NEWS1/13/10 Meaningful Use defined. ARRA Stimulus Incentives for physicians.

Notice of Proposed Rules

Health Information Technology: Initial Set of Standards, Implementation Specifications, and Certification Criteria for Electronic Health Record Technology: HHS: Interim Final Rule

Medicare and Medicaid Programs; Electronic Health Record Incentive Program; Proposed Rule: CMS

Agencies of the Department of Health and Human Services on Jan. 13 officially published two rules covering the meaningful use of electronic health records provisions of the HITECH Act within the American Recovery and Reinvestment Act.

Publication of the rules starts the clock for the public comment period, with both rules having a March 15 deadline for comment. The proposed rule from the Centers for Medicare and Medicaid Services defines "meaningful use" of electronic health records to qualify for Medicare and Medicaid incentive payments. It lays out a series of measures to collect and report data to government agencies. The rule is 169 pages long in a PDF format.

An interim final rule from the Office of the National Coordinator for Health Information Technology sets initial standards, implementation specifications and certification criteria for EHR technology. The rule is 33 pages long in a PDF format. A forthcoming rule will establish an EHR certification program.

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Stimulus Package: Final version published

www.recovery.gov

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Medicare Reimbursement Incentive Schedule

$44,000 per 'eligible provider' over a 5 year period. 

Note the higher reimbursement rates each year before 2013, and decreases after 2014.

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Pulling Forward the Benefits of Healthcare IT

Posted by Aneesh Chopra on October 29, 2009 at 09:52 AM EDT

Today, the Health IT Standards Committee within the Department of Health and Human Services will begin an unprecedented effort to get the public’s view on how our work might "pull forward" the benefits of healthcare information technology (IT).  Specifically, we’re interested in uncovering new strategies to accelerate the adoption of health IT standards.  This effort began with the passage of the American Recovery and Reinvestment Act of 2009, calling for recommendations on standards to promote safe, secure, healthcare information exchange.

“Standards” are really the guardians of quality, consistency, and interoperability.  Without thoughtful, clear and uniform standards, we cannot enable the seamless and secure exchange of electronic health information (or the benefits that accrue to providers and patients from such protected exchanges).

So, while the exploration of technical standards may seem mundane to some, it is foundational to electronic health records (EHRs) and electronic health information exchange more broadly.  In other words, it’s worth paying some attention to, and voicing your opinions.

Our process continues with a public hearing today in Washington, DC. Find out how to participate via phone and webcast here. We are convening four panels of experts with on-the-ground experience in interoperability standards - providers, quality stakeholders, health IT vendors, and a group with lessons drawn outside of healthcare. Thanks to HIT Standards Committee member Judy Murphy for her leadership on this effort.

The public hearing draws to a close this afternoon but we will continue the conversation through an Online Forum over the next two weeks.  Thanks to Committee Member Cris Ross for his leadership on this effort.  Given the breadth of interests, we have arranged a series of Committee Member blog posts to begin the dialogue, starting with HIT Standards Committee Vice-Chair John Halamka's summary of our work to date, which will post on Friday.  We will concurrently enable ongoing discussion threads on the following topics:

1. Proposed Standards (General Discussion)
2. Interoperability
3. Vocabularies
4. Privacy
5. Security
6. Quality
7. Implementation Case Studies (Your Story - the good, bad and
   in-between)

We have also enabled a "voting" feature on submissions to allow you - the public - an opportunity to emphasize points raised in a given post. Our goal is to harness the shared wisdom of our community to inform the work of the HIT Standards Committee in the weeks and months ahead.

The tight schedule of this process is designed to ensure that your ideas inform the HIT Standards Committee at its November 19th meeting.  However, your ongoing feedback on our efforts is also encouraged via written submission or public comment at any of the subsequent monthly meetings of the HIT Standards Committee.

The process of accelerating the adoption of health IT standards will not end this week, this month, or this year. This is an ongoing effort, and your participation will continue to be essential to its success.

Aneesh Chopra is U.S. Chief Technology Officer

http://www.whitehouse.gov/blog/2009/10/29/pulling-forward-benefits-healthcare-it

"Because of what we did, lives will be saved and health care costs will be cut with new computerized medical records."    

                                                        -President Barack Obama

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