HEALTH INFORMATION TECHNOLOGY IN THE 114TH
CONGRESS
TINA OLSON GRANDESVP, POLICY
HEALTHCARE LEADERSHIP COUNCIL
January 23, 2015
AetnaAmerinetAmerisourceBergen AmgenAmerican Clinical Laboratory AssociationAmerican Hospital AssociationAmerican Pharmacists AssociationAmerican Society for Radiation OncologyAnthemAmerica’s Health Insurance PlansAscension HealthAssociation of American Medical CollegesAssociation of Clinical Research
OrganizationsAthenahealthAugmedixBaylor Scott & White HealthBio-Reference Laboratories, Inc.Blue Cross Blue Shield AssociationBlueCross BlueShield of TennesseeBoeringer Ingelheim PharmaceuticalsCardinal Health CIGNA CorporationCleveland ClinicCollege of American PathologistsC.R. BardCVS CaremarkEdwards LifesciencesEli LillyExpress Scripts
Federation of American HospitalsFranciscan Missionaries of Our Lady Health SystemGenetic AllianceHealth Care Service Corporation Health DialogHealthcare Leadership Council IkariaIMS HealthIndiana University Health inVentiv HealthJohnson & Johnson Kaiser PermanenteMarshfield ClinicMayo ClinicMcKesson CorporationMedtronicMemorialCare Health SystemMerckMetLifeNational Association of Chain Drug Stores
National Association of Health UnderwritersNational Association of Psychiatric Health SystemsNational Community Pharmacists AssociationNewYork-Presbyterian HospitalNorthShore University HealthSystemNovartisNovo NordiskOwens & MinorPharmaceutical Care Management AssociationPremier healthcare alliancePrivacy AnalyticsQuest Diagnostics IncorporatedSanofi USSCAN Health PlanState FarmStrykerSurescripts Takeda Pharmaceuticals North AmericaTexas Health ResourcesTheragenics Vanderbilt University School of Nursing VHAWalgreensWeight Watchers InternationalWorkgroup for Electronic Data InterchangeZS Associates
Interoperability
“Cromnibus” 2015 Office of the National Coordinator for Information Technology Appropriation
Information Blocking – “…ONC should use its authority to certify only those products that clearly meet current meaningful use program standards and that do not block health information exchange. ONC should take steps to decertify products that proactively block the sharing of information …
The Committee requests a detailed report from ONC no later than 90 days after enactment of this act regarding the extent of the information blocking problem…”
Interoperability–Health IT Policy Committee report
House of Representatives21st Century Cures
Led by E&C Chairman Upton (R-MI) and Rep. Degette (D-CO)
Promote better access and sharing of data among researchers
Foster interoperability Reduce regulatory uncertainty for developers as they
design new products.
House Republican Conference Chairman Cathy McMorris Rodgers (R-WA) Draft legislation to be part of 21st Century Cures HIPAA changes Data policy
Privacy
“Big Data” frontier changing traditional uses and needs
When is it really a barrier to health information exchange?
Potential for cybersecurity or data breach legislation
Uniform state laws needed
Meaningful Use
MU2 Concerns that a surprisingly low number of healthcare providers have
successfully achieved Stage 2 meaningful use. CMS said in December about 257,000 doctors will face MU penalties
this year. Final rule gave additional year to meet Stage 2 requirements
MU3 Set to begin Oct. 1, 2016, for hospitals and Jan. 1, 2017, for physicians Proposed Rule currently at OMB for review (Dec 31) and expected to be
issued soon. Will propose changes to the reporting period, timelines, and
structure of the program, including providing a single definition of meaningful use.
Address a broader systemic healthcare landscape (care coordination, etc…)
Final rule expected June 2015
ICD-10
Compliance date is set for Oct. 1, 2015. Congress quietly slipped a year delay into
another Sustainable Growth Rate patch (expires March 31, 2015).
Delay could happen again to appease physicians if Congress does not permanently fix SGR this year.
Senate
REBOOT group Senate Republican Conference Chairman John Thune (R-
SD); Chairmen Lamar Alexander (R-TN) and Mike Enzi (R-WY) ; Senators Pat Roberts (R-KS) and Richard Burr (R-NC) Concerned about 5 challenges facing HIT policy:
increased costs,
lack of a clear path toward interoperability,
lack of oversight,
program sustainability,
patient privacy.
HELP and SFC Hearings likely
Obama Administration
Final version of the ONC interoperability roadmap expected this year
SOTU remarks about cybersecurity and privacy policy and personalized medicine
Final version of the Food and Drug Administration Safety Innovation Act (FDASIA) health IT report, a joint effort of the ONC, FDA and Federal Communications Commission.
Tina Olson GrandeSr. Vice President, PolicyHealthcare Leadership Council750 9th Street, NW, Suite 500, Washington, DC [email protected]
Questions
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