AMIA Public Policy and Government Relations Update Margo Edmunds, - - PowerPoint PPT Presentation

amia public policy and government relations update
SMART_READER_LITE
LIVE PREVIEW

AMIA Public Policy and Government Relations Update Margo Edmunds, - - PowerPoint PPT Presentation

AMIA Public Policy and Government Relations Update Margo Edmunds, Chairperson, AMIA PPC Doug Peddicord, President, Washington Health Strategies Group Meryl Bloomrosen, Vice President, Public Policy AMIA March, 2012 www.amia.org Today's


slide-1
SLIDE 1

www.amia.org

AMIA Public Policy and Government Relations Update

Margo Edmunds, Chairperson, AMIA PPC Doug Peddicord, President, Washington Health Strategies Group Meryl Bloomrosen, Vice President, Public Policy AMIA

March, 2012

slide-2
SLIDE 2

www.amia.org

Today's Discussion Topics

  • Welcome and Presenter Introductions- Margo
  • Purpose of Today’s Webinar- Margo
  • AMIA’s Policy Goals and Objectives
  • AMIA’s 2011-2012 Policy Priorities
  • AMIA’s Ongoing Policy Activities
  • Legislative and Capitol Hill Happenings- Doug
  • Other Relevant Policy Activities- Meryl
slide-3
SLIDE 3

www.amia.org

AMIA’s Public Policy Goals and Objectives

  • Represent AMIA and build valuable relationships in

Congress and the Administration

  • Educate Congress and the Administration about issues

important to AMIA and its members

  • Present AMIA as a resource to members of Congress

and the Administration

  • Spread awareness about AMIA, health information

technology and informatics

  • Provide objective input into the public policy discourse

and help inform public policymakers

  • Educate members about relevant issues in public

policy

slide-4
SLIDE 4

www.amia.org

2011-2012 Public Policy Priority Topics

Informatics Research and Funding – AHRQ – NIH – NLM – NINR Impact of health IT on Patient Safety and Quality of Care – Meaningful Use (defending MU incentives) – Ensuring safe, effective use of health IT and EHRs Informatics and health IT Workforce (includes education and training) – Informatics competencies – Funding for training programs; pipeline of trainees EHR Best Practices, Lessons Learned and Successes – EHR Evaluation – EHR Usability – Evolution of Clinical Decision Support

slide-5
SLIDE 5

www.amia.org

Ongoing Public Policy Related Activities

  • Compile and Submit Official AMIA

Comments

  • Conduct Agency Visits
  • Conduct Congressional Visits
  • Conduct Policy Sessions at AMIA

Educational Meetings

  • Conduct Policy Updates
  • Convene Invitational Policy

Meetings and Develop Proceedings (since 2006)

  • Host AMIA Hill Day
  • Monitor and Track Congressional

Activities

  • Provide Testimony
  • Represent AMIA at Meetings and

Hearings

  • Submit Nominations for

Committees and Task Forces

  • Track Legislation and Regulations
  • f Interest to Members and the

Informatics Community

  • Track Federal Agency Activities
slide-6
SLIDE 6

www.amia.org

Legislative and Administrative Happenings

slide-7
SLIDE 7

www.amia.org

President’s FY 2013 Budget Proposal

(In millions)

AHRQ:

  • 2012: $405
  • 2013: $409

CDC:

  • 2012: $5,732
  • 2013: $5,068

NIH:

  • 2012: $30,702
  • 2013:$30,702 (no change from 2012)
slide-8
SLIDE 8

www.amia.org

President’s FY 2013 Budget Proposal

  • Of the funding levels proposed for the Centers
  • f NIH, NLM was the recipient of one of the

greatest increases.

  • National Library of Medicine’s proposed

funding level is set to increase from $338 million to $373 million – 10.4%

  • ONC is set to receive $66 million, an increase
  • f $5 million above FY12.
slide-9
SLIDE 9

www.amia.org

Hot Topics in HIT

  • Meaningful Use
  • Breach reporting – BCBS of Tenn. to pay $1.5

million

  • HIPAA enforcement by state Attorneys General
  • HIPAA enforcement on BAs
  • Administration's Privacy Bill of Rights
  • “The learning healthcare system”
  • “Big Data" in health care
slide-10
SLIDE 10

www.amia.org

Meaningful Use Stage 2- EPs

Stage 2 MU Objectives and Measures for EPs Objective Measure Notes, Comments, Queries

CORE SET (EP must meet all 17 Core Set objectives)
  • 1. Use CPOE for medication, laboratory,

and radiology orders directly entered by any licensed healthcare professional who can enter orders into the medical record per State, local, and professional guidelines to create the first record of the

  • rder.

More than 60 percent of medication, laboratory, and radiology orders created by the EP during the EHR reporting period are recorded using CPOE. Exclusion: Any EP who writes fewer than 100 medication, laboratory, and radiology orders during the EHR reporting period. Measure in Stage 1 was 30 percent. EP must personally use the CPOE function, verbally communicate the order to someone else who will use the CPOE function, or give an electronic or written order that must not be retained in any way once the CPOE function has been utilized. CMS invites comment on whether CPOE order entry could be expanded to include non-licensed professionals, such as

  • scribes. The proposed denominator is the

number of medication, radiology, and laboratory orders created by the EP during the EHR reporting period. CMS encourages comments on whether a different denominator could be used – the HIT Policy Committee recommended a denominator of “patients with at least one type of order.”

.

slide-11
SLIDE 11

www.amia.org

Meaningful Use State 2- Hospitals

Stage 2 MU Objectives and Measures for Hospitals and CAHs Objective Measure Notes, Comments, Queries

CORE SET (eligible hospitals/CAHs must meet all 16 Core set objectives)

  • 1. Use CPOE for medication, laboratory, and

radiology orders entered by any licensed healthcare professional who can enter

  • rders into the medical record per State,

local, and professional guidelines to create the first record of the order. More than 60 percent of medication, laboratory, and radiology orders created by authorized providers of the hospital’s inpatient or emergency department during the EHR reporting period are recorded using CPOE. Exclusion: None. Measure in Stage 1 was 30 percent. Provider must personally use the CPOE function, verbally communicate the

  • rder to someone else who will use the

CPOE function, or give an electronic or written order that must not be retained in any way once the CPOE function has been utilized. CMS invites comment on whether CPOE order entry could be expanded to include non-licensed professionals, such as scribes. The proposed denominator is the number of medication, radiology, and laboratory

  • rders created by providers in the

hospital’s inpatient or emergency department during the EHR reporting

  • period. CMS encourages comments on

whether a different denominator could be used – the HIT Policy Committee recommended a denominator of “patients with at least one type of order.”

slide-12
SLIDE 12

www.amia.org

Permanent Certification Program Proposed Changes

– Program Name Change

  • “ONC HIT Certification Program”

– Revisions to EHR Module Certification Requirements Privacy and Security Certification Will not require upfront certification to P&S for the 2014 Edition CC

  • Policy outcome now reflected in Base EHR definition

(which includes all P&S CC) – Other tweaks to make certification more efficient – Application of Certain New Criteria

  • § 170.314(g)(1): Automated numerator recording
  • § 170.314(g)(3): Non-percentage-based measures
  • § 170.314(g)(4): Safety-enhanced design
slide-13
SLIDE 13

www.amia.org

Meaningful Use Stage 2- Certification Criteria

Redefining Certified EHR Technology Why ONC thinks it is important…

1.Provides greater flexibility 2.Clearer definition of CEHRT and its requirements

  • 3. Promotes continued progress towards increased

interoperability requirements

  • 4. Reduces regulatory burden (EO 13563)
slide-14
SLIDE 14

www.amia.org

Other Upcoming Legislation and Regulations

  • HITECH Omnibus Final Rule: privacy

revisions, security, enforcement, breach notification (not AOD)

  • NCVHS Report to Congress
  • De-identification
  • Data segmentation initiative
  • Comprehensive privacy and cybersecurity

legislation- HIPAA carve-out language

slide-15
SLIDE 15

www.amia.org

Update on Health Reform Legislation and Potential Implications for AMIA

  • Potential for repeal of the ACA; Supreme Court to hear challenges
  • n federalism and commerce clause grounds, (special attention

focused on the Individual Mandate) on March 26-28.

  • IPAB a very hot issue, with Republicans and some Democrats

looking to scuttle before it begins

  • Meanwhile, implementation goes on, and the HIT Standards and

Policy Committees continue to weigh in on a broad range of topics, from MU to ACOs

  • Ongoing workforce and education/training issues
  • Comparative effectiveness research (CER)
  • Patient safety
  • Consumer engagement
  • Quality initiatives: bundled payments, medical home, ACOs;

expand PQRI

  • Implementation of ICD10
slide-16
SLIDE 16

www.amia.org

2012 Overview of Selected Activities

  • Patient Identity Coalition
  • ICD-10 Coalition
  • HR 3239: Safeguarding Access For Every

Medicare Patient Act

slide-17
SLIDE 17

www.amia.org

HR 3239 - Safeguarding Access For Every Medicare Patient Act

  • Introduced by Rep. Tom Marino (R-PA)
  • Provides essential safe harbors for EHR users

and vendors/software developers to the extent that they report problems to the Patient Safety Organizations.

  • Time limits on legal action and the “reckless

disregard” standard for punitive damages.

slide-18
SLIDE 18

www.amia.org

Other Policy Related Initiatives and Projects

  • National Priorities Project (NPP) – Mike Shabot
  • ONC
  • HIT and Patient Safety Roundtable
  • Mobile Devices Roundtable
  • IOM
  • Best Practices Innovation Collaborative (team-based

care)

  • Global Forum on Health Professional Education
  • Workshop: Informatics Needs and Challenges in Cancer

Research

  • Workshop on Data Quality
  • Genetic Alliance: Genetic Testing and Data Management

Summit

slide-19
SLIDE 19

www.amia.org

Other Policy Related Initiatives and Projects con’t

  • Patient-Centered Outcomes Research Institute

(PCORI) DRAFT National Priorities for Research and Research Agenda http://www.pcori.org/provide- input/priorities-agenda/

  • NIH Common Fund Connection

http://commonfund.nih.gov/

  • Bipartisan Policy Center Transforming Health Care:

The Role of Health IT” http://www.bipartisanpolicy.org/projects/health-project

  • NIH mHealth Public-Private Partnership Facilitating

Mobile/Wireless Health

slide-20
SLIDE 20

www.amia.org

AMIA’s Invitational Health Policy Meetings

  • 2006:. Toward a national framework for the

secondary use of health data: an American Medical Informatics Association White Paper.

  • 2007Advancing the framework: use of health data--a

report of a working conference of the American Medical Informatics Association

  • 2008: Informatics, evidence-based care, and

research; implications for national policy: a report

  • f an American Medical Informatics Association

health policy conference

  • 2009: Anticipating and Addressing Unintended

Consequences of HIT and Policy

  • 2010: The Future of Health IT Innovation and

Informatics

  • 2011 : Future State of Clinical Documentation and

Data Capture

  • 2012: Health Data Use, Stewardship and

Governance

slide-21
SLIDE 21

www.amia.org

Discussion

slide-22
SLIDE 22

www.amia.org

Thank You!

http://www.amia.org/public-policy 301 657-1291 meryl@amia.org