HIT Policy Update With John Halamka , MD A Complimentary Webinar - - PowerPoint PPT Presentation

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HIT Policy Update With John Halamka , MD A Complimentary Webinar - - PowerPoint PPT Presentation

Jun 28, 2023 14 likes •276 views

HIT Policy Update With John Halamka , MD A Complimentary Webinar From healthsystemCIO.com Sponsored by Hyland Software, developers of OnBase Your Line Will Be Silent Until Our Event Begins Thank You! Slide Deck: http://goo.gl/iMXpqO

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“HIT Policy Update With John Halamka, MD”

A Complimentary Webinar From healthsystemCIO.com Sponsored by Hyland Software, developers of OnBase Your Line Will Be Silent Until Our Event Begins Thank You!

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Housekeeping

  • Moderator – Anthony Guerra, editor-in-chief, healthsystemCIO.com
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Agenda — 45 Minutes

  • 20 minutes: John Halamka, MD, CIO, Beth Israel Deaconess Medical

Center

  • 5 minutes: A Word From Our Sponsor: Julie McDonald, Business

Analyst, Hyland Software

  • 20 minutes: Q&A w/John Halamka
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“HIT Policy Update With John Halamka, MD”

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The Regulatory Agenda

  • HIPAA Omnibus Rule
  • Affordable Care Act
  • ICD10
  • Meaningful Use Stage 2

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The HIPAA Omnibus Rule Timeline

  • February 17, 2009 - The American Recovery and Reinvestment Act of 2009 (ARRA) was

signed into law. ARRA includes the Health Information Technology for Economic and Clinical Health (HITECH) Act, which mandates the US Department of Health and Human Services to develop new regulations related to the HIPAA provisions.

  • September 23, 2010 - The Interim Final Rule goes into effect requiring Covered Entities to

notify patients when a breach of their unsecured, protected health information occurs.

  • January 1, 2012 - Deadline to begin using the ASC X12 Version 5010 Transaction

Standards October 1, 2013 - Transition to ICD-10 code sets for medical diagnosis and inpatient procedures.

  • January 17, 2013, the U.S. Department of Health and Human Services (HHS) releases the

Omnibus Final Rule, implementing the changes required by the Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009.

  • March 26, 2013 – The Omnibus Final Rule takes effect.
  • September 23, 2013 – Covered Entities, Business Associates, and subcontractors must be

in compliance with most provisions under the Final Rule.

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HIPAA Omnibus Rule Issues

  • Accounting of Disclosures
  • Pay out of pocket information release restrictions
  • Enforcement

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Enterprise Security Planning

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Affordable Care Act

  • The Affordable Care Act will realign incentives with pay for quality

instead of pay for quantity.

  • Redundant and unnecessary testing will become a cost not a profit

center.

  • Tracking patient care across the care continuum will be a key element
  • f risk management.
  • Health Information Exchange will be essential to meeting these

demands.

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ICD-10

  • Delays unlikely
  • Testing is a concern
  • The value of ICD-10 is markedly increased with clinical documentation

improvement and computer assisted coding methodologies

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ICD-10 Project Risks

Category Risk Description Risk Impact Prob Impact Action Plan Edu/CDI Lack of engagement in ICD- 10 remediation effort from physicians Physicians under-educated & unprepared for ICD-10; impacts rev cycle through claim delays and denials, and audits. High High Mandatory physician training, Ongoing training may need to occur for high impact areas. Edu/CDI Loss of Coders/Validators Backlog of claims (DNFB) will increase High High Contracting with multiple coding firms; implementation of career ladder Finance AR and DNFB not minimized going into ICD-10 Predicted increase in AR will materially affect cash position of

  • rganization; DNFB impact will

increase number of bills not submitted within allowed window High High Collaboration between PFS and HIM to identify how coding productivity can be increased, and identify gaps and delays in receivables Finance Payers, Partners and Trading Partners are not ready for ICD-10 at date of compliance Delays processing of claims; delays payments; may exceed filing deadlines; affects cash position Med High Participate in MHDC collaborative testing program; Identify ICD-10 requirements between vendor/BIDMC charge systems and individual billing vendors; work with vendors to remediate potential issues Tech Other priorities prevent remediation of key systems Delays testing, increases risk at go- live Med High Document amount of effort spent on other priorities Work-flow Resistance to transition of

  • utpatient billing from paper

fee tickets to on-line system Continued use of paper fee tickets that cannot adequately support broader range of ICD-10 diag codes; impacts productivity, increased risk

  • f claim audits

Med High Roll-out outpatient billing system prior to ICD-10 compliance date so that physicians can become familiarized before transitioning to new code set

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Meaningful Use Changes

  • Stage 2 is now a three year cycle beginning in 2014
  • Stage 3 begins in 2017
  • The certification program moves from a waterfall approach to an agile

approach.

  • No changes to 2014
  • No delays for hospitals or professionals

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Original Timeline (note 2016)

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Planning for the Future

Topic Topic Description and Notes Status Result

Image Exchange

Standards to support image exchange Assigned to the Clinical Operations WG High

Data Transport

Additional standards to support transport of data to and from patients TASK COMPLETED High

Quality reporting and measurement

Standards which support flexible platforms for measuring and reporting quality High

Referral Workflow

Standards to support closed loop referral workf1ow High

Record Locator Services Standards which support Record

Locator Services High

Care Plans

Standards to record care plans/care team High

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Planning for the Future

Topic Topic Description and Notes Status Result Lab Orders Content Gaps (Lab Orders) Clinical Operations WG reported out during June HITSC Medium Digital Signature Standards Supporting Digital Signature CMS presented to HITSC on July 17; Medium Terminology Content Gaps (Terminology) Medium Parsing and record sharing Improvements to standard to facilitate unambiguous parsing, longitudinal record sharing, and bulk record sharing Medium Advanced Directives Standards to record advanced directives/care preferences Medium APIs Standards for application programming interfaces supporting modular application integration Medium CDS Standards for clinical decision support, both knowledge representation and application programming interfaces (APIs) for query/response to knowledge resources Medium

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Topic Topic Description and Notes Status Result

Defect Reporting

Standards which support defect reporting to PSOs Medium

Registry Support / SDC

Standards needed for registry support including structured data capture and transmission to third party repositories Medium

Query/Response of PDs and Patient Identity

Standards which support query/response of provider and patient identity in directories Medium

Planning for the Future

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Topic Topic Description and Notes Status Result Query/Response Consent Management Standards which support consent in a query/response architecture such as granular patient privacy preferences hosted in a managed service ("pull") and sent as part of the request for records ("push") Medium Data Segmentation for Privacy Standards supporting data segmentation for privacy P&S WG and COWG reviewed DS4P Project, which upon completion was handed work over to HL7 to develop standard; DSTU scheduled for Sept release. Medium Clinical Documentation for New Payment Models Standards for clinical documentation supporting new payment models (includes ICD10, smart problem lists, computer assisted coding) Medium Local and Targeted Queries Standards which support query of data within organizations and targeted query for patient data Medium

Planning for the Future

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My Personal Opinions

  • Need to consolidate our gains and extend the timeframe for Stage 2

attestation from 1 year to 18 months

  • Need to simplify certification to focus on interoperability
  • Stage 3 needs to be focused on outcomes, not prescriptive EHR

functionality and should be created only with input from stage 2 experiences

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HIT IT Policy Update

Ju Julie lie McD cDonald, , RN BSN, Busin iness Consultant, , OnBase by Hyla land

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The OnBase Role in Computer-Assisted Coding

  • Allow coders to view all scanned and EMR native documents within the

Computer-Assisted Coding software

  • History & Physical
  • Operative Reports
  • Discharge Summaries
  • Limit HL7 Interfaces
  • Predefined solution allows for rapid deployment with minimal facility

bandwidth

  • Manage system-wide upgrades easily
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The Key to Success?

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Hyland Software: http://www.hyland.com/ Julie McDonald RN, BSN Healthcare Business Consultant julie.mcdonald@hyland.com (216) 386-9406 Cleveland, Ohio Follow us…. Facebook: https://www.facebook.com/HylandSoftware Twitter: https://twitter.com/HylandSoftware Hyland Blog: http://blog.hyland.com/category/healthcare/

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Q&A

Click on the Q&A panel located in the lower right corner of your screen, type in your questions in the text field and hit send. Please keep the send to default as “All Panelists.” jhalamka@bidmc.harvard.edu http://geekdoctor.blogspot.com

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Thank You!

  • You will receive an email when our archive recording is ready.

(Separate registration is required)

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healthsystemCIO.com Webinars = 1 CEU

  • Thanks to our sponsor: Hyland Software, Developers of OnBase
  • Questions/Comments – Anthony Guerra aguerra@healthsystemCIO.com

Go to www.healthsystemCIO.com/webinars to view our upcoming schedule and see the last 12 months of archived events.