CMS proposes to replace Meaningful Use with “Promoting Interoperability” Program with an aim to reduce redundancies and provide patients access to quality healthcare. The main goal of highlighting Interoperability as a fundamental feature is to ensure that the hospitals and providers are technologically and policy-wise equipped to help create a seamless flow of health data information between themselves and the patients.
What does the rule state?
Starting 2019, hospitals are required to have patient’s electronic health record available on the day they leave the hospital.
The proposed rule emphasizes providers to use the 2015 edition of certified electronic health record technology in 2019 as part of demonstrating meaningful use in order to qualify for incentive payments and avoid reductions in Medicare payments.
We envision a system that rewards value over volume and where patients reap the benefits through more choices and better health outcomes,” added Seema Verma, administrator of CMS. “Secretary Azar has made such a value-based transformation in our healthcare system a top priority for HHS, and CMS is taking important, concrete steps toward achieving it.”
CMS has focused on 4 objectives – What are they?
E-prescribing –Proposal to add two new measures: Query of Prescription Drug Monitoring Program (PDMP) and Verify Opioid Treatment Agreement, both of which support initiatives related to the treatment of opioid and substance use disorders; helping healthcare providers avoid inappropriate drug prescriptions and focus efforts on the advanced use of CEHRT (Certified Electronic Health Record Technology)
Health Information Exchange – Proposal of a new measure that combines the functionality of the existing Request/Accept Summary of Care and Clinical Information Reconciliation measures into a new measure – Support Electronic Referral Loops by Receiving and Incorporating Health Information.
Provider-to-Patient Exchange – Promotes patient awareness and involvement in their healthcare needs through the use of APIs, which will improve the flow of information between providers and patients. Patients could collect their health information from multiple providers and incorporate all of their health information into a single portal, application, program, or other software. This can support a patient’s ability to share their information with another member of their care team or with a new doctor, which can reduce duplication and provide continuity of care and also ensure that patients have access to their medical data.
Public Health and Clinical Data Exchange – Supports the systematic collection, analysis, and interpretation of data that may be used in the prevention and controlling of disease through analysis of health status and behavior. Eligible hospital or Critical Acute Hospital (CAH) will be required to report the Syndromic Surveillance Reporting measure and one additional measure from the following: Immunization Registry Reporting, Electronic Case Reporting, Public Health Registry Reporting, Clinical Data Registry Reporting, Electronic Reportable Laboratory Result Reporting.
CMS hopes to make the program more flexible and less burdensome, in part by adding “measures that require the exchange of health information between providers and patients, and incentivize providers to make it easier for patients to obtain their medical records electronically,” the announcement states.