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HIPAA, HITECH & HIT Legal Issues, Developments and Other Pertinent Information Relating To The Creation, Use and Exchange of Electronic Health Records

Category Archives: Meaningful Use

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OIG Reports Shortcomings In EHR Incentive Oversight

Posted in Articles, HITECH Act, Meaningful Use

CMS should improve its oversight of its electronic health record incentive program, according to a report by the Office of Inspector General released this month.   The government watchdog agency faults CMS for both inadequate prepayment safeguards and insufficient postpayment monitoring of recipients of federal funding intended to help cover the costs of adoption and implementation… Continue Reading

OIG EHR Questionnaire Focuses on Fraud Safeguards

Posted in Meaningful Use

The OIG is conducting a survey of hospitals who have certified the meaningful use of Electronic Health Record (EHR) Technology, with an emphasis on safeguards that protect the EHR systems from fraudulent access or alteration. A generous hospital compliance officer who has asked to remain nameless has provided me with a copy of the survey… Continue Reading

Updated Guide to E-Prescribing Released

Posted in Meaningful Use

                 Six healthcare advocacy organizations have released an updated 2011 Guide to E-Prescribing, including Meaningful Use criteria under the HITECH Act.   The document is a comprehensive guide for practices covering acquisition, implementation and utilization of e-prescribing technology. The original version was published in 2008, which is now relatively antiquated — technology years being roughly equivalent to dog years…. Continue Reading

AMA, 38 Other Medical Groups Raise Concerns On Stage 2 Meaningful Use Proposals

Posted in Meaningful Use

In a detailed, 46-page letter dated February 25, 2011, the American Medical Association and 38 other medical societies raised serious concerns about the proposed set of requirements for Stage 2 of the Medicare/Medicaid Electronic Health Record (EHR) meaningful use incentive programs.   The letter, addressed to Joshua Seidman, PhD of the Office of the National… Continue Reading

HITECH EMR Incentive Registration Opens January 3, 2011

Posted in HITECH Act, Meaningful Use

  Early EHR adopters, mark your calendars:  CMS will begin accepting registration for participation in the Medicare EHR incentive program beginning January 3,  2010.   CMS will post a link to the registration process on its Registration and Attestation page on January 3.  The sooner you apply, the sooner you can begin to qualify for the $44,000 in additional Medicare funds per… Continue Reading

CMS Answers Frequently Asked Questions Regarding Electronic Health Record Incentives

Posted in Meaningful Use

by Todd Rodriguez, Esquire In July, the Centers for Medicare and Medicaid Services (CMS) released the much-anticipated final regulations that providers are required to meet in order to receive the Medicare incentives for adoption of a certified electronic health record system. In those regulations, In the final rule, CMS set forth 15 core elements which… Continue Reading

Meaningful Use At A Glance

Posted in Meaningful Use

The following is a chart summarizing the 15 "core" objectives which must be met, the menu from which 5 additional objectives must be selected, and the standards by which achievement of these objectives will be measured in order to qualify for EHR funding under the HITECH Act based on the final rules published on July 13, 2010:… Continue Reading

“Unrealistic expectations and unachievable timelines”

Posted in Meaningful Use

Even the most technologically advanced health systems and physician organizations in the U.S. would struggle to meet the proposed standards for "meaningful use" of electronic medical records, according to a Jun 7, 2010 article in the New York Times.   Doctors and Hospitals Say Goals on Computerized Records Are Unrealistic. (registration required).   Some unlikely players are raising… Continue Reading

Hey, CMS, not so fast!

Posted in Meaningful Use

The  American Medical Association, the American Hospital Association, and numerous other stakeholders are raising concerns that the timelines for adoption of EHR features that must be met in order to meet the proposed HITECH "meaningful use" criteria are unrealistic.  The AHA’s comment letter stated: "…[R]ational timelines are needed. We recommend a lead time of one year… Continue Reading

Getting Meaningful with EHR

Posted in HITECH Act, Meaningful Use

   The Health InformationTechnology for Economic and Clinical Health Act or the “HITECH Act”  provides incentive payments for adoption and meaningful use of HIT and qualified EHRs.  CMS published a proposed rule defining "meaningful use" on December 30.  It’s 566 double-spaced pages long, and can be found here:  http://www.federalregister.gov/OFRUpload/OFRData/2009-31217_PI.pdf.   An eligible physician or other professional… Continue Reading

Certifying EHRs for “Meaningful Use”

Posted in EHR and PHR, Health IT, Meaningful Use

On November 2, 2009, the Texas-based Drummond Group Inc. announced in a Press Release that it will submit to become a certifying body upon the release of the Office of the National Coordinator for Health Information Technology (ONC) requirements for certifying bodies for Electronic Health Records (EHR).  ONC is currently working on the scope and definition… Continue Reading

Relationship of “Meaningful Use” of EHR, and the Department of Veterans Affairs

Posted in EHR and PHR, Governance Issues, HITECH Act, Meaningful Use

[Installment 5 - Governance Considerations from HIT for the Board and Other Hospital Stakeholders]  This is the fifth in a series of blog posts that relate to the governance concerns surrounding developments in HIPAA, HITECH and HIT.  The other week, two separate and apparently unrelated events occurred on consecutive days with respect to electronic health records… Continue Reading

Will Too Much “Meaning” = Not Enough Use?

Posted in EHR and PHR, HITECH Act, Meaningful Use

When I first reviewed the Matrix and other documents released by the HIT Policy Committee’s “Meaningful Use” Workgroup, my initial reaction was “When did defining ‘Meaningful Use’ of EHR morph into attempting to use EHRs to ‘meaningfully’ reform the entire healthcare delivery system.”?  More simply put, the Workgroup’s initial recommendations seemed to me to be over-ambitious. The term… Continue Reading

“Meaningful Use” Comments Due June 26th

Posted in HITECH Act, Meaningful Use

The Office of the National Coordinator for Health Information Technology (ONC) is seeking comments on the preliminary definition of “Meaningful Use,” as presented to the HIT Policy Committee on June 16, 2009.  Comments on the draft description of Meaningful Use are due by    5:00 pm EST June 26, 2009.  Below are links to the HIT… Continue Reading

“Meaningful Use” Definition Recommendation Due out June 16th

Posted in EHR and PHR, Meaningful Use

The HIT Policy Committee is suppose to unveil its recommendations on the definition of "Meaningful Use" of electronic health records (EHRs) on June 16th, reports Health Data Management.  Any approved definition of "Meaningful Use" would then be forwarded to the Office of National Coordinator for further consideration.   What will constitute "Meaningful Use" of an EHR has been the subject… Continue Reading