The document discusses a survey conducted by eHealth Initiative on regional extension centers and meaningful use of electronic health records. Key findings from the survey include:
- Regional extension centers should be flexible and not constrained by state or regional boundaries in order to best meet local needs. There should be 10-100 centers.
- Quality improvement organizations are best suited to run the extension centers based on their experience.
- Extension centers should focus on disseminating best practices, providing technical assistance to clinicians, and assisting primary care practices and those in rural/underserved areas.
2. The Global Opportunities and Legal Challenges Posed by Health Information Technology: Presented by Robert D. Marotta October 1, 2009 A Domestic Perspective
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17. October 22, 2009 The Impact of Federal HIT Policy and the State of Ohio Jennifer Covich Bordenick Chief Operating Officer and Interim Chief Executive Officer
25. Basic Federal HIT Structure in 2009 October 22, 2009 HITSP CCHIT + ? Office of the National Coordinator HIT Policy Committee HIT Standards Committee Chief Privacy Officer National Institute of Standards and Technology
33. Paying for Meaningful Use – Example - Medicare for Professionals October 22, 2009 Year Maximum Benefit per Provider using EHR Total Payment Reduction for Not Using EHR First Year $15,000 (If 2011 or 2012, $18,000) 0% Second Year $12,000 0% Third Year $8,000 0% Fourth Year $4,000 0% Fifth Year $2,000 2015: 1% (in some cases, 2%) Sixth Year 0 2016: 2% 2017 0 2017: 3% Beyond 0 Beyond: 3% (or more)
44. October 22, 2009 Stakeholder Organizations Exchanging Data 2008 2009 Change (+/-) Hospitals 31 48 +17 Primary care physicians 24 42 +18 Community and/or public health clinics 20 32 +12 Specialty care physicians 21 30 +9 Independent laboratories 14 26 +12 Outpatient/Ambulatory surgery centers 11 22 +11 Pharmacies 8 20 +12 Behavioral or mental health providers 12 19 +7 Health plans 14 19 +5 Local Public Health Department 13 19 +6 Independent radiology centers 10 18 +8 Pharmacy benefit management companies 7 18 +11 Healthcare IT suppliers 9 15 +6 State Public Health Department 5 15 +10 Medicaid 5 13 +8 Consumers 3 10 +7 Employers or health care purchasers 5 9 +4
45. What and How is Health Information is Exchanged? October 22, 2009
96. presented by Jeff Porter Establishing Meaningful Use: From the HITECH Act to Improved Quality of Care
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108. Medicare and Medicaid HIT Incentives Meaningful Use Standards and Privacy/Security Medicare Incentive payments no sooner than Jan. 1, 2011 Medicaid Incentive payments no sooner than Jan. 1, 2011 OR Penalties Begin Calendar Year 2015
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111. Medicare and Medicaid HIT Incentives Meaningful Use Standards and Privacy/Security Medicare Incentive payments no sooner than January, 2011. Medicaid Incentive payments no sooner than October, 2010. AND Penalties Begin Full Fiscal Year 2015
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117. “ ARRA 8” Requirements Used to Develop Privacy and Security Standards ARRA Priority Areas of Focus Derived Privacy & Security Services HITSP Standards? 1) Technologies that protect the privacy of health information and promote security in a qualified electronic health record, including for the segmentation and protection from disclosure of specific and sensitive individually identifiable health information Identity management Yes User/entity authentication Yes Identity- / role-based access control Yes Label-based access control No Consent management Partial Transmission integrity protection Yes Transmission confidentiality protection Yes 2) Nationwide HIT infrastructure for electronic use and exchange of EHR Secure communications channel Yes Secure email Yes
118. “ ARRA 8” Requirements Used to Develop Privacy and Security Standards ARRA Priority Areas of Focus Derived Privacy & Security Services HITSP Standards? 3) EHR certification (all) -- 4) Technologies that, as a part of a qualified electronic health record, allow for an accounting of disclosures made by a covered entity Auditing Yes Consistent time Yes Inter-enterprise traceability No Non-repudiation Yes 5) The use of certified electronic health records to improve the quality of health care Document integrity protection Yes Transmission integrity protection Yes Non-repudiation Yes Service availability No
119. “ ARRA 8” Requirements Used to Develop Privacy and Security Standards ARRA Priority Areas of Focus Derived Privacy & Security Services HITSP Standards? 6) Technologies that allow individually identifiable health information to be rendered unusable, unreadable or indecipherable to unauthorized individuals Transmission confidentiality protection Yes Deidentification Yes Anonymization Yes Pseudonymization Partial Limited data set No 7) Demographic data N/A -- 8) Special populations N/A --