New funds support rural hospitals’ switch to electronic health records
Press Release from HHS; Friday, Sept 10, 2010:
HHS Secretary Kathleen Sebelius today announced nearly $20 million in new technical support assistance to help critical access and rural hospital facilities convert from paper-based medical records to certified electronic health record (EHR) technology. Some 1,655 critical access and rural hospitals in 41 states and the nationwide Indian Country, headquartered in the District of Columbia, stand to benefit from this assistance, which can help each of them qualify for substantial EHR incentive payments from Medicare and Medicaid.
“The benefits of health information technology can be especially important for patients and clinicians in small and rural health care facilities, yet these facilities face high hurdles as they look toward joining in the transition to electronic information,” Secretary Sebelius said. “The funding we are announcing today is a new category of support, aimed specifically at assisting critical access and rural hospitals with their particular needs and challenges. This new funding is added to the substantial base we have already built to provide assistance to health care providers throughout the country as they transition to EHRs.”
The new funding is provided under the Health Information Technology Economic and Clinical Health (HITECH) Act, part of the American Recovery and Reinvestment Act of 2009. The HITECH Act created the Medicare and Medicaid EHR incentive programs, which will provide incentive payments to eligible professionals and hospitals that adopt and demonstrate meaningful use of certified EHR technology. Incentives totaling as much as $27.4 billion over 10 years could be expended under the program, which is administered by the Centers for Medicare & Medicaid Services. In addition, the HITECH Act provided $2 billion through the Office of the National Coordinator for Health Information Technology (ONC) to support technical assistance, training, and demonstration projects to assist in the nation’s transition to EHRs.
The funding announced today comes through one of the ONC programs, the Regional Extension Centers (RECs). RECs offer technical assistance, guidance, and information on best practices to support and accelerate health care providers’ efforts to become meaningful users of certified EHRs under the Medicare and Medicaid incentives programs. A total of 60 RECs are located throughout the country.
Today’s funding is being awarded to 46 of the RECs, serving providers in 41 states and the nationwide Indian Country. A total of 1,655 critical access and rural hospitals are in the areas covered by these RECs. The funding is part of the Critical Access Hospitals and Rural Hospitals (CAH/Rural Hospital) Project, a priority for the REC program. The intent of the project is to provide additional technical support to critical access and rural hospitals with fewer than 50 beds in selecting and implementing EHR systems primarily within the outpatient setting.
“Regional Extension Centers are poised to provide the hands-on, field support needed by health care providers to advance the rapid adoption and use of health IT,” said David Blumenthal, M.D., National Coordinator for Health Information Technology. “The added level of support we are announcing today will enable the RECs to offer greater field support to these communities as they deal with the financial and workforce constraints, and work to achieve access to broadband connectivity and to overcome other barriers that critical access hospitals and other rural hospitals may confront.”
RECs provide a resource for technical assistance, guidance, and information to local health care providers on best practices around EHR adoption and meaningful use. RECs are designed to address unique community requirements and to support and accelerate provider efforts to become meaningful users of certified EHR technology. Today’s round of awards builds on the funding that RECs are already receiving under the HITECH Act, bringing the total amount of funding awarded to date to support the efforts of RECs to over $663 million.
The awards announced today are:
To access sortable list, click here for ONC site chart.
| Regional Extension Center (REC) | REC State Coverage | Award Amount |
|---|---|---|
| Alaska eHealth Network | Alaska | $168,000 |
| Alabama Regional Extension Center | Alabama | $432,000 |
| HIT Arkansas | Arkansas | $420,000 |
| Arizona Health-e Connection (AzHeC) | Arizona | $240,000 |
| California Regional Extension Center (North) – CalHIPSO (North) | California | $336,000 |
| California Regional Extension Center (South) – CalHIPSO (South) | California | $180,000 |
| Colorado Regional Extension Center (CORHIO) | Colorado | $456,000 |
| National Indian Health Board (NIHB) | Serving the nationwide Indian Country, headquartered in the District of Columbia | $312,000 |
| Rural and North Florida Regional Extension Center | Florida | $168,000 |
| South Florida Regional Extension Center Collaborative | Florida | $ 36,000 |
| Hawaii Health Information Exchange | Hawaii | $144,000 |
| IFMC Health Information Technology Regional Extension Center (Iowa HITREC) | Iowa | $1,044,000 |
| Illinois Health Information Technology Regional Extension Center (IL-HITREC) | Illinois | $720,000 |
| Purdue University | Indiana | $396,000 |
| Kansas Foundation for Medical Care, Inc. (KFMC) | Kansas | $1,140,000 |
| University of Kentucky Research Foundation | Kentucky | $360,000 |
| Louisiana Health Care Quality Forum | Louisiana | $768,000 |
| Massachusetts Technology Corporation | Massachusetts | $132,000 |
| HealthInfoNet | Maine | $264,000 |
| Michigan Center for Effective IT Adoption (M-CEITA) | Michigan | $432,000 |
| Regional Extension Assistance Center for Health Information Technology (REACH) | MinnesotaNorth Dakota | $1,488,000 |
| Missouri HIT Assistance Center | Missouri | $660,000 |
| Regional Extension Center for Health Information Technology in Mississippi | Mississippi | $540,000 |
| Mountain-Pacific Quality Health Foundation (MPQHF) | MontanaWyoming | $816,000 |
| Wide River Technology Extension Center | Nebraska | $120,000 |
| LCF Research | New Mexico | $204,000 |
| New York eHealth Collaborative (NYeC) | New York | $120,000 |
| Health Bridge Inc. | Ohio | $288,000 |
| Ohio Health Information Partnership (OHIP) | Ohio | $ 516,000 |
| Oklahoma Foundation for Medical Quality (OFMQ) | Oklahoma | $744,000 |
| O-HITEC. | Oregon | $384,000 |
| Quality Insights of Pennsylvania, Inc. (East) | Pennsylvania | $180,000 |
| Quality Insights of Pennsylvania, Inc. (West) | Pennsylvania | $144,000 |
| South Carolina Research Foundation | South Carolina | $156,000 |
| South Dakota Regional Extension Center (SD-REC) | South Dakota | $576,000 |
| Qsource | Tennessee | $480,000 |
| North Texas REC | Texas | $108,000 |
| West Texas Health Information Technology Regional Extension Center (WT-HITREC) | Texas | $912,000 |
| CentrEast Regional Extension Center | Texas | $384,000 |
| University of Texas Health Science Center at Houston | Texas | $612,000 |
| Health Insight | Utah Nevada | $480,000 |
| VHQC (Virginia Health Quality Center) | Virginia | $ 84,000 |
| Vermont Information Technology Leaders | Vermont | $108,000 |
| WI-REC | Washington | $564,000 |
| Wisconsin Health Information Technology Extension Center | Wisconsin | $828,000 |
| West Virginia Health Improvement | WV | $204,000 |
| TOTAL ALL AWARDS | $19,848,000 |
A complete listing of REC grant recipients and additional information about the Health Information Technology Regional Extension Centers may be found at http://www.HealthIT.hhs.gov/programs/REC/.
For information about the Medicare and Medicaid EHR Incentive Programs, see http://www.cms.gov/EHRIncentivePrograms
For information about HHS Recovery Act Health Information Technology programs, see http://www.hhs.gov/recovery/announcements/by_topic.html#hit.
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ONC Background on critical access hospitals
Accessed from ONC site on Sept 11, 2010
The Medicare Rural Hospital Flexibility Program (Flex Program), created by Congress in 1997, allows small hospitals to be licensed as Critical Access Hospitals (CAHs) and offers grants to states to help implement initiatives to strengthen the rural health care infrastructure. To participate in the Flex Grant Program, states are required to develop a rural health care plan that provides for the creation of one or more rural health networks; promotes regionalization of rural health services in the state; and improves the quality of and access to hospital and other health services for rural residents of the state. Consistent with their rural health care plans, states may designate eligible rural hospitals as CAHs.CAHs must be located in a rural area (or an area treated as rural); be more than 35 miles (or 15 miles in areas with mountainous terrain or only secondary roads available) from another hospital; or be certified before January 1, 2006 by the state as being a necessary provider of health care services. CAHs are required to make available 24-hour emergency care services that a state determines are necessary. CAHs may have a maximum of 25 acute care and swing beds, and must maintain an annual average length of stay of 96 hours or less for their acute care patients. CAHs are reimbursed by Medicare on a cost basis (e.g., for the reasonable costs of providing inpatient, outpatient, and swing bed services).The legislative authority for the Flex Program and cost-based reimbursement for CAHs are described in the Social Security Act, Title XVIII, Sections 1814 and 1820, available at http://www.ssa.gov/OP_Home/ssact/title18/1800.htm.
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