Monday, December 15, 2008

Policy Enablers for Healthcare Information Technology

I've often written that technology needs to be complemented by policy in order to be successful. Local policies help protect privacy by documenting "community standards" and ensure local IT assets are used wisely. Federal and State policies define best practices, align incentives, and establish priorities.

I try to divide my time on various local, state and federal initiatives between technology and policy work to ensure I meet all stakeholder expectations for data use.

Last week I read a great summary of the policy work being done throughout the country. The National Conference of State Legislatures published "Health Information Technology: 2007 and 2008 State Legislation"

Over the past 18 months, 132 bills related to health information technology were enacted in 44 states (everywhere except Arkansas, Kentucky, Mississippi, Nebraska, South Dakota, and Wyoming). Legislation included EHR adoption, e-prescribing incentives, financing, healthcare information exchange, and privacy. This burst of legislative activity demonstrates that eHealth is on the radar screen of just about every state and the pace of change is truly enabling interoperability.

In Massachusetts, there were 3 major legislative efforts in 2007 and 2008

Massachusetts HB 4141
, 2007 (Enacted 7/12/2007)

* Creates an eHealth Task Force that will develop a healthcare information exchange plan to link multiple settings of care, both public and private 2) evaluate the economic model and the anticipated benefits of electronic health record implementation and 3) provide quarterly updates to the governor and the chairs of the House and Senate committees on Ways and Means and the chairs of the Joint Committee on Health Care Financing regarding the status of national standards efforts

Massachusetts HB 4900, 2008 (Enacted 7/13/2008)

* Establishes and appropriates $25 million to the e-Health Institute Fund. Provides the Department of Public Health with $425,710 for a federally funded grant entitled Enabling Electronic Prescribing and Enhancement.

Massachusetts SB 2863, 2008 (Enacted 08/10/2008)

* Establishes the Healthcare Quality and Cost Council, which just launched its transparency site documenting procedure costs, quality and patient satisfaction measures for all hospitals in the state.

*Establishes the Massachusetts e-Health Institute and the e-Health Institute Fund to accelerate EHR implementation.

*Defines consent as Opt-In (no data is shared until patients give permission)

*Establishes rules for reporting unauthorized access or disclosure of healthcare data.

*Requires Computerized Physician Order Entry as a requirement for hospital licensure by October 1, 2012. Requires interoperable CCHIT certified EHRs by October 1, 2015 as a condition of hospital licensure.

*Requires IT competency as a condition for licensing healthcare providers.

*Calls for a medical home demonstration project based on IT interoperability.


The combination of technology, policies, and funding is all we need to accelerate health information technology. The legislative accomplishments of 2007-2008 are a great enabler.

3 comments:

Eddy said...

I like the idea of requiring hospitals to implement a CCHIT certified EHR as a condition for licensure. The fastest way to get hospitals on board nationally is for the center for medicaid and medicare services (CMS) to add an inpatient and/or an outpatient CCHIT certified EHR as a condition for hospitals to keep their rate of re-imbursement intact or face a reduction of 2%.

平平 said...

^^Thanks!!

婚前徵信婚姻感情大陸抓姦外遇抓姦法律諮詢家暴婚前徵信尋人感情挽回大陸抓姦離婚工商徵信婚前徵信外遇抓姦感情挽回尋人大陸抓姦離婚家暴工商徵信法律諮詢跟蹤工商徵信婚前徵信感情挽回外遇抓姦法律諮詢家暴尋人大陸抓姦離婚大陸抓姦外遇尋人家暴工商徵信法律諮詢家暴感情挽回大陸抓姦外遇婚前徵信離婚尋人工商徵信外遇抓姦法律諮詢家暴婚前徵信大陸抓姦尋人感情挽回外遇抓姦婚前徵信感情挽回尋人大陸抓姦工商徵信法律諮詢離婚家暴工商徵信外遇抓姦法律諮詢家暴婚前徵信尋人感情挽回大陸抓姦離婚婚前徵信工商徵信外遇抓姦尋人離婚家暴大陸抓姦感情挽回法律諮詢離婚感情挽回婚前徵信外遇抓姦家暴尋人工商徵信外遇抓姦法律諮詢家暴婚前徵信尋人感情挽回">徵大陸抓姦離婚婚前徵信工商徵信外遇抓姦尋人離婚家暴大陸抓姦感情挽回法律諮詢

Affordable Luxurious Wedding Dress Blog said...

cheap wedding gowns,
discount bridal gowns,
China wedding dresses,
discount designer wedding dresses,
China wedding online store,
plus size wedding dresses,
cheap informal wedding dresses,
junior bridesmaid dresses,
cheap bridesmaid dresses,
maternity bridesmaid dresses,
discount flower girl gowns,
cheap prom dresses,
party dresses,
evening dresses,
mother of the bride dresses,
special occasion dresses,
cheap quinceanera dresses,
hot red wedding dresses