Navigation Links
CHIME Voices Concerns About Proposed ARRA Regulations
Date:1/8/2010

Reporting, product certification and implementation deadlines represent major concerns that could affect efforts to effectively implement electronic health records under recently proposed federal regulations, according to The College of Healthcare Information Management Executives (CHIME).

Ann Arbor, MI (Vocus) -- Reporting, product certification and implementation deadlines represent major concerns that could affect efforts to effectively implement electronic health records under recently proposed federal regulations, according to The College of Healthcare Information Management Executives (CHIME).

CHIME is beginning an intensive review of provisions of the recently released regulations to implement healthcare information technology provisions of the American Recovery and Reinvestment Act of 2009 (ARRA). However, at first glance, several provisions within the regulations merit closer scrutiny and will pose significant challenges for providers hoping to implement electronic health records.

“The nation’s providers definitely need federal stimulus funding to offset the cost of implementing these systems,” said Tim Stettheimer, chair of CHIME’s board, and Regional CIO for Ascension Health and a Senior Vice President and CIO at St. Vincent's Health System. “But it’s important for the regulations to help hospitals in their efforts to succeed, rather than serve as impediments to success.”

The regulations face a 60-day comment period and, after review, changes are expected to be made before they become final. They will provide significant guidance for hospitals and their IT departments in the coming months, and they represent an important step along the path of digitizing patients’ healthcare records, and improving the efficiency and safety of the American healthcare system.

CHIME’s initial analysis of the provisions favors the phased approach used to measure the meaningful use of electronic health records. Through the phased approach, first-year meaningful use criteria will apply to hospitals whenever they are eligible. However, the current schedule places pressure on hospitals that delay in implementing electronic health records, because by 2015, all hospitals and eligible providers would need to meet Stage 3 criteria to avoid payment penalties.

“Adequate time to understand the impact of these new systems and to implement them, are some of my secondary concerns,” said David Muntz, Senior Vice President and CIO of Baylor Health Care System. “My primary concern is the time and effort required to achieve successful organizational change management.”

To qualify for the incentive payments in either Medicare or Medicaid, eligible providers and hospitals must use certified EHRs to meet specific objectives and report specific HIT functionality measures to the Centers for Medicare & Medicaid Services. Additional quality measures also will need to be submitted, and as a whole, reporting requirements will be burdensome; many of the measures will require organizations to gather information that spans both electronic and paper-based systems, such as the percentage of orders entered through CPOE systems.

Initial reporting will be done through attestation to CMS, but that will still require hospitals to provide data on each of the HIT functionality measures.

Quality reporting provisions of the regulation also will require hospitals to develop reporting capabilities, since only nine of the 35 quality measures being proposed in the regulations currently are in use in the Medicare pay-for-reporting program.

For physicians, the use of Physician Quality Reporting Initiative indicators for reporting quality data will be a major challenge, CHIME believes. The proposed regulations indicate that medical groups that qualify for stimulus funding no longer will be eligible for the 2 percent bonus for reporting PQRI data.

The regulations also stipulate that hospital-based physicians are not eligible to receive stimulus payments. That creates a disincentive for healthcare systems and teaching programs from investing in ambulatory records systems for these physician groups.

CHIME also is concerned about the regulations’ burden on providers to demonstrate that they are using “certified EHR technology.” To receive Medicare and Medicaid incentive payments, providers must attest to CMS that the EHR system they use meets the statutory definition of a qualified EHR and has been “tested and certified in accordance with the certification program established by the National Coordinator.” CHIME is concerned that the certification process won’t be known until it is described in a forthcoming proposed rule from ONC, and that neither of the just-released CMS and ONC regulations provide for acceptance of previous CCHIT certification or allows for a transition time between when certification criteria are announced and when providers will be expected to use products certified to those criteria.

CHIME is conducting an intensive analysis of the regulations, primarily through the efforts of its Policy Steering Committee, which is composed of member CIOs who will closely examine the proposed regulations for their potential impact on widespread implementation of EHRs. CHIME also will survey members and seek their input on the regulations. CMS is soliciting comments on many issues. CHIME will submit public comments, and the organization encourages all concerned parties to comment on the proposed regulations as well.


About CHIME
The College of Healthcare Information Management Executives (CHIME) is an executive organization dedicated to serving chief information officers and other senior healthcare IT leaders. With more than 1,400 CIO members and over 70 healthcare IT vendors and professional services firms, CHIME provides a highly interactive, trusted environment enabling senior professional and industry leaders to collaborate; exchange best practices; address professional development needs; and advocate the effective use of information management to improve the health and healthcare in the communities they serve.

Contact:
Fred Bazzoli
Director of Communications
(630) 485-5193
fbazzoli(at)cio-chime(dot)org
or
Stephanie Fraser
Communications Coordinator
734-665-0000
sfraser(at)cio-chime(dot)org

###

Read the full story at http://www.prweb.com/releases/CHIME/meaningful_use/prweb3421454.htm.


'/>"/>
Source: PRWeb
Copyright©2010 Vocus, Inc.
All rights reserved  

Related medicine news :

1. Robert Wood Johnson Foundation Announces $15.6 Million Grant to Apply Power of the Archimedes Model to Critical Health Care Decisions
2. Engineering chimeric polypeptides to illuminate cellular redox states
3. Chimerix Raises $16.1 Million in Series E Financing
4. Kidney Care Community Voices Strong Support for Kidney Patients Right to Choose
5. Hillary Clinton Discusses Health Care for Women Over 40 in Exclusive Interview with Womens Voices for Change
6. Kidney Care Community Voices Support for Presidents Proposal to Extend Medicares Secondary Payer (MSP), Urges Administration to Work Closely with Community if Bundled Payment is Implemented
7. Voices Against Brain Cancer Hosts Event to Benefit Brain Cancer Research
8. Garth Brooks, Jon McLaughlin, and Pat Benatar and Neil Giraldo Raise Their Voices to Help Starkey Hearing Foundation Raise More Than $5 Million at Annual Fundraiser
9. Hope, Volume One, a CD benefiting Suicide Awareness Voices of Education (SAVE), to Be released on June 24, 2008
10. The Physicians of America Celebrate -- Senate Hears Patient and Physician Voices and Votes to Stop Medicare Physician Payment Cuts to Avoid a Medicare Meltdown
11. VOICES Launches Vote Kids 2008 to Engage Voters and Candidates in Shaping National Policies for Americas Children
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
CHIME Voices Concerns About Proposed ARRA Regulations
(Date:5/5/2016)... ... 05, 2016 , ... The 2016 Nike Soccer Camp will be directed by ... coaching staff. Together they bring their winning Vandals coaching philosophy to young athletes. Programs ... 5-13, and high school players. Session dates are as follows: , Youth Day Camp ...
(Date:5/5/2016)... ... 2016 , ... Talent Tech Labs (TTL) is pleased to announce ... National Nurses Week (May 6-12). Currently, HireNurses is a job listing and matching ... Talent Tech Lab Virtual Incubation program, they will dramatically expand the functionality and ease ...
(Date:5/5/2016)... Toledo, Ohio (PRWEB) , ... May 05, 2016 , ... ... Revenue Cycle. , Clark brings more than 15 years of experience within the ... comes from a successful career as the Director of Patient Financial Services at Spectrum ...
(Date:5/5/2016)... , ... May 05, 2016 , ... The Lung Institute will celebrate its ... a seminar at most clinic locations throughout the month of May. To date, the Lung ... “The rapid growth that we’ve seen is a testament to the success of this treatment ...
(Date:5/5/2016)... ... May 05, 2016 , ... T.E.N., a technology and ... May 3, at the 2016 ISE® Central Executive Forum and Awards Gala at ... Chief Security Officer of HMS, was selected as the Information Security Executive® of ...
Breaking Medicine News(10 mins):
(Date:5/5/2016)... May 5, 2016 ... addition of the  "Europe Thrombocythemia Market ...  report to their offering.  ... , ,The latest research Europe Thrombocythemia ... 2016, provides comprehensive insights into Thrombocythemia ...
(Date:5/4/2016)... York , May 4, 2016 ... Transparency Market Research entitled "Brain Computer Interface Market - Global ... - 2024," the  global brain computer interface (BCI) market  is ... 2024. The market is estimated to expand at a ... 2016 to 2024. A BCI device provides ...
(Date:5/4/2016)... , May 4, 2016 ... concluded a series of free workshops across ... global requirements for Good Distribution Practices (GDP). ... which ensures that products are consistently stored, transported and ... authorization (MA) or product specification. Only a few years ...
Breaking Medicine Technology: