TESTIMONY OF CONNECTICUT HOSPITAL ASSOCIATION SUBMITTED TO THE PUBLIC HEALTH COMMITTEE Wednesday, March 11, 2015
|
|
- Doris McDowell
- 2 years ago
- Views:
Transcription
1 TESTIMONY OF CONNECTICUT HOSPITAL ASSOCIATION SUBMITTED TO THE PUBLIC HEALTH COMMITTEE Wednesday, March 11, 2015 SB 812, An Act Concerning Electronic Health Records And Health Information Exchange The Connecticut Hospital Association (CHA) appreciates this opportunity to submit testimony concerning SB 812, An Act Concerning Electronic Health Records And Health Information Exchange. Before commenting on the bill, it s important to point out that Connecticut hospitals treat everyone who comes through their doors 24 hours a day, regardless of ability to pay. This is a time of unprecedented change in healthcare, and Connecticut hospitals are leading the charge to transform the way care is provided. They are focused on providing safe, accessible, equitable, affordable, patient-centered care for all, and they are finding innovative solutions to integrate and coordinate care to better serve their patients and communities. SB 812 attempts to tackle a wide variety of healthcare-related information technology (HIT) issues. Some of the bill s goals are straightforward, and we hope these goals can be achieved successfully and cooperatively. Unfortunately, there are portions of the bill that (1) conflict with federal laws, which would create substantial risk to the integrity of medical records, and (2) are not possible to achieve at a state level or by the adoption of a state law. Sections (1) and (2): Creating a Workable Health Information Exchange Sections (1) and (2) of the bill provide that: (1) The general statutes be amended to promote the establishment of interoperable electronic health records systems in all health care provider settings and a statewide health information exchange to enable the secure exchange of health information between health care providers regardless of the health care provider's affiliation, location or health record technology. Page 1 of 5
2 (2) The general statutes be amended to designate "ehealth Connecticut" as the entity for advancing the use and adoption of electronic health records in all health care provider settings and for coordinating and integrating public and private health information technology and information exchange efforts in the state. We applaud the goal to cultivate a viable, statewide health information exchange (HIE) in Connecticut. Connecticut has already spent close to $8 million dollars with very little or no results. The earlier, multiple efforts that ultimately failed to launch an HIE were the combined result of too little content expertise and an unwillingness to engage providers, patients, and patient advocates fully in the design. CHA and hospital health IT professionals were among the scores of providers and advocates who volunteered for countless committees and meetings in the hope of offering perspectives. But Connecticut s efforts were not aligned appropriately with the needs of the provider community and critical patient privacy and security laws. To the extent that Sections 1 and 2 of SB 812 are meant to reignite the effort to achieve an affordable, meaningful, and accessible HIE, we have substantial common ground, and we stand ready to join in those efforts. But we urge strongly a different approach than in prior efforts. Specifically, experts in the field health IT experts, providers who would be using the system, and patient advocates must be involved and have their voices heard at every step of the HIE s development. Additionally, we note that the federal government is taking the lead in setting the technological framework for an interoperable and widely accessible healthcare environment as outlined in the recent draft report, Connecting Health and Care for the Nation, A Shared Nationwide Interoperability Roadmap, issued by the Office of the National Coordinator for Health Information Technology (ONC) on January 30, The ONC is part of the U.S. Department of Health and Human Services, and the principal federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology to facilitate the electronic exchange of health information. ONC s report concludes that the move toward interoperability in Health IT will take another ten years, and must be directed at a national level. This is the conclusion reached by all experts in Health IT. Connecticut law cannot mandate a faster reality. These IT changes must be undertaken in a measured manner consistent with the federal roadmap. We respect and support the establishment of a state HIE but urge that we follow the lead of the federal government when assisting Connecticut with the challenge of improving the healthcare system, including efforts to reach reliable interoperability across the care continuum through a steady and planned process. We believe that the high-level goals of SB 812 can be met through a cooperative, planned approach as set forth in Sections 1 and 2, and we look forward to working with this Committee and other stakeholders to reach these important goals. Page 2 of 5
3 Sections (4), (5), and (6): Technology Sharing Sections 4, 5, and 6 provide: (4) The general statutes be amended to require each hospital to adopt an interoperable health records system and enable bidirectional connectivity for the secure exchange of patient health records and information between the hospital and other licensed health care providers using certified electronic health record technology. (5) The general statutes be amended to prohibit any hospital, in implementing its interoperable health record system, from (A) requiring a health care provider to pay for any hardware, software or other internal cost associated with the hospital's implementation of its health records system, (B) charging any fee for connecting to, or exchanging information through, the hospital's health records system, (C) refusing to implement any available hardware, software or other functionality that would support such exchange, and (D) requiring a health care provider to adopt, add to or modify any information technology. (6) The general statutes be amended to require each hospital to support, to the extent permitted by federal law, the adoption and implementation of electronic health records systems by independent health care providers who refer patients to the hospital by funding eight-five per cent of the information technology, software and training costs associated with the health care provider's adoption of electronic health records systems and paying for any electronic interface necessary to allow the health care providers' electronic health records systems to communicate with the hospital's system. These sections are contrary to the federal laws relating to EHR operations and functionality, the rules for donation of certified EHR, the IRS rules regarding private inurement and private benefit, and privacy and security requirements. Moreover, they are not coordinated with the technological realities of the national framework for achieving a sustainable health information ecosystem. Our specific concerns are set forth below. Currently, all hospitals in Connecticut operate health record systems that are capable technically of supporting appropriate connectivity with other systems, and that allow for interoperability with a variety of other health IT systems and components. These systems are highly complex, incredibly expensive, and built over a period of years. The systems are not static. They require continuous improvement, technical upgrades, monitoring, and ongoing maintenance. Security requirements include not just protecting against intrusion or theft, but also ensuring the integrity of the record. Ensuring the integrity of a medical record necessarily includes by law having technical features and administrative policies to: limit the type of records that can be accessed; set the thresholds for who should have access and under what circumstances; set policy on who can enter information into the record; and have technical features to monitor record access and activity. A hospital or practice has a duty to ensure record integrity. Page 3 of 5
4 Section 4 of the bill appears to seek that hospitals and providers have a bidirectional open records system to exchange medical information, without regard to the various requirements, risk protocols, risk assessments, or technology concerns that exist in current state and federal privacy and security laws, as well as industry standard practices. Under the proposed bill s language, the only qualification for being able to access a hospital s record (or for a hospital to access the practitioner s record) appears to be having the status of a licensed healthcare provider. Federal law does not permit that level of unchecked access. Access to medical record systems is, at all times, subject to all federal privacy and security rules, including the vetting, validation, selection, and approval processes as set forth by each covered entity s privacy and security safeguards. Federal law preempts any dilution of patient privacy rights or security standards. Sections 5 and 6 of the bill attempt to mandate that hospitals donate EHR technology to physician practices. Federal tax law does not support such a mandate as it would be transferring not-for-profit assets for the private benefit of for-profit entities. Federal fraud and abuse laws also do not support the required donation to physician practices. Under defined circumstances, federal rules permit the voluntary donation of very specific, and highly limited, EHR system support, but such donations are subject to a multitude of requirements. The federal requirements include several essential elements that cannot be met under Sections 5 and 6 of the bill: The physician or practice cannot possess equivalent items or services. o If the physician or practice has an EHR with similar functionality already, the donation cannot be made without violating federal law. The donation may include software only, as well as training on the software and software support. The donation may not include hardware, manpower, associated technology infrastructure, or overhead. o Section 5, almost in its entirety, would conflict with federal law. A physician receiving the donated items and services must pay the hospital in advance 15 percent of the cost for the items and services. The hospital may not loan, subsidize, or finance the 15 percent. Additionally, there may be tax consequences to the physician or practice for the donated 85 percent. o Hospitals lack the funds to outlay 85 percent of the cost of software and training for every practitioner. The federal rules contemplate voluntary donations. o Even if it were legally permissible (which we contend it is not), the cost would be prohibitive for hospitals. The donation arrangement must: be in a written agreement that is signed by the parties; specify the items and services, cost, and the practice s contribution amount; and cover all of the items and services provided between the parties. o The federal donation law and regulations contemplate only voluntary subsidization of physician EHR adoption; as such, entering the required contract is also voluntary. Page 4 of 5
5 Sections (7), (8), (9), and (10): Funding The cost of implementing and maintaining HIE is extraordinarily expensive. Under the existing HITECH meaningful use incentive programs, providers and hospitals in Connecticut alone have qualified for more than $130,000,000 in IT incentives funding already. That $130,000,000 covered only a fraction of the actual costs incurred, with far more work and expense left to be managed. Upgrading and implementing the desired health IT infrastructure is far more complicated than the federal government anticipated. Low-interest loans and tax credits to support providers efforts would be helpful, and we support their establishment. Thank you for your consideration of our position. For additional information, contact CHA Government Relations at (203) Page 5 of 5
AN ACT CONCERNING ELECTRONIC HEALTH RECORDS AND HEALTH INFORMATION EXCHANGE.
OLR Bill Analysis ssb 812 AN ACT CONCERNING ELECTRONIC HEALTH RECORDS AND HEALTH INFORMATION EXCHANGE. SUMMARY: This bill establishes a statewide health information exchange to, among other things, allow
The HITECH Act: Implications to HIPAA Covered Entities and Business Associates. Linn F. Freedman, Esq.
The HITECH Act: Implications to HIPAA Covered Entities and Business Associates Linn F. Freedman, Esq. Introduction and Overview On February 17, 2009, President Obama signed P.L. 111-05, the American Recovery
CMS FINALIZES REQUIREMENTS FOR THE MEDICAID ELECTRONIC HEALTH RECORDS (EHR) INCENTIVE PROGRAM
CMS FINALIZES REQUIREMENTS FOR THE MEDICAID ELECTRONIC HEALTH RECORDS (EHR) INCENTIVE PROGRAM For Immediate Release: Friday, July 16, 2010 Contact: CMS Office of Public Affairs 202-690-6145 The Centers
April 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.,
Rebecca Williams, RN, JD Partner Co-chair Health Information Technology/HIPAA Practice Davis Wright Tremaine LLP beckywilliams@dwt.
National EHR Acquisition, Implementation and Operations Summit Rebecca Williams, RN, JD Partner Co-chair Health Information Technology/HIPAA Practice Davis Wright Tremaine LLP beckywilliams@dwt.com Window
T he Health Information Technology for Economic
A BNA, INC. HEALTH IT! LAW & INDUSTRY REPORT Reproduced with permission from Health IT Law & Industry Report, 2 HITR 23, 01/18/2010. Copyright 2010 by The Bureau of National Affairs, Inc. (800-372- 1033)
Health Information Technology
Background Brief on September 2012 Inside this Brief Federal Level State Level Privacy and Security Laws Finance Staff and Agency Contacts Legislative Committee Services State Capitol Building Salem, Oregon
April 3, 2015. Dear Dr. DeSalvo:
April 3, 2015 Karen DeSalvo, MD, MPH, MSc National Coordinator for Health Information Technology Office of the National Coordinator for Health Information Technology U.S. Department of Health and Human
Health Information Technology (HIT) and the Public Mental Health System
National Association of State Mental Health Program Directors (NASMHPD) NASMHPD Policy Brief Health Information Technology (HIT) and the Public Mental Health System December 2010 NASMHPD Policy Brief Health
875 Greentree Road Pittsburgh, PA 15220 QuestDiagnostics.com
875 Greentree Road Pittsburgh, PA 15220 QuestDiagnostics.com Quest Diagnostics Statement on the Pennsylvania Health Information Technology Act (Senate Bill 8) to the Senate Communications & Technology
The recently enacted Health Information Technology for Economic
Investments in Health Information Technology Driven by HITECH Act Marcy Wilder, Donna A. Boswell, and BarBara Bennett The authors review provisions of the new stimulus package that authorize billions of
Update on HITECH & Other Recovery Act HIT Provisions
Update on HITECH & Other Recovery Act HIT Provisions July 15, 2010 Conference Call Sponsored by: Minnesota e-health Initiative Minnesota Department of Health Minnesota Department of Human Services Monthly
Adopting Electronic Medical Records: What Do the New Federal Incentives Mean to Your Individual Physician Practice?
Adopting Electronic Medical Records: What Do the New Federal Incentives Mean to Your Individual Physician Practice? U John M. Neclerio, Esq.,* Kathleen Cheney, Esq., C. Mitchell Goldman, Esq., and Lisa
ELECTRONIC HEALTH RECORDS. Nonfederal Efforts to Help Achieve Health Information Interoperability
United States Government Accountability Office Report to Congressional Requesters September 2015 ELECTRONIC HEALTH RECORDS Nonfederal Efforts to Help Achieve Health Information Interoperability GAO-15-817
Health Information Exchange (HIE) in Minnesota
Health Information Exchange (HIE) in Minnesota Where have we been and where are we going Jennifer Fritz, MPH Anne Schloegel, MPH Minnesota Department of Health 1 Session Goals Learn about Minnesota s approach
Health Information Technology
Background Brief on September 2014 Inside this Brief Terminology Relevant Federal Policies State HIT Environment, Policy, and HIT Efforts Staff and Agency Contacts Legislative Committee Services State
HEAL 22 Questions & Answers
HEAL 22 Questions & Answers Q1: What is HEAL 22? A1: The New York State Office of the Health and Information Technology Transformation (OHITT) has contracted with Regional Extension Centers (RECs) to expand
Breaking the Code to Interoperability
01 03 02 04 Breaking the Code to Interoperability Clearing the path to a true healthcare system 05 Executive Summary: To say that world-class healthcare and state-of-the-art technology don t automatically
June 26, 2009. RE: HIT Policy Committee Meaningful Use Comments. Dear Dr. Blumenthal:
June 26, 2009 David Blumenthal, MD, MPP National Coordinator Office of the National Coordinator for Health Information Technology 200 Independence Avenue, SW Suite 729D Washington, DC 20201 RE: HIT Policy
Regional Extension Centers: Support for EMR Adoption and Meaningful Use Achievement. Raymond Dawson, MBA, MS QSource Director of Operational Services
Regional Extension Centers: Support for EMR Adoption and Meaningful Use Achievement Raymond Dawson, MBA, MS QSource Director of Operational Services The State of Healthcare Today The United States ranks:
The basics of Health Information Technology
The basics of Health Information Technology 2012 1 What is Health Information Technology? Health IT, or e-health, is increasingly viewed as the most promising tool for improving the overall quality, safety
Improving the Quality of Health and Care through Information and Technology
Improving the Quality of Health and Care through Information and Technology Thomas A. Mason, M.D., Chief Medical Officer Office of the National Coordinator for Health Information Technology (ONC) U.S.
RE: Comments on Discussion Draft Ensuring Interoperability of Qualified Electronic Health Records.
April 8, 2015 The Honorable Michael Burgess, MD 2336 Rayburn House Office Building Washington, DC 20515 RE: Comments on Discussion Draft Ensuring Interoperability of Qualified Electronic Health Records.
ehealth and Health Information Exchange in Minnesota
ehealth and Health Information Exchange in Minnesota Connecting Minnesota Providers at the Point of Care Lisa Moon, RN Director Privacy Security and HIE Oversight Program Office of Health Information Technology
Re: Medicare and Medicaid Programs Electronic Health Record Incentive Program Stage 2
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
A Guide to Choosing the Right EMR Software. A Guide to Choosing the Right EMR Software
A Guide to Choosing the Right EMR Software A Guide to Choosing the Right EMR Software Eight Important Benchmarks for Community and Critical Access Hospitals Eight Important Benchmarks for Community and
Department of Legislative Services Maryland General Assembly 2009 Session
House Bill 706 Health and Government Operations Department of Legislative Services Maryland General Assembly 2009 Session FISCAL AND POLICY NOTE Revised (Delegate Pena-Melnyk, et al.) HB 706 Finance Electronic
Re: 21st Century Cures Discussion Draft Legislation Interoperability Section
May 7, 2015 The Honorable Fred Upton Chairman, House Energy and Commerce Committee United States House of Representatives Washington, DC 20515 The Honorable Diana DeGette Member, House Energy and Commerce
May 5, 2011. Dear Dr. Mostashari:
May 5, 2011 Farzad Mostashari, MD, ScM National Coordinator of Health Information Technology Department of Health and Human Services 200 Independence Avenue, SW Washington, DC 20201 Dear Dr. Mostashari:
Opportunities for Medicaid to Invest in HIT. Shannah Koss, Principal Koss on Care LLC
Opportunities for Medicaid to Invest in HIT Shannah Koss, Principal Koss on Care LLC Topics Key HIT components in the ARRA What is happening in state Medicaid programs today? Challenges and opportunities
To: CHIME Members From: CHIME Public Policy Staff Re: Summary - Interoperability Section (Sec. 3001) of the 21 st Century Cures Legislation
To: CHIME Members From: CHIME Public Policy Staff Re: Summary - Interoperability Section (Sec. 3001) of the 21 st Century Cures Legislation Purpose: Below is an overview of the section of the 21 st Century
What is interoperability?
The Path to Interoperability through Testing and Certification Joyce Sensmeier, President, IHE USA Anuj Desai, Vice President, New York ehealth Collaborative April 14, 2015 Learning Objectives Learn core
EHRs in 2013: A Holistic View of Issues Facing Providers Wednesday, May 15, 2013
Attorney Advertising Prior results do not guarantee a similar outcome Models used are not clients but may be representative of clients 321 N. Clark Street, Suite 2800, Chicago, IL 60654 312.832.4500 EHRs
January 29, 2016. Senator Lamar Alexander Chairman, Senate HELP Committee 455 Dirksen Senate Office Building Washington, DC 20510
January 29, 2016 Senator Lamar Alexander Chairman, Senate HELP Committee 455 Dirksen Senate Office Building Washington, DC 20510 Senator Patty Murray Ranking Member, Senate HELP Committee 154 Russell Senate
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,
May 18, 2011 Re: Use of administrative funds to support health information exchange as part of the Medicaid EHR Incentive Program
DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard, Mail Stop S2-26-12 Baltimore, Maryland 21244-1850 Center for Medicaid, CHIP and Survey & Certification
American Academy of Pediatrics
American Academy of Pediatrics TESTIMONY OF SUSAN KRESSLY, MD, FAAP PRACTICING PEDIATRICIAN AMERICAN ACADEMY OF PEDIATRICS before the COMMITTEE ON SMALL BUSINESS SUBCOMMITTEE ON REGULATIONS AND HEALTHCARE
EHR Donation: Compliance with Stark Law and the Anti-Kickback Statute
EHR Donation: Compliance with Stark Law and the Anti-Kickback Statute Digital Medical Office of the Future: Driving Toward Meaningful Use Las Vegas, NV September 9, 2010 Lawrence W. Vernaglia, J.D., M.P.H.
THE 2009 HEALTH INFORMATION TECHNOLOGY FOR ECONOMIC AND CLINICAL HEALTH ACT
July 2009 THE 2009 HEALTH INFORMATION TECHNOLOGY FOR ECONOMIC AND CLINICAL HEALTH ACT SUMMARY The Health Information Technology for Economic and Clinical Health Act (HITECH) is an important component of
The Challenge of Implementing Interoperable Electronic Medical Records
Annals of Health Law Volume 19 Issue 1 Special Edition 2010 Article 37 2010 The Challenge of Implementing Interoperable Electronic Medical Records James C. Dechene Follow this and additional works at:
What is the Meaning of Meaningful Use? How to Decode the Opportunities and Risks in Health Information Technology
What is the Meaning of Meaningful Use? How to Decode the Opportunities and Risks in Health Information Technology Rick Rifenbark and Leeann Habte1 To achieve greater efficiencies in health care, enhanced
Maintaining the Privacy of Health Information in Michigan s Electronic Health Information Exchange Network. Draft Privacy Whitepaper
CHARTERED BY THE MICHIGAN HEALTH INFORMATION NETWORK SHARED SERVICES MIHIN OPERATIONS ADVISORY COMMITTEE (MOAC) PRIVACY WORKING GROUP (PWG) Maintaining the Privacy of Health Information in Michigan s Electronic
The Road to Meaningful Use EHR Stimulus Payments. By Amy S. Leopard, Walter & Haverfield LLP
The Road to Meaningful Use EHR Stimulus Payments By Amy S. Leopard, Walter & Haverfield LLP On July 28, 2010, the Centers for Medicare and Medicaid Services (CMS) published a final rule regarding what
May 18, 2010. Georgina Verdugo Director Office for Civil Rights United States Department of Health and Human Services
May 18, 2010 Georgina Verdugo Director Office for Civil Rights United States Department of Health and Human Services RE: HIPAA Privacy Rule Accounting of Disclosures Under the Health Information Technology
group practice journal
group practice journal P U B L I C A T I O N O F T H E A M E R I C A N M E D I C A L G R O U P A S S O C I A T I O N Reprinted from Electronic Health Record Offers: What s a Doctor to Do? BY ELLEN F. KESSLER,
Health Law Bulletin. New Stark Law Exception and Anti-Kickback Statute Safe Harbor for E-Prescribing and Electronic Health Record Technology
Health Law Bulletin August 2006 New Exception and Anti-Kickback Statute Safe Harbor for E-Prescribing and Electronic Health Record Technology On August 8, 2006, the Centers for Medicare and Medicaid Services
State Medicaid HIT Plan (SMHP) Overview
State Medicaid HIT Plan (SMHP) Overview OMB Approval Number: 0938-1088 PURPOSE: The SMHP provides State Medicaid Agencies (SMAs) and CMS with a common understanding of the activities the SMA will be engaged
Comments on the 21 st Century Cures: Digital Health Care
Comments on the 21 st Century Cures: Digital Health Care July 22, 2014 The Pharmaceutical Research and Manufacturers of America (PhRMA) appreciates the opportunity to provide input to the House Energy
What is the problem?
What is the problem? Physicians are not IT professionals. Focused on seeing patients and meeting meaningful use requirements. Meaningful Use does not promote interoperability. Focused on capturing structured
January 30, 2015. Dear Dr. De Salvo:
January 30, 2015 Karen DeSalvo, MD, MPH, MSc National Coordinator Office of National Coordinator for Health IT Department of Health and Human Services 200 Independence Ave, SW Washington, DC 20201 Dear
E-Health and Health Information Exchange in Minnesota WEDI Webinar January 16, 2014
E-Health and Health Information Exchange in Minnesota WEDI Webinar January 16, 2014 Jennifer Fritz, MPH Deputy Director Office of Health Information Technology Minnesota Department of Health 1 Topics State
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
Medical Assistance Provider Incentive Repository (MAPIR) - 13 State Collaborative
Medical Assistance Provider Incentive Repository (MAPIR) - 13 State Collaborative Category Contact Cross-Boundary Collaboration and Partnerships Sandy Patterson, Commonwealth of Pennsylvania Project Initiation
Request for Proposal (RFP) Supporting Efficient Care Coordination for New Yorkers: Bulk Purchase of EHR Interfaces for Health Information
Request for Proposal (RFP) Supporting Efficient Care Coordination for New Yorkers: Bulk Purchase of EHR Interfaces for Health Information ISSUE DATE: April 10, 2013 RESPONSE DUE DATE: May 3, 2013 Region:
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
Health IT Strategic Framework: Strategic Themes, Principles, Objectives, and Strategies
Health IT Strategic Framework: Strategic Themes, Principles, Objectives, and Strategies Office of the National Coordinator for Health Information Technology March 8, 2010 Version 23 1 I. BACKGROUND & CHARGE
HealthTECH Workforce Forum Presents: Electronic Health Records Adoption: Driving to 2015 and Beyond
HealthTECH Workforce Forum Presents: Electronic Health Records Adoption: Driving to 2015 and Beyond May 19 th, 2011 EHR Implementation Panel Moderator: Paula J. Magnanti, MT(ASCP) Founder & Managing Principal
Senate Committee on Health, Education Senate Committee on Health, Education
August 3, 2015 The Honorable Lamar Alexander The Honorable Patty Murray Chairman Ranking Member Senate Committee on Health, Education Senate Committee on Health, Education Labor and Pensions Labor and
Health Information Exchange First Considerations
Health Information Exchange First Considerations Overview Health Information Exchange (HIE) is one of the most common forms of utilizing an EHR solution and supports key requirements of Meaningful Use
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
The Stark Law Effect. Driving EMR Adoption and Connectivity to Hospitals
The Stark Law Effect Driving EMR Adoption and Connectivity to Hospitals 1 Stark Law, often referred to as the physician-referral law, has governed hospital and physician relationships for more than two
Saving the Details for Guidance EXAMPLE 1:
Saving the Details for Guidance EXAMPLE 1: Under Medicare EHR (electronic health records) incentive payment program, hospitals and physicians must meaningfully use EHR. The statute authorizes CMS to specify
Expanded Support for Medicaid Health Information Exchanges
Expanded Support for Medicaid Health Information Exchanges Joint Public Health Forum & CDC Nationwide Webinar April 21, 2016 CDC EHR Meaningful Use Webpage-Joint Public Health Forum & CDC Nationwide Webinars
Massachusetts Medicaid EHR Incentive Payment Program
Massachusetts Medicaid EHR Incentive Payment Program Agenda Vision & Goals High-level overview where we are going Medicare vs. Medicaid EHR Incentive Programs Performance and Progress Eligibility Overview
ICD-10-CM/PCS ICD-10 Education
Testimony of Ann M. Zeisset, RHIT, CCS, CCS-P On Behalf of the American Health Information Management Association To the Standards Subcommittee National Committee on Vital and Health Statistics June 17,
Rochester Regional Health Information Organization
New York State Department of Health Medicaid Incentive Payment System (MIPS) External Stakeholder Feedback Rochester Regional Health Information Organization April 19, 2010 3 3:30 p.m. New York State Department
Providing Subsidized EHR to Physicians Under Stark and Anti-Kickback Statute. Charles B. Oppenheim, Esq.
Providing Subsidized to Physicians Under Stark and Anti-Kickback Statute Presented by Charles B. Oppenheim, Esq. coppenheim@health-law.com (310) 551-8110 Subsidizing for Physicians: Why would I want to
Madison L. Gates, PhD Assistant Professor University of Kentucky
Madison L. Gates, PhD Assistant Professor University of Kentucky KyDOC Medical 12 state operated facilities 2 contracted facilities Diverse patient population, facility size, staffing mix Designated medical
Request for Proposals. Privacy, Security and Consent Management for. Electronic Health Information Exchange
Request for Proposals Privacy, Security and Consent Management for Electronic Health Information Exchange Part A and Part B Part A: Review of e-health Legal Issues, Analysis and Identification of Leading
Planning for the Stimulus - Achieving Meaningful Use of Healthcare IT
Planning for the Stimulus - Achieving Meaningful Use of Healthcare IT John D. Halamka MD CIO, Harvard Medical School and Beth Israel Deaconess Medical Center My Definition of Meaningful Use Processes and
Best Practices for Implementing an EHR System
Best Practices for Implementing an EHR System Robyn Leone Director, CO-REC rleone@corhio.org The Case for EHRs Healthcare spending as a percent of our Gross Domestic Product (GDP) at unprecedented high
RE: AMIA Comments on Medicare Shared Savings Program: Accountable Care Organizations CMS-1345-P
June 6, 2011 Dr. Donald M. Berwick Administrator Centers for Medicare and Medicaid Services (CMS) Department of Health and Human Services P.O. Box 8013 Baltimore, MD 21244-8013 [Submitted electronically
Ross D. Seymour, MTPM
Health Care Reform and Funding Incentives Ross D. Seymour, MTPM HIPAA Certified Project Manager Orange, California Disclosure This presentation was current at the time it was published. Medicare policy
Testimony of Charles Jarvis, Vice Chair of the HIMSS EHR Association. House Ways and Means Committee, Health Subcommittee
Introduction Testimony of Charles Jarvis, Vice Chair of the HIMSS EHR Association House Ways and Means Committee, Health Subcommittee Incentives Promoting the Adoption of Health Information Technology
Federal Fraud and Abuse Laws
Federal Fraud and Abuse Laws Remaining in Compliance while Attesting to Meaningful Use 1 Overview This presentation provides an overview of key Federal laws aimed at preventing healthcare fraud and abuse
STARK AND ANTI-KICKBACK PROTECTION FOR E-PRESCRIBING AND ELECTRONIC HEALTH RECORDS
STARK AND ANTI-KICKBACK PROTECTION FOR E-PRESCRIBING AND ELECTRONIC HEALTH RECORDS Andrew B. Wachler, Esq. Adrienne Dresevic, Esq. Wachler & Associates, P.C. Royal Oak, Michigan On October 11, 2005, in
MEDICARE ACCESS AND CHIP REAUTHORIZATION ACT (MACRA) MERIT-BASED INCENTIVE PAYMENT SYSTEM (MIPS) ADVANCING CARE INFORMATION PERFORMANCE CATEGORY
MEDICARE ACCESS AND CHIP REAUTHORIZATION ACT (MACRA) MERIT-BASED INCENTIVE PAYMENT SYSTEM (MIPS) ADVANCING CARE INFORMATION PERFORMANCE CATEGORY SUMMARY OF PROVISIONS Brief Synopsis MACRA sunsets the Electronic
Sharing is Caring Allie Morgan
Sharing is Caring Creating a Health Information System that Works Allie Morgan December 5, 2014 2 EHRs hold potential to move us toward the Triple Aim. Electronic information sharing is key to advancing
Participating in a Health Information Exchange (HIE) Many Faces of Community Health 2011. 10/27/11 Greg Linden
Participating in a Health Information Exchange (HIE) Many Faces of Community Health 2011 10/27/11 Greg Linden CIO, Stratis Health HIE Subject Matter Expert, REACH Objective This session will outline options
Sunday March 30, 2014, 9am noon HCCA Conference, San Diego
Meaningful Use as it Relates to HIPAA Compliance Sunday March 30, 2014, 9am noon HCCA Conference, San Diego CLAconnect.com Objectives and Agenda Understand the statutory and regulatory background and purpose
Frequently Asked Questions American Recovery and Reinvestment Act and the HITECH Act. Basics of the Bill
Frequently Asked Questions American Recovery and Reinvestment Act and the HITECH Act Basics of the Bill How does the $19 billion that s allocated to Health IT break down in the Stimulus Bill? There is
Health Information Technology Oversight Council. Oregon Health Policy Board January 12, 2010
Health Information Technology Oversight Council Oregon Health Policy Board January 12, 2010 Transformations are Underway *These Aren t Your Ordinary Waves HB 2009 Federal Health Reform ARRA HITECH Tsunamis
ehealth Pod Pilot Program Challenges I. Identifying Challenges for Providers Not Participating in the Pilot
Pennsylvania s Department of Public Welfare s Office of Medical Assistance Programs (OMAP) developed the ehealth Pod Pilot Program to stimulate the use of health information technology by behavioral health
FREQUENTLY ASKED QUESTIONS
An Initiative of California Health equality (CHeQ) FREQUENTLY ASKED QUESTIONS 1. What is HIE Ready? 2. Why is HIE Ready needed? 3. Do all EHRs have HIE Ready capabilities? If so, why aren t they in use?
Request for Proposal. Dashboard Database Visualization. Issued: September 12, 2014
Request for Proposal Dashboard Database Visualization Issued: September 12, 2014 Proposals Due: October 3, 2014 TABLE OF CONTENTS 1. NYEC BACKGROUND... 2 2. PROJECT PURPOSE, DESCRIPTION AND SCOPE... 2
RE: 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
UPDATE ON THE ADOPTION OF HEALTH INFORMATION TECHNOLOGY AND RELATED EFFORTS TO FACILITATE THE ELECTRONIC USE AND EXCHANGE OF HEALTH INFORMATION
www.ilhitrec.org UPDATE ON THE ADOPTION OF HEALTH INFORMATION TECHNOLOGY AND RELATED EFFORTS TO FACILITATE THE ELECTRONIC USE AND EXCHANGE OF HEALTH INFORMATION JULY 2013 Information is widely recognized
Some Tout CMS Proposed Meaningful Use Definition for Use of Electronic Health Records As Too Ambitious
Some Tout CMS Proposed Meaningful Use Definition for Use of Electronic Health Records As Too Ambitious By Craig A. Conway, J.D., LL.M. (Health Law) caconway@central.uh.edu Just in time for the New Year,
Iowa Medicaid Electronic Health Record (EHR) Incentive Program Environmental Scan Summary. June 24, 2016
Iowa Medicaid Electronic Health Record (EHR) Incentive Program Environmental Scan Summary June 24, 2016 Objective of Study State of health IT engagement EHR Incentive Programs participation EHR vendor/version/certified
Re: 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
Statement of the American Medical Informatics Association (AMIA)
Statement of the American Medical Informatics Association (AMIA) HIT Policy Committee Certification/Adoption Workgroup Hearings on EHR Certification July 14-15, 2009 and HIT Policy Committee Hearing on
NC General Statutes - Chapter 90 Article 29A 1
Article 29A. North Carolina Health Information Exchange Act. 90-413.1. Title. This act shall be known and may be cited as the "North Carolina Health Information Exchange Act." (2011-337, s. 1.) 90-413.2.
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
ReedSmith. CMS and the OIG Extend Protections for Electronic Health Record Donations. Client Alert. Life Sciences Health Industry Group
The business of relationships. SM SM Client Alert Life Sciences Health Industry Group CMS and the OIG Extend Protections for Electronic Health Record Donations Written by Robert J. Hill, Susan A. Edwards
Meaningful Use of EHRs:
Meaningful Use of EHRs: First Steps To Improved Patient Outcomes www.ciscohealthpath.com Jointly sponsored by Postgraduate Institute for Medicine. Learn How to Achieve Meaningful Use In Your Practice With
11/7/2013 HARMONIZING & STANDARDIZING BEHAVIORAL HEALTH CLAIMS, DATA COLLECTION AND REPORTING REQUIREMENTS. Xpio Health. MITA 3.
HARMONIZING & STANDARDIZING BEHAVIORAL HEALTH CLAIMS, DATA COLLECTION AND REPORTING REQUIREMENTS Xpio Health Behavioral Healthcare and Medicaid System specific technology consulting firm Meaningful Use
Vendor Management for Critical Access Hospitals
Vendor Management for Critical Access Hospitals Provided By: The National Learning Consortium (NLC) Developed By: Health Information Technology Research Center (HITRC) Carolyn P. Hartley, MLA, CHP National
Health Information Technology. Services. How Hospitals Can Enhance Physician Alignment by Offering HIE and EHR Technologies
Services Health Information Technology How Hospitals Can Enhance Physician Alignment by Offering HIE and EHR Technologies Table of Contents Executive Summary...3 Past Challenges, New Opportunities...3
Consensus Framework for Advancing Public Health Informatics
Consensus Framework for Advancing Public Health Informatics Approved by the JPHIT Board on April 20, 2011 How will public health choose to transform and galvanize itself in light of the historic national
AMC/NOMA Article -- Stimulus Package Promotes Health IT Adoption Amy S. Leopard Walter & Haverfield LLP
AMC/NOMA Article -- Stimulus Package Promotes Health IT Adoption Amy S. Leopard Walter & Haverfield LLP The Obama Administration clearly expects every American to have an electronic medical record by 2014.