Choose one of the following laws and describe the impact it had on patients, providers, healthcare settings and providers. Include 2 scholarly references.
Choose one of the following laws and describe the impact it had on patients, providers, healthcare settings and providers. Include 2 scholarly references.
The Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009
PROVIDES HHS WITH AUTHORITY TO ESTABLISH PROGRAMS TO IMPROVE HEALTH CARE QUALITY, SAFETY, AND EFFICIENCY THROUGH THE PROMOTION OF HEALTH IT, INCLUDING ELECTRONIC HEALTH RECORDS AND PRIVATE AND SECURE ELECTRONIC HEALTH INFORMATION EXCHANGE.
Introduced “Meaningful Use” requirements. Part of American Recovery and Reinvestment Act (ARRA).
- Established the Office of the National Coordinator (ONC).
- https://www.healthit.gov/topic/laws-regulation-and-policy/health-it-legislation
- Medicare Access and Children’s Health Insurance Program (CHIP) Reauthorization Act (MACRA 2015)
Provides a new framework for reimbursing clinicians who successfully demonstrate value over volume in patient care, which depends upon interoperability of healthcare data:
Merit-based Incentive Payment System (MIPS) and
ADVANCED ALTERNATIVE PAYMENT MODELS (ADVANCED APMS)
CMS EHR Incentive Programs have evolved into Promoting Interoperability, through MACRA
- MACRA sunsets the EHR Incentive Program as established under the HITECH Act
- The 21st Century Cures Act (2016). Requires health care information systems to allow individuals to securely and easily access structured (i.e., located in a fixed field in a record) electronic health information “without special effort.”
- The ONC’s Cures Act Final Rule:
ADVANCES INTEROPERABILITY BY GUARANTEEING THAT PATIENTS HAVE ACCESS TO THEIR OWN ELECTRONIC HEALTH INFORMATION. INFORMATION BLOCKING IS LIKELY TO INTERFERE WITH ACCESS, EXCHANGE, OR USE OF ELECTRONIC HEALTH INFORMATION (EHI) – UNLESS REQUIRED BY LAW. APPLIES TO HEALTH CARE PROVIDERS, HEALTH IT DEVELOPERS, EXCHANGES, AND NETWORKS. DEVELOPERS OF CERTIFIED HEALTH IT AND HEALTH INFORMATION NETWORKS AND EXCHANGES WOULD BE SUBJECT TO PENALTIES OF UP TO $1 MILLION DOLLARS PER VIOLATION FOR ENGAGING IN INFORMATION BLOCKING PENALTIES FOR HEALTH CARE PROVIDERS THAT FAIL TO COMPLY ARE UNCLEAR.
CMS requires the use of standards-based APIs
Allows patients to use software applications of their choice to access and use their own electronic health information and other related information to manage their health.
21ST CENTURY CURES ACT TECHNICAL STANDARDS INCLUDES:
HL7® FHIR® implementation
SMART APPLICATION LAUNCH FRAMEWORK IMPLEMENTATION GUIDES
USCDI standards of supported patients’ electronic health data
Secure connections that include authentication and authorization
API-enabled services for data on a single and multiple patients
- Published terms and conditions applicable to their API
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