Medical Information Integration

Final Rules Announced To Support ‘Meaningful Use’ of Electronic Health Records

Final Rules Announced To Support ‘Meaningful Use’ of Electronic Health Records 150 150 Tony McCormick
FOR IMMEDIATE RELEASE Tuesday, July 13, 2010 Contact: HHS Press Office (202) 690-6343 Secretary Sebelius Announces Final Rules To Support ‘Meaningful Use’ of Electronic Health Records WASHINGTON – U.S. Department of Health and Human Services Secretary Kathleen Sebelius today announced final rules to help improve Americans’ health, increase safety and reduce health care costs through expanded use of electronic health records (EHR). “For years, health policy leaders on both sides of the aisle have urged adoption of electronic health records throughout our health care system to improve quality of care and ultimately lower costs,” Secretary Sebelius said. “Today, with the leadership of the President and the Congress, we are making that goal a reality.” Under the Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009, eligible health care professionals and hospitals can qualify for Medicare and Medicaid incentive payments when they adopt certified EHR technology and use it to achieve specified objectives. One of the two regulations announced today defines the “meaningful use” objectives that providers must meet to qualify for the bonus payments, and the other regulation identifies the technical capabilities required for certified EHR technology. Announcement of today’s regulations marks the completion of multiple steps laying the groundwork for the incentive payments program. With “meaningful use” definitions in place, EHR system vendors can ensure that their systems deliver the required capabilities, providers can be assured that the system they acquire will support achievement of “meaningful use” objectives, and a concentrated five-year national initiative to adopt and use electronic records in health care can begin. “This is a turning point for electronic health records in America, and for improved quality and effectiveness in health care,” said David Blumenthal, M.D., National Coordinator for Health Information Technology. “In delivering on the goals that Congress called for, we have sought to provide the leadership and coordination that are essential for a large, technology-based enterprise. At the same time, we have sought and received extensive input from the health care community, and we have drawn on their experience and wisdom to produce objectives that are both ambitious and achievable.” Two companion final rules were announced today. One regulation, issued by the Centers for Medicare & Medicaid Services (CMS), defines the minimum requirements that providers must meet through their use of certified EHR technology in order to qualify for the payments. The other rule, issued by the Office of the National Coordinator for Health Information Technology (ONC), identifies the standards and certification criteria for the certification of EHR technology, so eligible professionals and hospitals may be assured that the systems they adopt are capable of performing the required functions. As much as $27 billion may be expended in incentive payments over ten years. Eligible professionals may receive as much as $44,000 under Medicare and $63,750 under Medicaid, and hospitals may receive millions of dollars for implementation and meaningful use of certified EHRs under both Medicare and Medicaid. The CMS rule announced today makes final a proposed rule issued on Jan, 13, 2010. The final rule includes modifications that address stakeholder concerns while retaining the intent and structure of the incentive programs. In particular, while the proposed rule called on eligible professionals to meet 25 requirements (23 for hospitals) in their use of EHRs, the final rules divides the requirements into a “core” group of requirements that must be met, plus an additional “menu” of procedures from which providers may choose. This “two track” approach ensures that the most basic elements of meaningful EHR use will be met by all providers qualifying for incentive payments, while at the same time allowing latitude in other areas to reflect providers’ needs and their individual path to full EHR use. “CMS received more than 2,000 comments on our proposed rule,” said Marilyn Tavenner, Principal Deputy Administrator of CMS. “Many comments were from those who will be most immediately affected by EHR technology – health care providers and patients. We carefully considered every comment and the final meaningful use rules incorporate changes that are designed to make the requirements achievable while meeting the goals of the HITECH Act.” Requirements for meaningful use incentive payments will be implemented over a multi-year period, phasing in additional requirements that will raise the bar for performance on IT and quality objectives in later years. The final CMS rule specifies initial criteria that eligible professionals (EPs) and eligible hospitals, including critical access hospitals (CAHs), must meet. The rule also includes the formula for the calculation of the incentive payment amounts; a schedule for payment adjustments under Medicare for covered professional services and inpatient hospital services provided by EPs, eligible hospitals and CAHs that fail to demonstrate meaningful use of certified EHR technology by 2015; and other program participation requirements. Key changes in the final CMS rule include: * Greater flexibility with respect to eligible professionals and hospitals in meeting and reporting certain objectives for demonstrating meaningful use. The final rule divides the objectives into a “core” group of required objectives and a “menu set” of procedures from which providers may choose any five to defer in 2011-2012. This gives providers latitude to pick their own path toward full EHR implementation and meaningful use. * An objective of providing condition-specific patient education resources for both EPs and eligible hospitals and the objective of recording advance directives for eligible hospitals, in line with recommendations from the Health Information Technology Policy Committee. * A definition of a hospital-based EP as one who performs substantially all of his or her services in an inpatient hospital setting or emergency room only, which conforms to the Continuing Extension Act of 2010 * CAHs within the definition of acute care hospital for the purpose of incentive program eligibility under Medicaid. CMS’ and ONC’s final rules complement two other recently issued HHS rules. On June 24, 2010, ONC published a final rule establishing a temporary certification program for health information technology. And on July 8, 2010 the Office for Civil Rights announced a proposed rule that would strengthen and expand privacy, security, and enforcement protections under the Health Insurance Portability and Accountability Act of 1996. As part of this process, HHS is establishing a nationwide network of Regional Extension Centers to assist providers in adopting and using in a meaningful way certified EHR technology. “Health care is finally making the technology advances that other sectors of our economy began to undertake years ago,” Dr. Blumenthal said. “These changes will be challenging for clinicians and hospitals, but the time has come to act. Adoption and meaningful use of EHRs will help providers deliver better and more effective care, and the benefits for patients and providers alike will grow rapidly over time.” A CMS/ONC fact sheet on the rules is available at http://www.cms.gov/EHRIncentivePrograms/ Technical fact sheets on CMS’s final rule are available at http://www.cms.gov/EHRIncentivePrograms/ A technical fact sheet on ONC’s standards and certification criteria final rule is available at http://healthit.hhs.gov/standardsandcertification. http://www.hhs.gov/news/press/2010pres/07/20100713a.html read more

OpenEMR Support Launches New Website

OpenEMR Support Launches New Website 150 150 Tony McCormick
OpenEMR Support is pleased to announce a new look for our internet presence. We hope you will find the site easier to use and more informative about our products and services. Feel free to contact us for tips or suggestions about the site, as well. read more

Sales Contact Form

Sales Contact Form 150 150 Tony McCormick
Please fill out the following form and submit for sales contact read more

Premium Service for OpenEMR

Premium Service for OpenEMR 150 150 Tony McCormick
OpenEMR Support (OES) offers full support and service for the leading open source electronic medical records system – OpenEMR. Our staff is comprised of individuals with deep involvement and expertise of healthcare medical records, open systems, and information technology (IT) organizations. Take the risk out of implementing and operating an EMR system – enabling you to concentrate on patients instead of paperwork and information technology needs. Service plans are offered from minimal support to turnkey systems. Additional offerings include full hosting, delivered server hardware implemented for plug and play, and remote backup to ensure you are compliant for HIPPA and industry standards. Our staff continually researches and evaluates healthcare IT requirements, emerging technologies, and healthcare legislative needs such as the American Recovery and Reinvestment ACT. This results in innovative ideas and methods to ensure your system remains state of the art and updated with the latest technology and compliancy issues. The EMR Appliance showcases a set of value-added features to help keep your operations functioning smoothly and without incident. Local and remote backups are handled automatically with a minimal level of involvement from you or your staff, so your data is always kept safe and secure. Proactive error reporting tools run around the clock monitoring your system and deliver alerts to you as well as OpenEMR Support. The end result is that we will usually have knowlege of and respond to a problem at your site before you’re even aware a problem exists. Use the dashboard page and system tray indicators to monitor your system health, running services, as well as backup status. With OpenEMR Support, you can count on years of proven support experience working for you. read more
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