Healthcare Association of New York State www.hanys.org Federal HIT - - PowerPoint PPT Presentation

Healthcare Association of New York State www.hanys.org

Healthcare Association of New York State www.hanys.org

Federal HIT Issues Update

• Latest from Capitol Hill

– Legislative efforts to address MU

• AMA pushing for “blanket” hardship exemption from

penalty for 2015 performance (2017 penalty). Hardship exemptions are already allowable under the law and given by CMS annually.

• Changes to MU: S3 timing, framework beginning to get

notice.

• Regulatory Update

– HANYS submitting comments of MU S3 today. Rule was final with comment period.

Healthcare Association of New York State www.hanys.org

MU Stage 3 Comments

• HANYS comments encourage the agency to make

changes to the program’s timeline and modify key characteristics, including: – Delay required start of S3 until 2019 – allow for more experience with S2 and the rollout of the new physician payment program. – Eliminate one-size fits-all approach to achieving MU. – Adjust Stage 3 measures to reflect more practicable requirements and continued flexibility.

Healthcare Association of New York State www.hanys.org

State HIT Issues Update

• DOH HIT Workgroup to submit report to legislature and

Governor.

• HANYS to submit comments on SHIN-NY Proposed Rule

– DOH slides from HANYS' HIT Strategy Group session: hanys.org/hit/strategy_group/ – IMPORTANT: Policies that enumerate consent, security, etc. contained in separate guidance documents

• E-Prescribing mandate waiver update.

Healthcare Association of New York State www.hanys.org

New York’s e-Prescribing Mandate

• Requires all NYS prescriptions (both controlled and

non-controlled substances) to be issued electronically with limited exceptions.

• Implementation date: March 27, 2016.
• E-prescribing is currently permissible in NYS.
• HANYS seeking implementation status updates from

HANYS members.

• New BNE resources:

health.ny.gov/professionals/narcotic/electronic_prescribing/

Healthcare Association of New York State www.hanys.org

Temporary Waivers

• Law allows for temporary waivers to the mandate, for

discrete circumstances, including for reasons of:

– “technical limitation,”

– “economic hardship,” or, – “other exceptional circumstances demonstrated by the practitioner.”

• Waiver guidance and waiver process not yet available;

expected to be released as soon as this week.

• Two options for submitting waivers: hospital facilitated

OR practitioners apply directly through Health Commerce Site.

Healthcare Association of New York State www.hanys.org

• HANYS members seeking to facilitate a waiver on behalf of your

employed or affiliated physicians and other practitioners for each site for which such practitioners will need a waiver will be expected to provide the following, according to BNE: – narrative explanation of the rationale for the waiver—must fall under one of the three categories spelled out in the law – information about each practitioner in a CSV file: Profession Code and New York State license number; – electronic signature of each practitioner; and – additional identifiers such as Article 33 license numbers and Official New York State Prescription (ONYSRx) form shipping address for each site seeking a waiver.

Option 1: Hospital Facilitation of Waiver

Healthcare Association of New York State www.hanys.org

• Via the Health Commerce Site

practitioners for each site for which they will need a waiver will be expected to provide the following, according to BNE: – narrative explanation of the rationale for the – Article 33 license numbers and Official New York State Prescription (ONYSRx) form shipping address for each site seeking a waiver.

Option 2: Individual Practitioners File a Waiver Application via the Health Commerce Site.

Healthcare Association of New York State www.hanys.org

AHA Launches Health IT Survey

• AHA sent to CEOs its annual Information Technology

Supplement to the AHA Annual Survey.

• Survey can be completed on paper or
• nline<https://healthforum.qualtrics.com/SE/?SID=S

V_ekYQaonrKkeHU21> by Dec. 28.