Update on Health Information Technology & Policy Committee Insights
The update on health information technology covers recent developments in federal actions related to healthcare reimbursement rates and interoperability rules. Changes in the Medicare Inpatient Prospective Payment System and Hospital Promoting Interoperability Rule impact hospitals, requiring participation in all four measures. The concept of Active Engagement is explained, outlining the process for entities to submit data to public health. Additionally, a new Federal Ambulatory Proposed Rule on Promoting Interoperability/Meaningful Use has been introduced for feedback, mirroring changes in the Final Rule for Medicare Hospitals.
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Presentation Transcript
Update on Health Information Technology Public Health Funding and Policy Committee August 11, 2021 Steve Eichner
Medicare Inpatient Prospective Payment System/ Hospital Promoting Interoperability Rule Large, annual Final Rule- covers range of subjects Reimbursement Rates Promoting Interoperability/Meaningful Use Becomes effective October 1, 2021 Continues to require reporting by hospitals to public health agencies (PHAs) Note that the Medicaid Promoting Interoperability Program ends this year. 4
Impacts on Promoting Interoperability/Meaningful Use Before Rule Change Hospitals could choose 2 of 4 measures Syndromic Surveillance Emergency department and urgent care Electronic Laboratory Reporting Immunization Registry Reporting Electronic Case Reporting Points value: 10 out of 100/50 points required PHA must support standards PHA must declare readiness Providers can claim exclusions Hardship exceptions for up to 5 years Reporting period is 90 days Must be actively engaged After Rule Change Hospitals MUST participate in all four measures, if available Syndromic Surveillance Emergency Department only Electronic Laboratory Reporting Immunization Registry Reporting Electronic Case Reporting Points value: 10 out of 100/60 points required PHA must support standards PHA must declare readiness Providers can claim exclusions Hardship exceptions for up to 5 years Reporting period is 180 days Must be actively engaged 5
What is Active Engagement? 1. Registration of Intent/Awaiting Invitation to Onboard. The entity has registered their intention to submit data in a standardized format to public health. 2. Onboarding/Testing. The entity is working with public health to align their system and submit data without errors. 3. Submitting Data. The entity is actively submitting data into the production system in the required format. Entities must respond to public health in a timely manner to maintain their active engagement status. 6
Federal Ambulatory Proposed Rule on Promoting Interoperability/Meaningful Use New Proposed Rule released for comment Changes similar to Final Rule for Medicare Hospitals 7
Impacts on Promoting Interoperability/Meaningful Use Before Rule Change Providers could choose 2 from menu set of 5 Syndromic surveillance Immunization registry reporting Clinical data registry Electronic case reporting Public health registry PHA must support standards PHA must declare readiness Providers can claim exclusions Hardship exceptions for up to 5 years Reporting period is 90 days Must be actively engaged After Rule Change Providers MUST participate in Immunization registry reporting Electronic case reporting Providers get 5 bonus points for clinical data registry submission, syndromic surveillance submission, or public health registry submission PHA must support standards PHA must declare readiness Providers can claim exclusions Hardship exceptions for up to 5 years Reporting period is 180 days Must be actively engaged 8
Tracking and Awareness of National Activities Standards Development HL7 Public health workgroup Community-based workgroup FHIR USCDI (Office of the National Coordinator) Core data standards for incorporation of data into EHRs and other platforms US@ address standards Entities/Projects Health Information Advisory Committee Trusted Exchange Framework and Common Agreement United States Digital Service 9
Update on Texas Activities Situation Awareness for Novel Epidemic Response (SANER) Data Exchange for Newborn Screening Gateway Services Other Topics 11
Questions, Discussion, and Thank You! Contact Steve Eichner HIT Lead Texas Department of State Health Services steve.eichner@dshs.texas.gov Ph: 512-221-5632 12
