eMeasurement of Health Data for Quality, eCQM Adoption Issues
Clinicians are in a knowledge management crisis – massive amounts of data but getting the right information to clinicians, IT personnel and others at the right time is the challenge. What was missing from the RAND report were biomedical informatics perspectives.
The HITECH Act, which was enacted as part of ARRA, promotes the adoption and meaningful use of health information technology. Subtitle D of the HITECH Act addresses the privacy and security concerns associated with the electronic transmission of health information. While the HITECH Act mirrors HIPAA, it elaborates with specific requirements
Flex-IT would negate the latest final rule from CMS, adjusting the program reporting timeline from a full year to any three-month quarter.
If your hospital is notified by CMS that is auditing your organization's Meaningful Use (MU) attestation you will need a clear action plan and the advice of experienced people who…
Marilyn Tavenner, Administrator of the Centers for Medicare and Medicaid Services spoke at HIMSS 2014 in Orlando Florida spoke about interoperability, and "reduced spending in healthcare." Continue to reward programs that provide value and quality. "Linking quality data, reporting, and cost of care to outcomes, patient quality for all care settings and tie that to payments." She also spoke about ICD-10, Meaningful Use Stage 2, Healthcare.gov, interoperability and details about several quality and privacy initiatives.
By June 13, 2013 only three vendors are ready for inpatient, and three for ambulatory on the CMS website that shows which EHR vendors have their product certified for Meaningful Use under the 2014 Standard.This creates an issue for all Eligible Providers (EPs) who achieved meaningful use Stage 1. Unless their EHR vendor meets the Stage 2 requirements, those EPs no longer qualify for Meaningful Use stimulus dollars.
The College of Health Information Management Executives (CHIME), proposed a one-year extension of Meaningful Use Stage 2 in response to Senators’ request for feedback on healthcare IT adoption.Note that an actual extension would requre an Act of Congress, according to the Stage 2 Final Rule.
One strategy is to continue to move ahead on ICD-10 process impacts, systems planning, and overall budgets but depending on readiness, get your consulting firm to help with both the requirements documentation and strategies for clinical documentation that don’t’ exist now. Why? The WEDI / NCHICA timeline suggests that health care providers should have started planning for ICD-10 about 18 months before the CMS announcement of a delay.
Almost everyone who studies the problem agrees that longitudinal health records are beneficial, but as I look into how HHS is hoping to do this, there are gaps that aren't being addressed.
If The Patient Protection and Affordable Care Act (PPACA) is repealed it will be interesting to see if it is repealed in whole or in part. The Supreme Court of the United States (SCOTUS) may excise the individual mandate requiring health insurance coverage, or it could strike it down entirely.
One of the key questions will be how the EMR provides a foundation with the Health Information Exchanges (HIEs) for comparative effectiveness data over the life span of a patient (sometimes called the continuum of care) and whether CDA standards currently proposed will accomplish that. Informatics people call this "longitudinal clinical data."