BEST PRACTICES FOR MANAGING THE EVOLUTION OF EHRS

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "BEST PRACTICES FOR MANAGING THE EVOLUTION OF EHRS"

Transcription

1 E-Guide BEST PRACTICES FOR MANAGING THE EVOLUTION OF EHRS SearchHealthIT

2 W ith a focus on, the next wave of EHRs will incorporate powers of big data, speech recognition and new database models. This eguide explains why vendors may stave off stricter EHR with the development of two new vendor codes of conduct. Read on to find out how the meaningful use stage contains eight principal objectives for what s expected to be the final stage of the EHR program. PAGE 2 OF 16

3 NEXT-GENERATION EHRS WILL DRIVE HEALTH DATA INTEROPERABILITY Reda Chouffani The relationship between physicians and EHR systems is a complex one. At one time, these applications acted as repositories for digitized patient charts. Now, more practices are using these systems to help manage patient data generated within the facility, as well as data captured from multiple sources, such as medical imaging systems, referring physicians and lab results. There comes a point when most physicians recognize there is more to an EHR than simply a place for patient medical and social histories, as well as access to labs and digital imaging. But as we consider all the current applications in the marketplace and watch new disruptive technologies emerge, several signs tell us that tomorrow s medical records systems, driven by, will be very different from what we are used to. To evaluate the driving forces behind the evolution of EHRs, we can study the following areas: PAGE 3 OF 16

4 Volume, velocity and variety of health information: EHR systems will need to evolve from using traditional, outdated databases into using robust data engines that can successfully support the three Vs of big data. Many technical folks recognized quickly that traditional database engine systems were not the appropriate tools to manage the data for massive information systems. New systems were introduced by the likes of Google, Yahoo and others, which in turn forced other vendors to adapt their systems to support greater health data. In a similar way, health information is changing; it is constantly being created and it comes in many different formats. Medical devices and integration needs: Many social media sites are buildingopen application programming interfaces (APIs). These APIs enable third-party vendors to easily push and pull information from their sites. Examples include how Facebook can receive score updates from online games, or how fitness applications can post activities directly to Facebook. Because more patients are using more medical devices and their smartphones, EHR vendors will have to open their systems to accept data requests and data submissions in much simpler ways than they do now, without the need for complex integrations and interfaces. PAGE 4 OF 16

5 More natural interactive systems: There has been a significant increase in interest by companies in natural language processing (NLP) engines. In acquiring SkyPhrase last December, Yahoo became another example of how large companies in the tech world are acquiring NLP intellectual property. Others -- such as Apple with Siri and Google with its own engine driving Google Now -- have been leveraging these technologies to help improve the interactions with their end users. But from a healthcare perspective, these tools will have a significant impact on how we interact with systems. EHRs will have a virtual assistant layer that will allow clinicians to interact with the system naturally. Providers will no longer need to deal with complex forms to document discrete data. Nurses will simply have the system record sessions with patients to document their medical and social histories, and NLP will analyze the recordings and correctly populate EHR data fields. More patient-centric and less specialty-based care: The use of accountable care models is on the rise, as is the need to view patients as a whole, comprehensively treating them and closely staying in touch with their environment, lifestyle and mental health state. This is forcing developers to improve how information is collected and presented in EHR systems. PAGE 5 OF 16

6 EHR platforms have continued to adapt over the years. Requirements from meaningful use have forced providers to make changes at a much faster rate. Recognizing the rate of change and some of the disruptive technologies that patients and providers are using will likely force electronic record vendors to invest in more innovation and interoperable. They ll need to become very aggressive when it comes to change to be able to compete and provide value. PAGE 6 OF 16

7 VENDORS CRACK THE CODE ON HOW TO HEAD OFF FUTURE EHR REGULATIONS Ed Burns With its recent release, the EHR Association became the latest member of the health IT vendor community to publish an EHR development code of conduct. The move could help the industry stave off stricter EHR. The EHR Association (EHRA), a partner of the Healthcare Information and Management Systems Society, and which counts among its members some of the largest IT vendors in the country, including Allscripts Healthcare Solutions Inc., Cerner Corp., Epic Systems Corp. and McKesson Corp., published its ninepage Code of Conduct in June. The document sets out principles that would dictate certain practices to vendors who choose to sign on. The principles cover the areas of general business practices, patient safety, and data portability, clinical and billing documentation, privacy and security, and patient engagement. At the time the code was announced none of the EHRA vendors had committed to following it, but Farzad Mostashari, M.D., former national PAGE 7 OF 16

8 coordinator for health IT, said during a Web conference unveiling the code that the announcement was a sign of progress in the industry. It s very positive to see the community coming together and creating those social norms, Mostashari said. These are things that are important for the industry to grow and have our patients prosper. He said he was pleased to see the code cover the area of patient safety. He noted that EHRs have the potential to improve safety, but if designed or implemented improperly could lead to unintended consequences. Mostashari has been an outspoken critic of the EHR vendor community. In several presentations he has talked about the need for the industry to come together and agree upon common standards that would foster. He has said if vendors do not stop competing by hoarding data and locking providers into siloed systems, his office may have to consider new EHR. Michael Barr, M.D., senior vice president of the American College of Physicians, said during the Web conference that the code is a bold step forward toward improving care in the U.S. He said many physicians are experiencing difficulty complying with all the meaningful use measures, as well as other pressures hitting the healthcare PAGE 8 OF 16

9 industry. The fact that many are trying to alleviate these pressures with multiple IT systems that may have been developed with competing objectives makes this challenge even more difficult. However, he said getting EHR vendors to abide by the code could help with some of these issues. I can now go back to our members and say this code addresses some of those concerns, he said. The code would address more specific issues that have grown in prevalence in recent years. Vendors that sign on to the code would agree to enable customers to share data freely with other providers, regardless of the system used by their trading partner. Vendors would also agree to help customers export patient data in the event the customer wants to switch to another EHR system. The code also states that participants must make information about their billing and documentation approaches available to customers. This is intended to make providers aware of coding guidelines and encourage conformity with applicable regulatory and documentation standards. During the EHR upcoding controversy, some commentators said EHR systems make it too easy for doctors to bill for services they did not provide. This provision could help doctors understand their options and limitations. PAGE 9 OF 16

10 The code released by the EHRA is not the first of its kind. Toward the end of last year, EHR vendor athenahealth Inc. published its own Code of Conduct, which it is encouraging other industry stakeholders to sign. This code includes many provisions that are similar to the EHRA code, including allowing providers to take patient records to a new vendor, supporting patient safety and encouraging. In some cases, the athenahealth code goes further than the EHRA code. For example, the EHRA requires participants to make providers aware of coding practices to discourage fraudulent behavior, while the athenahealth code explicitly states that companies that sign will monitor customers for changes in billing patters indicative of fraud or upcoding. Dan Haley, vice president of government and regulatory affairs for athenahealth, said athenahealth is supportive of the EHRA code and the company will sign on to it. However, he feels it is more of a declaration of principles, whereas athenahealth s code is a set of hard commitments. We think it s useful, but of course the EHRA is a large membership- and consensus-driven organization, Haley said in an interview. We have the benefit of corporate structure -- we re basically a dictatorship. A membership organization governed by consensus may have started with what we did, but PAGE 10 OF 16

11 those statements have to endure thousands of slings and arrows and what comes out at the other end is considerably softer. Still, Haley said the fact that the industry as a whole is moving to create these codes, with individual vendors signing on in the future, is a positive step. He said the criticism that vendors have done to further the cause of is fair. The industry is far behind most others in terms of creating networked systems, but by getting vendors to sign on to a code of conduct -- whether it s the EHRA or athenahealth -- that requires them to support data portability is a step in the right direction. It might also help the industry avoid stricter EHR. Everybody talks about in healthcare as if it s some horribly difficult hurdle, Haley said. The way I reference it when I m doing our thing in Washington is, for whatever reason, health information technology lags roughly a decade behind the rest of the economy and everybody pretends that makes sense somehow. PAGE 11 OF 16

12 MEANINGFUL USE STAGE 3 PROPOSED RULE TWEAKS EHR PROGRAM Reda Chouffani Healthcare providers working to qualify for EHR incentive payments and avoid payment adjustments have a new set of criteria to prepare for. The Centers for Medicare and Medicaid Services released a proposal for the third -- and what is expected to be the final -- stage of the meaningful use program, in which it details the final requirements to be met by participating eligible professionals and hospitals. The meaningful use stage represents the culmination of the EHR incentive project that began as part of the HITECH Act. The broad goal of the meaningful use program is to encourage eligible professionals (EPs) and eligible hospitals (EHs) to use more health IT tools. More specifically, the program is set up to promote collaborative and less costly patient care through health information exchange and data. PAGE 12 OF 16

13 The meaningful use stage lists several significant changes that will affect incentive program participants. Stage 3 s preliminary emphasis is on reducing the complexity of the program established during stages 1 and 2. MEANINGFUL USE IN 2017 AND BEYOND If the proposal stands, EPs and EHs will face a year-long attestation period. The only exception to that rule will be Medicaid EPs and EHs that attempt to demonstrate meaningful use for the first time. They will have to attest only for the duration of the current 90-day period. The reporting period for stage 3 will begin in 2017, when it will be optional for participants. In 2018, it becomes required for all EPs and EHs. REQUIREMENTS, OBJECTIVES AND MEASURES To simplify the set of requirements in this stage, HHS has proposed a limited set of eight objectives to help achieve the goals of the final stage. Objective 1: Protect patient health information -- Providers will have to guard patients electronic protected health information by maintaining physical and technical security measures. PAGE 13 OF 16

14 Objective 2: Electronic prescribing -- Under the proposed objective, EPs would have to electronically create and transmit prescriptions to patients. Objective 3: Clinical decision support -- Stage 3 would have clinical decision support efforts target improvement in treating high-priority conditions. Objective 4: Computerized provider order entry (CPOE) -- Credentialed medical staff will be able to use CPOE for laboratory, diagnostic imaging and medication orders under the stage 3 proposal. Objective 5: Patient electronic access to health information -- Patients will be offered access to their health information through an API within 24 hours of its availability. Objective 6: Coordination of care through patient engagement -- This objective would have providers interact with patients about their care through certified EHR technology (CEHRT). Objective 7: Health information exchange -- EPs, EHs or critical access hospitals will receive and transmit a patient s summary of care record as that patient moves between different care facilities. PAGE 14 OF 16

15 Objective 8: Public health and clinical data registry reporting -- This proposed objective would have meaningful use participants communicate with and share with public health agencies or clinical data registries. PAGE 15 OF 16

16 FREE RESOURCES FOR TECHNOLOGY PROFESSIONALS TechTarget publishes targeted technology media that address your need for information and resources for researching products, developing strategy and making cost-effective purchase decisions. Our network of technology-specific Web sites gives you access to industry experts, independent content and analysis and the Web s largest library of vendor-provided white papers, webcasts, podcasts, videos, virtual trade shows, research reports and more drawing on the rich R&D resources of technology providers to address market trends, challenges and solutions. Our live events and virtual seminars give you access to vendor neutral, expert commentary and advice on the issues and challenges you face daily. Our social community IT Knowledge Exchange allows you to share real world information in real time with peers and experts. WHAT MAKES TECHTARGET UNIQUE? TechTarget is squarely focused on the enterprise IT space. Our team of editors and network of industry experts provide the richest, most relevant content to IT professionals and management. We leverage the immediacy of the Web, the networking and face-to-face opportunities of events and virtual events, and the ability to interact with peers all to create compelling and actionable information for enterprise IT professionals across all industries and markets PAGE 16 OF 16

Hybrid cloud computing explained

Hybrid cloud computing explained computing explained A few years ago, the IT industry was focused on public cloud computing. Then after facing public cloud security issues, the focus shifted to private clouds. And now the focus has shifted

More information

E-Guide GROWING CYBER THREATS CHALLENGING COST REDUCTION AS REASON TO USE MANAGED SERVICES

E-Guide GROWING CYBER THREATS CHALLENGING COST REDUCTION AS REASON TO USE MANAGED SERVICES E-Guide GROWING CYBER THREATS CHALLENGING COST REDUCTION AS REASON TO USE MANAGED SERVICES M id-sized companies plan to use more managed services and many see it as improving security. Read on to find

More information

Re: Medicare and Medicaid Programs; Electronic Health Record Incentive Program - Modifications to Meaningful Use in 2015 Through 2017

Re: Medicare and Medicaid Programs; Electronic Health Record Incentive Program - Modifications to Meaningful Use in 2015 Through 2017 33 W. Monroe, Suite 1700 Chicago, IL 60603 Phone: 312-915-9582 E-mail: agorden@himss.org AllMeds, Inc. Allscripts Healthcare Solutions Amazing Charts Aprima Medical Software, Inc. Bizmatics Cerner Corporation

More information

May 7, 2012. Dear Dr. Mostashari:

May 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 information

ios7: 3 rd party or platform-enabled MAM? Taking a look behind the scenes with Jack Madden

ios7: 3 rd party or platform-enabled MAM? Taking a look behind the scenes with Jack Madden ios7: 3 rd party or platform-enabled? Taking a look behind the scenes with Jack Madden party and platform-enables difference between 3rd party and platform-enabled Jack Madden You re probably well aware

More information

E-Guide CLOUD COMPUTING FACTS MAY UNCLENCH SERVER HUGGERS HOLD

E-Guide CLOUD COMPUTING FACTS MAY UNCLENCH SERVER HUGGERS HOLD E-Guide CLOUD COMPUTING FACTS MAY UNCLENCH SERVER HUGGERS HOLD T o d ay, n e a r ly e v e r y IT function is available as a cloud-based service: email, payroll, HR, analytics, and on and on. While higher-level

More information

Advanced analytics key component for decision management systems

Advanced analytics key component for decision management systems decision management In the last 20 to 30 years, companies have faced significant changes in how they perform their day-to-day operations, and so have the analytics used to make decisions. In this Q&A Tip

More information

The Future of Meaningful Use

The Future of Meaningful Use The Future of Meaningful Use Stage 3 Erin Dormaier, CHTS-IM, PCMH CCE Transformation Support Services Manager 2015 CORHIO All Rights Reserved CORHIO Proprietary Not For Redistribution 1 Agenda Stage 3

More information

Solution Spotlight BEST PRACTICES FOR DEVELOPING MOBILE CLOUD APPS REVEALED

Solution Spotlight BEST PRACTICES FOR DEVELOPING MOBILE CLOUD APPS REVEALED Solution Spotlight BEST PRACTICES FOR DEVELOPING MOBILE CLOUD APPS REVEALED T here s two ways you can build your mobile applications: native applications, or mobile cloud applications. Which option is

More information

The Meaningful Use Stage 2 Final Rule: Overview and Outlook

The Meaningful Use Stage 2 Final Rule: Overview and Outlook The Meaningful Use Stage 2 Final Rule: Overview and Outlook Devi Mehta, JD, MPH Cand. 1 Taylor Burke, JD, LLM 2 Lara Cartwright-Smith, JD, MPH 3 Jane Hyatt Thorpe, JD 4 Introduction On August 23, 2012,

More information

Meaningful Use Stage 2. Meeting Meaningful Use Stage 2 with InstantPHR TM. www.getrealhealth.com

Meaningful Use Stage 2. Meeting Meaningful Use Stage 2 with InstantPHR TM. www.getrealhealth.com www.getrealhealth.com Meaningful Use Overview We are at the forefront of the patient engagement era. The American Recovery and Reinvestment Act of 2009 included the Health Information Technology for Economic

More information

E-Guide THE LATEST IN SAN AND NAS STORAGE TRENDS

E-Guide THE LATEST IN SAN AND NAS STORAGE TRENDS E-Guide THE LATEST IN SAN AND NAS STORAGE TRENDS B lock-based SANs and file-based networkattached storage are traditional technologies, and new trends and innovations continue to emerge with these age

More information

Mobilizing enterprise applications for the consumerization of IT

Mobilizing enterprise applications for the consumerization of IT Mobilizing enterprise applications for the consumerization of for The rise of the mobile device in the enterprise is changing the way users access and share information at work, as well as how developers

More information

How to Play by the (Final) Rules:

How to Play by the (Final) Rules: Click to edit Master title style How to Play by the (Final) Rules: An Overview of Meaningful Use Stage 2 Bruce Maki, MA M-CEITA / Altarum Institute Regulatory and Incentive Program Analyst March 11, 2015

More information

HOW MICROSOFT AZURE AD USERS CAN EMPLOY SSO

HOW MICROSOFT AZURE AD USERS CAN EMPLOY SSO E-Guide HOW MICROSOFT AZURE AD USERS CAN EMPLOY SearchSecurity HOW MICROSOFT AZURE AD USERS CAN EMPLOY T echnology journalist David Strom explaims how to use Azure Active Directory and Azure Multifactor

More information

E-Guide CONSIDERATIONS FOR EFFECTIVE SOFTWARE LICENSE MANAGEMENT

E-Guide CONSIDERATIONS FOR EFFECTIVE SOFTWARE LICENSE MANAGEMENT E-Guide CONSIDERATIONS FOR EFFECTIVE SOFTWARE LICENSE MANAGEMENT F or many reasons, has become a critical issue for many IT organizations and enterprise s alike. With many licensing options, hurdles and

More information

Summary of the Final Rule for Meaningful Use for 2015 and 2016. Meaningful Use Objectives for 2015 and 2016

Summary 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 information

How to Develop Cloud Applications Based on Web App Security Lessons

How to Develop Cloud Applications Based on Web App Security Lessons Applications Based on Before moving applications to the public cloud, it is important to implement security practices and techniques. This expert E-Guide provides guidance on how to develop secure applications

More information

Strategies for Writing a HIPAA-Friendly BYOD Policy

Strategies for Writing a HIPAA-Friendly BYOD Policy Strategies for Writing a HIPAA-Friendly BYOD Policy Strategies for Friendly With bring-your-own-device (BYOD) on the rise, it is essential for CIOs to secure their networks against data breaches especially

More information

Proposed Stage 3 Meaningful Use Criteria

Proposed 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 information

Securing the SIEM system: Control access, prioritize availability

Securing the SIEM system: Control access, prioritize availability The prospect of a SIEM system crash or compromise should scare any enterprise given the role it plays in an organization s security infrastructure. This expert E-Guide discusses the implications of a compromised

More information

E-Guide HOW THE VMWARE SOFTWARE DEFINED DATA CENTER WORKS: AN IAAS EXAMPLE

E-Guide HOW THE VMWARE SOFTWARE DEFINED DATA CENTER WORKS: AN IAAS EXAMPLE E-Guide HOW THE VMWARE SOFTWARE DEFINED DATA CENTER WORKS: AN IAAS EXAMPLE T he VMware software-defined data center turns virtualization into Infrastructure as a Service with automation and self-service.

More information

InteliChart. Putting the Meaningful in Meaningful Use. Meeting current criteria while preparing for the future

InteliChart. Putting the Meaningful in Meaningful Use. Meeting current criteria while preparing for the future Putting the Meaningful in Meaningful Use Meeting current criteria while preparing for the future The Centers for Medicare & Medicaid Services designed Meaningful Use (MU) requirements to encourage healthcare

More information

Software Defined Networking Goes Well Beyond the Data Center

Software Defined Networking Goes Well Beyond the Data Center Software Defined Goes Well Software Defined Goes Well Software-defined networking (SDN) is already changing the data center network, but now the technology could redefine other parts of the network, as

More information

Managing Virtual Desktop Environments

Managing Virtual Desktop Environments Managing Virtual Desktop Environments Desktop virtualization can be extremely beneficial to a company's operating system environment. Yet while working through the virtualization planning process, IT professionals

More information

NHCHC Meaningful Use of Electronic Health Records Resource Catalogue. Meaningful Use Overview

NHCHC Meaningful Use of Electronic Health Records Resource Catalogue. Meaningful Use Overview Meaningful Use Overview Meaningful use is the use of a certified electronic health record (EHR) to demonstrate improved quality and safety of health care delivery for a patient population within a clinical

More information

Meaningful Use Updates. HIT Summit September 19, 2015

Meaningful 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 information

Increase Participation Through Partial Incentives

Increase Participation Through Partial Incentives February 26, 2010 Ms. Charlene M. Frizzera Acting Administrator Centers for Medicare & Medicaid Services Attn. CMS-0033-P P.O. Box 8016 Baltimore, MD 21244-8016 Dear Ms. Frizzera, I am writing on behalf

More information

Social media driving CRM strategies

Social media driving CRM strategies Rapid changes in social computing, mobile and customer analytics are driving shifts in. In a recent survey, IT identified establishing a CRM strategy as the second greatest challenge, behind instituting

More information

EHR/Meaningful Use 2015-2017

EHR/Meaningful Use 2015-2017 EHR/Meaningful Use 2015-2017 The requirements for Meaningful Use attestation have changed due to the recently released Medicare and Medicaid Programs: Electronic Health Record Incentive Program Stage 3

More information

Meaningful Use. Medicare and Medicaid EHR Incentive Programs

Meaningful 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 information

Presented by. Terri Gonzalez Director of Practice Improvement North Carolina Medical Society

Presented by. Terri Gonzalez Director of Practice Improvement North Carolina Medical Society Presented by Terri Gonzalez Director of Practice Improvement North Carolina Medical Society Meaningful Use is using certified EHR technology to: Improve quality, safety, efficiency, and reduce errors Engage

More information

Stage 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 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 information

March 15, 2010. Dear Dr. Blumenthal:

March 15, 2010. Dear Dr. Blumenthal: March 15, 2010 David Blumenthal, MD, MPP National Coordinator Office of the National Coordinator for Health Information Technology (ONCHIT) Department of Health and Human Services ATTN: HITECH Initial

More information

Evaluating SaaS vs. on premise for ERP systems

Evaluating SaaS vs. on premise for ERP systems Evaluating SaaS vs. on premise Increasingly organizations are given more options and evaluating SaaS vs. on premise options can be challenging for organizations. In this expert E-Guide, readers will learn

More information

EHR Incentive Program Stage 3 Objectives & Measures Crosswalk of Stage 3 Proposed Objectives, Measures & Corresponding Stage 2 Measures

EHR Incentive Program Stage 3 Objectives & Measures Crosswalk of Stage 3 Proposed Objectives, Measures & Corresponding Stage 2 Measures EHR Incentive Program Stage 3 Objectives & Measures Crosswalk of Stage 3 Proposed Objectives, Measures & Corresponding Stage 2 Measures Objective 1: Protect Patient Health Information Measures: 1 (Complete

More information

CMS AND ONC FINAL REGULATIONS DEFINE MEANINGFUL USE AND SET STANDARDS FOR ELECTRONIC HEALTH RECORD INCENTIVE PROGRAM

CMS AND ONC FINAL REGULATIONS DEFINE MEANINGFUL USE AND SET STANDARDS FOR ELECTRONIC HEALTH RECORD INCENTIVE PROGRAM CMS AND ONC FINAL REGULATIONS DEFINE MEANINGFUL USE AND SET STANDARDS FOR ELECTRONIC HEALTH RECORD INCENTIVE PROGRAM The Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator

More information

HIMSS Public Policy Initiatives in 2015: Using Health IT to Enable Healthcare Transformation Jeff Coughlin Senior Director Federal & State Affairs

HIMSS Public Policy Initiatives in 2015: Using Health IT to Enable Healthcare Transformation Jeff Coughlin Senior Director Federal & State Affairs HIMSS Public Policy Initiatives in 2015: Using Health IT to Enable Healthcare Transformation Jeff Coughlin Senior Director Federal & State Affairs March 26, 2015 Agenda Meaningful Use Stage 3 NPRM 2015

More information

WISHIN Comments Regarding CMS EHR Incentives Proposed Stage 2 Meaningful Use Objectives

WISHIN Comments Regarding CMS EHR Incentives Proposed Stage 2 Meaningful Use Objectives CMS-0044-P: Medicare and Medicaid Programs; Electronic Health Record Incentive Program Stage 2 WISHIN supports the overall goals of the Stage 2 requirements, as stated in Section II.A.3.a (Provisions of

More information

Data warehouse software bundles: tips and tricks

Data warehouse software bundles: tips and tricks Data software bundles: tips and tricks Data software bundles: Data The emergence of data appliances has broadened the potential uses of business intelligence (BI) and analytics within many organizations

More information

Desktop virtualization: Best practices for a seamless deployment

Desktop virtualization: Best practices for a seamless deployment Desktop virtualization: Best practices for a For years, virtualization efforts have centered on servers and storage, as opposed to desktops and rightfully so. The technology has evolved faster with fewer

More information

Re: Medicare and Medicaid Programs; Electronic Health Record Incentive Program Stage 3 (CMS-3310-P)

Re: 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 information

Frequently Asked Questions

Frequently Asked Questions Frequently Asked Questions About PreManage The Oregon Health Leadership Council has formed a unique coalition of major stakeholders, including hospitals, health plans, Emergency Department (ED) physicians

More information

E-Guide NETWORKING MONITORING BEST PRACTICES: SETTING A NETWORK PERFORMANCE BASELINE

E-Guide NETWORKING MONITORING BEST PRACTICES: SETTING A NETWORK PERFORMANCE BASELINE E-Guide NETWORKING MONITORING BEST PRACTICES: SETTING A NETWORK PERFORMANCE BASELINE W hy the need for a baseline? A baseline is a set of metrics used in network performance monitoring to define the normal

More information

Overview of MU Stage 2 Joel White, Health IT Now

Overview 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 information

Intégration de la Télémédecine dans le Dossier Médical Hospitalier

Intégration de la Télémédecine dans le Dossier Médical Hospitalier Intégration de la Télémédecine dans le Dossier Médical Hospitalier Joshua L. Cohen, M.D. Professor of Medicine Division of Endocrinology & Metabolism Director, Medical Faculty Associates Diabetes Center

More information

Meaningful Use: Terms & Timelines, Changes to Stage 1, and Stage 2 Overview

Meaningful Use: Terms & Timelines, Changes to Stage 1, and Stage 2 Overview Meaningful Use: Terms & Timelines, Changes to Stage 1, and Stage 2 Overview NYC REACH Primary Care Information Project NYC Department of Health & Mental Hygiene 1 Agenda Terms & Timelines of Meaningful

More information

Courtesy of Columbia University and the ONC Health IT Workforce Curriculum program

Courtesy of Columbia University and the ONC Health IT Workforce Curriculum program Special Topics in Vendor-Specific Systems: Quality Certification of Commercial EHRs Lecture 5 Audio Transcript Slide 1: Quality Certification of Electronic Health Records This lecture is about quality

More information

Electronic Health Record Incentive Program Update May 29, 2015. Florida Health Information Exchange Coordinating Committee

Electronic Health Record Incentive Program Update May 29, 2015. Florida Health Information Exchange Coordinating Committee Electronic Health Record Incentive Program Update May 29, 2015 Florida Health Information Exchange Coordinating Committee Topics Payment Data Participation Years and Payments Meaningful Use Progression

More information

Health IT What Does it Mean to You? Susan Brown, Iowa REC Director September 19, 2012

Health IT What Does it Mean to You? Susan Brown, Iowa REC Director September 19, 2012 Health IT What Does it Mean to You? Susan Brown, Iowa REC Director September 19, 2012 HEALTH IT, EHRs & MEANINGFUL USE 2 Health IT Video http://www.youtube.com/watch?v=a3zb5 Jsh_c&feature=endscreen&NR=1

More information

MEANINGFUL USE STAGE 3 AND CERTIFICATION PROPOSED RULES

MEANINGFUL USE STAGE 3 AND CERTIFICATION PROPOSED RULES MEANINGFUL USE STAGE 3 AND CERTIFICATION PROPOSED RULES The following provides a brief summary of the Meaningful Use (MU) Stage 3 and 2015 Edition certification proposed rules. Comments on the rules are

More information

E-Guide WHAT IT MANAGERS NEED TO KNOW ABOUT RISKY FILE-SHARING

E-Guide WHAT IT MANAGERS NEED TO KNOW ABOUT RISKY FILE-SHARING E-Guide WHAT IT MANAGERS NEED TO KNOW ABOUT RISKY FILE-SHARING E mployees are circumventing IT protocols and turning to unsanctioned tools such as file-sharing, messaging, collaboration and social media

More information

Summary of the Proposed Rule for the Medicare and Medicaid Electronic Health Records (EHR) Incentive Program (Eligible Professionals only)

Summary of the Proposed Rule for the Medicare and Medicaid Electronic Health Records (EHR) Incentive Program (Eligible Professionals only) Summary of the Proposed Rule for the Medicare and Medicaid Electronic Health Records (EHR) Incentive Program (Eligible Professionals only) Background Enacted on February 17, 2009, the American Recovery

More information

Meaningful 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 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 information

Electronic Health Records. A Resource Guide

Electronic Health Records. A Resource Guide Electronic Health Records A Resource Guide Electronic Health Records A Resource Guide David Herzstein Couch Beatriz Reyes This publication was funded by a cooperative agreement by the Office of Population

More information

Modifications to the Medicare and Medicaid Electronic Health Record (EHR) Incentive Program for 2014 Final Rule Summary

Modifications to the Medicare and Medicaid Electronic Health Record (EHR) Incentive Program for 2014 Final Rule Summary CY 2014 MPFS Final Rule Summary December 3, 2013 Page 1 Modifications to the Medicare and Medicaid Electronic Health Record (EHR) Incentive Program for 2014 Final Rule Summary SEPTEMBER 2014 Page 2 TABLE

More information

Does consolidating multiple ERP systems make sense?

Does consolidating multiple ERP systems make sense? Does consolidating make sense? Many manufacturers run or multiple instances of one system as a result of past mergers and acquisitions; others choose to deliberately adopt different systems to meet compliance

More information

CMS Listening Session: EHR Incentive Programs in 2018 & Beyond

CMS Listening Session: EHR Incentive Programs in 2018 & Beyond CMS Listening Session: EHR Incentive Programs in 2018 & Beyond Kate Goodrich, MD, MHS, Director, Center for Clinical Standards and Quality Robert Anthony, Deputy Director, Quality Measurement & Value-Based

More information

MEDICAL ASSISTANCE STAGE 2 SUMMARY

MEDICAL ASSISTANCE STAGE 2 SUMMARY MEDICAL ASSISTANCE STAGE 2 SUMMARY OVERVIEW On September 4, 2012, CMS published a final rule that specifies the Stage 2 Meaningful Use criteria that eligible professionals (EPs), eligible hospitals (EHs)

More information

Social channels changing contact center certification

Social channels changing contact center certification changing contact center certification Companies can expect big changes in contact center certification beginning next year. Many will see overhauled programs for certifications that address the full range

More information

MEANINGFUL USE STAGE 2 REQUIREMENTS FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY

MEANINGFUL USE STAGE 2 REQUIREMENTS FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY MEANINGFUL USE STAGE 2 REQUIREMENTS FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY On August 24, the Centers for Medicare & Medicaid Services (CMS) posted the much anticipated final rule for Stage

More information

EHR 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 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 information

Meaningful Use Stage 3 Proposed Rule: What it Means for Hospitals, Physicians & Health IT Developers

Meaningful 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 information

Incentives to Accelerate EHR Adoption

Incentives to Accelerate EHR Adoption Incentives to Accelerate EHR Adoption The passage of the American Recovery and Reinvestment Act (ARRA) of 2009 provides incentives for eligible professionals (EPs) to adopt and use electronic health records

More information

Impact of the Healthcare IT Stimulus Package. Session 2 of 4. Presented by. Mark R. Anderson, FHIMSS, CPHIMS CEO, AC Group, Inc.

Impact of the Healthcare IT Stimulus Package. Session 2 of 4. Presented by. Mark R. Anderson, FHIMSS, CPHIMS CEO, AC Group, Inc. Welcomes you to Part II of a four part Webinar series on the healthcare IT marketplace, the reasons why EMR/EHR products have failed, how the Healthcare Stimulus package will effect you, and what you need

More information

Navigating Meaningful Use Stage 2

Navigating Meaningful Use Stage 2 Navigating Meaningful Use Stage 2 Follow Justin Barnes @HITAdvisor Ask Questions & Follow Today s Conversation #askhit Justin T. Barnes VP, Greenway Medical Technologies Chairman Emeritus, EHR Association

More information

Proving Meaningful Use of a Certified EMR

Proving Meaningful Use of a Certified EMR Proving Meaningful Use of a Certified EMR In order to qualify for the incentive, you must first prove meaningful use of a certified EMR. Meaningful use is defined as the use of certified EHR technology

More information

E-Guide VIDEO CONFERENCING SOFTWARE AND HARDWARE: HYBRID APPROACH NEEDED

E-Guide VIDEO CONFERENCING SOFTWARE AND HARDWARE: HYBRID APPROACH NEEDED E-Guide VIDEO CONFERENCING SOFTWARE AND HARDWARE: HYBRID APPROACH NEEDED M obility spurs video conferencing software need; users want software-and cloud-based offerings to interoperate with their legacy

More information

Meaningful Use: Stage 1 and 2 Hospitals (EH) and Providers (EP) Lindsey Mongold, MHA HIT Practice Advisor Oklahoma Foundation for Medical Quality

Meaningful Use: Stage 1 and 2 Hospitals (EH) and Providers (EP) Lindsey Mongold, MHA HIT Practice Advisor Oklahoma Foundation for Medical Quality Meaningful Use: Stage 1 and 2 Hospitals (EH) and Providers (EP) Lindsey Mongold, MHA HIT Practice Advisor Oklahoma Foundation for Medical Quality Meaningful Use Stage 1 Focuses on Functional & Interoperability

More information

Health Information Technology in Healthcare: Frequently Asked Questions (FAQ) 1

Health 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 information

MEANINGFUL USE. stoltenberg consulting inc. Meeting Stage 2 Meaningful Use Requirements. simplifying healthcare technology. www.stoltenberg.

MEANINGFUL USE. stoltenberg consulting inc. Meeting Stage 2 Meaningful Use Requirements. simplifying healthcare technology. www.stoltenberg. Meeting Stage 2 Meaningful Use Requirements No matter what form the final rule of Stage 2 MU takes, HCOs can t afford to bide their time Despite the growing number of MU attestations and the impressive

More information

Stage 2 Meaningful Use What the Future Holds. Lindsey Wiley, MHA HIT Manager Oklahoma Foundation for Medical Quality

Stage 2 Meaningful Use What the Future Holds. Lindsey Wiley, MHA HIT Manager Oklahoma Foundation for Medical Quality Stage 2 Meaningful Use What the Future Holds Lindsey Wiley, MHA HIT Manager Oklahoma Foundation for Medical Quality An Important Reminder For audio, you must use your phone: Step 1: Call (866) 906-0123.

More information

Stage 2 of Meaningful Use Summary of Proposed Rule

Stage 2 of Meaningful Use Summary of Proposed Rule Stage 2 of Meaningful Use Summary of Proposed Rule Background In order to receive incentives for the adoption of electronic health records (EHRs) under either the Medicare or Medicaid (Medi-Cal) incentive

More information

Going beyond Meaningful Use with EMR solutions from the Centricity portfolio

Going beyond Meaningful Use with EMR solutions from the Centricity portfolio Going beyond Meaningful Use with EMR solutions from the Centricity portfolio The IT tools and services you need now. The support you need for the future. GE Healthcare is focused on providing customers

More information

June 15, 2015. Submitted electronically via www.regulations.gov

June 15, 2015. Submitted electronically via www.regulations.gov June 15, 2015 Marilyn Tavenner, R.N. Administrator Center for Medicare and Medicaid Services Department of Health and Human Services P.O. Box 8013 Baltimore, MD 21244-8013 Submitted electronically via

More information

MDM features vs. native mobile security

MDM features vs. native mobile security vs. : Mobile device management or MDM plays a critical role in, but should always trump native security features of mobile devices? Lisa Phifer weighs in on how to choose the best approach for your workforce.

More information

Stage 1 vs. Stage 2 Comparison Table for Eligible Professionals Last Updated: August, 2012

Stage 1 vs. Stage 2 Comparison Table for Eligible Professionals Last Updated: August, 2012 Stage 1 vs. Stage 2 Comparison Table for Eligible Professionals Last Updated: August, 2012 CORE OBJECTIVES (17 total) Stage 1 Objective Stage 1 Measure Stage 2 Objective Stage 2 Measure Use CPOE for medication

More information

HCCN Meaningful Use Review. October 7 th, 2015 Louisiana Public Health Institute Kelly Maggiore Jack Millaway

HCCN Meaningful Use Review. October 7 th, 2015 Louisiana Public Health Institute Kelly Maggiore Jack Millaway HCCN Meaningful Use Review October 7 th, 2015 Louisiana Public Health Institute Kelly Maggiore Jack Millaway What is Meaningful Use? Federal and State incentive payment program for Eligible Professionals

More information

Meaningful Use in 2015 and Beyond Changes for Stage 2

Meaningful 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 information

Supply Chain Management Tips and Best Practices

Supply Chain Management Tips and Best Practices Supply Chain Management Tips and Best Practices According to Aberdeen Group, as companies seek to contain or cut supply chain management (SCM) costs, they are prioritizing increasing supply chain visibility,

More information

May 28, 2015. Dear Mr. Slavitt:

May 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 information

The HITECH Act and Meaningful Use Implications for Population and Public Health

The HITECH Act and Meaningful Use Implications for Population and Public Health The HITECH Act and Meaningful Use Implications for Population and Public Health Bill Brand, MPH Public Health Informatics Institute Meaningful Use for Public Health Professionals: Basic Training May 16,

More information

Meaningful Use Objectives

Meaningful Use Objectives Meaningful Use Objectives The purpose of the electronic health records (EHR) incentive program is not so much the adoption of health information technology (HIT), but rather how HIT can further the goals

More information

Medicaid 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. 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 information

ARRA HITECH Meaningful Use Objectives & Implications to Public Health Lab

ARRA HITECH Meaningful Use Objectives & Implications to Public Health Lab ARRA HITECH Meaningful Use Objectives & Implications to Public Health Lab For APHL Annual Meeting June 2011 By Wes Kennemore, APHL and Jennifer McGehee, CDC DISCLAIMER This presentation was supported by

More information

Stage 1 vs. Stage 2 Comparison for Eligible Professionals

Stage 1 vs. Stage 2 Comparison for Eligible Professionals Stage 1 vs. Comparison for Eligible Professionals CORE OBJECTIVES (17 Total) Stage 1 Objective Stage 1 Measure Objective Measure Use CPOE for Medication orders directly entered by any licensed healthcare

More information

2010 ONC All-Grantee Meeting Partnering with EHR Vendors

2010 ONC All-Grantee Meeting Partnering with EHR Vendors 2010 ONC All-Grantee Meeting Partnering with EHR Vendors December 15, 2010 12/16/2010 1 Justin Barnes, Chairman Emeritus, EHR Association VP, Greenway Medical Technologies Charles Jarvis, Vice Chair, EHR

More information

The now tips, the how tools, and the must timing for your MU path in 2014.

The now tips, the how tools, and the must timing for your MU path in 2014. Meaningful Use in 2014 - Window of Opportunity The now tips, the how tools, and the must timing for your MU path in 2014. Inside you will find: CLICK ON TITLES TO NAVIGATE MU 2014 updates; Must know changes!

More information

June 15, 2015 VIA ELECTRONIC SUBMISSION

June 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 information

Benefits of virtualizing your network

Benefits of virtualizing your network While server virtulization can improve your infrastructure as a whole, it can affect. Extending virtualization to can eliminate any unnecessary impacts and allow you to maximize your virtual investment.

More information

Meaningful Use Madness: Stage 3 Overview APRIL 08, 2015

Meaningful Use Madness: Stage 3 Overview APRIL 08, 2015 Meaningful Use Madness: Stage 3 Overview APRIL 08, 2015 Agenda Health IT Updates EHR Meaningful Use Incentive Program Rulemaking CMS Policy NPRM Stage 3 ONC Technical NPRM 2015 Edition CEHRT Proposed structural

More information

Making Sense of Meaningful Use: Stage 2. Purdue Research Foundation

Making Sense of Meaningful Use: Stage 2. Purdue Research Foundation Making Sense of Meaningful Use: Stage 2 1 Who are we? Purdue Healthcare Advisors (PHA)*, a business unit of Purdue University, specializes in affordable assistance to organizations that share our passion

More information

April 22, 2013. RE: Advancing Interoperability and Health Information Exchange. Dear Dr. Mostashari:

April 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 information

Eligible Professional Menu Measure Frequently Asked Questions

Eligible Professional Menu Measure Frequently Asked Questions Eligible Professional Menu Measure Frequently Asked Questions Drug Formulary Checks 1. If an EP is unable to meet the measure of a meaningful use objective because it is outside of the scope of his or

More information

Meaningful Use and Lab Related Requirements

Meaningful Use and Lab Related Requirements Meaningful Use and Lab Related Requirements ONC State HIE / NILA Workgroup August 20, 2013 What is an EHR? Electronic Health Record Information system used by healthcare providers to store and manage patient

More information

Office of the National Coordinator for Health Information Technology Supporting Meaningful Use. July 22, 2010

Office of the National Coordinator for Health Information Technology Supporting Meaningful Use. July 22, 2010 Office of the National Coordinator for Health Information Technology Supporting Meaningful Use ONC Programs to Support Meaningful Use Technical Assistance: Through the Regional Extension Center Program,

More information

E-Guide BEST PRACTICES FOR CLOUD BASED DISASTER RECOVERY

E-Guide BEST PRACTICES FOR CLOUD BASED DISASTER RECOVERY E-Guide BEST PRACTICES FOR CLOUD BASED DISASTER RECOVERY and mean for F or IT managers, has always been high priority, however the new IT landscape and increased deployment of cloud has complicated the

More information

Applying Lessons Learned in the New Frontier

Applying Lessons Learned in the New Frontier Applying Lessons Learned in the New Frontier Better Communication for Better Healthcare National Health Policy Forum January 14, 2010 Washington, DC Gina B. Perez, MPA DHIN Executive Director Advances

More information

Achieving Meaningful Use in Private Practice. A close examination of Stage 2 requirements

Achieving Meaningful Use in Private Practice. A close examination of Stage 2 requirements Achieving Meaningful Use in Private Practice A close examination of Stage 2 requirements Abstract As part of the American Recovery and Reinvestment Act of 2009, the Federal Government laid the groundwork

More information

Meaningful Use Stage 2. Presenter: Linda Wise, EMR Training Specialist

Meaningful Use Stage 2. Presenter: Linda Wise, EMR Training Specialist Meaningful Use Stage 2 Presenter: Linda Wise, EMR Training Specialist 1 AGENDA 2 Agenda Meaningful Use in Review Moving Into Stage 2 Meaningful Use Learning the Requirements Understanding the Measures

More information