Article Summary: The Meaningful Use Workgroup of the Office of National Coordinator’s HIT Policy Committee presented its initial draft of “meaningful use” at the Committee’s June 16, 2009 HIT Policy Committee meeting. As the National Coordinator and Chair of the HIT Policy Committee, David Blumenthal, M.D., M.P.P., reminded the meeting’s participants: “This is an initial draft, which has a long way to go.” Health reform clearly is a cornerstone of the Meaningful Use criteria. The Committee established five key Meaningful Use goals with criteria that will be stengthened every two years based on that year’s specific objective.
HITECH implementation
The HHS Implementation Plan for the HITECH Act
The HHS HITECH Act Technology Implementation Plan. The U.S. Department of Health & Human Services (HHS) has a broad role in the implementation of multiple health and welfare plans addressed by the American Recovery and Reinvestment Act of 2009 (ARRA). In order to manage and coordinate its many obligations under ARRA, HHS established the Office of Recovery Act Coordination. This office is responsible for ensuring that ARRA programs are designed to best meet ARRA objectives and reporting due dates, to establish and track performance outcomes, mitigate the risks of fraud and abuse, and to keep the public informed through the Web and other means of communication. The Office of Recovery Act Coordination released a 291-page implementation plan to address each aspect of HHS responsibilities under the ARRA, including a distinct Act within ARRA focused on health information technology, privacy and security. This Act is titled, “Health Information Technology for Economic and Clinical Health Act” (HITECH Act).
Looking for proposals for the definition of “meaningful use”?
Providers who wish to receive incentive payments under the American Recovery and Reinvestment Act of 2009 (ARRA), and more specifically, the Health Information Technology for Economic and Clinical Health Act of 2009 (HITECH Act), for the adoption and implementation of an electronic health record (EHR) must meet specific requirements, one of which is to demonstrate that the provider is making a “meaningful use” of the EHR. The HITECH Act vests authority in the Secretary for the U.S. Department of Health & Human Services (HHS) to further define “meaningful use.” HHS does not intend to come up with this definition in a vacuum and has solicited input. Such input poured in on April 28 & 29, 2009, when the HHS National Commmitee on Vital and Health Statistics held public hearings to discuss “meaningful use.”
In a HealthLeaders Media article on May 5, 2009, the author, Carrie Vaughn, prepared a summary and provided links to the several associations and industry groups who weighed in on the definition of “meaningful use.” Among the organizations who submitted proposals were CHIME, AHIMA, AMIA, ANI, HIMSS, and The Markle Foundation. Vaughn observed that the proposals seemed to agree that “meaningful use” should focus on “desired outcome, which is improving quality of care, reducing costs, and making care delivery more efficient, not the technology itself.” Another common thread among the proposals was to implement the standards using an “incremental approach” that can become more stringent with time. To read the article, click here.
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