update that becomes the new mandatory certified technology as a better way to mitigate against any confusion in the provider community. Interoperability Many elements of current health IT policy are already focused on medication-related tasks, both directly and indirectly. However, bidirectional exchange and interoperability, especially in care coordination models, remain under utilized. Stage 2 Meaningful Use standards are mostly designed to improve the overall safety and therapeutic effectiveness of each patient s medication regimen (i.e. drug-drug interaction checks, medication reconciliation). Because successful medication adherence strategies often require a team based approach and enhanced communication between providers and patients and their caregivers, systems must be interoperable to facilitate coordination and to maximally assist successful adherence interventions. Decoupling Transport and Data Standards We are encouraged by the approach in the proposed rule that would decouple or untether the transport standard from the data content standards in order to promote interoperability. This change will help ensure flexibility in the transport of data based on a provider s needs or workflow, and will help facilitate information exchange. We would urge ONC to go further so
3 that developers may certify a product to use Direct or the alternative standards in the 2014 criteria (Direct+XDR/XDM and SOAP). Patients and their caregivers are given options in how their health information will be sent to a third party in the View, Download, and Transmit (VDT) criterion. We believe providers should be allowed similar flexibility in exchanging Transitions of Care (ToC) documents with other providers. Consuming Consolidated CDAs We also support ONC s proposal to add a performance score that would require EHR technology to successfully electronically process validly formatted Consolidated CDAs no less than 95 percent of the time. ONC proposes to reference this performance standard as a capability that must be demonstrated to meet the certification criteria of the 2015 Edition. This means that most EHRs would be able to parse and consume data within a summary of care record. Practically, it means most providers using certified EHR technology would have access to usable information across a patient s care team members related to medications and allergies, problems and care plan. We believe such information is important to promote effective adherence interventions, which is why we support the addition of the performance score. Directory Services For adults aged 65 or older, more than half see two or more prescribing physicians. Directory services will thus be central in identifying and sending information to the various providers seen by patients. The 2014 Edition includes a view-download-transmit (VDT) criterion that allows patients and their caregivers to self-direct their health information to a subsequent provider. We support ONC s effort in the 2015 Edition NPRM to clarify that certified EHR technology must, at a minimum, support the entry of a Direct Address. To make this functionality meaningful, we urge ONC to require all MU providers to have a Direct address as a way to facilitate the sharing of information related to medications, problems and care plans. Coordination Across the Continuum of Prescribers Enabling prescribers to check a patient s formulary at the point of care is an important step toward improving adherence as it provides an opportunity for additional dialogue between prescriber, pharmacist and patient on the right drug for the right patient. For this to work well, however, ONC should ensure EHRs include functionalities to enable these capabilities, including those providers ineligible for MU incentives. Specifically: Medication history is necessary for obtaining an accurate picture of all of the prescription medications a patient is taking; Formulary check is necessary to determine coverage levels for certain medications; Fill history can be used in combination with medication history to determine if a patient initiates or continues to obtain their prescribed medications; and Electronic prior authorization to facilitate coverage.
4 Standards exist for all of these issues. ONC thus has an opportunity through the 2015 Edition to foster solutions that enhancing electronic prescribing functionality to allow providers to have a more holistic view of their patients medication use. We believe requiring available standards for each of the above goals will increase patient awareness and will remove barriers to medication adherence. Medication History Medication history is necessary for obtaining an accurate picture of all of the prescription medications a patient is taking. ONC should certify EHRs for use of the NCPDP Medication History standard (NCPDP SCRIPT Standard 10.6 ). CMS and the Health IT Standards Committee have worked with NCPDP to update any of the standards associated with electronic prescribing, and NCPDP has consistently convened stakeholders to comply. We suggest ONC continue to use this process in enhancing the standards associated with medication history. Fill History Solutions to medication non-adherence do not stop at the point of prescribing. Information about whether a patient has filled a prescription strengthens existing tools, such as medication history, to ensure adherence and to tailor care-plans to fit individual needs. Pharmacists serve as a front line resource in adherence strategies by ensuring that patients are receiving their prescribed medications. While pharmacists remain outside of the Meaningful Use incentive structure, they have been early adopters of health information technology to manage prescriptions, medication history, and claims processing. For the information generated and gathered when a prescription is filled to be valuable, data flow must be bi-directional. We recommend that ONC use the opportunity in releasing the 2015 Edition to include the capacity to send a notification to the prescriber when a prescription is filled at the pharmacy. If a prescription is unfilled, we suggest EHRs should have the functionality to send patient reminders about the unfilled script to the patient. Formulary Check ONC proposes to retain the 2014 Edition criteria for drug formulary checks, but is seeking comment on options to certify real time checking. Physicians that have real-time access to information related to a patient s insurance coverage including drug formularies can meaningfully engage the patient about medication options. As they prescribe a medication for their patient, physicians and other prescribers may not know whether a particular drug is covered by the patient s insurance. If it is covered, they may be unaware of the tier and cost-sharing requirements. NCPDP has developed a standard for formulary and billing (NCPDP Formulary and Benefit Standard 3.0), which should be adopted as the new required standard for certification. This standard was already adopted by CMS on December 13, 2013 as part of the Physician Fee Schedule Final Rule. This standard is mature, has been balloted and accepted by organizations across the prescribing continuum. We encourage ONC to continue to rely on and work with NCPDP to upgrade the Formulary and Benefit Standard, as the best way to ensure
5 information on patient and drug specific variations in benefits is available at the point of prescribing. Additionally, as ONC continues to evaluate enabling real-time formulary and benefit checks, we believe the Agency should also consider implementing certain protections to limit how personal health information can be used to market products directly to providers and, in turn, to patients at the point of care. We believe treatment suggestions should be based on clinical effectiveness and peer-reviewed data, and not by price alone. We suggest ONC consider including requirements that any alternatives offered to a provider upon querying a drug formulary be sourced so that a clinician can objectively weigh the information being presented through his or her CEHRT. Electronic Prior Authorization Electronic Prior Authorization is yet another area that could positively affect primary adherence rates. Considering the large number of American who may be changing health plans or gaining health coverage for the first time as a result of the Affordable Care Act, out-of-pocket obligations and co-payments for new or current prescriptions may change dramatically. Electronic prior authorization allows prescribers to instantaneously request approval of coverage. This will streamline operations and allow patients to access appropriate medications more rapidly. Liquid Medication Dosing We agree with ONC that switching to the metric standard for prescribing oral liquid medications is necessary and should therefore be adopted via a certification standard. Conclusion Thank you for requesting comments on 2015 Certification Proposed Rule. We appreciate the opportunity to comment and look forward to working with you to improve EHR functionality that will advance medication adherence interventions. If you have any questions or would like to discuss further, please do not hesitate to reach out to Joel White, Executive Director, the Council for Affordable Health Coverage, at joel.white@cahc.net or (202) Sincerely, Joel C. White i McCarthy, R., The price you pay for the drug not taken. Bus Health. 1998;16:27-28,30, ii Goldman, D., "Pharmacy Benefits and the Use of Drugs by the Chronically Ill., Journal of the American Medical Association, 19 May iii Osterberg L., Blaschke T., Adherence to medication. N Engl J Med, 2005;353(5): iv NEHI Research Brief, Thinking Outside the Pillbox: A System-wide approach to Improving Patient Medication Adherence for Chronic Disease. NEHI, 2009.
eprescribing Information to Improve Medication Adherence
eprescribing Information to Improve Medication Adherence January 2014 This white paper was funded by the Pharmaceutical Research and Manufacturers of America. About Point-of-Care Partners Point-of-Care
More informationJune 15, 2015 VIA ELECTRONIC SUBMISSION
Charles N. Kahn III President & CEO June 15, 2015 VIA ELECTRONIC SUBMISSION Andrew M. Slavitt Acting Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Attention:
More informationRe: Medicare and Medicaid Programs; Electronic Health Record Incentive Program Stage 3 (CMS-3310-P)
May 29, 2015 Mr. Andrew Slavitt Acting Administrator Centers for Medicare & Medicaid Services U.S. Department of Health and Human Services Hubert H. Humphrey Building, Room 445 G 200 Independence Avenue,
More informationAbout NEHI: NEHI is a national health policy institute focused on enabling innovation to improve health care quality and lower health care costs.
1 Aaron McKethan PhD (amckethan@rxante.com) About NEHI: NEHI is a national health policy institute focused on enabling innovation to improve health care quality and lower health care costs. In partnership
More informationRE: Medicare and Medicaid Programs; Electronic Health Record Incentive Program-Modifications to Meaningful Use in 2015 Through 2017
June 15, 2015 SENT VIA ELECTRONIC MAIL Andrew M. Slavitt, Acting Administrator Centers for Medicare & Medicaid Services U.S. Department of Health and Human Services Attention: CMS-3311-P P.O. Box 8013
More informationSummary of the Final Rule for Meaningful Use for 2015 and 2016. Meaningful Use Objectives for 2015 and 2016
Image Research, LLC Christopher B. Sullivan, Ph.D. 2901 Quail Rise Court, Tallahassee, FL 32309 Summary of the Final Rule for Meaningful Use for 2015 and 2016 DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers
More informationEHR Incentive Programs for Eligible Professionals: What You Need to Know for 2015 Tipsheet
EHR Incentive Programs for Eligible Professionals: What You Need to Know for 2015 Tipsheet CMS recently published a final rule that specifies criteria that eligible professionals (EPs), eligible hospitals,
More informationMay 7, 2012. Submitted Electronically
May 7, 2012 Submitted Electronically Secretary Kathleen Sebelius Department of Health and Human Services Office of the National Coordinator for Health Information Technology Attention: 2014 edition EHR
More informationDear Honorable Members of the Health information Technology (HIT) Policy Committee:
Office of the National Coordinator for Health Information Technology 200 Independence Avenue, S.W. Suite 729D Washington, D.C. 20201 Attention: HIT Policy Committee Meaningful Use Comments RE: DEFINITION
More informationMU Objectives and Measures, by Stage Bold = Core; Non-bold = Menu Red = Change to Stage 1 Criteria
MU Objectives and Measures, by Stage Bold = Core; Non-bold = Menu Red = Change to Stage 1 Criteria Health Outcomes Policy Priority Stage 1 Final Stage 2 Final Eligible Providers Hospitals Eligible Providers
More informatione -Prescribing An Information Brief
e -Prescribing An Information Brief Prepared by: Maryland Health Care Commission June 2008 Introduction Technology creates efficiencies and opportunities in almost every industry, and health care is no
More informationRE: CMS 0033 P; Comments to Meaningful Use Notice of Proposed Rulemaking
Centers for Medicare & Medicaid Services Department of Health and Human Services Room 445 G Hubert H. Humphrey Building 200 Independence Avenue, SW. Washington, DC 20201 RE: CMS 0033 P; Comments to Meaningful
More informationRe: CMS 3323 NC, Request for Information (RFI): Certification Frequency and Requirements for the Reporting of Quality Measures Under CMS Programs
February 5, 2016 Andrew M. Slavitt Acting Administrator Centers for Medicare & Medicaid Services Hubert H. Humphrey Building 200 Independence Avenue, S.W., Room 445-G Washington, DC 20201 Re: CMS 3323
More informationConcept Series Paper on Electronic Prescribing
Concept Series Paper on Electronic Prescribing E-prescribing is the use of health care technology to improve prescription accuracy, increase patient safety, and reduce costs as well as enable secure, real-time,
More informationModified Stage 2 Final Rule 2015-2017
Modified Stage 2 Final Rule 2015-2017 Illinois Health Information Technology Regional Extension Center (ILHITREC) SUPPORT PROVIDED BY ILHITREC: The Illinois Health Information Technology Regional Extension
More informationMay 28, 2015. Dear Mr. Slavitt:
May 28, 2015 The Honorable Andy Slavitt Acting Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Room 445-G, Hubert H. Humphrey Building 200 Independence Ave,
More informationSubmitted Electronically RE: CMS-1609-P: ISSUE # 1: Solicitation of Comments on Definitions of Terminal Illness and Related Conditions :
June 20, 2014 Submitted Electronically Ms. Marilyn B. Tavenner Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services 200 Independence Avenue, SW Washington, DC
More informationProposed Stage 3 Meaningful Use Criteria
Centers for Medicare and Medicaid Services Proposed Stage 3 Meaningful Use Criteria Objectives and Measure Summary March 20, 2015 Provided by Clinical Architecture LLC Contents Overview... 3 Objective
More informationDr. Peters has declared no conflicts of interest related to the content of his presentation.
Dr. Peters has declared no conflicts of interest related to the content of his presentation. Steve G. Peters MD NAMDRC 2013 No financial conflicts No off-label usages If specific vendors are named, will
More informationMay 7, 2012. Dear Dr. Mostashari:
McKesson Corporation One Post Street San Francisco, CA 94104-5296 Ann Richardson Berkey Senior Vice President, Public Affairs May 7, 2012 Farzad Mostashari, M.D., ScM. Director Office of the National Coordinator
More informationDEPARTMENT OF HEALTH AND HUMAN SERVICES. Medicare Program; Changes to the Electronic Prescribing (erx) Incentive Program
DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 42 CFR Part 414 [CMS-3248-F] RIN 0938-AR00 Medicare Program; Changes to the Electronic Prescribing (erx) Incentive Program
More informationCMS Proposed Electronic Health Record Incentive Program For Physicians
May 7, 2012 Ms. Marilyn Tavenner Acting Administrator Centers for Medicare and Medicaid Services Department of Health and Human Services Attention: CMS-0044-P Mail Stop C4-26-05 7500 Security Boulevard
More information2015 Meaningful Use CMS EHR Incentive Program. DeeAnne McCallin, REC Program Director 11/12/2015 update
2015 Meaningful Use CMS EHR Incentive Program DeeAnne McCallin, REC Program Director 11/12/2015 update 1 Disclaimer The information included in this presentation is for informational purposes only The
More informationMeaningful Use. Medicare and Medicaid EHR Incentive Programs
Meaningful Use Medicare and Medicaid Table of Contents What is Meaningful Use?... 1 Table 1: Patient Benefits... 2 What is an EP?... 4 How are Registration and Attestation Being Handled?... 5 What are
More informationRe: CMS-1345-P; Medicare Program; Medicare Shared Savings Program: Accountable Care Organizations; Proposed Rule
Department of Health and Human Services Attention: CMS 1345 P P.O. Box 8013, Baltimore, MD 21244 8013 Re: CMS-1345-P; Medicare Program; Medicare Shared Savings Program: Accountable Care Organizations;
More informationMeaningful Use Updates Stage 2 and 3. Julia Moore, Business Analyst SMC Partners, LLC July 8, 2015
Meaningful Use Updates Stage 2 and 3 Julia Moore, Business Analyst SMC Partners, LLC July 8, 2015 Stage 2 Requirements 2015 EPs beyond 1st year of MU must report on a full year of data EPs in 1 st year
More informationUsing Health Information Technology to Drive Health Care Quality, Safety and Healthier Patient Outcomes
Using Health Information Technology to Drive Health Care Quality, Safety and Healthier Patient Outcomes 2 Using Health Information Technology to Drive Health Care Quality, Safety and Healthier Patient
More informationMeaningful Use 2015 and beyond. Presented by: Anna Mrvelj EMR Training Specialist
Meaningful Use 2015 and beyond Presented by: Anna Mrvelj EMR Training Specialist 1 Agenda A look at the CMS Website Finding your EMR version Certification Number Proposed Rule by the Centers for Medicare
More informationMeaningful Use Modification Rules for 2015-2017 Oct. 26, 2015 Author: Jennifer Swinnich, Associate Director, PAMED Practice Support
Meaningful Use Modification Rules for 2015-2017 Oct. 26, 2015 Author: Jennifer Swinnich, Associate Director, PAMED Practice Support The following is a summary of the Meaningful Use Modifications for 2015-2017.
More informationDecember 2014. Federal Employees Health Benefits (FEHB) Program Report on Health Information Technology (HIT) and Transparency
December 2014 Federal Employees Health Benefits (FEHB) Program Report on Health Information Technology (HIT) and Transparency I. Background Federal Employees Health Benefits (FEHB) Program Report on Health
More informationCENTERS FOR MEDICARE & MEDICAID SERVICES. Cost
CENTERS FOR MEDICARE & MEDICAID SERVICES Things to Think about when You Compare Medicare Drug Coverage You have two options to get Medicare coverage for your prescription drugs. If you have Original Medicare,
More informationRe: Medicare and Medicaid Programs: Electronic Health Record (EHR) Incentive Program- Stage 3 Proposed Rule, File Code CMS-3310-P
Via Electronic Submission (www.regulations.gov) Mr. Andrew Slavitt Acting Administrator Centers for Medicare & Medicaid Services U.S. Department of Health and Human Services Hubert H. Humphrey Building,
More informationMeaningful Use Updates. HIT Summit September 19, 2015
Meaningful Use Updates HIT Summit September 19, 2015 Meaningful Use Updates Nadine Owen, BS,CHTS-IS, CHTS-IM Health IT Analyst Hawaii Health Information Exchange No other relevant financial disclosures.
More informationThe Proposed Rule of Electronic Health Certification (EHSRT)
April 28, 2014 VIA ELECTRONIC SUBMISSION Karen DeSalvo, MD, MPH, MSc National Coordinator for Health Information Technology Department of Health and Human Services 200 Independence Avenue, S.W. Washington,
More informationMeaningful Use in 2015 and Beyond Changes for Stage 2
Meaningful Use in 2015 and Beyond Changes for Stage 2 Jennifer Boaz Transformation Support Specialist Proprietary 1 Definitions AIU = Adopt, Implement or Upgrade EP = Eligible Professional API = Application
More informationMU Objectives and Measures, by Stage. Bold = Core; Non-bold = Menu Red = Change to Stage 1 Criteria
MU Objectives and Measures, by Stage Bold = Core; Non-bold = Menu Red = Change to Stage 1 Criteria Health General Program Meet or qualify for Requirements, Advancements and Changes exclusion to 15 core
More informationMay 7, 2012. Re: RIN 0991-AB82. Dear Secretary Sebelius:
May 7, 2012 Department of Health and Human Services Office of the National Coordinator for Health Information Technology Attention: 2014 Edition EHR Standards and Certification Proposed Rule Hubert H.
More information1900 K St. NW Washington, DC 20006 c/o McKenna Long
1900 K St. NW Washington, DC 20006 c/o McKenna Long Centers for Medicare & Medicaid Services U. S. Department of Health and Human Services Attention CMS 1345 P P.O. Box 8013, Baltimore, MD 21244 8013 Re:
More informationRe: Medicare and Medicaid Programs; Electronic Health Record Incentive Program Modifications to Meaningful Use in 2015 through 2017; Proposed Rule
Submitted Electronically Andrew M. Slavitt Acting Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Attn: CMS-3311-P P.O. Box 8013 Baltimore, MD 21244-1850
More informationMay 2, 2014. Dear Mr. Posnack:
May 2, 2014 Department of Health and Human Services Office of the National Coordinator for Health Information Technology Attention: 2015 Edition EHR Certification Criteria Proposed Rule Hubert Humphrey
More informationMay 26, 2015. Attention: RIN 0991-AB93 Submitted electronically to: http://www.regulations.gov. Dear Dr. DeSalvo:
Karen B. DeSalvo, M.D., M.P.H., M.Sc. National Coordinator for Health Information Technology Department of Health and Human Services 200 Independence Avenue, SW Washington, DC 20201 Attention: RIN 0991-AB93
More informationThe Honorable Alphonso Maldon, Jr. Chairman Military Compensation and Retirement Modernization Commission P. O. Box 13170 Arlington, Virginia 22209
The Honorable Alphonso Maldon, Jr. Chairman Military Compensation and Retirement Modernization Commission P. O. Box 13170 Arlington, Virginia 22209 Dear Chairman Maldon: The National Association of Chain
More informationModified Stage 2 Meaningful Use 2015-2017
Click to edit Master title style Modified Stage 2 Meaningful Use 2015-2017 Bruce Maki, MA M-CEITA / Altarum Institute Regulatory & Incentive Program Analyst 12/14/2015 1 1 Agenda 1. Overview of M-CEITA
More informationSubmitted via: http://www.regulations.gov
May 29, 2015 Submitted via: http://www.regulations.gov Andrew Slavitt Acting Administrator Centers for Medicare & Medicaid Services U.S. Department of Health and Human Services 7500 Security Boulevard
More informationHealth Information Technology in Healthcare: Frequently Asked Questions (FAQ) 1
Health Information Technology in Healthcare: Frequently Asked Questions (FAQ) 1 1. What is an Electronic Health Record (EHR), an Electronic Medical Record (EMR), a Personal Health Record (PHR) and e-prescribing?
More informationRE: RIN 0991 AB58. Dear Dr. Blumenthal:
Office of the National Coordinator for Health Information Technology Attention: HITECH Initial Set Interim Final Rule Hubert H. Humphrey Building Suite 729D 200 Independence Ave., S.W. Washington, DC 20201
More informationMeaningful Use. Goals and Principles
Meaningful Use Goals and Principles 1 HISTORY OF MEANINGFUL USE American Recovery and Reinvestment Act, 2009 Two Programs Medicare Medicaid 3 Stages 2 ULTIMATE GOAL Enhance the quality of patient care
More informationOverview of MU Stage 2 Joel White, Health IT Now
Overview of MU Stage 2 Joel White, Health IT Now 1 Agenda 1. Introduction 2. Context 3. Adoption Rates of HIT 4. Overview of Stage 2 Rules 5. Overview of Issues 6. Trend in Standards: Recommendations v.
More informationDebra B. Garza. Government Relationss. July 1, 2011. Director. have over. stores are. services. These. and in-store
Debra B. Garza Divisional Vice President Government Relationss July 1, 2011 VIA ELECTRONIC SUBMISSION Ms. Julie Hamos Director Illinois Department of Healthcare and Family Services 201 S. Grand Avenue
More informationFaculty Disclosure. Pharmacist Learning Objectives. Pharmacy e-hit: The Future of Pharmacy and Patient Care
Pharmacy e-hit: The Future of Pharmacy and Patient Care 1 Faculty Disclosure Ms Spiro has no actual or potential conflicts of interest associated with this presentation. 2 Pharmacist Learning Objectives
More informationMeaningful Use for Physician Offices
Meaningful Use for Physician Offices Eligibility, Registration and Meeting the Criteria Elizabeth M. Neuwirth 203 772 7742 eneuwirth@murthalaw.com H. Kennedy Hudner 860 240 6029 khudner@murthalaw.comemail
More informationGE Healthcare Healthcare IT
GE Healthcare Healthcare IT May 06, 2012 540 W. Northwest Highway Barrington, IL 60010 Farzad Mostashari, MD, ScM Department of Health and Human Services Office of the National Coordinator for Health Information
More informationHealth IT Policy Committee Meeting. Data Update. March 10, 2015
Health IT Policy Committee Meeting Data Update March 10, 2015 Agenda Examine characteristics associated with meaningful use performance among eligible hospitals Care transitions Patient engagement Patient
More informationMeaningful Use Stage 3 Proposed Rule: What it Means for Hospitals, Physicians & Health IT Developers
Meaningful Use Stage 3 Rule: What it Means for Hospitals, Physicians & Health IT Developers Vernessa T. Pollard and Nicole Liffrig Molife April 2015 With the publication of the Stage 3 Meaningful Use Rule
More informationRequest for Information on Assessing Interoperability for MACRA (HHS-ONC-2016-0008)
June 3, 2016 Dr. Karen DeSalvo, M.D., M.P.H., M.Sc. National Coordinator for Health Information Technology U.S. Department of Health and Human Services 330 C Street SW Washington, D.C. 20024 Re: Request
More informationMedicaid EHR Incentive Program
Medicaid EHR Incentive Program Modified Stage 2: through 2017 November 10, Kim Davis-Allen, Outreach Coordinator Kim.davis@ahca.myflorida.com November 10, 1 Key Concepts for Modified Stage 2 Restructured
More informationI. RECOMMENDATIONS RELATED TO THE TIMING OF STAGE 2
DRAFT FOR HIT POLICY COMMITTEE APPROVAL Farzad Mostashari, MD, ScM National Coordinator for Health Information Technology U.S. Department of Health and Human Services 200 Independence Avenue, S.W.
More informationID: HHS-OS-2014-0002 / RIN: 0991-AB92)
April 24, 2014 Attention: 2015 Edition EHR Standards and Certification Criteria Proposed Rule Office of the National Coordinator for Health Information Technology Department of Health and Human Services
More informationEHR Incentive Programs: 2015 through 2017 (Modified Stage 2) Overview
EHR Incentive Programs: 2015 through 2017 (Modified Stage 2) Overview CMS recently released a final rule that specifies criteria that eligible professionals (EPs), eligible hospitals, and critical access
More informationEHR Incentive Program Updates. Jason Felts, MS HIT Practice Advisor
EHR Incentive Program Updates Jason Felts, MS HIT Practice Advisor An Important Reminder For audio, you must use your phone: Step 1: Call (866) 906-0123. Step 2: Enter code 2071585#. Step 3: Mute your
More information3 EHR Solutions 1. BSURE The Ideal Drug Benefit Coordination Service
3 EHR Solutions 1. BSURE The Ideal Drug Benefit Coordination Service Every EHR should provide their prescribers with the ability to consider drug treatments based on the patient s ability to pay. This
More informationSummary of Key Provisions: CMS EHR Incentive Program Modifications to Meaningful Use in 2015 through 2017 (Final Rule)
Summary of Key Provisions: CMS EHR Incentive Program Modifications to Meaningful Use in 2015 through 2017 (Final Rule) Structure of the Rules: CMS originally published three separate Proposed Rules: Health
More informationRE: CMS-1416-P, Medicare Program; Medicare Shared Savings Program; Accountable Care Organizations; Proposed Rule
Marilynn B. Tavenner Administrator Center for Medicare & Medicaid Services U.S. Department of Health and Human Services Hubert H. Humphrey Building, Room 445-G 200 Independence Avenue, SW Washington, DC
More informationEligible Professional s Checklist 2015 Modified Stage 2 Meaningful Use
This checklist provides a look into Ohio s Medicaid Provider Incentive Program (MPIP) system for eligible professionals and may be used as a guide to help eligible professionals gather information that
More informationMedweb Telemedicine 667 Folsom Street, San Francisco, CA 94107 Phone: 415.541.9980 Fax: 415.541.9984 www.medweb.com
Medweb Telemedicine 667 Folsom Street, San Francisco, CA 94107 Phone: 415.541.9980 Fax: 415.541.9984 www.medweb.com Meaningful Use On July 16 2009, the ONC Policy Committee unanimously approved a revised
More informationEHR and CHIME: A Case Study
April 28, 2014 Karen DeSalvo, MD National Coordinator for Health Information Technology Office of the National Coordinator for Health Information Technology Department of Health and Human Services Submitted
More informationStage 3/2015 Edition Health IT Certification Criteria Proposed Rules Overview May 11, 2015
Stage 3/2015 Edition Health IT Certification Criteria Proposed Rules Overview May 11, 2015 Disclaimer» CMS must protect the rulemaking process and comply with the Administrative Procedure Act. During the
More informationStage 2 Final Rule Overview: Updates to Stage 1 and New Stage 2 Requirements
Stage 2 Final Rule Overview: Updates to Stage 1 and New Stage 2 Requirements The Centers for Medicare and Medicaid Services (CMS) issued the Stage 2 Final Rule on September 4, 2012. The Stage 2 Final Rule
More informationRe: CMS-0044-P Medicare and Medicaid Programs; Electronic Health Record Incentive Program-Stage 2
VIA Electronic Submission to http://www.regulations.gov May 7, 2012 Marilyn Tavenner Administrator Centers for Medicare and Medicaid Services Department of Health and Human Services Attention: CMS 0044
More informationEHR Incentive Program Focus on Stage One Meaningful Use. Kim Davis-Allen, Outreach Coordinator Kim.davis@ahca.myflorida.com October 16, 2014
EHR Incentive Program Focus on Stage One Meaningful Use Kim Davis-Allen, Outreach Coordinator Kim.davis@ahca.myflorida.com October 16, 2014 Checklist Participation Explanation Program Updates Stage One
More informationRe: Medicare and Medicaid Programs; Electronic Health Record Incentive Program Stage 2 (CMS-0044-P)
Ms. Marilyn B. Tavenner Acting Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Attention: CMS-0044-P Room 445-G, Hubert H. Humphrey Building 200 Independence
More informationOctober 31, 2011. Dear Dr. Berwick:
Donald Berwick, M.D., M.P.P. Administrator Centers for Medicare & Medicaid Services Hubert H. Humphrey Building 200 Independence Avenue, S.W. Room 445-G Washington, DC 20201 RE: CMS 9989 P; Patient Protection
More informationRequest for Information: Advancing Interoperability and Health Information Exchange
April 22, 2013 Ms. Marilyn Tavenner Acting Administrator, Chief Operating Officer Centers for Medicare & Medicaid Services U.S. Department of Health and Human Services Farzad Mostashari, MD, ScM National
More informationMedication Therapy Management: Data Exchange
ASAP 2014 Conference Medication Therapy Management: Data Exchange Dr. Mike Case Haub, Pharm.D. Director- Network Performance OutcomesMTM Disclosure Mike Case Haub is an employee of OutcomesMTM. The conflict
More informationMedicaid EHR Incentive Program. Focus on Stage 2. Kim Davis-Allen, Outreach Coordinator Kim.davis@ahca.myflorida.com
Medicaid EHR Incentive Program Focus on Stage 2 Kim Davis-Allen, Outreach Coordinator Kim.davis@ahca.myflorida.com Understanding Participation Program Year Program Year January 1 st - December 31st. Year
More informationFrequently Asked Questions: Electronic Health Records (EHR) Incentive Payment Program
1. Where did the Electronic Health Records (EHR) Incentive Program originate? The American Recovery and Reinvestment Act (ARRA) was signed into law on February 17, 2009, and established a framework of
More informationSubmitted electronically to http://www.regulations.gov
Submitted electronically to http://www.regulations.gov Centers for Medicare and Medicaid Services Department of Health and Human Services Attention: CMS-3288-NC P.O. Box 8016 Baltimore, MD 21244-8016 RE:
More informationMedicaid EHR Incentive Program Dentists as Eligible Professionals. Kim Davis-Allen, Outreach Coordinator Kim.davis@ahca.myflorida.
Medicaid EHR Incentive Program Dentists as Eligible Professionals Kim Davis-Allen, Outreach Coordinator Kim.davis@ahca.myflorida.com Considerations Must begin participation by Program Year 2016 Not required
More informationHealth Care February 28, 2012. CMS Issues Proposed Rule on Stage 2 Meaningful Use,
ROPES & GRAY ALERT Health Care February 28, 2012 CMS Issues Proposed Rule on Stage 2 Meaningful Use, ONC Issues Companion Proposed Rule on 2014 EHR Certification Criteria On February 23, 2012, the Centers
More informationMedicare & Medicaid EHR Incentive Programs
Medicare & Medicaid EHR Incentive Programs Stage 2 NPRM Overview Robert Anthony Office of E-Health Standards and Services Marsha Smith Office of Clinical Standards and Quality March 21, 2012 Proposed Rule
More informationTHE ROLE OF CLINICAL DECISION SUPPORT AND ANALYTICS IN IMPROVING LONG-TERM CARE OUTCOMES
THE ROLE OF CLINICAL DECISION SUPPORT AND ANALYTICS IN IMPROVING LONG-TERM CARE OUTCOMES Long-term and post-acute care (LTPAC) organizations face unique challenges for remaining compliant and delivering
More informationThree Proposed Rules on EHRs:
Three Proposed Rules on EHRs: CMS 2015-2017 Modifications CMS Meaningful Use Stage 3 ONC s 2015 Edition Health IT (CEHRT) Lori Mihalich-Levin lmlevin@aamc.org Mary Wheatley mwheatley@aamc.org Ivy Baer
More informationAPPENDIX A: OBJECTIVES AND MEASURES FOR 2015 THROUGH 2017 (MODIFIED STAGE 2) EP Objectives and Measures
APPENDIX A: OBJECTIVES AND MEASURES FOR 2015 THROUGH (MODIFIED STAGE 2) Objectives for Measures for Providers in EP Objectives and Measures Objective 1: Protect Patient Health Information Objective 2:
More information800 17th Street, NW Suite 1100, Washington, DC 20006
800 17th Street, NW Suite 1100, Washington, DC 20006 September 3, 2015 Mr. Andrew Slavitt Acting Administrator, Centers for Medicare & Medicaid Services Department of Health and Human Services Hubert H.
More informationThe Roadmap for Pharmacy Health Information Technology Integration in U.S. Health Care. Pharmacy e-health Information Technology Collaborative
The Roadmap for Pharmacy Health Information Technology Developed by the Pharmacy e-health Information Technology Collaborative HI Pharmacy e-health Information Technology Collaborative Table of Contents
More informationResponse to Revisions to the Permanent Certification Program for Health Information Technology NPRM (RIN 0991-AB82)
Response to Revisions to the Permanent Certification Program for Health Information Technology NPRM (RIN 0991-AB82) May 7, 2012 Secretary Kathleen Sebelius U.S. Department of Health and Human Services
More informationSeptember 13, 2013. Division of Dockets Management (HFA 305) Food and Drug Administration 5630 Fishers Lane, Rm.1061 Rockville, MD 20852
September 13, 2013 Division of Dockets Management (HFA 305) Food and Drug Administration 5630 Fishers Lane, Rm.1061 Rockville, MD 20852 [Submitted electronically to www.regulations.gov] Re: Standardizing
More informationAmerican Kidney Fund 6110 Executive Boulevard Suite 1010 Rockville, Maryland 20852
American Kidney Fund 6110 Executive Boulevard Suite 1010 Rockville, Maryland 20852 301.881.3052 voice 301.881.0898 fax 800.638.8299 toll-free 866.300.2900 Español www.kidneyfund.org Member: CFC 11404 December
More informationOPTIMIZING THE USE OF YOUR ELECTRONIC HEALTH RECORD. A collaborative training offered by Highmark and the Pittsburgh Regional Health Initiative
OPTIMIZING THE USE OF YOUR ELECTRONIC HEALTH RECORD A collaborative training offered by Highmark and the Pittsburgh Regional Health Initiative Introductions Disclosures Successful completion of training
More informationHow Real-Time Data Integration is Changing the Face of Healthcare IT
How Real-Time Data Integration is Changing the Face of Healthcare IT INTRODUCTION The twin goals of the Affordable Care Act reducing costs and improving quality have triggered sweeping changes to the way
More informationSUMMARY OF COMMENTS FROM NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC)
May 29, 2015 Centers for Medicare & Medicaid Services Department of Health and Human Services Attention: CMS 3310 P P.O. Box 8013 Baltimore, MD 21244 8013 Main Office 7501 Wisconsin Ave. Suite 1100W Bethesda,
More informationHL7 & Meaningful Use. Charles Jaffe, MD, PhD CEO Health Level Seven International. HIMSS 11 Orlando February 23, 2011
HL7 & Meaningful Use Charles Jaffe, MD, PhD CEO Health Level Seven International HIMSS 11 Orlando February 23, 2011 Overview Overview of Meaningful Use HIT Standards and Meaningful Use Overview HL7 Standards
More informationOverview of Meaningful Use Objectives Pharmacy e-hit Collaborative Comments
CPOE for medication orders (30%) CPOE (by licensed professional) for at least 1 medication, and 1 lab or radiologyorder for 60% of unique patients who have at least 1 such order (order does nothave to
More informationAnnual Notice of Changes for 2015
Express Scripts Medicare (PDP) for Consolidated Associations of Railroad Employees (CARE) Annual Notice of Changes for 2015 You are currently enrolled as a member of Express Scripts Medicare (PDP). The
More informationDisclosure. VeinExperts.org Principal
Disclosure VeinExperts.org Principal Documentation and EMR Usage Peggy Bush, APN, CNS, MSN Palm City, Florida Business of Medicine is Changing Government influences to improve public health Insurance Companies
More informationApril 22, 2013. RE: Advancing Interoperability and Health Information Exchange. Dear Dr. Mostashari:
April 22, 2013 Farzad Mostashari, MD, ScM National Coordinator for Health Information Technology Department of Health and Human Services Hubert Humphrey Building, Suite 729-D Washington, DC 20201 RE: Advancing
More informationMEETING MEANINGFUL USE IN MICROMD -STAGE TWO- Presented by: Anna Mrvelj EMR Training Specialist
MEETING MEANINGFUL USE IN MICROMD -STAGE TWO- Presented by: Anna Mrvelj EMR Training Specialist 1 Proposed Rule On April 15, 2015 CMS Issued a new proposal rule for the Medicare and Medicaid EHR Incentive
More informationEligible Professionals please see the document: MEDITECH Prepares You for Stage 2 of Meaningful Use: Eligible Professionals.
s Preparing for Meaningful Use in 2014 MEDITECH (Updated December 2013) Professionals please see the document: MEDITECH Prepares You for Stage 2 of Meaningful Use: Professionals. Congratulations to our
More informationApril 3, 2015. Re: Request for Comment: ONC Interoperability Roadmap. Dear Dr. DeSalvo:
Karen DeSalvo, M.D., M.P.H., M.Sc. Acting Assistant Secretary for Health National Coordinator for Health Information Technology U.S. Department of Health and Human Services 200 Independence Avenue, S.W.,
More informationMay 7, 2012. Re: Medicare and Medicaid Programs; Electronic Health Record Incentive Program-- Stage 2 Proposed Rule CMS- 0044-P RIN 0938-AQ84
May 7, 2012 Marilyn Tavenner Acting Administrator Centers for Medicare and Medicaid Services Department of Health and Human Services Room 445-G, Hubert H. Humphrey Building 200 Independence Avenue, SW
More information