Public comment period offers forum to gather additional feedback and inform future policies
|The Centers for Medicare & Medicaid Services (CMS) and Office of the National Coordinator for Health Information Technology (ONC) today released final rules that simplify requirements and add new flexibilities for providers to make electronic health information available when and where it matters most and for health care providers and consumers to be able to readily, safely, and securely exchange that information. The final rule for 2015 Edition Health IT Certification Criteria (2015 Edition) and final rule with comment period for the Medicare and Medicaid Electronic Health Records (EHRs) Incentive Programs will help continue to move the health care industry away from a paper-based system, where a doctor’s handwriting needed to be interpreted and patient files could be misplaced.
“We have a shared goal of electronic health records helping physicians, clinicians, and hospitals to deliver better care, smarter spending, and healthier people. We eliminated unnecessary requirements, simplified and increased flexibility for those that remain, and focused on interoperability, information exchange, and patient engagement. By 2018, these rules move us beyond the staged approach of ‘meaningful use’ and focus on broader delivery system reform,” said Dr. Patrick Conway, M.D., M.Sc., CMS deputy administrator for innovation and quality and chief medical officer. “Most importantly we are seeking additional public comments and plan for active engagement of stakeholders so we take time to get broad input on how to improve these programs over time.”
HHS heard from physicians and other providers about the challenges they face making this technology work well for their individual practices and for their patients. In recognition of these concerns, the regulations announced today make significant changes in current requirements. They will ease the reporting burden for providers, support interoperability, and improve patient outcomes. Providers can choose the measures of progress that are most meaningful to their practice and have more time to implement changes to program requirements. Providers are encouraged to apply for hardship exceptions if they need to switch or have other technology difficulties with their EHR vendor. Additionally, the new rules give developers more time to create user-friendly technologies that give individuals easier access to their information so they can be engaged and empowered in their care.
As part of today’s regulations, CMS announced a 60-day public comment period to gather additional feedback about the EHR Incentive Programs going forward, in particular with the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), which established the Merit-based Incentive Payment System and consolidates certain aspects of a number of quality measurement and federal incentive programs into one more efficient framework. We will use this feedback to inform future policy developments for the EHR Incentive Programs, as well as consider it during rulemaking to implement MACRA, which we expect to release in the spring of 2016.
In addition to the final rule for the EHR Incentive Programs, ONC is also announcing the final rule for the 2015 Edition Health IT Certification Criteria. This rule focuses on increasing interoperability – a secure but seamless flow of electronic health information – and improving transparency and competition in the health IT marketplace.
“This rule is a key step forward in our work with the private sector to realize the shared goal of making actionable electronic health information available when and where it matters most to transform care and improve health for the individual, community and larger population. It will bring us closer to a world in which health care providers and consumers can readily, safely and securely exchange electronic health information,” said Karen B. DeSalvo, M.D., M.P.H., M.Sc., national coordinator for health IT.
For more information about today’s announcement visit: http://cms.gov/Newsroom/
For more information on the CMS final rule with comment period, click here:http://cms.gov/Newsroom/
For more information on ONC’s editions of certification criteria visit:
During a Senate Health, Education, Labor and Pensions Committee (HELP) hearing today, Chairman Alexander called on the administration to delay until 2017 final rulemaking for Stage 3. We appreciate his recognition that hospitals and health systems are still working to meet requirements under Stages 1 and 2.
Additionally, hospitals, physicians and their vendor partners continue to wait for a much-anticipated rule modifying certain requirements for meeting Stage 2 in 2015. The continued delays in the release of this final rule only jeopardize the long-term outcomes of the program. We must get the modification rule in the hands of providers as soon as possible to ensure that the well-intentioned relief offered by Centers for Medicare & Medicaid Services in the proposed rule can be realized.
Sen. Elizabeth Warren’s (D-MA) comments on the importance of being able to accurately match patients to their health records and the need to address the other challenges impeding the development of an interoperable healthcare system were also notable.
Patients will be best served when as many providers as possible are successfully participating in the Meaningful Use program. CHIME is committed to ensuring that digital health tools are deployed safely and securely for the betterment of patient care.
We look forward working with the Chairman Alexander and the HELP Committee to ensure the ultimate lasting legacy of the Meaningful Use program is improved patient care through interoperable health records.
Statement from CHIME CEO and President Russell P. Branzell, FCHIME, CHCIO and CHIME Board of Trustees Chair Charles E. Christian, CHCIO, LCHIME, FCHIME
ANN ARBOR, MI, July 30, 2015 – We commend Congresswoman Renee Ellmers for introducing the Further Flexibility in HIT Reporting and Advancing Interoperability Act of 2015 or “Flex-IT 2 Act” and appreciate her continued leadership on this critically important issue.
While CHIME remains committed to the success of Meaningful Use, and to making sure improved patient care is its lasting legacy, we believe significant changes are needed to address increased dissatisfaction with EHRs and growing provider dissatisfaction with the program. The introduction of the Flex-IT 2 Act serves to strengthen accountability and effectiveness of an e-enabled healthcare system and ensure long-term vitality of Meaningful Use.
There is no doubt that the EHR Incentive Payments program has been a vital and successful driver of health IT adoption nationwide, setting the foundation for better population health, improved care delivery and lower costs. However, the ongoing challenges with program implementation must be addressed. Our members believe in the intent and promise of Meaningful Use, but providers and hospitals alike have been hamstrung by its often overly prescriptive requirements. We view the Congresswoman’s legislation as an opportunity to reevaluate and reorient this vital program that will provide the digital infrastructure to support a 21st century healthcare system.
We look forward to working with Congresswoman Ellmers, our membership, and colleague provider organizations toward the passage of this important bill.
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 1,600 CIO members and over 150 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.
Focused on better health through the best use of information technology, HIMSS points to critical components of the draft regulations and suggests improvements to advance the secure and consistent digital exchange of patient health information.
Arlington, VA (May 29, 2015) – On Thursday, May 28, HIMSS submitted comments to the Department of Health and Human Services on the Meaningful Use Stage 3 proposed rule and the 2015 Edition Health IT Certification Criteria. The two letters, sent to Acting CMS Administrator, Andrew Slavitt, and National Coordinator for Health IT, Dr. Karen DeSalvo, respectively, strongly urge CMS and ONC to:
- Decrease the prescriptive nature of the EHR Incentive program,
- Increase focus on the substantial capabilities established earlier in the program, and
- Reduce complexity in the 2015 Certification Criteria.
HIMSS voiced its continued support for the Meaningful Use Program as a tool to positively transform health and healthcare in the United States. Identifying meaningful use as a “critical tool for enabling healthcare transformation,” the response cites HIMSS Analytics data – collected annually on all non-federal US hospitals, and more than 30,000 tethered US ambulatory facilities – that “70% of hospitals have made a positive progression in the advancement of their EHR capabilities over the last five years, with over 60% of ambulatory facilities showing similar progress in the last three years.”
HIMSS reiterated its long-standing commitment to interoperability: “HIMSS is committed to a culture in which IT is fundamental to transforming healthcare; improving quality of care, enhancing the patient experience, containing cost, improving access to care, and optimizing effectiveness of public payment.”
- HIMSS remains strongly committed to making the Electronic Health Record Incentive program less prescriptive and more focused on encouraging and assisting providers to take advantage of the substantial capabilities established in Meaningful Use Stages 1 and 2, including interoperability.
- HIMSS applauds a proposal in the NPRM for a single definition of Meaningful Use starting in calendar year 2018, no matter when a provider began to participate in the EHR Incentive Program.
- HIMSS supports the work being done by CMS to align the EHR Incentive Program with other CMS quality reporting programs that also use certified health IT. HIMSS believes such efforts will lessen the burden on providers.
- HIMSS is committed to ensuring patient safety remains paramount to the development, implementation, and wide-spread use of health IT systems.
- HIMSS reiterates its long-standing assertion that 18 months is the minimum length of time needed between the final rules on Meaningful Use, certification, and standards, and the start of any stage of Meaningful Use. An 18-month timeline allows stakeholders to help educate and prepare providers on the upcoming new stage. The current timeline for transitioning to Meaningful Use, Stage 3 in 2017 and 2018 does not include 18 months.
The full HIMSS comments on the 2015 Edition Health IT Certification Criteria include:
- ONC must address the overall complexity of the 2015 Edition Certification Rule by reducing the total number of criterion, as well as the standards and functionalities included.
- HIMSS acknowledges that ONC and CMS attempted to reduce the complexity of the requirements for the 2015 edition certification criteria and Meaningful Use Stage 3 in their respective NPRMs for this cycle. However, given all the new requirements included in this NPRM, HIMSS urges ONC to reconsider the requirements needed for the 2015 edition certification criteria and consider approaches to minimize and simplify the options presented.
- HIMSS remains cautiously supportive of ONC’s efforts to establish innovative certification and testing programs that utilize health IT. Certification in support of a Learning Health System must be specific, carefully planned, focused on the areas that have the greatest impact on interoperability, and closely aligned with programmatic goals.
- ONC or another agency should establish the programmatic goals before commencing with any certification program associated with the effort. It is important that certification criteria be closely evaluated and aligned with the functionalities necessary to meet the goals of the program in question as the move continues beyond EHR-specific certification.
- HIMSS supports greater harmonization and alignment across the programs covered by certification.
- HIMSS supports the idea of including the level of adoption and maturity among standards as an important consideration when evaluating inclusions for certification programs.
HIMSS will continue to monitor the progress on CMS Meaningful Use Stage 3 program and the 2015 Edition Health IT Certification Criteria. Look for updated information at the Policy Center on the HIMSS website.
HIMSS is a global, cause-based, not-for-profit organization focused on better health through information technology (IT). HIMSS leads efforts to optimize health engagements and care outcomes using information technology.
HIMSS is a cause-based, global enterprise producing health IT thought leadership, education, events, market research and media services around the world. Founded in 1961, HIMSS encompasses more than 58,000 individuals, of which more than two-thirds work in healthcare provider, governmental and not-for-profit organizations across the globe, plus over 640 corporations and 400 not-for-profit partner organizations, that share this cause. HIMSS, headquartered in Chicago, serves the global health IT community with additional offices in the United States, Europe, and Asia.
Electronic Health Record Incentive Programs and 2015 Edition Health IT Certification Criteria rules proposed
The U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services (CMS) and Office of the National Coordinator for Health Information Technology (ONC) today announced the release of the Stage 3 notice of proposed rulemaking for the Medicare and Medicaid Electronic Health Records (EHRs) Incentive Programs and 2015 Edition Health IT Certification Criteria to improve the way electronic health information is shared and ultimately improve the way care is delivered and experienced. Together, these proposed rules will give providers additional flexibility, make the program simpler, and drive interoperability among electronic health records, and increase the focus on patient outcomes to improve care.
The proposed rules are one part of a larger effort across HHS to deliver better care, spend health dollars more wisely, and have healthier people and communities by working in three core areas: to improve the way providers are paid; improve the way care is delivered; and improve the way information is shared. Together, these improvements can support better care and lower costs in the health care system.
“The flow of information is fundamental to achieving a health system that delivers better care, smarter spending, and healthier people. The steps we are taking today will help to create more transparency on cost and quality information, bring electronic health information to inform care and decision making, and support population health,” said HHS Secretary Sylvia M. Burwell.
The Meaningful Use Stage 3 proposed rule issued by CMS specifies new criteria that eligible professionals, eligible hospitals, and critical access hospitals must meet to qualify for Medicaid EHR incentive payments. The rule also proposes criteria that providers must meet to avoid Medicare payment adjustments (Medicaid has no payment adjustments) based on program performance beginning in payment year 2018. The rule give more flexibility and simplifies requirements for providers by focusing on advanced use of electronic health records and eliminating requirements that are no longer relevant.
The 2015 Edition Health IT Certification Criteria proposed rule aligns with the path toward interoperability – the secure, efficient, and effective sharing and use of health information –identified in ONC’s draft shared Nationwide Interoperability Roadmap. The proposed rule builds on past editions of adopted health IT certification criteria, and includes new and updated IT functionality and provisions that support the EHR Incentive Programs care improvement, cost reduction, and patient safety across the health system.
“This Stage 3 proposed rule does three things: it helps simplify the meaningful use program, advances the use of health IT toward our vision for improving health delivery, and further aligns the program with other quality and value programs,” said Dr. Patrick Conway, M.D., M.Sc., CMS acting principal deputy administrator and chief medical officer. “And, in an effort to make reporting easier for health care providers, we will be proposing a new meaningful use reporting deadline soon.”
“ONC’s proposed rule will be an integral component in the shared nationwide effort to achieve an interoperable health system,” said Karen DeSalvo, M.D., M.P.H, M.Sc., national coordinator for health IT. “The certification criteria we have proposed in the 2015 Edition will help achieve that vision through provisions that consider the range of health IT users and uses across the care continuum, including those focused on interoperable standards, data portability, improved transparency, privacy and security capabilities, and increased oversight through ONC’s Health IT Certification Program.”
Under the Health Information Technology for Economic and Clinical Health Act, doctors, health care professionals and hospitals, including critical access hospitals, can qualify for Medicare and Medicaid incentive payments when they adopt and meaningfully use health IT technology certified by ONC. Since the programs began in 2011, more than 433,000 eligible professionals and eligible hospitals have received an incentive payment representing about 60 percent of eligible professionals in either the Medicare or Medicaid programs and about 95 percent of eligible hospitals.
The Stage 3 proposed rule’s scope is generally limited to the requirements and criteria for meaningful use in 2017 and subsequent years. CMS is considering additional changes to meaningful use beginning in 2015 through separate rulemaking. Read more about this announcement on Dr. Conway’s blog.
The Stage 3 proposed rule may be viewed at here and the comment period ends on May 29, 2015. The 2015 Edition proposed rule may be viewed at here and the comment period ends on May 29, 2015. The Draft 2015 Edition Certification Test Procedures may be viewed at HealthIT.gov, and the comment period ends on June 30, 2015.
More information on meaningful use can be found on the CMS EHR Incentive Programs website at http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/index.html.
More information on ONC’s editions of certification criteria can be found at http://www.healthit.gov/policy-researchers-implementers/standards-and-certification-regulations.
Strong, Bipartisan Support for Increasing Meaningful Use Flexibility
ANN ARBOR, MI, January 12, 2015 – Healthcare leaders praised the reintroduction of the Flexibility in Health IT Reporting (Flex-IT) Act of 2015, a bipartisan bill granting the nation’s healthcare providers additional flexibility in meeting Meaningful Use (MU) requirements through a shortened reporting period in 2015. Swift action by Congress is needed to help providers already in the 2015 reporting year for Meaningful Use, several healthcare organizations said today.
Officials from the American Academy of Family Physicians (AAFP), American Hospital Association (AHA), American Medical Association (AMA), College of Healthcare Information Management Executives (CHIME), Healthcare Information Management Systems Society (HIMSS) and Medical Group Management Association (MGMA) applaud the leadership shown by bill sponsor Representative Renee Ellmers (R-NC-02) and a bipartisan list of original cosponsors, including Marsha Blackburn (R-TN-07), Ron Kind (D-WI-03), Glenn Thompson (R-PA-05) and David Scott (D-GA-13).
“We commend the leadership demonstrated by a bipartisan group of House Members on this critically important issue,” said CHIME President and CEO Russell P. Branzell, FCHIME, CHCIO. “With such across-the-isle support, Congress has underscored how fundamental this program is to the future of healthcare in the U.S.
“While CHIME remains committed to the success of Meaningful Use, and to making sure improved patient care is the program’s lasting legacy, we believe significant changes are needed to address increased dissatisfaction with EHRs and growing disenchantment with the program,” Branzell added. “This bill, if passed, would begin that much-needed course correction.”
The Flex-IT Act was introduced in September 2014, following a national joint call to action last year. The new Flex-IT Act of 2015 would adjust the Meaningful Use reporting timeline, giving providers the option to choose any three-month quarter for EHR reporting in 2015.
“America’s hospitals are strongly committed to the adoption of EHRs, because of their potential to increase the quality of care and reduce costs for patients,” said Rick Pollack, Executive Vice President of the American Hospital Association. “The health care field is faced with many major challenges and changes, all hitting at the same time. We need to be practical and responsible in terms of implementation timetables. That’s why hospitals need flexibility. This legislation is a positive first step toward ensuring the program is a success, and America’s hospitals look forward to working to achieve its passage.”
“Our nation needs a more efficient, cost-effective and patient-centered healthcare system. HIMSS applauds the efforts taken by these Congressional leaders and fully supports the Flexibility in Health IT Reporting (Flex-IT) Act of 2015 as essential to giving providers and hospitals a realistic chance to meet the 2015 Meaningful Use requirements,” said Carla Smith, MA, CNM, FHIMSS, Executive Vice President, HIMSS North America
According to the latest data available from the Centers for Medicaid & Medicare Services (CMS), more than one-third of hospitals expected to demonstrate Stage 2 Meaningful Use in 2014 had to file for a hardship exception or meet Stage 1 requirements again. In 2015, CMS data indicate more than 3,900 hospitals and 260,000 physicians will have to meet Stage 2 requirements. However, CHIME estimates that more than half of these EHs will likely seek further hardship exceptions or face penalties in 2015. And with CMS estimating that more than 257,000 EPs will receive penalties in 2015, the likelihood of robust physician participation is doubtful.
“We greatly appreciate the willingness of this bipartisan group of legislators to address this critical issue,” stated Anders Gilberg, Senior Vice President, Government Affairs, for the Medical Group Management Association. “Stage 2 of Meaningful Use has proven extremely challenging and, absent this reporting flexibility, a significant number of physicians will be unable to participate in the program and unfairly penalized. Passage of the Flex-IT Act is a critical step to allow physician practices to continue down the pathway of effective adoption and use of EHR technology,” added Gilberg.
“We are pleased with renewed efforts to provide greater flexibility in the Meaningful Use program and hope that this is the first of several steps to make the program work better for physicians and other providers so that the full potential of these technologies to improve care and value can be realized,” said American Medical Association President-Elect Steven J. Stack, MD.
In October 2014, the AMA unveiled their Meaningful Use blueprint, outlining several recommendations meant to improve participation in the EHR Incentive program. Among the high-level recommendations, AMA officials urged that policymakers adopt a more flexible approach for meeting Meaningful Use to allow more physicians to successfully participate; better aligning quality measure requirements including reducing the reporting burden on physicians and helping relieve them from overlapping penalties; and restructure EHR certification to focus on key areas like interoperability.
“As some of the earliest adopters of certified electronic health records technology, family physicians have demonstrated their belief that interoperable EHR – like primary care itself – is an essential component of a higher-quality, lower-cost health system,” said Robert Wergin, MD, president of the American Academy of Family Physicians. “However, as family medicine continues to do its part in building the EHR infrastructure – a massive undertaking – CMS should not set benchmarks so high that it discourages participation in the program. We applaud Reps. Ellmers and Kind for introducing the Flexibility in Health IT Reporting Act, which will allow eligible physicians to achieve Meaningful Use of EHR by reporting for a three-month period in 2015. The American Academy of Family Physicians believes this flexibility will help physicians stay on track in building an EHR system that works.”
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 140 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. For more information, please visit www.chimecentral.org.
|CHIME reiterates call to HHS for immediate, sensible action|
|ANN ARBOR, MI, December 9, 2014 – As substandard Meaningful Use attestation figures for program year 2014 continue, the College of Healthcare Information Management Executives (CHIME) reiterated its call to immediately shorten the reporting period for 2015.
According to the data, released today by the Centers for Medicaid and Medicare Services (CMS) during the Health IT Policy Committee meeting, less than 35 percent of the nation’s hospitals have met Stage 2 Meaningful Use requirements. And while eligible professionals (EPs) have until the end of February to report their progress, just 4 percent have met Stage 2 requirements thus far.
“Despite policy efforts to mitigate a disastrous program year, today’s release of participation data confirms widespread challenges with Stage 2 Meaningful Use,” said CHIME President and CEO Russell P. Branzell, FCHIME, CHCIO.
Roughly 1 in 3 hospitals scheduled to meet Stage 2 in 2014 had to use alternative pathways to meet MU, administrative data current through December 1 indicates.
“This trend demonstrates how vital new flexibilities were in 2014 and again, underscores the need for the same flexibility in 2015,” said Branzell. “It is imperative officials take immediate action to put this critical transformation program back on track. Shortening the time frame for MU reporting in 2015 will help to ensure the program delivers on its promise to advance the transformation of healthcare in this country.”
CHIME and several other national provider associations have repeatedly told CMS that without more program flexibility and a shortened reporting period in 2015, the future of Meaningful Use is in jeopardy.
CMS data indicates that more than 3,900 hospitals must meet Stage 2 measures and objectives in 2015 and more than 260,000 EPs will need to be similarly positioned by January 1, 2015. Given the low attestation data for 2014 and the tremendous number of providers required to meet Stage 2 for a full 365-days in 2015, leaders in the Congress have pressed for a shortened reporting period in 2015 with the introduction of H.R. 5481, theFlexibility in Health IT Reporting Act, or Flex-IT Act.
“CHIME commends Representatives Renee Ellmers and Jim Matheson for their steadfast leadership and continued support for a 90-day reporting period in 2015,” said Branzell. “Swift passage of the Flex-IT bill before Congress adjourns will provide the certainty that healthcare providers deserve to ensure the safe implementation and use of their EHR systems.”
Representative Ellmers (R-NC-2) and Representative Matheson (D-UT-4) introduced H.R. 5481, the Flex-IT Act, in mid-September with resounding support from industry groups including CHIME, American Medical Association (AMA), American Hospital Association (AHA) and Health Information and Management Systems Society (HIMSS). The bipartisan bill has reached over 21 cosponsors since being introduced.
WASHINGTON, DC November 4, 2014 – Healthcare leaders from across the nation today renewed calls for the Centers for Medicaid and Medicare Services (CMS) to shorten the Meaningful Use (MU) reporting period in 2015 and provide more program flexibility, citing concerns with lower-than-expected Medicare numbers and continued reports detailing nationwide difficulty in meeting Federal guidelines for electronic health records (EHR) requirements.
According to newly released CMS numbers, less than 17 percent of the nation’s hospitals have demonstrated Stage 2 capabilities. Further, less than 38 percent of eligible hospitals (EHs) and critical access hospitals (CAHs) have met either Stage of Meaningful Use in 2014, highlighting the difficulty of program requirements and foretelling continued struggles in 2015. And while eligible professionals (EPs) have until the end of February to report their progress, only 2 percent have demonstrated Stage 2 capabilities thus far.
Officials from the American Medical Association (AMA), College of Healthcare Information Management Executives (CHIME), Healthcare Information and Management Systems Society (HIMSS) and Medical Group Management Association (MGMA) called the results disappointing, yet predictable.
“Meaningful Use participation data released today have validated the concerns of providers and IT leaders. These numbers continue to underscore the need for a sensible glide-path in 2015,” said CHIME President and CEO Russell P. Branzell, FCHIME, CHCIO. “Providers have struggled mightily in 2014, in many instances for reasons beyond their control. If nothing is done to help them get back on track in 2015, we will continue to see growing dissatisfaction with EHRs and disenchantment with Meaningful Use.”
CMS data required by Congress indicate that more than 3,900 hospitals must meet Stage 2 measures and objectives in 2015 and more than 260,000 eligible professionals (EPs) will need to be similarly positioned by January 1, 2015. Given the low attestation data for 2014 and the tremendous number of providers required, but likely unable to fulfill, Stage 2 for a full 365-days in 2015, healthcare leaders have pressed for a shortened reporting period in 2015, mirroring the policy of 2014.
“The low number of EP attestations to date is clear evidence that physician practices and their vendor partners have faced significant challenges in meeting the more onerous Stage 2 requirements of meaningful use,” said Anders M. Gilberg, Senior Vice President, government affairs, MGMA. “Shortening the reporting period in 2015 is a much needed change if the program is to remain viable and is a critical step if the nation is to continue making progress toward the goal of interoperability.”
“We’re focused on transforming health and healthcare,” said Carla Smith, MA, CNM, FHIMSS, Executive Vice President of HIMSS. “Meaningful Use Stage 2 and 2014 certified EHR technology are important drivers toward that outcome. If CMS continues to require a full-year of Meaningful Use reporting for 2015, we anticipate that large segments of providers will no longer be able to participate in the program-which hinders our nation’s ability to improve the quality, safety, cost-effectiveness, and access to care.”
A coalition of national provider groups have repeatedly told CMS that a shortened reporting period will have a dramatically positive effect on program participation and policy outcomes sought in 2015. Additionally, allowing flexibility in how providers meet the Stage 2 requirements, particularly related to Transitions of Care and View, Download, Transmit measures would also improve program participation.
“In addition to a shortened reporting period, CMS must end its one-size-fits all approach to achieve the goals of the Meaningful Use program, which are to create a secure and interoperable infrastructure,” said AMA President Elect Steven J. Stack, MD. “The AMA recently released a blueprint to outline ways to improve the Meaningful Use program, as well as a framework outlining eight priorities for more usable EHRs. We believe the stringent pass fail requirements for meeting Meaningful Use, combined with a tsunami of other overlapping regulations, are keeping physicians from participating in the Meaningful Use program.”
In response to a CMS final rule issued in September, provider groups sent a letter to Health and Human Service Secretary Burwell saying additional time would help hundreds of thousands of providers meet Stage 2 requirements in an effective and safe manner. Further, the group of nearly twenty national provider organizations said a shortened reporting period and flexibility on the Transitions of Care and View, Download, Transmit measures would serve as positive incentive for those who must seek alternative paths to MU in 2014 to continue their work in 2015.
“The agency’s decision to require a full-year of reporting using 2014 Edition certified EHR technology (CEHRT) in 2015 puts many eligible hospitals and physicians at risk of not meeting Meaningful Use next year and hinders the forward trajectory of the program,” the letter states.
ADP AdvancedMD continues efforts to help small medical practices earn maximum government incentives and avoid future penalties
Salt Lake City, UT – (September 17, 2014) – ADP® AdvancedMD a leader in all-in-one, cloudelectronic health records (EHR), practice management, medical scheduling, medical billing services as well as a pioneer of big data reporting and business intelligence for smaller medical practices, today announced it has been tested and certified under the Drummond Group’s Electronic Health Records Office of the National Coordinator Authorized Certification Body (ONC-ACB) program. ADP AdvancedMD EHR software is compliant in accordance with the criteria adopted by the Secretary of the U.S. Department of Health and Human Services.
Drummond Group’s ONC-ACB certification program certifies that EHRs meet the meaningful use criteria for either eligible provider or hospital technology. In turn, healthcare providers using the EHR systems of certified vendors are qualified to receive federal stimulus monies upon demonstrating meaningful use of the technology – a key component of the federal government’s push to improve clinical care delivery through the adoption and effective use of EHRs by U.S. healthcare providers.
Maintaining compliance in the ever-changing regulatory landscape is increasingly demanding for independent medical practices. As one of the earliest providers of true software-as-a-service (SaaS) medical office software, ADP AdvancedMD offers speed and savings related to updates and upgrades with all users so they are automatically and continuously upgraded to the latest version as part of their monthly subscription.
ADP AdvancedMD EHR, version 2014.1, which meets the requirements for a Complete EHR, provides the independent physician with clinical solutions to manage patient care from anywhere with improved workflow efficiency and operational control. Flexible and customizable patient encounter documentation can be configured to complement broad work style and clinical approaches.
“This certification wasn’t about getting a checkbox or a listing on the ONC website as much as we felt it an opportunity to help our independent physician customers engage in the benefits of MU2,” said Raul Villar, president, ADP AdvancedMD. “The additions we’ve made to our product suite will help propel independent physicians into the next generation of healthcare IT in a way that previously was unavailable to them. We are proud to be the engine to empower that transition and transformation for our customers. We see this as the beginning, not the finish line.”
This Complete EHR is 2014 Edition compliant and has been certified by an ONC-ACB in accordance with the applicable certification criteria adopted by the Secretary of the U.S. Department of Health and Human Services. This certification does not represent an endorsement by the U.S. Department of Health and Human Services or guarantee the receipt of incentive payments. As a cloud technology, ADP AdvancedMD is an all-inclusive product and service. There is a one-time setup fee that covers the implementation and training. The monthly service fee is comprehensive and there are no additional costs that an eligible provider would pay to implement for the purposes of achieving meaningful use. Interface development, configuration, or other required patient services might require additional fees.
Certification of EHR Compliance
- ADP AdvancedMD EHR v2014.1
- Certification Number: 09112014?2755?1
- Certification date: September 11, 2014
- Modules Tested: 170.314 (a)(1?15); (b)(1?5, 7); (c)(1?3); (d)(1?9); (e)(1?3); (f)(1?3); (g)(2?4)
- Clinical Quality Measures tested: 50v2; 68v3; 69v2; 75v2; 90v3; 122v2; 123v2; 126v2; 127v2; 131v2; 138v2; 139v2; 146v2; 154v2; 155v2; 156v2; 165v2; 166v3
- Additional software used: Surescripts Network for Clinical Interoperability
With more than $12 billion in revenues and 65 years of experience, ADP® (Nasdaq: ADP) serves approximately 637,000 clients in more than 125 countries. As one of the world’s largest providers of business outsourcing and Human Capital Management solutions, ADP offers a wide range of human resource, payroll, talent management, tax and benefits administration solutions from a single source, and helps clients comply with regulatory and legislative changes, such as the Affordable Care Act (ACA). ADP’s easy-to-use solutions for employers provide superior value to companies of all types and sizes. ADP is also a leading provider of integrated computing solutions to auto, truck, motorcycle, marine, recreational vehicle, and heavy equipment dealers throughout the world. For more information about ADP, visit the company’s Web site at www.ADP.com
The ADP logo and ADP are registered trademarks of ADP, LLC. All other marks are the property of their respective owners. Copyright © 2014 ADP, LLC.
About Drummond Group Inc.
Drummond Group Inc. is a global software test and certification lab that serves a wide range of vertical industries. In healthcare, Drummond Group tests and certifies Controlled Substance Ordering Systems (CSOS), Electronic Prescription of Controlled Substances (EPCS) software and processes, and Electronic Health Records (EHRs) – designating the trusted test lab as the only third-party certifier of all three initiatives designed to move the industry toward a digital future. Founded in 1999, and accredited for the Office of the National Coordinator HIT Certification Program as an Authorized Certification Body (ACB) and an Accredited Test Lab (ATL), Drummond Group continues to build upon its deep experience and expertise necessary to deliver reliable and cost-effective services. For more information, please visithttp://www.drummondgroup.com or email DGI@drummondgroup.com.