BNA’s Health Care Daily Report™ sets the standard for reliable, high-intensity coverage of breaking health care news, covering all major legal, policy, industry, and consumer developments in a...
By Genevieve Douglas
The Office of the National Coordinator for Health Information Technology Feb. 24 released a proposed rule detailing standards, implementation specifications, and certification criteria needed to achieve “meaningful use” of electronic health records beginning in 2014.
ONC's proposed rule complements the recently released Centers for Medicare & Medicaid Services' proposed rule for Stage 2 of the Medicare and Medicaid EHR incentive programs—which provide incentive payments to eligible health care providers as they adopt certified EHR technology (36 HCDR, 2/24/12).
The proposed rule includes revised EHR certification criteria for ONC's permanent certification program that would increase regulatory clarity and transparency, reduce regulatory burden, and add flexibility for the health information technology community, the agency said.
Additionally, the revised EHR criteria would enhance care coordination, patient and family engagement, interoperability, and the security, safety, and efficacy of EHR technology, according to ONC.
The proposed rule will appear in the March 7 Federal Register. Comments are due 60 days after publication.
Specifically, ONC's proposed rule would revise the definition of “certified EHR technology” to describe a “Base EHR” (EHR technology that includes fundamental capabilities all providers would need), in addition to EHR technology necessary to meet the meaningful use objectives for any given stage of meaningful use.
A Base EHR would include such fundamental capabilities as the ability to provide clinical decision support, to support physician order entry; the capacity to exchange health information with other sources; and the capacity to protect the confidentiality, integrity, and availability of health information stored and exchanged, ONC said.
The proposed rule also modifies the certification processes ONC-Authorized Certification Bodies (ONC-ACBs) would need to follow for certifying EHR modules. The modified certification processes would provide clear implementation direction and compliance with proposed new certification criteria, and also reduce regulatory burden by eliminating the certification requirement that every EHR module be certified to the privacy and security certification criteria, according to the rule.
ONC wants public comment on whether it should require EHR technology developers to disclose the full cost of a certified complete EHR or certified EHR module.
Furthermore, the proposed rule revises the process for permitting the use of newer versions of “minimum standard” EHR code sets. This new approach would reduce regulatory complexity and burden by providing the industry with the flexibility to quickly utilize newer versions of adopted minimum standard code sets, ONC said.
ONC requested that the public comment specifically on proposed certification criteria that are intended to improve patient safety, such as through patient-centered technology and clinical quality measurement.
Additionally, ONC would like feedback on ways to improve data portability, including comment on a proposal to improve data portability for providers.
ONC is also seeking comment on the concept of “price transparency” in regard to the cost of a certified complete EHR or certified EHR module.
Feedback is also requested from the public on whether it should require EHR technology developers to disclose the full cost of a certified complete EHR or certified EHR module.
The proposed rule is at http://op.bna.com/hl.nsf/r?Open=lroi-8rst65.
All Bloomberg BNA treatises are available on standing order, which ensures you will always receive the most current edition of the book or supplement of the title you have ordered from Bloomberg BNA’s book division. As soon as a new supplement or edition is published (usually annually) for a title you’ve previously purchased and requested to be placed on standing order, we’ll ship it to you to review for 30 days without any obligation. During this period, you can either (a) honor the invoice and receive a 5% discount (in addition to any other discounts you may qualify for) off the then-current price of the update, plus shipping and handling or (b) return the book(s), in which case, your invoice will be cancelled upon receipt of the book(s). Call us for a prepaid UPS label for your return. It’s as simple and easy as that. Most importantly, standing orders mean you will never have to worry about the timeliness of the information you’re relying on. And, you may discontinue standing orders at any time by contacting us at 1.800.960.1220 or by sending an email to firstname.lastname@example.org.
Put me on standing order at a 5% discount off list price of all future updates, in addition to any other discounts I may quality for. (Returnable within 30 days.)
Notify me when updates are available (No standing order will be created).
This Bloomberg BNA report is available on standing order, which ensures you will all receive the latest edition. This report is updated annually and we will send you the latest edition once it has been published. By signing up for standing order you will never have to worry about the timeliness of the information you need. And, you may discontinue standing orders at any time by contacting us at 1.800.372.1033, option 5, or by sending us an email to email@example.com.
Put me on standing order
Notify me when new releases are available (no standing order will be created)