Stay ahead of developments in federal and state health care law, regulation and transactions with timely, expert news and analysis.
By Genevieve Douglas
LAS VEGAS—Health information technology industry stakeholders should comment extensively both on what they like and do not like about soon-to-be-released proposed regulations for Stage 2 of the Medicare and Medicaid electronic health record incentive programs from the Centers for Medicare & Medicaid Services and the Office of the National Coordinator for Health IT, an ONC official said Feb. 22.
Public comments on regulations often focus on the aspects of rules that commenters deem inappropriate, but ONC and CMS need comments on the parts of the regulations that commenters consider correct as well, Steven Posnack, director of the federal policy division in ONC's Office of Policy and Planning told attendees of the Healthcare Information and Management Systems Society 2012 conference.
Aspects of the rules that stakeholders support could be omitted from the final version of the regulations without enough feedback, he said.
Posnack and Robert Anthony, specialist in the CMS Office of E-Health Standards and Services, also reviewed CMS attestation data and draft recommendations from ONC's HIT Policy Committee for Stage 2 criteria that were used to help develop the forthcoming proposed regulations.
According to attestation data from Stage 1 of the Medicare and Medicaid EHR incentive programs, providers and hospitals are consistently achieving above the requirements for objectives related to health care quality, safety, and efficiency, Anthony said.
“I think as we get a little further into 2012 … we will see whether this data is just the early [EHR] adopters, or whether this is what meaningful use is going to look like,” Anthony said.
Alternately, providers and hospitals continue to have difficulty implementing objectives related to care coordination and public health reporting, and the deferral rate among providers remains high, Anthony said.
Other “meaningful use” Stage 1 criteria challenges include:
Anthony recommended that HIT stakeholders look to the draft Stage 2 criteria from the HIT Policy Committee for new meaningful use objectives.
Proposed Stage 2 regulations could include criteria for electronic medication administration, secure patient messaging for eligible providers, and incorporating imaging results and family history data into patients' EHRs, Anthony said.
Payment adjustment penalties for providers and hospitals who do not participate in the EHR incentive programs will begin in 2015.
Providers may apply for “significant hardship exemptions,” such as a lack of internet access, new providers or newly formed hospitals that have not been practicing long, or specialties such as anesthesiology, radiology, and pathology, Anthony said.
Information on the EHR incentive programs is available at http://www.cms.gov/EHRIncentivePrograms/.
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)