On March 9, 2020 the Office of the National Coordinator for Health Information Technology (ONC) released its final rule on the 21st Century Cures Act: Interoperability, Information Blocking, and the ONC Health IT Certification Program. Referred to by some people as the “Information Blocking Rule,” since this is the primary topic, the document actually covers a host of other issues related to interoperability driven primarily by requirements of the 21st Century Cures Act. In addition to the final rule itself you can read the ONC press release, a comparison between the proposed and final rules, and lots of other resources. The final rule was officially be published in the Federal Register on May 1, 2020.
ONC Releases Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs
In February 2020 the Office of the National Coordinator for Health Information Technology (ONC) released its final report on the Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs as mandated by the 21st Century Cures Act.
The report is divided into the same four major sections as the version released for comment back in 2018 (see our previous blog), each covering a different area: clinical documentation; health IT usability and the user experience; EHR reporting; and public health reporting. For each section, the report briefly lays out the issues and challenges and provides some key strategies and recommendations.
We have spent years involved with the management of the Center for Medicare and Medicaid Services (CMS) Electronic Health Records (EHR) Incentive Programs which were created by the HITECH Act (2009). These programs were recently renamed Promoting Interoperability (PI) programs. In a nutshell, these programs were tied to the Medicare and Medicaid insurance programs and provided financial incentives over a number of years to ambulatory providers and hospitals to adopt and use EHRs. Vendors submitted their technology products for testing and certification that they performed specific functions and could exchange data using specified message formats.
|See our final comments on the TEFCA v2 Draft|
On April 17, 2019 the Office of the National Coordinator for Health Information Technology (ONC) released the second draft of its Trusted Exchange Framework and Common Agreement (TEFCA) for comment. The initial version was released more than a year ago in January 2018 (see my original blog). As before, this is in response to a requirement imposed by Congress in the 21st Century Cures Act. After a somewhat lengthy (but well written) introduction, the document contains three parts (compared to just two parts the first time around):
HLN participated in the 2019 California Immunization Coalition Summit held on April 8-9. 2019 in Riverside, CA. For over twelve years, the CIC Summit has brought together partners and colleagues from throughout California and beyond to share ideas, highlight successes, and identify partnerships.
This year HLN’s president, Dr. Noam Arzt, delivered two talks during breakout sessions at the summit:
- A Brief History of Immunization Information Systems in the US and California
- IIS Interoperability in the New HIE World
Several hundred stakeholders from around California attended this important event.