NCSL Fall Forum Health Committee Report. Vice President, Government Relations December 11, 2009

Transcription

1 NCSL Fall Forum Health Committee Report David W Roberts MPA FHIMSS David W. Roberts, MPA, FHIMSS Vice President, Government Relations December 11, 2009

2 Agenda HIMSS Examples of State Health Information Technology Projects State concerns on Privacy & Security Issues Economic Stimulus and Meaningful Use Competing Conflicts for Resources HIMSS State Officials Membership HIMSS10 Scholarships hi to Project HITCh (Health lh Information Technology Champions) Meeting Observations 2

3 About HIMSS Vision Advancing the best use of information and management systems for the betterment of health care. Mission To lead change in the healthcare information and management systems field through knowledge sharing, collaboration, innovation, and community affiliations. 3

4 States continue down the road with HIT Kentucky awarded a three-year, $4.5 million contract t to a private company to begin building a statewide health information exchange (HIE) Wyoming recently committed $4 million over 3 years to building an Electronic Health Record (HER) system that will enable e healthcare e providers to access and share clinical information on that state s Medicaid patients advocacy@himss.org 4

5 Other State HIT Projects Virginia Creating Health Information Technology Advisory Commission Goal to prepare state to compete for HITECH funds in ARRA Iowa Rolled out a statewide e-prescription program Indiana Established Indiana Health Information Technology, Inc. State's five health information exchanges and four other state organizations joined together and applied for HITECH funds to build a statewide health information technology program advocacy@himss.org 5

6 Privacy and Security Provisions in ARRA Breach Notification Accounting of Disclosures Business Associates Marketing/Sale of PHI Access/Restrictions Limited Data Set/Minimum Necessary Enforcement/Penalties PHRs (summary) What s Next Guidance and Rulemaking advocacy@himss.org 6

7 Breach Guidance STATUS: Guidance and Request for Comment were published on April 17, Available at: overedentities/hitechrfi.pdf Interim Final Rule published on August 23, 2009 NOTE Rule went into effect on Sept 23, 2009! Minimum Necessary Within 18 months of enactment (August 17, 2010) 7

8 Rulemaking Accounting of Disclosures Standards recommendation by Office of National Coordinator for Health IT by December 31, 2009 Rulemaking by Office for Civil Rights (OCR) by June 30, 2010 Sale of Protected Health Information (PHI) Within 18 months of enactment (August 17, 2010) Enforcement/Penalties One year post enactment (February 17, 2010) 8

9 States Concerns Interim Final Rule for Breach Notification already in effect may conflict with already existing state laws entities that operate across state lines may have additional complexities Accounting of Disclosures and other rulemaking Track and participate in public comment periods 9

10 Defining Meaningful Use 10

11 Revenue Cycle Management EMR Conflict for Resources You Are Here. Good Luck! ARRA/HITECH Meaningful Use = Version 5010 EDI = ICD-10-CM/PCS = advocacy@himss.org 11

12 HIMSS State Officials Membership HIMSS State Government Individual Membership is provided to qualifying officials at no cost More information is available at: ome.asp Contact Tom Keefe, HIMSS Senior Director of State Government Relations, Tom at 12

13 Observations/Questions? David W. Roberts, MPA, FHIMSS Vice President, Government Relations HIMSS 4300 Wilson Boulevard, Suite 250 Arlington, VA