[See more Recent Post dated June 17, 2009, for the HITECH Law Blog’s discussion of the June 16, 2009 HIT Policy Committee Meeting on Meaningful Use!]
Health Information Technology
CMS Hosting National Conference Call on HIPAA Version 5010–June 9, 2009
On June 9, 2009, from 2:30 pm to 4:00 pm EDT, the Centers for Medicare & Medicaid Services (CMS) will host a national education conference call to address Medicare’s FFS implementation of HIPAA Version 5010. CMS is conducting this call for all Medicare fee-for-service (FFS) providers. The call is to give a general overview of Medicare’s transition to HIPAA Version 5010 and address some of the exceptions and situations providers may encounter as the new version is implemented. The call will include a presentation and Subject Matter Experts to answer questions specific to Medicare. CMS has a HIPAA Version 5010 Webpage to track implementation dates and post informational documents.
To participate in the live conference call, listeners must register in advance. Registration will close at 2:30 p.m. ET on June 8, 2009, or when available space has been filled. To register, click here.
CMS will post a PowerPoint presentation on its HIPAA Version 5010 Webpage before the call. An audio version of the conference call also will be made available later on the HIPAA Version 5010 webpage.
HIT Standards Commitee Work Groups to Focus on Data Exchanges that Constitute Meaningful Use
Under the Health Information Technology for Economic and Clinical Health Act of 2009 (HITECH Act), the Office of National Coordinator for Health Information Technology (ONC) and the United States Department of Health and Human Services (HHS) are vested with authority to further define “meaningful use” as it relates to qualifying to receive stimulus funds for the adoption and implementation of electronic health records (EHRs). ONC’s Health Information Technology (HIT) Standards Committee is vested with authority under HITECH to propose a national HIT standard for EHRs that takes into consideration “meaningful use” and interoperability. In order to meet the HITECH Act’s December 31, 2009 deadline for coming up with this standard, however, the HIT Standards Committee must begin its work before “meaningful use” is further defined. Accordingly, during its first meeting on May 15, 2009, the HIT Standards Committee identified three primary data exchanges that would be integral to “meaningful use.” These data exchanges are: 1) Clinical Operations; 2) Quality; and 3) Security. The HIT Standards Committee formed a work group for each of these types of data exchanges.
Clinical operations HIT data exchanges would include e-prescribing and medication management, lab ordering and results, and a clinical summary exchange. The clinical summary exchange would be critical to enabling physicians and practitioners unfamiliar with a patient’s history to retrieve the most important facts quickly. For example, a clinical summary might include the patient’s problem list, medications, allergies, and text based reports such as operating notes, diagnostic testing reports, and discharge summaries.
Quality HIT data exchanges might include information about patient outcomes and treatment plans, patient health behaviors, and physician and practitioner medical decision making.
Secure HIT data exchanges would necessary require considerations of transport, messaging, authentication, authorization, and auditing.
The first meeting date for each work group is as follows: Clinical Operation — June 9, 2009, 10 am to 12 Noon EDT; Quality work group — June 10, 2009, 11 am to 1 pm EDT; Security work group — June 17, 2009, 11:15 am to 1:15 pm EDT.
John D. Halamka, M.D., Vice Chair of the HIT Standards Committee, provided a summary of the April 15, 2009 HIT Standards Committee meeting on his blog entry for May 15, 2009. Mr. Halamka also summarized the first meeting of the HIT Policy Committee on May 12, 2009, on his blog here.
CCHIT posts new criteria for certain electronic health records
On May 29, 2009, the Certification Commission for Healthcare Technology (CCHIT) released its recently developed criteria, test scripts, and the “Concise Guide to CCHIT Criteria” outlining the characteristics of a qualified electronic health record (EHR). This criteria relates to ambulatory, inpatient, enterprise, and emergency room electronic health records. The “Concise Guide to CCHIT Criteria”, which is specific to ambulatory and inpatient criteria only, highlights the 2009 changes. The criteria has been submitted to the Health Information Technology Standards Committee for review, and feedback is anticipated by August 26. Shortly thereafter, CCHIT will begin accepting applications for the certification programs. To access this article, click here.
National Committee on Health & Vital Statistics Issues Report on “Meaningful Use” Hearing
On May 18, 2009, the National Committee on Health & Vital Statistics (NCHVS) issued a 32-page report on the public hearing that the NCHVS held on April 28-29, 2009, to solicit testimony to help define and clarify the the term “meaningful use” under the ARRA. The report digests the testimony and organizes it into five categories of questions for the Office of National Coordinator (ONC) and Centers for Medicare and Medicaid Services (CMS). The categories are: 1) Vision of Health and Health Care Transformed; 2) Meaningful Use Capacity; 3) Path to Meaningful Use; 4) Certification and Meaningful Use: EHR Product Certification; and 5) Measuring Meaningful Use. Appendix B of the Reports lists the 100+ participants who provided oral and written testimony for the hearing. To read the report click here.
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