Federal HIT Strategic Plan Comment Period in Progress

April 10, 2011

Federal HIT Strategic Plan Comment Period in Progress On March 25th, the Office of the National Coordinator for Health Information Technology (ONC) released the Federal Health Information Technology Strategic Plan, which outlines federal HIT-related goals and objectives over the next 5 years. The plan and information on how to post comments are available here, and [...]

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CMS FAQs: Hospitals Can Revise Certified Vendor MU Paradigms With Risk

March 12, 2011

CMS FAQs: Hospitals Can Revise Certified Vendor MU Paradigms With Risk One recent CMS FAQ (10465) allows hospitals and eligible professionals to calculate MU thresholds (for all objectives besides clinical quality measures) outside of certified EHRs. Another FAQ (10473) allows providers to meet the measures outside the workflow paradigms (such as for decision support) vendors demonstrated to [...]

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Which Payment Year Should Hospitals Attest to Meaningful Use?

February 26, 2011

Which Payment Year Should Hospitals Attest to Meaningful Use? Most hospitals (particularly rural hospitals) do not have the luxury of picking and choosing the payment year during which to attest to meaningful use. But for those that do, there are several factors to consider, including the following: Reason for PPS hospitals to attest no later [...]

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Stage 2 and 3 Meaningful Use Objective Proposed Recommendations

February 10, 2011

Below find a grid I put together of the HIT Policy Committee’s proposed recommendations for Stage 2 and 3 meaningful use objectives. RWHC is one of  many stakeholders working under Wisconsin Hospital Association leadership to develop a response to these proposals. I will be providing detailed commentary in future posts. 2/26/12 Update (link to NPRM proposed [...]

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Meaningful Use in 2010: Summary of Key Events

December 29, 2010

Meaningful Use in 2010: Summary of Key Events Introduction: What a year! 2010 began with the big bang of the release of the proposed HIT Incentive Rule. Now, after a year of intense dialogue, final rulings, certification activities, and continued plain-old EHR implementation work, we’re only a few months away from the first providers receiving [...]

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CMS FAQ Creates Two Options for Counting ED Patients

December 3, 2010

CMS FAQ Creates Two Options for Counting ED Patients In a December 1st FAQ response, CMS issued a clarification that allows hospitals to choose between two methods for including actions taken in the ED in the hospital’s meaningful use objective denominators. The first method is called the Observation Services Method. This method involves counting only [...]

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Unanswered Meaningful Use Questions: What Qualifies for the CAH Incentive?

November 22, 2010

Unanswered Meaningful Use Questions: What Qualifies for the CAH Incentive? (Specific cost eligibility scenarios are at end of post) As many large hospitals start collecting the data that will allow them to access the Medicare meaningful use incentives as early as June of next year, critical access hospitals have been hamstrung by CMS’s unwillingness to [...]

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Who can enter CPOE Orders: “Originate” removed from FAQ

October 20, 2010

Who can enter CPOE Orders: “Originate” removed from FAQ CMS has updated a critical meaningful use FAQ on the topic of who can enter CPOE orders. By replacing the word “originate” with “enter,” CMS has now reaffirmed the language in the final rule, which states that CPOE orders can be entered by licensed professionals other [...]

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CCHIT Certifies First EHR Products

October 1, 2010

CCHIT Certifies First EHR Products “The Certification Commission for Health Information Technology (CCHIT®) announced today that it has tested and certified 33 Electronic Health Record (EHR) products under the Commission’s ONC-ATCB program, which certifies that the EHRs are capable of meeting the 2011/2012 criteria supporting Stage 1 meaningful use as approved by the Secretary of [...]

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Who Can Enter CPOE Orders: CMS FAQ Adds Uncertainty

September 29, 2010

Who Can Enter CPOE Orders: CMS FAQ Adds Uncertainty (See October 20th update on this issue) This week CMS released an FAQ update (see below) on who can enter CPOE orders. Unfortunately, the FAQ language introduces ambiguity to an  already settled issue (i.e. that physicians do not need to “directly” enter their own orders) with [...]

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