Overview of Meaningful Use Comments HIT Policy Committee July 16, 2009.

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Overview of Meaningful Use Comments HIT Policy Committee July 16, 2009

Transcript of Overview of Meaningful Use Comments HIT Policy Committee July 16, 2009.

Page 1: Overview of Meaningful Use Comments HIT Policy Committee July 16, 2009.

Overview of Meaningful Use CommentsHIT Policy Committee

July 16, 2009

Page 2: Overview of Meaningful Use Comments HIT Policy Committee July 16, 2009.

Public Comments Public Comment

Published in the Federal Register Comment period was ten (10) days Deadline for comments June 26, 2009 792 comments were received

July 16, 2009

Page 3: Overview of Meaningful Use Comments HIT Policy Committee July 16, 2009.

July 16, 2009

General Themes Majority concurred that the focus of meaningful use must

be on objectively measurable improvement of health outcomes and actual effective use, not simply to promote the adoption of technology for its own sake.

Commenters generally applauded the emphasis on quality.

More than a third of commenters expressed general support for the initial guidance.

Some suggested more aggressive timeline; some suggested less aggressive timeline.

Many asked for clarification of terms.

Page 4: Overview of Meaningful Use Comments HIT Policy Committee July 16, 2009.

July 16, 2009

Measures

Additional measures

More measures targeted to specialty providers

Do not create measures de novo – use existing measures

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July 16, 2009

Sources for Existing Measures

NQF Hospital Quality Alliance Healthy People 2020 CMS Reporting Hospital

Quality Data for Annual Payment Update (RHQDAPU)

CMS Physician Quality Reporting Initiative (PQRI)

Joint Commission Core Measures

NCQA Healthcare Effectiveness Data and Information Set (HEDIS) measures

AMA Physician Consortium for Performance Improvement (PCPI) measures for physicians

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July 16, 2009

Privacy and Security

Concern with proposed inability to achieve meaningful use status for organizations under investigation for HIPAA violations Large provider organizations are often subject to

complaints for alleged violations Unintended consequences (e.g., hospitals and

providers will be reluctant to report potential breaches)

Redundant with HIPAA

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July 16, 2009

Certification

Many suggested that certification standards should support meaningful use

Additional suggestions: Include the ability to adopt modular systems Criteria should promote interoperability Include specific functions for EHR Include certification for specialty provider EHRs


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