Electronic Health Record Incentives for Multi-Campus Hospitals Act of 2010

Update: The text of HR 6072 is now available on the Library of Congress webpage here.

On Friday, July 30, 2010, Rep. Zack Space (D-OH) and several other representatives, introduced HR 6072, the Electronic Health Record Incentives for Multi-Campus Hospitals Act of 2010 (Multi-campus Hospital Act).  If passed, this Act would reduce the disparity in payment of electronic health record (EHR) incentives between multi-hospital systems that file a Medicare cost report for the entire system under one CMS Certification Number (CCN) and systems that file a Medicare cost report for each hospital in the system with a separate CCN. A multi-hospital system in the latter group, under the current CMS Final Rule for Meaningful Use (MU), would receive, in the aggregate, a proportionately larger EHR incentive amount than a system in the first group. 

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Final Rule on Breach Notification for Unsecured Protected Health Information Delayed for Additional Review

The following statement was recently posted on the U.S. Department of Health & Human Services’ Office of Civil Rights website:  

“The Interim Final Rule for Breach Notification for Unsecured Protected Health Information, issued pursuant to the Health Information Technology for Economic and Clinical Health (HITECH) Act, was published in the Federal Register on August 24, 2009, and became effective on September 23, 2009.  During the 60-day public comment period on the Interim Final Rule, HHS received approximately 120 comments.

“HHS reviewed the public comment on the interim rule and developed a final rule, which was submitted to the Office of Management and Budget (OMB) for Executive Order 12866 regulatory review on May 14, 2010.  At this time, however, HHS is withdrawing the breach notification final rule from OMB review to allow for further consideration, given the Department’s experience to date in administering the regulations.  This is a complex issue and the Administration is committed to ensuring that individuals’ health information is secured to the extent possible to avoid unauthorized uses and disclosures, and that individuals are appropriately notified when incidents do occur.  We intend to publish a final rule in the Federal Register in the coming months.”

See Breach Notification Final Rule Update

HHS Releases Final Rule on “Meaningful Use” of Electronic Health Records

Update: On December 29, 2010, HHS published in the Federal Register a “Correcting Amendment” to its Final Rule on Meaningful Use, which can be viewed here.

HHS Secretary Kathleen Sebelius wasted no time in putting the brand new CMS Director to work on July 13, 2010, in announcing the release of two rules under the Health Information Technology for Clinical and Economic Health Act (HITECH), including the Final Rule on Meaningful Use and the Final Rule on Initial Set of EHR Standards and Certification Criteria. Donald M. Berwick, MD, MPP, FRCP, was sworn in as Director of the Centers for Medicare and Medicaid Services on Monday afternoon, July 12, 2010, and by the next morning was primed to discuss the important role of health information technology (HIT) in America. In addition to Dr. Berwick’s participation at the press briefing, other participants included David Blumenthal, MD, the Chief Coordinator for the HHS Office of National Coordinator of HIT (ONC), Regina Benjamin, MD, U.S. Surgeon General, and Regina Holiday, an individual who shared a personal experience involving access to health information and how such access impacts the care of patients. 

Quick Reference: The CMS Fact Sheet on both Final Rules is available here. 

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HHS and ONC Announce Briefing on Meaningful Use Rule

UPDATE: Watch the LIVE webcast here.

According to HealthcareIT News, federal officials have announced that, on Tuesday morning, July 13, 2010, at 10:00 am EST, the Centers for Medicare and Medicaid (CMS) and the Office of National Coordinator (ONC) will release the final rule on making a “meaningful use” of electronic health records under the HITECH Act.

HHS Office of Civil Rights updates HIPAA Breach Website

As indicated in a July 8, 2010 press briefing, the Office of Civil Rights (OCR) of the United States Department of Health & Human Services (HHS) has updated its HIPAA breach notification webpage.  This is the webpage where OCR is posting breaches of unsecured Protected Health Information (PHI) affecting 500 or more individuals.  The format includes brief summaries of the incidents reported to the HHS Secretary that OCR has investigated and closed.  The format also allows users to search and sort the posted breaches by entity, state, date, number of individuals affected, type of breach, and location of breached information.  There are currently 107 breach notifications posted, all occurring since September 9, 2009.  The breaches reported thus far indicate that theft ranks #1 as the type of activity leading to a breach. A quick run-down of the stats reflect the following:

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