AMIA Public Policy and Government Relations Update

Transcription

1 AMIA Public Policy and Government Relations Update Margo Edmunds, Chairperson, AMIA PPC Doug Peddicord, President, Washington Health Strategies Group Meryl Bloomrosen, Vice President, Public Policy AMIA March, 2012

2 Today's Discussion Topics Welcome and Presenter Introductions- Margo Purpose of Today s Webinar- Margo AMIA s Policy Goals and Objectives AMIA s Policy Priorities AMIA s Ongoing Policy Activities Legislative and Capitol Hill Happenings- Doug Other Relevant Policy Activities- Meryl

3 AMIA s Public Policy Goals and Objectives Represent AMIA and build valuable relationships in Congress and the Administration Educate Congress and the Administration about issues important to AMIA and its members Present AMIA as a resource to members of Congress and the Administration Spread awareness about AMIA, health information technology and informatics Provide objective input into the public policy discourse and help inform public policymakers Educate members about relevant issues in public policy

4 Public Policy Priority Topics Informatics Research and Funding AHRQ NIH NLM NINR Impact of health IT on Patient Safety and Quality of Care Meaningful Use (defending MU incentives) Ensuring safe, effective use of health IT and EHRs Informatics and health IT Workforce (includes education and training) Informatics competencies Funding for training programs; pipeline of trainees EHR Best Practices, Lessons Learned and Successes EHR Evaluation EHR Usability Evolution of Clinical Decision Support

5 Ongoing Public Policy Related Activities Compile and Submit Official AMIA Comments Conduct Agency Visits Conduct Congressional Visits Conduct Policy Sessions at AMIA Educational Meetings Conduct Policy Updates Convene Invitational Policy Meetings and Develop Proceedings (since 2006) Host AMIA Hill Day Monitor and Track Congressional Activities Provide Testimony Represent AMIA at Meetings and Hearings Submit Nominations for Committees and Task Forces Track Legislation and Regulations of Interest to Members and the Informatics Community Track Federal Agency Activities

6 Legislative and Administrative Happenings

7 President s FY 2013 Budget Proposal (In millions) AHRQ: 2012: $ : $409 CDC: 2012: $5, : $5,068 NIH: 2012: $30, :$30,702 (no change from 2012)

8 President s FY 2013 Budget Proposal Of the funding levels proposed for the Centers of NIH, NLM was the recipient of one of the greatest increases. National Library of Medicine s proposed funding level is set to increase from $338 million to $373 million 10.4% ONC is set to receive $66 million, an increase of $5 million above FY12.

9 Hot Topics in HIT Meaningful Use Breach reporting BCBS of Tenn. to pay $1.5 million HIPAA enforcement by state Attorneys General HIPAA enforcement on BAs Administration's Privacy Bill of Rights The learning healthcare system Big Data" in health care

10 Meaningful Use Stage 2- EPs Stage 2 MU Objectives and Measures for EPs Objective Measure Notes, Comments, Queries 1. Use CPOE for medication, laboratory, and radiology orders directly entered by any licensed healthcare professional who can enter orders into the medical record per State, local, and professional guidelines to create the first record of the order. CORE SET (EP must meet all 17 Core Set objectives) More than 60 percent of medication, laboratory, and radiology orders created by the EP during the EHR reporting period are recorded using CPOE. Exclusion: Any EP who writes fewer than 100 medication, laboratory, and radiology orders during the EHR reporting period. Measure in Stage 1 was 30 percent. EP must personally use the CPOE function, verbally communicate the order to someone else who will use the CPOE function, or give an electronic or written order that must not be retained in any way once the CPOE function has been utilized. CMS invites comment on whether CPOE order entry could be expanded to include non-licensed professionals, such as scribes. The proposed denominator is the number of medication, radiology, and laboratory orders created by the EP during the EHR reporting period. CMS encourages comments on whether a different denominator could be used the HIT Policy Committee recommended a denominator of patients with at least one type of order..

11 Meaningful Use State 2- Hospitals Stage 2 MU Objectives and Measures for Hospitals and CAHs Objective Measure Notes, Comments, Queries CORE SET (eligible hospitals/cahs must meet all 16 Core set objectives) 1. Use CPOE for medication, laboratory, and radiology orders entered by any licensed healthcare professional who can enter orders into the medical record per State, local, and professional guidelines to create the first record of the order. More than 60 percent of medication, laboratory, and radiology orders created by authorized providers of the hospital s inpatient or emergency department during the EHR reporting period are recorded using CPOE. Exclusion: None. Measure in Stage 1 was 30 percent. Provider must personally use the CPOE function, verbally communicate the order to someone else who will use the CPOE function, or give an electronic or written order that must not be retained in any way once the CPOE function has been utilized. CMS invites comment on whether CPOE order entry could be expanded to include non-licensed professionals, such as scribes. The proposed denominator is the number of medication, radiology, and laboratory orders created by providers in the hospital s inpatient or emergency department during the EHR reporting period. CMS encourages comments on whether a different denominator could be used the HIT Policy Committee recommended a denominator of patients with at least one type of order.

12 Permanent Certification Program Proposed Changes Program Name Change ONC HIT Certification Program Revisions to EHR Module Certification Requirements Privacy and Security Certification Will not require upfront certification to P&S for the 2014 Edition CC Policy outcome now reflected in Base EHR definition (which includes all P&S CC) Other tweaks to make certification more efficient Application of Certain New Criteria (g)(1): Automated numerator recording (g)(3): Non-percentage-based measures (g)(4): Safety-enhanced design

13 Meaningful Use Stage 2- Certification Criteria Redefining Certified EHR Technology Why ONC thinks it is important 1.Provides greater flexibility 2.Clearer definition of CEHRT and its requirements 3. Promotes continued progress towards increased interoperability requirements 4. Reduces regulatory burden (EO 13563)

14 Other Upcoming Legislation and Regulations HITECH Omnibus Final Rule: privacy revisions, security, enforcement, breach notification (not AOD) NCVHS Report to Congress De-identification Data segmentation initiative Comprehensive privacy and cybersecurity legislation- HIPAA carve-out language

15 Update on Health Reform Legislation and Potential Implications for AMIA Potential for repeal of the ACA; Supreme Court to hear challenges on federalism and commerce clause grounds, (special attention focused on the Individual Mandate) on March IPAB a very hot issue, with Republicans and some Democrats looking to scuttle before it begins Meanwhile, implementation goes on, and the HIT Standards and Policy Committees continue to weigh in on a broad range of topics, from MU to ACOs Ongoing workforce and education/training issues Comparative effectiveness research (CER) Patient safety Consumer engagement Quality initiatives: bundled payments, medical home, ACOs; expand PQRI Implementation of ICD10

16 2012 Overview of Selected Activities Patient Identity Coalition ICD-10 Coalition HR 3239: Safeguarding Access For Every Medicare Patient Act

17 HR Safeguarding Access For Every Medicare Patient Act Introduced by Rep. Tom Marino (R-PA) Provides essential safe harbors for EHR users and vendors/software developers to the extent that they report problems to the Patient Safety Organizations. Time limits on legal action and the reckless disregard standard for punitive damages.

18 Other Policy Related Initiatives and Projects National Priorities Project (NPP) Mike Shabot ONC HIT and Patient Safety Roundtable Mobile Devices Roundtable IOM Best Practices Innovation Collaborative (team-based care) Global Forum on Health Professional Education Workshop: Informatics Needs and Challenges in Cancer Research Workshop on Data Quality Genetic Alliance: Genetic Testing and Data Management Summit

19 Other Policy Related Initiatives and Projects con t Patient-Centered Outcomes Research Institute (PCORI) DRAFT National Priorities for Research and Research Agenda NIH Common Fund Connection Bipartisan Policy Center Transforming Health Care: The Role of Health IT NIH mhealth Public-Private Partnership Facilitating Mobile/Wireless Health

20 AMIA s Invitational Health Policy Meetings 2006:. Toward a national framework for the secondary use of health data: an American Medical Informatics Association White Paper. 2007Advancing the framework: use of health data--a report of a working conference of the American Medical Informatics Association 2008: Informatics, evidence-based care, and research; implications for national policy: a report of an American Medical Informatics Association health policy conference 2009: Anticipating and Addressing Unintended Consequences of HIT and Policy 2010: The Future of Health IT Innovation and Informatics 2011 : Future State of Clinical Documentation and Data Capture 2012: Health Data Use, Stewardship and Governance

21 Discussion

22 Thank You!