ONC and CMS @HIMSS12 Annual Conference & Exhibition — Las Vegas

Federals at HIMSS12 Annual Conference & Exhibition
February 20-24, 2012 · Las Vegas, NV
Accessed and excerpted from HealthIT.gov on Feb 18, 2012

Representatives from ONC, Centers for Medicare & Medicaid Services (CMS), Office for Civil Rights (OCR), and other Federal agencies will be at HIMSS to share information about their health IT initiatives. Below are highlights from the HIMSS schedule of events. For a complete list of participating Federal agencies and their educational sessions, visit the Federal section of the HIMSS12 website.

HIMSS Schedule of Events

Time Location Event
Monday, February 20, 2012
8:45-9:30 a.m. Lando 4204 HIE Symposium – Opening Keynote HIE: The Next Generation and Beyond
Doug Fridsma, Director, Office of Standards and Interoperability
9:30-10:30 a.m. Lando 4204 HIE Symposium – Inter Agency Collaboration: A Federal Update
John Allison, Health Insurance Specialist
Claudia Williams, Director, State HIE Program
10:45-11:45 a.m. Lando 4204 HIE Symposium – State Collaborations: Current Trends and Future Directions
Lee Stevens, Program Manager, State HIE Program
11 a.m.-12 p.m. San Paolo 3504 Physicians’ IT Symposium – Optimizing Your EHR Value Through Patient Engagement
Judy Murphy, RN, Deputy National Coordinator
12:45-1:45 p.m. Lando 4204 HIE Symposium – SLHIE: Moving from Planning to Implementation
Jessica Kahn, Technical Director for Health IT
Claudia Williams, Director, State HIE Program
1-2 p.m. Veronese 2506 Achieving Meaningful Use Symposium – CMS and ONC Present Stage 2 Essential Knowledge
Robert Anthony, Policy Analyst, CMS
Steven Posnack, Director, Federal Policy Division, ONC
1:30-2:30 p.m. Veronese 2406 Performance Measurement and CDS Symposium: Leveraging CDS at the Point of Care to Optimize Quality Measure Outcomes
Jacob Reider, MD, ONC Senior Policy Advisor
Tuesday, February 21, 2012
9:45-10:45 a.m. Casanova 503 Health IT Update from HRSA
Yael Harris, PhD, MHS, Director, Office of Health IT & Quality
9:45-10:45 a.m. Lando 4303 Stage 2 Meaningful Use
Elizabeth Holland, Director, HIT Initiatives Group
Jessica Kahn, Technical Director for Health IT
9:45-10:45 a.m. Galileo 1001 Direct Project Panel Discussion
Moderator: Doug Fridsma, Director, Office of Standards and Interoperability
9:45-10:45 a.m. TBD HIE National Landscape, Monitoring States Momentum
Moderator: Lee Stevens, Program Manager, State HIE Program
11:00 a.m.-12:00 p.m. Casanova 503 CDC and Meaningful Use: Strengthening the Link Between Healthcare Providers and Public Health
Seth Foldy, MD, MPH, FAAFP, Senior Advisor, Public Health Surveillance & Informatics Program Office
11:00 a.m.-12:00 p.m. Lando 4303 ONC Consumer Outreach/Pledge Initiative
Lygeia Ricciardi, Senior Policy Advisor for Consumer e-Health
11:00 a.m.-12:00 p.m. San Polo 3503 Medicare and Medicaid EHR Incentive Programs: Meaningful Use Stage 1 Overview
Travis Broome, Policy Analyst
Elizabeth Holland, Director, HIT Initiatives Group
Jessica Kahn, Technical Director for Health IT
Robert Anthony, Policy Analyst
12:15-1:15 p.m. San Polo 3503 Redefining Health Care: Advancing Patient-Centered Care Through Health IT
Carolyn Clancy, MD, Director of AHRQ
Wednesday, February 22, 2012
8:30-9:30 a.m. San Polo 3503 ONC Certification Programs – Update and Next Steps
Doug Fridsma, Director, Office of Standards and Interoperability
Steve Posnack, Director, Federal Policy Division
Carol Bean, Director, Certification Division
9:45-10:45 a.m. San Polo 3503 Stage 2 Meaningful Use: An Introduction
Travis Broome, Policy Analyst, CMS
Elizabeth Holland, Director, HIT Initiatives Group, CMS
Steve Posnack, Director, Federal Policy Division, ONC
Farzad Mostashari, MD, ScM, National Coordinator for Health Information Technology
1-2 p.m. Casanova 503 Update on HIPAA Initiatives
David Sayen, Regional Administrator, CMS
Elizabeth Reed, Health Insurance Specialist, CMS
2:15-3:45 p.m. San Polo 3503 ONC Townhall: Advancing Health IT Into the Future
Farzad Mostashari, MD, ScM, National Coordinator for Health Information Technology
Thursday, February 23, 2012
8:30-9:30 a.m. Palazzo Ballroom Keynote speaker
Farzad Mostashari, MD, ScM, National Coordinator for Health Information Technology
9:45-10:45 a.m. San Polo 3503 Privacy and Security – You Can Do It and Here’s How
Joy Pritts, Chief Privacy Officer, ONC
9:45-10:45 a.m. Venetian Showroom Medicare and Medicaid EHR Incentive Programs: Stage 2 NPRM Overview
Travis Broome, Policy Analyst, CMS
Elizabeth Holland, Director, HIT Initiatives Group, CMS
Jessica Kahn, Technical Director for Health IT, CMS
Robert Anthony, Policy Analyst, CMS
1-2 p.m. TBD RECs: Accelerating Meaningful Use
Kimberly Lynch, Director of the REC Program
1-2 p.m. Lido 3106 Stage 2: Exchange of Information and Public Health Objectives
Jessica Kahn, Technical Director for Health IT, CMS
Robert Anthony, Policy Analyst, CMS
Steven Posnack, Director, Federal Policy Division, ONC
1-2 p.m. Murano 3306 Consumer E-Technology in Action: Four Implementation Examples from Beacon Communities
Korey Capozza, Utah Beacon
Drew McNicol, Western New York Beacon
Alan Snell, MD, Indiana Beacon
Barbara Sorondo, Maine Beacon
2:15-3:15 p.m. Marco Polo 705 IOM Study-Patient Safety
Jacob Reider, MD, ONC Senior Policy Advisor
2:15-4:15 p.m. San Polo 3503 Stage 2: Clinical Quality Measures
Travis Broome, Policy Analyst, CMS
Steve Posnack, Director, Federal Policy Division, ONC
Friday, February 24, 2012
10:00-11:00 a.m. San Polo 3503 HIPAA Privacy and Security Regulations
Leon Rodriguez, Director of OCR
11:15 a.m.-12:15 p.m. Venetian Showroom Stage 2: Payment Adjustments and Changes from Stage 1
Travis Broome, Policy Analyst, CMS
Robert Anthony, Policy Analyst, CMS
Theater Booth Sessions – Exhibit Hall, Booths 14624/14824

CMS and ONC will be presenting on special topics in health IT and meaningful use at the theater booth in the HIMSS exhibit hall.

Time Presentation Topic
Tuesday, February 21, 2012
1:30-2:15 p.m. Workforce: The Use of Immersive Learning Environments in Online HIT Technology
3:00-3:30 p.m. Medicaid Patient Volume
4:00-5:45 p.m. Beacon Communities: Bringing HITECH to Life – Beacon Project Highlights – IT-Enabled Care Coordination, HIT Infrastructure to Support Pioneer ACOs, and Mobile Technology in Support of Better Diabetes Management
Wednesday, February 22, 2012
9:45-10:30 a.m. Query Health: Demonstrating How to Send Questions to the Data
11:00-11:30 a.m. Overview and Timeline for Incentives and Payment Adjustments
12:00-12:45 p.m. NwHN Exchange Opportunities and the Path Forward
2:45-3:30 p.m. AHRQ: Model Children’s EHR Format
4:00-4:30 p.m. FAQs on Stage 1 Meaningful Use
5:00-5:45 p.m. The popHealth Challenge Demonstration: Patient Engagement Reminders for popHealth Measures
Thursday, February 23, 2012
10:00-10:30 a.m. How States Are Auditing the Medicaid EHR Incentive Programs
11:30 a.m.-12:00 p.m. Overview of Stage 2 Meaningful Use
3:00-3:45 p.m. Privacy & Security: Privacy Protection for Substance Abuse Treatment Information
4:00-4:45 p.m. Workforce: Using the ONC-HIT Teaching Materials
ONC “Talk to the Expert” Sessions – Exhibit Booth #14824

ONC will be hosting “Talk to the Expert” sessions at its exhibit booth. Stop by to learn about:

  • ONC resources
  • Certification and Standards/Interoperability
  • ONC’s Regional Extension Centers, Beacon, and Workforce programs.
Engage with ONC during the Conference Online

During HIMSS, ONC will be engaging people online through its social media properties by:

  • Hosting discussions on LinkedIn
  • Tweeting live from the event
  • Loading all of their handouts from the conference on Scribd

If you are not already a member of our LinkedIn group, or following us on Twitter (@ONC_HealthIT), sign up today to join the discussion!

Don’t forget to check out Scribd to download handouts from HIMSS!

For More Information

HIT Pro: Health IT Professionals Exams Open May 20

The Health IT Professionals Exams Open May 20, 2011.

HIT Pro

HIT Pro Competency Exams

Competency Examination Program
Accessed May 15, 2011.
In April 2010, ONC awarded $6 million in a two-year cooperative agreement to Northern Virginia Community College (NOVA) Exit Disclaimer to develop health information technology (health IT) competency examinations for individuals completing short-term, non-degree training programs, and members of the workforce with relevant experience or others types of training. 

These competency examinations will enable health IT professionals, employers, and other stakeholders to assess their own health IT competency levels or the competency of their health IT staff members, as appropriate. The examinations may also be used by employers to identify training gaps and personnel needs integral to achieving meaningful use of electronic health information.

About the Exams
The Health IT Professionals Exams will be open to individuals beginning on May 20, 2011. The six exams, aligned with the roles and training provided by the Community College Consortia, will each consist of 125 multiple-choice questions to be completed in three hours. The exam blueprints below detail the topics covered in each exam:
Taking the Exams
The test specialist Pearson Vue will hold each exam at one of  its 230 nationwide test centers (locate the nearest center Exit Disclaimer). Individuals taking the May exam will receive their results in the mail four-to-six weeks after they take it. The September exam will provide live scoring.
Individuals can make reservations to take exams with Pearson Vue either by telephone (888-944-8776) or online Exit Disclaimer. At that point, individuals may cancel or reschedule their reservations up to 48 hours before the appointment. In the absence of an emergency, individuals who fail to make their appointment will be charged a fee and will lose the free voucher.
The cost of the first exam for individuals without a voucher is $299. The cost for individuals re-taking an exam or taking an additional exam for another role is $199.
Vouchers for the Exams
Free exam vouchers, enabling individuals to take their first exam at no cost, will be available for students trained through the Community College Consortia program and for other individuals with relevant experience, training, or education in health care or IT. Vouchers will be available soon through Pearson Vue’s Voucher Store Exit Disclaimer and may be ordered by the following institutions:
  • Members of the Community College Consortia
  • Other accredited academic institutions
  • State and local employment agencies
  • Health care providers
These institutions may distribute vouchers to individuals who meet the aforementioned criteria. The vouchers will expire four months after being ordered.
Learn more about ONC’s Competency Examination Program:

Blumenthal Letter #24: Our Journey Continues: $80 Million in Add’l Funds to RECs, 8 HIEs, and Community Colleges

Our Journey Continues…
January 27, 2011 (accessed 1/27/2011 from ONC site)

With the new year, we are turning the page to a next chapter in our journey to adoption and meaningful use of health information technology (HIT). As we begin this chapter, ONC is accelerating progress with new funding for programs vital to our goals.

No doubt the “star player” in 2011 is the Medicare and Medicaid Electronic Health Records (EHR) Incentive Programs. As of this year, providers can begin qualifying for significant payments through Medicare and Medicaid, as they achieve meaningful use objectives.

But equally important are the “supporting players.” These are the programs created under the HITECH Act to help providers adopt and achieve meaningful use of EHRs through technical assistance, through information exchange, and through development of a new workforce of HIT specialists.

These supporting programs all started last year, and they’ve had a successful launch:

  • We funded 62 Regional Extension Centers (RECs) across the nation to provide technical assistance, especially for smaller practice primary care providers, rural hospitals and other settings which serve the underserved. We want the RECs to assist at least 100,000 primary care providers. And already, some 38,000 primary care providers have enrolled for REC assistance.
  • We created a state grant program to support health information exchange (HIE) and facilitate all the potential uses and benefits of secure information sharing. Already, approved HIE implementation plans are in place in 25 states.
  • We funded 84 community colleges to train HIT specialists that will help to meet the anticipated national shortage of 50,000. The first 3,400 students will graduate by May, 2011 – and with excellent job prospects.

This month we are adding new funding for these important initiatives:

For the RECs, we are providing additional funding of $32 million. This especially reflects our plan to accelerate outreach to health care providers to encourage registration for the CMS Incentive Programs and to provide more support in the field as providers adopt health information technology in their practices. We recognize that the early transition to HIT can be challenging and we want to make sure that our RECs are fully operational to help make this transition as smooth as possible. We are committed to offer substantial ongoing support to achieve meaningful use through the RECs.

For HIE, we are providing $16 million in new Challenge Grants to encourage breakthrough innovations for health information exchange that can be leveraged widely to support nationwide health information exchange and interoperability. The HIE Challenge Grant Program is providing 10 awards of between $1 and $2 million to State HIE Cooperative Agreement Program grantees, to develop innovative and scalable solutions in five key areas: achieving specific health goals, improving care transitions, consumer-mediated information exchange, enhanced querying for patient care, and fostering distributed population-level analytics.

For community colleges, $32 million in second year funding is being provided to continue academic HIT programs training the specialists needed to make rapid adoption and meaningful use possible. We remain on track to ramp up and graduate an estimated 10,500 students a year through our community college programs.

In playing their part for HIT adoption and meaningful use, every awardee in our supporting programs is a star! Awardees and funding amounts for these programs can be found at http://healthit.hhs.gov.

Warmest Regards,
David Blumenthal, MD, MPP
National Coordinator for Health Information Technology

The Office of the National Coordinator for Health Information Technology (ONC) encourages you to share this information as we work together to enhance the quality, safety and value of care and the health of all Americans through the use of electronic health records and health information technology.

For more information and to receive regular updates from the Office of the National Coordinator for Health Information Technology, please subscribe to our Health IT News list.
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See list of newly awarded challenge grants to state HIEs on e-Healthcare Marketing.

Blumenthal Letter #23: EHR Adoption Set to Soar

EHR Adoption Set to Soar
January 13, 2010 (accessed from ONC site on 1/13/2010)

Portrait of Dr. Blumenthal

The tide is turning.

An increasing number of office-based physician practices report having an electronic health record, according to a recent survey.  Survey respondents also reported high levels of interest in adopting electronic health records and health information technology.

The survey [PDF - 220 KB] was conducted by the National Center for Health Statistics (NCHS), an agency of the HHS’ Centers for Disease Control and Prevention.

More and more physicians are putting a private and secure electronic framework in place to realize long-term improvements in quality of care, efficiency, and health costs. But the presence of an EHR does not make a physician a meaningful user.

An electronic health record, as defined in the survey, could have been just a “basic” EHR—one that stores patient demographic information, patient problem lists, clinical notes, laboratory and imaging results, and orders for prescriptions. Basic EHRs are not capable of being used to meet the requirements of meaningful use.

Fortunately, additional data commissioned by the Office of the National Coordinator for Health Information Technology (ONC) and carried out in the course of regular annual surveillance by the NCHS and by the American Hospital Association (AHA) provide further encouragement that EHR adoption is about to pick up speed.

The NCHS survey found that 41 percent of office-based physicians are currently planning to achieve meaningful use of EHRs and apply for incentive payments. Four-fifths of these, or about a third of all office-based physicians (32.4 percent), plan to apply this year.

The AHA survey found that 81 percent of acute care non-federal hospitals plan to achieve meaningful use of EHRs and apply for incentive payments. About two-thirds of hospitals (65 percent) plan to enroll during Stage 1 of the Incentive Programs, in 2011-2012.

At ONC we are gratified that such sizeable percentages of physicians and hospitals intend to take the plunge—and to take the plunge sooner rather than later.

Acting early (in Stage 1) means obtaining maximum funding through the Medicare and Medicaid EHR Incentive Programs. Physicians and other eligible professionals can qualify for incentive payments totaling as much as $44,000 through Medicare or $63,750 through Medicaid. Hospitals can qualify for millions of dollars of incentive payments for implementing and becoming meaningful users of EHR technology.

The registration process is now open for health care providers to obtain significant incentive payments for the adoption and meaningful use of certified EHRs.

We recognize that EHR adoption and meaningful use are hard work and a big investment, especially for small primary care practices, where the vast majority of physicians work and where most of patient care is coordinated and documented. Many of these providers still need to learn about the opportunity they have.

Now is the time. Unprecedented resources, including the EHR incentive and technical assistance programs created under HITECH, are available. Sixty-two Regional Extension Centers (RECs) across the nation are prepared to offer customized, on-the-ground assistance. And the Health IT Workforce Development Program is training talented professionals to help providers implement and manage their health IT systems. Moreover, medical and hospital professional organizations are lighting the way.

Rest assured there are also regulations in place to make sure that information stored in an EHR is protected. The same Health Insurance Portability and Accountability Act (HIPAA) privacy and security protections that apply to paper records also apply to EHRs.

Never again will the same level of resources and talent be devoted to helping providers make the switch to health IT.

The incipient surge in EHR adoption is galvanizing, especially for those of us who are committed to making the transition from paper-based medical records to EHRs as seamless and as successful as possible for every provider. ONC will continue to offer encouragement and support.

For more information on the Medicare and Medicaid EHR Incentive Programs, visit http://www.cms.gov/EHRIncentivePrograms. Providers can also find REC contact information at http://healthit.hhs.gov/rec. Learn about the HIPAA Privacy and Security Rules by visiting http://www.hhs.gov/ocr/privacy/.

Warmest Regards,

David Blumenthal, MD, MPP
National Coordinator for Health Information Technology

The Office of the National Coordinator for Health Information Technology (ONC) encourages you to share this information as we work together to enhance the quality, safety and value of care and the health of all Americans through the use of electronic health records and health information technology.

For more information and to receive regular updates from the Office of the National Coordinator for Health Information Technology, please subscribe to our Health IT News list.

ONC Presents “Spotlight on Health IT in the News”

Spotlight on Health IT in the News
Excerpted this new feature from Office of the National Coordinator (ONC) for Health IT  site, first  published on 1/5/2010 and updated on 1/6/2010.

  1. Blumenthal Looks Back at 2010, Offers Peek Into Plans for 2011
    Q&A with David Blumenthal, M.D., M.P.P., National Coordinator for Health Information Technology
    iHealthBeat, January 3, 2011

    Dr. Blumenthal discusses the challenges ONC faced in 2010, plans for 2011, and the importance of health information technology (health IT) to the implementation of federal health reform law.

  2. Electronic Health Records: Potential to Transform Medical Education
    By Sachin H. Jain, M.D., M.B.A., Special Assistant to the National Coordinator for Health Information Technology, and Bryant A. Adibe, B.S., Executive Director, Young Achievers Foundation
    The American Journal of Managed Care, December 22, 2010

    Dr. Jain and Bryant Adibe examine the ways in which EHR adoption can lead to improved patient-centered approaches to physician training.

  3. Healthcare Information Technology Interventions to Improve Cardiovascular and Diabetes Medication Adherence
    By Sachin H. Jain, M.D., M.B.A., Special Assistant to the National Coordinator for Health Information Technology, et al.
    The American Journal of Managed Care, December 22, 2010

    This literature review discusses health IT interventions designed to improve medication adherence in cardiovascular disease and diabetes.

  4. Alternative Measures of Electronic Health Record Adoption Among Hospitals
    By Melinda J. Beeuwkes Buntin, Ph.D., Director, Office of Economic Analysis and Modeling, and Charles P. Friedman, Ph.D., Chief Scientific Officer, ONC
    The American Journal of Managed Care, December 22, 2010

    This study examines the type of EHR functions that hospitals have adopted.

  5. Using Electronic Prescribing Transaction Data to Estimate Electronic Health Record Adoption
    By Farzad Mostashari, M.D., Sc.M., Deputy National Coordinator for Programs and Policy; Melinda J. Beeuwkes Buntin, Ph.D., Director, Office of Economic Analysis and Modeling; and Emily Ruth Maxson, Duke University School of Medicine
    The American Journal of Managed Care, December 22, 2010

    This study investigates whether electronic prescribing transaction data can be used to accurately and efficiently track national and regional electronic health record adoption.

  6. Health Information Technology Is Leading Multisector Health System Transformation
    By David Blumenthal, M.D., M.P.P., National Coordinator for Health Information Technology and Sachin H. Jain, M.D., M.B.A., Special Assistant to the National Coordinator for Health Information Technology
    The American Journal of Managed Care, December 17, 2010

    Dr. Blumenthal and Dr. Jain discuss the impact of the HITECH Act on health information technology (health IT) adoption and provide an overview of the content found in the journal’s special issue on health IT.

  7. Uniting the Tribes of Health System Improvement
    By Aaron McKethan, Ph.D., Program Director, and Craig Brammer, Deputy Director, Beacon Community Program
    The American Journal of Managed Care, December 17, 2010

    Dr. McKethan and Craig Brammer discuss how multiple interventions and simultaneously implemented tools are required to transform the U.S. health care system.

  8. Regional Quality Initiatives: Expanding the Partnership
    Blog post by David Blumenthal, M.D., M.P.P., National Coordinator for Health Information Technology; Carolyn Clancy, M.D., Director of the Agency for Healthcare Research and Quality (AHRQ); and Risa Lavizzo-Mourey, President of The Robert Wood Johnson Foundation (RWJF)
    Health Affairs Blog, December 9, 2010

    This joint ONC, AHRQ, and RWJF blog post discusses how dozens of diverse regions of the country are benefiting from an unprecedented commitment of resources and technical expertise to help local leaders improve the quality of health care provided in their region.
  9. Perspective: Dr. David Blumenthal on Health Information Technology
    Q&A with David Blumenthal, M.D., M.P.P., National Coordinator for Health Information Technology
    MDNews.com, November 19, 2010

    Dr. Blumenthal discusses provider involvement in implementation of health IT as part of a videotaped interview during the Medical Group Management Association 2010 conference, held October 24-27.

10.  Fed Health Tech Chief Talks about E-Medical Records
Q&A with David Blumenthal, M.D., M.P.P., National Coordinator for Health Information Technology
The Texas Tribune, October 21, 2010

Dr. Blumenthal discusses the benefits of electronic health records and protections for patient privacy. 

11.  Beacons for Better Health
By Aaron McKethan, Ph.D., Program Director, and Craig Brammer, Deputy Director, Beacon Community Program
Health Affairs Blog, September 23, 2010

Dr. McKethan and Mr. Brammer discuss how Beacon Communities will showcase ways that health information technology is being used to support providers in delivering improved patient care.

12.  This Doctor’s Task: Get Hospitals to Go Digital
Q&A with David Blumenthal, M.D., M.P.P., National Coordinator for Health Information Technology
Federal Times.com, September 13, 2010

Dr. Blumenthal elaborates on ONC’s efforts to encourage the electronic transformation of health care delivery on the national and local levels.

13.  The Push for Electronic Medical Records (listen to audio file)
Interview with David Blumenthal, M.D., M.P.P., National Coordinator for Health Information Technology
Vermont Public Radio, September 9, 2010

Dr. Blumenthal speaks to Vermont Public Radio about the Vermont Information Technology Leaders Summit and how the state’s hospitals and providers can increase their electronic health records adoption.

14.  Beaconology for Beginners: A Chat with ONC’s Aaron McKethan
Aaron McKethan, Ph.D., Program Director, Beacon Community Program
CMIO Blog, September 7, 2010

Dr. McKethan chats with CMIO about producing community-level clinical performance measures as modeled by the Beacon Community Program.

15.  Strengthening the Gulf’s Health-Care Infrastructure for Generations to Come
By Kathleen Sebelius, Secretary, U.S. Department of Health and Human Services
Huffington Post, August 27, 2010

HHS Secretary Kathleen Sebelius discusses rebuilding the health-care infrastructure to meet the Gulf communities’ long-term medical needs, including efforts by Beacon Communities to help providers move from paper files into the digital age.

16.  The New Momentum Behind Electronic Health Records
By Kathleen Sebelius, Secretary, U.S. Department of Health and Human Services
KHN Blog, Kaiser Health News, August 26, 2010

HHS Secretary Kathleen Sebelius details the benefits of health IT adoption for the entire health care system. 

17.  Health Information Technology Program Receives $2.7 Million in Federal Funding, Graduates First Class of Students This Summer
University of Texas at Austin Website, August 26, 2010

University of Texas at Austin graduates the nation’s first class of students from its federally funded health IT workforce development program.

18.  Adoption and Meaningful Use of EHRs – The Journey Begins
By David Blumenthal, M.D., M.P.P., National Coordinator for Health Information Technology; and Don Berwick, M.D., Administrator, Centers for Medicare & Medicaid Services
Health Affairs Blog, August 5, 2010

Dr. Blumenthal and Dr. Berwick explain the need for federal leadership in helping providers nationwide to adopt and utilize health IT for better quality of care.

19.  Perspective: The “Meaningful Use” Regulation for Electronic Health Records
By David Blumenthal, M.D., M.P.P., National Coordinator for Health Information Technology, and Marilyn Tavenner, R.N., M.H.A., Principal Deputy Administrator, Centers for Medicare & Medicaid Services
New England Journal of Medicine, July 13, 2010

Dr. Blumenthal and Marilyn Tavenner summarize the core objectives of the CMS “Meaningful Use” regulation and how it ties payments to the achievement of advances in health care processes and outcomes.

20.  Perspective: Finding My Way to Electronic Health Records
By Surgeon General, Vice Admiral Regina M. Benjamin, M.D., M.B.A.
New England Journal of Medicine, July 13, 2010

Surgeon General Regina Benjamin shares her personal story about understanding the value of electric health records in preserving patient records when disaster strikes.

21.  Health Information Technology: Laying the Infrastructure for National Health Reform [PDF - 146 KB]
By David Blumenthal, M.D., M.P.P., National Coordinator for Health Information Technology; Sachin H. Jain, M.D. M.B.A., Special Assistant to the National Coordinator for Health Information Technology; and Melinda Beeuwkes Buntin, Ph.D., Senior Economic Advisor, ONC
Health Affairs, June 2010

  1. Drs. Blumenthal, Jain, and Buntin discuss the key ways in which health IT is critical to the implementation of national health reform.

22.  Perspective: Launching HITECH
By David Blumenthal, M.D., M.P.P., National Coordinator for Health Information Technology
New England Journal of Medicine, February 4, 2010

Dr. Blumenthal outlines the HITECH Act as the groundwork for an advanced electronic health information system.

Blumenthal Reviews ONC’s 2010 Accomplishments on ONC Blog

2010 ONC Update Meeting: Advancing the Dialogue on Health IT
Monday, December 27th, 2010 | Posted by: Dr. David Blumenthal on ONC’s Health IT Buzz blog and republished here by e-Healthcare Marketing.

Thank you to everyone who participated in the 2010 ONC Update on December 14-15, 2010 where we had the opportunity to discuss ONC’s strategies and programs, hear about your experiences in the field, assess progress to date, and get caught up on HITECH’s implementation. Video-recordings of the webcast are now available through the ONC website at http://healthit.hhs.gov/ONCMeeting2010.

The 2010 ONC Update was held in conjunction with 2010 ONC Grantee Meeting which brought together for the first time the awardees of all of the ONC programs , including the Beacon Communities Program, Regional Extension Center Program, SHARP Program, State Health Information Exchange Program, and the many Workforce Development Programs.

This year, significant strides were made in health information technology. And for us, information technology has always been a means to an end, the end of improving health, improving the health system, making the lives of our fellow Americans better, making our nation’s health professionals and institutions able to live up to their aspirations, empowering Americans to have and take control of their own health and lives. These are the reasons why the Congress and the President enacted the HITECH Act and the reason that the Office of the National Coordinator exists today.

But, of course, there are many organizations and groups that have those high aspirations. Our unique contribution comes from a core insight that good intentions have to be powered by strong capabilities. And science and technology have created for us an enormously powerful new set of tools in the form of health information technology.

We are here to make sure that those tools are used fully to realize our collective aspirations. Information is the lifeblood of medicine. As health professionals and institutions, we are only as good as the information we have about the patients that we care for. Health IT is destined to be the circulatory system for that information in the decades to come.

The last several months have been a whirlwind of activity. And it is easy to forget how much we’ve accomplished. We established the meaningful use framework, one that I think is unprecedented in the history of electronic health information systems. No other country has laid out a similar framework for what can and should be accomplished using health information technology. And on January 3, the Centers for Medicare & Medicaid Services will launch the registration process for those who wish to participate in the Medicare and Medicaid EHR Incentive Programs.

We’ve issued a standards and certification regulation. As of this week, we have five certifying bodies that are available to certify electronic health records. They’ve certified more than 200 records and modules in the several months since they’ve been in existence.

Regional extension centers – 62 of them are working hard to provide hands-on assistance to those providers that need the most help in making this transition. As of this week, 30,000 physicians have already enrolled in these extension programs across the United States.

The State Health Information Exchange Program has provided 56 states and territories with planning grants. More than 20 of these states and territories have approved implementation plans, and new implementation plans are being approved every day.

Seventeen Beacon Communities are now in place. They didn’t exist a year ago. They are paving the way toward real improvements in health and health care in the communities they serve, leveraging health information technology. The SHARP Program is tackling new challenges through research and development.

And ONC’s Workforce Development Programs are preparing a whole new workforce and creating new jobs to support the transformation of our health care system through the use of information technology. To date, we have seen almost 2,300 new enrollees in community college programs and close to 400 in University‑based Training Programs focused on health information technology. And we are well on our way in these very early stages toward meeting that target of 10,000 new health professionals trained annually during the lifetime of the program.

In addition to our grants, we have dozens of contracts that are supporting programs like the Nationwide Health Information Network. And our Health IT Policy Committee and Health IT Standards Committee continue to provide enormously valuable guidance on the many policies and standards that are needed to support execution against our mission.

All of these efforts not only play a critical role in our strategy related to the improvement of health and health care through information technology, but also provide the foundation for health systems change and upcoming reforms in how we deliver and pay for care.

As we look to 2011, there will be many challenges. Driving change is hard. And it takes leadership, commitment and the ability to move forward – despite the many obstacles that each of you will encounter. I hope your sense of contributing something unique to health care and the American people – for most certainly you are – balances the incredibly hard work that you are undertaking. Someday you will look back and realize that you were present at the creation of something big.

Thanks again, and we look forward to our continued collaboration in the new year.
###To comment directly on ONC’s Health IT Buzz Blog, click here.
See Blumenthal Letter #22 on e-Healthcare Marketing.

Blumenthal Letter #22: Ready for Jan 3 EHR Incentives Registration?

Registration for EHR Incentive Programs
Starts January 3, 2011: Are You Ready?

Dr. David Blumenthal

Dr. David Blumenthal

A Message from Dr. David Blumenthal, the National Coordinator for Health Information Technology
December 27, 2010

Published by ONC on 12/27/2010 and republished here.

The New Year is just around the corner, and so is another milestone in our nation’s work to improve health care through health information technology. Starting on January 3, 2011, eligible health care professionals, hospitals, and critical access hospitals may register to participate in the Medicare and Medicaid EHR Incentive Programs.

This is an auspicious time. Nearly two years ago, the Health Information Technology for Economic and Clinical Health (HITECH) Act, part of the American Recovery and Reinvestment Act of 2009, was signed into law. Since then Department of Health and Human Services (HHS) agencies like the Office of the National Coordinator for Health Information Technology (ONC), the Centers for Medicare & Medicaid Services (CMS), the Office for Civil Rights (OCR), and others have implemented HITECH policies and programs to help providers adopt and achieve meaningful use of certified electronic health record technology and ensure that electronic health information remains private and secure.

[See Blumenthal's review of 2010, originally posted on ONC's Health IT Buzz blog.]

Why Become a Meaningful User?

Qualify for financial incentives from the federal government
Eligible professionals who demonstrate meaningful use have the opportunity to receive incentive payments through the Medicare and Medicaid EHR Incentive Programs—up to $44,000 from Medicare, or $63,750 from Medicaid.  Under both Medicare and Medicaid, eligible hospitals may receive millions of dollars for implementing and meaningfully using certified EHR technology. Providers can get started now with the help of financial incentives from the federal government. If they wait, those incentives may not be available. And financial penalties are scheduled to take effect in five years. 

Build a sustainable medical practice
The next generation of health care professionals will expect and demand that their own medical facility home have a state-of-the-art information system.  Becoming a meaningful user of electronic health records will allow providers who are building their practices to recruit and retain talented young clinicians.

Improve the safety and quality of health care 
The meaningful use of electronic health records will help health care providers and hospitals offer higher quality and safer care. By adopting electronic health records in a meaningful way, providers and hospitals can:

  • See the whole picture. All of a patient’s health information—medical history, diagnoses, medications, lab and test results—is in one place. Providers don’t have to settle for a snapshot when they can have the entire album.
  • Coordinate care. Providers involved in a patient’s care can access, enter, and share information in an electronic health record.
  • Make better decisions. With more comprehensive health information at their fingertips, providers can make better testing, diagnostic, and treatment decisions.
  • Save time and money. Providers who have implemented electronic health records say they spend less time searching for paper charts, transcribing, calling labs or pharmacies, reporting, and fixing coding errors.

ONC and CMS: Here To Help

Registration for the incentive programs may be close at hand, but so is assistance. If you need help in registering for the Medicare and Medicaid EHR Incentive Programs or selecting a certified EHR system, ONC and CMS have resources and services to help you.

  • The Medicare and Medicaid EHR Incentive Programs website contains educational resources and fact sheets with information to help eligible professionals and hospitals adopt, implement, and upgrade certified EHR technology and demonstrate meaningful use to receive EHR incentive payments.
  • Regional Extension Centers, which cover every region of the country, provide on-the-ground technical assistance to health care providers working to adopt and meaningfully use certified EHR technology.
  • The Health IT Workforce Development Program prepares skilled workers for new jobs in health IT.

Connecting to Your Community
ONC also has other programs in place to help advance the meaningful use of certified EHR technology and health information exchange:

As 2010 comes to a close, we are well on our way as a nation to achieving the benefits of widespread adoption of EHRs. If you haven’t made any preparations to register to receive incentive payments, I encourage you to get started now. Resolve today to become a meaningful user in 2011.

Sincerely,
David Blumenthal, MD, MPP
National Coordinator for Health Information Technology 
The Office of the National Coordinator for Health Information Technology (ONC) encourages you to share this information as we work together to enhance the quality, safety and value of care and the health of all Americans through the use of electronic health records and health information technology.

For more information and to receive regular updates from the Office of the National Coordinator for Health Information Technology, please subscribe to our Health IT News list.

Health IT Special Issue of The American Journal of Managed Care: Dec 2010

AJMC Publishes Health Information Technology Special Issue Online Dec 20, 2010
“Featuring scholarly articles and perspectives from policymakers, payers, providers, pharmaceutical companies, health IT vendors, health services researchers, patients, and medical educators, this [December 2010 special] issue of  The American Journal of Managed Care is a reflection” of  “the  dramatic growth of interest in the potential for HIT to improve health and healthcare delivery,” writes Sachin H. Jain, MD, MBA and David Blumenthal, MD, MPP in their introductory article titled “Health Information Technology Is Leading Multisector Health System Transformation.”  Both Jain and Blumenthal are with the Office of the National Coordinator for Health Information Technology.

Authors of 23 Articles in Special Issue
Sachin H. Jain, MD, MBA; and, David Blumenthal, MD, MPP; Cynthia L. Bero, MPH; and Thomas H. Lee, MD; Aaron McKethan, PhD; and Craig Brammer; John Glaser, PhD; Pete Stark; Newt Gingrich, PhD, MA; and Malik Hasan, MD; James N. Ciriello, MS; and Nalin Kulatilaka, PhD, MS; Seth B. Cohen, MBA, MPA; Kurt D. Grote, MD; Wayne E. Pietraszek, MBA; and Francois Laflamme, MBA; Amol S. Navathe, MD, PhD; and Patrick H. Conway, MD, MSc; Reed V. Tuckson, MD; Denenn Vojta, MD; and Andrew M. Slavitt, MBA; Marc M. Triola, MD; Erica Friedman, MD; Christopher Cimino, MD; Enid M. Geyer, MLS, MBA; Jo Wiederhorn, MSW; and Crystal Mainiero; Nancy L. Davis, PhD; Lloyd Myers, RPh; and Zachary E. Myers; Bryant A. Adibe, BS; and Sachin H. Jain, MD, MBA; Spencer S. Jones, PhD; John L. Adams, PhD; Eric C. Schneider, MD; Jeanne S. Ringel, PhD; and Elizabeth A. McGlynn, PhD; Jeffrey L. Schnipper, MD, MPH; Jeffrey A. Linder, MD, MPH; Matvey B. Palchuk, MD, MS; D. Tony Yu, MD; Kerry E. McColgan, BA; Lynn A. Volk, MHS; Ruslana Tsurikova, MA; Andrea J. Melnikas, BA; Jonathan S. Einbinder, MD, MBA; and Blackford Middleton, MD, MPH, MS;Alexander S. Misono, BA; Sarah L. Cutrona, MD, MPH; Niteesh K. Choudhry, MD, PhD; Michael A. Fischer, MD, MS; Margaret R. Stedman, PhD; Joshua N. Liberman, PhD; Troyen A. Brennan, MD, JD; Sachin H. Jain, MD, MBA; and William H. Shrank, MD, MSHS; Amir Dan Rubin, MBA, MHSA; and Virginia A. McFerran, MA; Fredric E. Blavin, MS; Melinda J. Beeuwkes Buntin, PhD; and Charles P. Friedman, PhD Robert D. Hill, PhD; Marilyn K. Luptak, PhD, MSW; Randall W. Rupper, MD, MPH; Byron Bair, MD; Cherie Peterson, RN, MS; Nancy Dailey, MSN, RN-BC; and Bret L. Hicken, PhD, MSPH; Jeffrey A. Linder, MD, MPH; Jeffrey L. Schnipper, MD, MPH; Ruslana Tsurikova, Msc, MA; D. Tony Yu, MD, MPH; Lynn A. Volk, MHS; Andrea J. Melnikas, MPH; Matvey B. Palchuk, MD, MS; Maya Olsha-Yehiav, MS; and Blackford Middleton, MD, MPH, MSc; Emily Ruth Maxson, BS; Melinda J. Beeuwkes Buntin, PhD; and Farzad Mostashari, MD, ScM; Daniel C. Armijo, MHSA; Eric J. Lammers, MPP; and Dean G. Smith, PhD; Katlyn L. Nemani, BA.

Look for an upcoming post on e-Healthcare Marketing reviewing this special issue of AJMC.

ONC’s Kendall blogs about ‘Regional Extension Centers Supporting EHR Adoption’

Regional Extension Centers Supporting EHR Adoption
Tuesday, December 14th, 2010 | Posted by: Mat Kendall Director Office of Provider Adoption Support on ONC Health IT Buzz blog and republished here by e-Healthcare Marketing.

The Regional Extension Centers (RECs) located across the country play a critical role in advancing the use of health information technology (health IT). They are charged with guiding some 100,000 health care providers in their efforts to establish and meaningfully use electronic health records in their practices. They offer a variety of services including outreach and education, and on-the-ground assistance.

With a total of 62 RECs, we are in every area of the U.S. to assist health care providers in their transition to electronic health records. To ensure that these critical partners have the knowledge and tools they need to assist their area’s health care providers, leaders from ONC’s Office of Provider Adoption Support  spend a good deal of time on the road meeting with REC staff members.

So far we’ve held workshops and seminars on topics like meaningful use, privacy and security, vendor selection, and workforce development.  We’ve had the chance to participate in events where leaders from different RECs come together to network and share best practices.  And we’ve learned about new ways we can support our RECs in their mission to help health care providers adopt electronic health records.

We are now implementing several new initiatives as a result of what we’ve learned from our REC partners:

  • An interactive online community that houses a wealth of tools and resources for RECs to obtain strategic health IT support and exchange ideas
  • An Outreach, Education, and Marketing Guide to assist RECs in their outreach efforts
  • A Meaningful Use Vanguard (MUV) cohort to showcase and reward health care providers who are true health IT ambassadors
  • Outreach campaigns to assist RECs in their recruitment of participating health care providers
  • Partnering with EHR vendors to identify best practices for working together to meet the needs of providers

These initiatives are only the beginning.

Our RECs are in the field, actively recruiting and signing on providers to their services. To date, our RECs have enrolled over 28,000 providers and for the last 12 weeks, the RECs across the country have enrolled on average over 1,000 providers a week.   Some RECs, such as Mississippi and Maine have enrolled over 60% of their overall primary care provider target.  Others, such as Colorado, the California Health Information Partnership Service Organization, Massachusetts, North Carolina, New York City Washington/Idaho RECs have enrolled over 1,000 providers in the last few weeks.

We are looking forward to hearing more about the RECs and their accomplishments at the 2010 ONC Update Meeting, December 14-15, in Washington D.C. This meeting will be a great opportunity to continue our dialogue with the RECs and learn about other ways we can support them. We want to ensure that the RECs are fully equipped to help our nation’s health care providers become meaningful users of electronic health records.

To find out more about the REC program in general, visit healthit.hhs.gov/REC.
###

To post comments directly on ONC Health IT Buzz blog post, please click here.

Meaningful Use Vanguard Program
To see an example at a state REC level of the Meaningful Use Vanguard Program launched November 15, 2010, see the “The West Virginia Regional HIT Extension Center (WVRHITEC) [which] has established a new physician-to-physician outreach and education program designed to assist and help foster more widespread adoption and use of electronic health record systems in West Virginia.” Click here.

Blumenthal Letter #21: 2010 ONC Update [and Welcome to 2010 ONC Conference]

2010 ONC Update
Dr. David BlumenthalA Message from Dr. David Blumenthal, the National Coordinator for Health Information TechnologyDecember 10, 2010
Accessed from ONC site 12/13/2010.

The Office of the National Coordinator for Health Information Technology (ONC), the Centers for Medicare & Medicaid Services (CMS), the Office for Civil Rights (OCR), and other HHS agencies are dedicated to improving the nation’s health care through health information technology (health IT).

Since the Health Information Technology for Economic and Clinical Health (HITECH) Act was signed into law in February 2009, we have established a number of initiatives that will help make it possible for providers to achieve meaningful use and for Americans to benefit from electronic health records as part of a modernized, interconnected, and vastly improved system of care delivery.

This year alone, we have established a number of important policies and programs to help lay the foundation for providers to begin their journey toward meaningful use. These include: 

It’s been a busy year for health IT at HHS.

We are looking forward to discussing more about all of our HITECH initiatives to date, as well as our future activities, at the upcoming 2010 ONC Update Meeting on December 14 and 15.

Over the course of this two-day meeting, we are offering a number of sessions that will give participants a better understanding of the HITECH regulations and the role that HITECH plays in health system change and health care reform. Some session topics include:

  • HITECH programs that support providers in achieving meaningful use
  • How HITECH initiatives will promote consumer empowerment and public engagement
  • Privacy and security policies

Our panelists and invited speakers include HHS Secretary Kathleen Sebelius and leaders from CDC, CMS, OCR, ONC and organizations who have a stake in our work. We are excited about the opportunity to share information and ideas.

The plenary sessions at this meeting will be streamed through a live webcast. Details about the webcast are available on the ONC website: http://healthit.hhs.gov/ONCMeeting2010.

Thank you in advance for joining us at the 2010 ONC Update Meeting and for supporting our vision of a higher quality, safer, and more efficient health care system enabled by health information technology.

Sincerely,
David Blumenthal, MD, MPP
National Coordinator for Health Information Technology

The Office of the National Coordinator for Health Information Technology (ONC) encourages you to share this information as we work together to enhance the quality, safety and value of care and the health of all Americans through the use of electronic health records and health information technology.

For more information and to receive regular updates from the Office of the National Coordinator for Health Information Technology, please subscribe to  ONC’s Health IT News list.