As part of the HHS Health Data Initiative, The Health Datapalooza will be held this year on June 5th and 6th in Washington, DC. This event is being put on by the Health Data Consortium, a group of organizations that joined together with the aims of promoting new data, making existing data more accessible by consumers and developers, and encouraging the development of products and services that improve health and health care. The Department of Health and Human Services (HHS) is a member of the Consortium.
More information on this event, including how to register to attend or submit an application to present, can be found at hdiforum.org.
The CMS Innovation Center is helping plan one session of this two-day event. An ACO “deep dive” will demonstrate how Accountable Care Organizations can make effective use of claims data through innovative software services and analytics. Surgeon and author Atul Gwande will be leading a discussion between the audience and a diverse set of stakeholders from data analysts to a number of the Pioneer ACOs.
From hdiforum.org:
HDI Forum III: The Health Datapalooza promises to bring together a diverse group of data experts, technology developers, entrepreneurs, policy makers, health care system leaders, CIOs, CTOs, and community advocates to support innovative applications of health and health care data.
The Forum will feature keynote addresses, an Apps Expo, demonstrations of new, cutting-edge apps, and thought-provoking panel discussions. There will also be plenty of time for networking and one-on-one interaction.
Source: CMS News Release
Monday, March 26, 2012
Health Insurance Rate Hikes in 9 States Deemed Excessive by HHS
Health and Human Services (HHS) Secretary Kathleen Sebelius announced that health insurance premium increases in nine states have been deemed “unreasonable” under the rate review authority granted by the Affordable Care Act.
"Thanks to the Affordable Care Act consumers are no longer in the dark about their health insurance premiums," said Secretary Sebelius. "Now, insurance companies are required to justify rate increases of 10 percent or higher. It’s time for these companies to immediately rescind these unreasonable rate hikes, issue refunds to consumers or publicly explain their refusal to do so."
Secretary Sebelius also released a new report showing that, six months after HHS began reviewing proposed health insurance rate increases, consumers are already seeing results. Since the rate review program took effect in 2011, health insurers have proposed fewer double-digit rate increases. Furthermore, more states have taken an active role in reducing rate increases, and consumers in all states are getting straight answers from their insurance companies when their rates are raised by 10 percent or more. As of March 10, 2012, the justifications and analysis of 186 double-digit rate increases for plans covering 1.3 million people have been posted at HealthCare.gov, resulting in a decline in rate increases. According to the report, in the last quarter of 2011 alone, states reported that premium increases dropped by 4.5 percent, and in states like Nevada, premiums actually declined.
HHS determined, after independent expert review, that two insurance companies have proposed unreasonable health insurance premium increases in nine states—Arizona, Idaho, Louisiana, Missouri, Montana, Nebraska, Virginia, Wisconsin, and Wyoming. The excessive rate hikes would affect over 42,000 residents across these nine states.
In these nine states, the insurers have requested rate increases as high as 24 percent. These increases were reviewed by independent experts to determine whether they are reasonable. In this case, HHS determined that the rate increases were unreasonable, because the insurer would be spending a low percentage of premium dollars on actual medical care and quality improvements, and because the justifications were based on unreasonable assumptions.
Most rates are reviewed by states and many states have the authority to reject unreasonable premium increases. Since the passage of the health care law, the number of states with this authority increased from 30 to 37, with several states extending existing “prior authority” to new markets.
The report released today shows that:
* States like Texas, Kentucky, Nevada and Indiana are reporting fewer requests for rate increases over 10 percent.
* States like California, New York, Oregon, and many others, have proactively lowered rate increases for their residents.
* The rate review program has made insurance companies explain their increases, and more than 180 have been posted publicly and are open for consumer comment on companyprofiles.healthcare.gov.
This initiative is one of many in the health care law to ensure that insurance companies play by the rules, prohibiting them from dropping coverage when a person gets sick, billing consumers into bankruptcy through annual or lifetime limits, and, soon, discriminating against anyone with a pre-existing condition.
Information on the specific determinations made today is available at: http://companyprofiles.healthcare.gov/
The rate review report released today is available at: http://www.healthcare.gov/law/resources/reports/rate-review03222012a.html
General information about rate review is available at: http://www.healthcare.gov/law/features/costs/rate-review/
Source: HHS News Release
"Thanks to the Affordable Care Act consumers are no longer in the dark about their health insurance premiums," said Secretary Sebelius. "Now, insurance companies are required to justify rate increases of 10 percent or higher. It’s time for these companies to immediately rescind these unreasonable rate hikes, issue refunds to consumers or publicly explain their refusal to do so."
Secretary Sebelius also released a new report showing that, six months after HHS began reviewing proposed health insurance rate increases, consumers are already seeing results. Since the rate review program took effect in 2011, health insurers have proposed fewer double-digit rate increases. Furthermore, more states have taken an active role in reducing rate increases, and consumers in all states are getting straight answers from their insurance companies when their rates are raised by 10 percent or more. As of March 10, 2012, the justifications and analysis of 186 double-digit rate increases for plans covering 1.3 million people have been posted at HealthCare.gov, resulting in a decline in rate increases. According to the report, in the last quarter of 2011 alone, states reported that premium increases dropped by 4.5 percent, and in states like Nevada, premiums actually declined.
HHS determined, after independent expert review, that two insurance companies have proposed unreasonable health insurance premium increases in nine states—Arizona, Idaho, Louisiana, Missouri, Montana, Nebraska, Virginia, Wisconsin, and Wyoming. The excessive rate hikes would affect over 42,000 residents across these nine states.
In these nine states, the insurers have requested rate increases as high as 24 percent. These increases were reviewed by independent experts to determine whether they are reasonable. In this case, HHS determined that the rate increases were unreasonable, because the insurer would be spending a low percentage of premium dollars on actual medical care and quality improvements, and because the justifications were based on unreasonable assumptions.
Most rates are reviewed by states and many states have the authority to reject unreasonable premium increases. Since the passage of the health care law, the number of states with this authority increased from 30 to 37, with several states extending existing “prior authority” to new markets.
The report released today shows that:
* States like Texas, Kentucky, Nevada and Indiana are reporting fewer requests for rate increases over 10 percent.
* States like California, New York, Oregon, and many others, have proactively lowered rate increases for their residents.
* The rate review program has made insurance companies explain their increases, and more than 180 have been posted publicly and are open for consumer comment on companyprofiles.healthcare.gov.
This initiative is one of many in the health care law to ensure that insurance companies play by the rules, prohibiting them from dropping coverage when a person gets sick, billing consumers into bankruptcy through annual or lifetime limits, and, soon, discriminating against anyone with a pre-existing condition.
Information on the specific determinations made today is available at: http://companyprofiles.healthcare.gov/
The rate review report released today is available at: http://www.healthcare.gov/law/resources/reports/rate-review03222012a.html
General information about rate review is available at: http://www.healthcare.gov/law/features/costs/rate-review/
Source: HHS News Release
Graduate Nurse Education Demonstration Announced
The Centers for Medicare & Medicaid Services (CMS) announced a call for applications for a new Affordable Care Act initiative designed to strengthen primary care in the United States.
Under the Graduate Nurse Education Demonstration, CMS will provide hospitals working with nursing schools to train advanced practice registered nurses (APRNs) with payments of up to $50 million annually over four years to cover the costs of APRNs’ clinical training.
Growing the ranks of APRNs is an important way to increase the base of primary care providers in this country. In the past, the cost of clinical training has limited the ability of hospitals and other healthcare providers to accept more APRN students into their settings for clinical training.
Under the Graduate Nurse Education Demonstration, CMS will provide reimbursement to up to five eligible hospitals for the reasonable cost of providing clinical training to APRN students added as a result of the demonstration. Hospitals participating in the demonstration must partner with accredited schools of nursing and non-hospital community-based care settings.
Payments to the participating hospitals will be linked directly to the number of additional APRNs that the hospitals and their partnering entities are able to train as a result of their participation in the demonstration. The payment will be calculated on a per-student basis, comparing previous enrollment levels in APRN training programs with enrollment under the demonstration.
For more information, or to view the solicitation, visit: innovation.cms.gov/initiatives/gne.
Source: CMS News Release
Under the Graduate Nurse Education Demonstration, CMS will provide hospitals working with nursing schools to train advanced practice registered nurses (APRNs) with payments of up to $50 million annually over four years to cover the costs of APRNs’ clinical training.
Growing the ranks of APRNs is an important way to increase the base of primary care providers in this country. In the past, the cost of clinical training has limited the ability of hospitals and other healthcare providers to accept more APRN students into their settings for clinical training.
Under the Graduate Nurse Education Demonstration, CMS will provide reimbursement to up to five eligible hospitals for the reasonable cost of providing clinical training to APRN students added as a result of the demonstration. Hospitals participating in the demonstration must partner with accredited schools of nursing and non-hospital community-based care settings.
Payments to the participating hospitals will be linked directly to the number of additional APRNs that the hospitals and their partnering entities are able to train as a result of their participation in the demonstration. The payment will be calculated on a per-student basis, comparing previous enrollment levels in APRN training programs with enrollment under the demonstration.
For more information, or to view the solicitation, visit: innovation.cms.gov/initiatives/gne.
Source: CMS News Release
Thursday, March 22, 2012
TJC Issues List of Most Challenging Requirements from 2011
The Joint Commission collects data on organizations’ compliance with standards, National Patient Safety Goals, the Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery™, and Accreditation and Certification Participation Requirements to identify trends and focus education on challenging requirements. The table identifies the top five Joint Commission requirements that were most frequently identified as “not compliant” for 2011 for accredited organizations and certified programs.
For more information, see the Frequently Asked Questions.
Source: TJC News Release
For more information, see the Frequently Asked Questions.
Source: TJC News Release
Wednesday, March 21, 2012
National Community Health Center Partnership Forms to Improve Health IT Services
Recognizing the need for trusted resources with relevant experience to help safety-net providers manage increasing demands for quality, cost, and outcome data, as well as navigate a complex and ever changing HIT marketplace, The National Association of Community Health Centers (NACHC), in partnership with three Health Center Controlled Networks (HCCNs) - Health Choice Network of Florida, OCHIN of Oregon, and the Alliance of Chicago, announced the launch of THQLink (connecting Technology, Health, and Quality).
THQLink aims to harness decades of investment in Community Health Center specific expertise, resources, and thought leadership under one organization to strengthen our nation’s Community Health Centers and other safety-net providers by leveraging technology to advance quality in healthcare.
“We didn’t want to recreate the wheel. This is about bringing together the thought leaders in the field with their proven track records and expertise to quickly implement what works so that Community Health Centers can be well positioned for the future,” said Tom Van Coverden, President and CEO of NACHC.
The three founding HCCNs came together with NACHC as the culmination of a joint strategic planning process. These primary partners built THQLink as an infrastructure that will allow the three Networks, along with other safety-net participants, to share resources to carry out three aims:
1) Achieve greater value for Community Health Centers as they improve quality and cost effectiveness of care delivery by jointly deploying state of the art information technology.
2) Promote high quality resources specializing in the safety-net to support efficient and effective use of Health Information Technology to improve quality and achieve Patient Centered Medical Home recognition.
3) Develop and implement a robust data aggregation and analytics platform to measure outcomes, share best practices and improve population health.
Health Choice Network, Alliance of Chicago, and OCHIN currently serve approximately 12% of all Federally Qualified Health Centers in 27 states. As the electronic health record (EHR) market matures, achieving economies of scale and attracting and maintaining skilled workers who know health centers requires Health Center Controlled Networks (HCCNs), Primary Care Associations (PCAs), and Regional Extension Centers (RECs) to work closer together than ever before. In this spirit, and as part of the arrangement, all three organizations have agreed to deploy a consolidated aggregation and analytics system powered by Microsoft Amalga, an enterprise health intelligence platform.
“Health Choice Network is breaking new ground in using Amalga to combine clinical and educational data to improve care processes in South Florida,” said Nate McLemore, general manager, Microsoft Health Solutions Group. “We’re excited to build on that foundation and collaborate with THQLink and community health centers nationwide to implement the Amalga platform and applications in support of population health initiatives across the country.”
For more information about THQLink, please click here.
Source: NACHC News Release
THQLink aims to harness decades of investment in Community Health Center specific expertise, resources, and thought leadership under one organization to strengthen our nation’s Community Health Centers and other safety-net providers by leveraging technology to advance quality in healthcare.
“We didn’t want to recreate the wheel. This is about bringing together the thought leaders in the field with their proven track records and expertise to quickly implement what works so that Community Health Centers can be well positioned for the future,” said Tom Van Coverden, President and CEO of NACHC.
The three founding HCCNs came together with NACHC as the culmination of a joint strategic planning process. These primary partners built THQLink as an infrastructure that will allow the three Networks, along with other safety-net participants, to share resources to carry out three aims:
1) Achieve greater value for Community Health Centers as they improve quality and cost effectiveness of care delivery by jointly deploying state of the art information technology.
2) Promote high quality resources specializing in the safety-net to support efficient and effective use of Health Information Technology to improve quality and achieve Patient Centered Medical Home recognition.
3) Develop and implement a robust data aggregation and analytics platform to measure outcomes, share best practices and improve population health.
Health Choice Network, Alliance of Chicago, and OCHIN currently serve approximately 12% of all Federally Qualified Health Centers in 27 states. As the electronic health record (EHR) market matures, achieving economies of scale and attracting and maintaining skilled workers who know health centers requires Health Center Controlled Networks (HCCNs), Primary Care Associations (PCAs), and Regional Extension Centers (RECs) to work closer together than ever before. In this spirit, and as part of the arrangement, all three organizations have agreed to deploy a consolidated aggregation and analytics system powered by Microsoft Amalga, an enterprise health intelligence platform.
“Health Choice Network is breaking new ground in using Amalga to combine clinical and educational data to improve care processes in South Florida,” said Nate McLemore, general manager, Microsoft Health Solutions Group. “We’re excited to build on that foundation and collaborate with THQLink and community health centers nationwide to implement the Amalga platform and applications in support of population health initiatives across the country.”
For more information about THQLink, please click here.
Source: NACHC News Release
Tuesday, March 20, 2012
HHS Sponsors Contest for Web App to Identify Local Health Trends
Federal officials are challenging developers to design Web-based applications that use Twitter to track health trends in real time. Health officials may be able to use knowledge of these trends as an early indicator of emerging health issues and a warning of public health emergencies in a community.
The U.S. Department of Health and Human Services’ (HHS) Office of the Assistant Secretary for Preparedness and Response (ASPR) issued the challenge, a developers’ contest called Now Trending - #Health in My Community. The online challenge runs through June 1, 2012.
Social media trends can be powerful indicators of community health issues. However, current Web-based apps look backward, collating social media data to show how trends developed. The ASPR challenge would create a Web-based app to use social media data as an advance signal of a public health emergency.
“When we looked back at the H1N1 pandemic, we saw that, in some cases, social media trends provided the first clues to flu outbreaks,” said Dr. Nicole Lurie, assistant secretary for preparedness and response and a rear admiral in the U.S. Public Health Service. “Based on that 2009 pandemic experience, local health officials asked for our help in developing a Web-based tool that could make social media monitoring useful as part of the surveillance systems in place now to identify new diseases early.”
With early identification, health officials can respond quickly, including advising people how to protect their health and minimize the spread of the disease. Minimizing the spread of disease could help the community bounce back quickly from an outbreak or a public health emergency – or potentially prevent a public health emergency, such as a pandemic, from occurring.
To win the challenge, the application must be innovative, scalable, dynamic, and user-friendly. The app must use open-source Twitter data to deliver a list automatically of the top five trending illnesses over a 24-hour period in a specified geographic region. The application must be able to send the data to state and local health agencies. These agencies, in turn, can cross-reference the data with traditional biosurveillance systems, build a baseline of trends, determine emerging public health threats, and advise the public on how to protect their health.
The person or team developing the best application will receive $21,000 from ASPR as well as a $1,000 travel stipend to attend an event announcing the winner. In addition, the winner will be invited to present the winning tool at a Fusion Forum, a discussion series sponsored by ASPR’s Fusion Cell for state and local health officials to help identify pioneering ways to move from open source information into use as a public health response. The winning application will be made available to state, territorial, tribal and local health agencies across the nation for use in their communities.
To register to participate in the Now Trending - #Health in My Community Developer Challenge, visit http://challenge.gov/HHS/334-now-trending-health-in-my-community. Upon submission participants must warrant that they are the sole authors and owners of the final product.
ASPR’s Fusion Cell manages the large volumes of disparate internal and external data sources necessary for situational awareness, rapid decision support, and ultimately the discovery of new indicators and warnings of events of public health significance. This ensures that decisionmakers are better informed, better prepared, and better able to rapidly respond to protect people’s health during emergencies and save lives.
Visit www.phe.gov to learn more about ASPR, its Fusion Cell and other aspects public health and medical emergency preparedness, response, and recovery.
Source: HHS News Release
The U.S. Department of Health and Human Services’ (HHS) Office of the Assistant Secretary for Preparedness and Response (ASPR) issued the challenge, a developers’ contest called Now Trending - #Health in My Community. The online challenge runs through June 1, 2012.
Social media trends can be powerful indicators of community health issues. However, current Web-based apps look backward, collating social media data to show how trends developed. The ASPR challenge would create a Web-based app to use social media data as an advance signal of a public health emergency.
“When we looked back at the H1N1 pandemic, we saw that, in some cases, social media trends provided the first clues to flu outbreaks,” said Dr. Nicole Lurie, assistant secretary for preparedness and response and a rear admiral in the U.S. Public Health Service. “Based on that 2009 pandemic experience, local health officials asked for our help in developing a Web-based tool that could make social media monitoring useful as part of the surveillance systems in place now to identify new diseases early.”
With early identification, health officials can respond quickly, including advising people how to protect their health and minimize the spread of the disease. Minimizing the spread of disease could help the community bounce back quickly from an outbreak or a public health emergency – or potentially prevent a public health emergency, such as a pandemic, from occurring.
To win the challenge, the application must be innovative, scalable, dynamic, and user-friendly. The app must use open-source Twitter data to deliver a list automatically of the top five trending illnesses over a 24-hour period in a specified geographic region. The application must be able to send the data to state and local health agencies. These agencies, in turn, can cross-reference the data with traditional biosurveillance systems, build a baseline of trends, determine emerging public health threats, and advise the public on how to protect their health.
The person or team developing the best application will receive $21,000 from ASPR as well as a $1,000 travel stipend to attend an event announcing the winner. In addition, the winner will be invited to present the winning tool at a Fusion Forum, a discussion series sponsored by ASPR’s Fusion Cell for state and local health officials to help identify pioneering ways to move from open source information into use as a public health response. The winning application will be made available to state, territorial, tribal and local health agencies across the nation for use in their communities.
To register to participate in the Now Trending - #Health in My Community Developer Challenge, visit http://challenge.gov/HHS/334-now-trending-health-in-my-community. Upon submission participants must warrant that they are the sole authors and owners of the final product.
ASPR’s Fusion Cell manages the large volumes of disparate internal and external data sources necessary for situational awareness, rapid decision support, and ultimately the discovery of new indicators and warnings of events of public health significance. This ensures that decisionmakers are better informed, better prepared, and better able to rapidly respond to protect people’s health during emergencies and save lives.
Visit www.phe.gov to learn more about ASPR, its Fusion Cell and other aspects public health and medical emergency preparedness, response, and recovery.
Source: HHS News Release
Monday, March 19, 2012
Patients in ER With Non-Emergency Problems Being Charged Up Front
An article from Kaiser Health News reveals that hospitals are beginning to charge up front those patients who show up at the emergency room with non-emergency issues as a way to reduce costs and ensure that care isn't diverted away from treating true emergencies.
Emergency care physicians and consumer groups worry the policy -- now in place at about half of the nation's emergency rooms -- will scare off patients with true emergencies from seeking ER care.
Click here to read the article.
Source: Kaiser Health News
Emergency care physicians and consumer groups worry the policy -- now in place at about half of the nation's emergency rooms -- will scare off patients with true emergencies from seeking ER care.
Click here to read the article.
Source: Kaiser Health News
Thursday, March 15, 2012
Study: Health IT May Not Save Costs
Research recently published in the Journal of Health Affairs concludes that giving physicians electronic access to patient's health information does not deter them from ordering tests, and in fact, may encourage doctors to order even more tests.
The study, Giving Office-Based Physicians Electronic Access To Patients’ Prior Imaging And Lab Results Did Not Deter Ordering Of Tests, was led by Harvard Medical School Assistant Professor of Medicine Danny McCormick, MD.
“Our research raises real concerns about whether health information technology is going to be the answer to reducing costs,” Dr. McCormick told the New York Times.
Source: New York Times article
The study, Giving Office-Based Physicians Electronic Access To Patients’ Prior Imaging And Lab Results Did Not Deter Ordering Of Tests, was led by Harvard Medical School Assistant Professor of Medicine Danny McCormick, MD.
“Our research raises real concerns about whether health information technology is going to be the answer to reducing costs,” Dr. McCormick told the New York Times.
Source: New York Times article
Policies Give States Flexibility to Establish Affordable Insurance Exchanges
Health and Human Services Secretary Kathleen Sebelius announced policies to assist states in building Affordable Insurance Exchanges. Starting in 2014, these one-stop marketplaces will allow consumers and small businesses to choose a private health insurance plan and offer the public the same kinds of insurance choices as members of Congress.
The policies released will help states in designing their Exchanges to best meet the needs of their consumers. They offer states substantial flexibility as they design a marketplace that works for their residents.
“These policies give states the flexibility they need to design an Exchange that works for them,” said HHS Secretary Kathleen Sebelius. “These new marketplaces will offer Americans one-stop shopping for health insurance, where insurers will compete for your business. More competition will drive down costs and Exchanges will give individuals and small businesses the same purchasing power big businesses have today.”
The policies provide states with the guidance and certainty they need as they continue to work to build these marketplaces for their residents for operation in 2014. The policies offer guidance about the options on how to structure Exchanges in two key areas:
- Setting standards for establishing Exchanges, setting up a Small Business Health Options Program (SHOP), performing the basic functions of an Exchange, and certifying health plans for participation in the Exchange;
- Establishing a streamlined, web-based system for consumers to apply for and enroll in qualified health plans and insurance affordability programs.
The final rule builds on the flexibility and resources provided by HHS already to build state-based Exchanges. A majority of states have taken significant steps in building Exchanges. Previously, HHS awarded 49 states and the District of Columbia $50 million to begin planning their Exchanges, and as announced recently, 33 states and the District of Columbia have received over $667 million in Establishment Grants to begin building their Exchanges.
The announcement builds on over two years’ worth of work with states, small businesses, consumers, and health insurance plans. The administration examined models of Exchanges; convened numerous meetings and regional listening sessions across the country with stakeholders; and consulted closely with state leaders, consumer advocates, employers and insurers. To finalize the rules announced today, HHS accepted public comment over 75 days to learn from states, consumers, and other stakeholders on how the rules could be improved, and HHS modified the proposals based on feedback from the American people.
For more information, visit:
http://www.healthcare.gov/news/factsheets/2011/07/exchanges07112011a.html
For more information on Exchanges, including fact sheets, visit http://www.healthcare.gov/exchanges.
Source: HHS News Release
The policies released will help states in designing their Exchanges to best meet the needs of their consumers. They offer states substantial flexibility as they design a marketplace that works for their residents.
“These policies give states the flexibility they need to design an Exchange that works for them,” said HHS Secretary Kathleen Sebelius. “These new marketplaces will offer Americans one-stop shopping for health insurance, where insurers will compete for your business. More competition will drive down costs and Exchanges will give individuals and small businesses the same purchasing power big businesses have today.”
The policies provide states with the guidance and certainty they need as they continue to work to build these marketplaces for their residents for operation in 2014. The policies offer guidance about the options on how to structure Exchanges in two key areas:
- Setting standards for establishing Exchanges, setting up a Small Business Health Options Program (SHOP), performing the basic functions of an Exchange, and certifying health plans for participation in the Exchange;
- Establishing a streamlined, web-based system for consumers to apply for and enroll in qualified health plans and insurance affordability programs.
The final rule builds on the flexibility and resources provided by HHS already to build state-based Exchanges. A majority of states have taken significant steps in building Exchanges. Previously, HHS awarded 49 states and the District of Columbia $50 million to begin planning their Exchanges, and as announced recently, 33 states and the District of Columbia have received over $667 million in Establishment Grants to begin building their Exchanges.
The announcement builds on over two years’ worth of work with states, small businesses, consumers, and health insurance plans. The administration examined models of Exchanges; convened numerous meetings and regional listening sessions across the country with stakeholders; and consulted closely with state leaders, consumer advocates, employers and insurers. To finalize the rules announced today, HHS accepted public comment over 75 days to learn from states, consumers, and other stakeholders on how the rules could be improved, and HHS modified the proposals based on feedback from the American people.
For more information, visit:
http://www.healthcare.gov/news/factsheets/2011/07/exchanges07112011a.html
For more information on Exchanges, including fact sheets, visit http://www.healthcare.gov/exchanges.
Source: HHS News Release
More Than 70 Percent of Attested EHRs are Dually Certified by CCHIT
More than two-thirds (71 percent) of the complete electronic health records (EHRs) of providers and hospitals that have successfully attested to federal meaningful use criteria and qualified for incentives through the American Recovery and Reinvestment Act (ARRA) are dually certified under both the ONC-ATCB and the CCHIT Certified® programs of the Certification Commission for Health Information Technology, says a news release from CCHIT. According to the latest figures from the Centers for Medicare & Medicaid Services (CMS), approximately 22,000 eligible providers and hospitals with complete EHRs have successfully attested.
“These early adopters have the advantage of complete EHRs that not only meet the meaningful use requirements established by the Office of the National Coordinator for HIT (ONC), but also have been tested against the more rigorous clinical scenarios for functionality, interoperability and safety required by the independent CCHIT Certified program,” said Karen M. Bell, MD, chair, CCHIT. “It’s no surprise that the vast majority of physicians and other providers are choosing tried and true CCHIT Certified products that have been proven over the years to support their unique business and patient care needs.”
CCHIT continues to certify EHR products in both programs. Some health IT companies previously certified by CCHIT in the ONC-ATCB program are now returning to become CCHIT Certified. The CCHIT Certified program includes both “core” and “optional” certifications. Currently, optional, add-on certifications for specialty care or special patient populations include behavioral health, cardiovascular medicine, child health, dermatology, clinical research, oncology and women’s health.
“Moving forward, CCHIT will continue to review and upgrade its independently developed, comprehensive programs to ensure that EHR certification keeps pace with advances in the field, and meets the various information technology needs of health care providers in the future,” Bell said.
A letter from Dr. Bell with a deeper analysis of these results as they pertain to office-based providers is available at CCHIT’s blog EHR Decisions.
Source: CCHIT News Release
“These early adopters have the advantage of complete EHRs that not only meet the meaningful use requirements established by the Office of the National Coordinator for HIT (ONC), but also have been tested against the more rigorous clinical scenarios for functionality, interoperability and safety required by the independent CCHIT Certified program,” said Karen M. Bell, MD, chair, CCHIT. “It’s no surprise that the vast majority of physicians and other providers are choosing tried and true CCHIT Certified products that have been proven over the years to support their unique business and patient care needs.”
CCHIT continues to certify EHR products in both programs. Some health IT companies previously certified by CCHIT in the ONC-ATCB program are now returning to become CCHIT Certified. The CCHIT Certified program includes both “core” and “optional” certifications. Currently, optional, add-on certifications for specialty care or special patient populations include behavioral health, cardiovascular medicine, child health, dermatology, clinical research, oncology and women’s health.
“Moving forward, CCHIT will continue to review and upgrade its independently developed, comprehensive programs to ensure that EHR certification keeps pace with advances in the field, and meets the various information technology needs of health care providers in the future,” Bell said.
A letter from Dr. Bell with a deeper analysis of these results as they pertain to office-based providers is available at CCHIT’s blog EHR Decisions.
Source: CCHIT News Release
NeHC CEO Discusses National HIE Evolution
National eHealth Collaborative (NeHC) CEO Kate Berry was recently interviewed by FierceEMR about her views on the changing national HIE landscape. The article, written by contributing editor Marla Durben Hirsch, provided a summary of the recent NeHC University roundtable Implications of a Shifting National HIE Architecture and shared Berry's views the topic.
Click here to read the article.
Source: NeHC News Release
Click here to read the article.
Source: NeHC News Release
Tuesday, March 13, 2012
HHS settles HIPAA case with BCBST for $1.5 million
Blue Cross Blue Shield of Tennessee (BCBST) has agreed to pay the U.S. Department of Health and Human Services (HHS) $1,500,000 to settle potential violations of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy and Security Rules, Leon Rodriguez, Director of the HHS Office for Civil Rights (OCR), announced today. BCBST has also agreed to a corrective action plan to address gaps in its HIPAA compliance program. The enforcement action is the first resulting from a breach report required by the Health Information Technology for Economic and Clinical Health (HITECH) Act Breach Notification Rule.
The investigation followed a notice submitted by BCBST to HHS reporting that 57 unencrypted computer hard drives were stolen from a leased facility in Tennessee. The drives contained the protected health information (PHI) of over 1 million individuals, including member names, social security numbers, diagnosis codes, dates of birth, and health plan identification numbers. OCR’s investigation indicated BCBST failed to implement appropriate administrative safeguards to adequately protect information remaining at the leased facility by not performing the required security evaluation in response to operational changes. In addition, the investigation showed a failure to implement appropriate physical safeguards by not having adequate facility access controls; both of these safeguards are required by the HIPAA Security Rule.
“This settlement sends an important message that OCR expects health plans and health care providers to have in place a carefully designed, delivered, and monitored HIPAA compliance program,” said OCR Director Leon Rodriguez. “The HITECH Breach Notification Rule is an important enforcement tool and OCR will continue to vigorously protect patients’ right to private and secure health information.”
In addition to the $1,500,000 settlement, the agreement requires BCBST to review, revise, and maintain its Privacy and Security policies and procedures, to conduct regular and robust trainings for all BCBST employees covering employee responsibilities under HIPAA, and to perform monitor reviews to ensure BCBST compliance with the corrective action plan.
HHS Office for Civil Rights enforces the HIPAA Privacy and Security Rules. The HIPAA Privacy Rule gives individuals rights over their protected health information and sets rules and limits on who can look at and receive that health information. The HIPAA Security Rule protects health information in electronic form by requiring entities covered by HIPAA to use physical, technical, and administrative safeguards to ensure that electronic protected health information remains private and secure.
The HITECH Breach Notification Rule requires covered entities to report an impermissible use or disclosure of protected health information, or a “breach,” of 500 individuals or more to HHS and the media. Smaller breaches affecting less than 500 individuals must be reported to the secretary on an annual basis.
Individuals who believe that a covered entity has violated their (or someone else’s) health information privacy rights or committed another violation of the HIPAA Privacy or Security
Rule may file a complaint with OCR at: http://www.hhs.gov/ocr/privacy/hipaa/complaints/index.html.
The HHS Resolution Agreement can be found at http://www.hhs.gov/ocr/civilrights/activities/agreements/index.html
Additional information about OCR’s enforcement activities can be found at http://www.hhs.gov/ocr/privacy/hipaa/enforcement/examples/index.html.
Source: HHS News Release
The investigation followed a notice submitted by BCBST to HHS reporting that 57 unencrypted computer hard drives were stolen from a leased facility in Tennessee. The drives contained the protected health information (PHI) of over 1 million individuals, including member names, social security numbers, diagnosis codes, dates of birth, and health plan identification numbers. OCR’s investigation indicated BCBST failed to implement appropriate administrative safeguards to adequately protect information remaining at the leased facility by not performing the required security evaluation in response to operational changes. In addition, the investigation showed a failure to implement appropriate physical safeguards by not having adequate facility access controls; both of these safeguards are required by the HIPAA Security Rule.
“This settlement sends an important message that OCR expects health plans and health care providers to have in place a carefully designed, delivered, and monitored HIPAA compliance program,” said OCR Director Leon Rodriguez. “The HITECH Breach Notification Rule is an important enforcement tool and OCR will continue to vigorously protect patients’ right to private and secure health information.”
In addition to the $1,500,000 settlement, the agreement requires BCBST to review, revise, and maintain its Privacy and Security policies and procedures, to conduct regular and robust trainings for all BCBST employees covering employee responsibilities under HIPAA, and to perform monitor reviews to ensure BCBST compliance with the corrective action plan.
HHS Office for Civil Rights enforces the HIPAA Privacy and Security Rules. The HIPAA Privacy Rule gives individuals rights over their protected health information and sets rules and limits on who can look at and receive that health information. The HIPAA Security Rule protects health information in electronic form by requiring entities covered by HIPAA to use physical, technical, and administrative safeguards to ensure that electronic protected health information remains private and secure.
The HITECH Breach Notification Rule requires covered entities to report an impermissible use or disclosure of protected health information, or a “breach,” of 500 individuals or more to HHS and the media. Smaller breaches affecting less than 500 individuals must be reported to the secretary on an annual basis.
Individuals who believe that a covered entity has violated their (or someone else’s) health information privacy rights or committed another violation of the HIPAA Privacy or Security
Rule may file a complaint with OCR at: http://www.hhs.gov/ocr/privacy/hipaa/complaints/index.html.
The HHS Resolution Agreement can be found at http://www.hhs.gov/ocr/civilrights/activities/agreements/index.html
Additional information about OCR’s enforcement activities can be found at http://www.hhs.gov/ocr/privacy/hipaa/enforcement/examples/index.html.
Source: HHS News Release
New Report Calls for Enhanced Security to Safeguard Protected Health Information
A new report, The Financial Impact of Breached Protected Health Information: A Business Case for Enhanced PHI Security, provides health care organizations with a new method to evaluate the “at risk” value of protected health information (PHI) that will enable them to make a business case for appropriate investments to better protect PHI.
This report was created through the “PHI Project” – a collaboration of the American National Standards Institute (ANSI), via its Identity Theft Prevention and Identity Management Standards Panel (IDSP), in partnership with The Santa Fe Group/Shared Assessments Program Healthcare Working Group, and the Internet Security Alliance (ISA) – that involved a cross-section of more than 100 health care industry leaders from over 70 organizations.
Representatives from Utica College and the Center for Identity Management and Information Protection (CIMIP) traveled to Washington to take part in a congressional briefing to unveil the Protected Health Information (PHI) Project report.
The survey responses revealed that the majority of participants want to comply and secure PHI, but they believe that budgetary constraints and the lack of executive commitment, leadership, and accountability, as well as the evolving nature of threats and the technologies available to protect PHI, combine to make real protection of health information extremely challenging.
Seventy-five percent believed their organization possesses effective policies to protect PHI and takes effective steps to protect PHI. But almost 40% did not believe that their organizational management views privacy and security as a priority, and 54% did not feel that their organization possesses sufficient resources to ensure protection requirements are currently being effectively protected. When asked about the complexity of the laws and the ease of compliance, only 12% felt the laws were “easy to understand” and only 14% thought the laws were “not difficult at all” to comply with. When asked to identify the most significant impediments their organization faces to achieving a strong privacy and data security posture with respect to how PHI is collected, used, and retained the most common impediment was seen as “lack of funding”(59%) and followed by insufficient time, lack of senior executive support,” and lack of accountability and leadership.”
Responses showed that more than 85.3 % of participants stated that the accidental or inadvertent exposure from an insider was the “most likely” or “very likely” threat to protected data. More than 50 % believed that some type of security threat was likely adversely affecting their organizations now.
The report is available for free download at webstore.ansi.org/phi.
Source: ANSI News Release
This report was created through the “PHI Project” – a collaboration of the American National Standards Institute (ANSI), via its Identity Theft Prevention and Identity Management Standards Panel (IDSP), in partnership with The Santa Fe Group/Shared Assessments Program Healthcare Working Group, and the Internet Security Alliance (ISA) – that involved a cross-section of more than 100 health care industry leaders from over 70 organizations.
Representatives from Utica College and the Center for Identity Management and Information Protection (CIMIP) traveled to Washington to take part in a congressional briefing to unveil the Protected Health Information (PHI) Project report.
The survey responses revealed that the majority of participants want to comply and secure PHI, but they believe that budgetary constraints and the lack of executive commitment, leadership, and accountability, as well as the evolving nature of threats and the technologies available to protect PHI, combine to make real protection of health information extremely challenging.
Seventy-five percent believed their organization possesses effective policies to protect PHI and takes effective steps to protect PHI. But almost 40% did not believe that their organizational management views privacy and security as a priority, and 54% did not feel that their organization possesses sufficient resources to ensure protection requirements are currently being effectively protected. When asked about the complexity of the laws and the ease of compliance, only 12% felt the laws were “easy to understand” and only 14% thought the laws were “not difficult at all” to comply with. When asked to identify the most significant impediments their organization faces to achieving a strong privacy and data security posture with respect to how PHI is collected, used, and retained the most common impediment was seen as “lack of funding”(59%) and followed by insufficient time, lack of senior executive support,” and lack of accountability and leadership.”
Responses showed that more than 85.3 % of participants stated that the accidental or inadvertent exposure from an insider was the “most likely” or “very likely” threat to protected data. More than 50 % believed that some type of security threat was likely adversely affecting their organizations now.
The report is available for free download at webstore.ansi.org/phi.
Source: ANSI News Release
Walgreens Uses e-Delivery of Patient Info to Physicians
Walgreens announced that it will use Surescripts’ Clinical Interoperability services to electronically deliver patient data directly to primary care providers to improve the coordination of care. In the coming months, all of the 7,800 Walgreens and Duane Reade pharmacies and 350 Take Care Clinics nationwide will use the Surescripts network to deliver immunization records to the patient’s primary care provider. Later this year, Walgreens will also use the Surescripts network to provide immunization reporting to state and local public health agencies, and Take Care Clinic patient summaries to the patient’s primary care provider.
A recent survey of 400 physicians by Surescripts illustrated the challenge of compiling more complete medical records: 39 percent responded that they are frequently missing immunization records during patient visits; 35 percent are often missing patient summaries.
Source: Walgreens News Release
A recent survey of 400 physicians by Surescripts illustrated the challenge of compiling more complete medical records: 39 percent responded that they are frequently missing immunization records during patient visits; 35 percent are often missing patient summaries.
Source: Walgreens News Release
Report:Hospitals with Advanced EMR Systems Report Numerous Benefits
New research from HIMSS Analytics and The Advisory Board shows that hospitals with advanced electronic medical records (EMR) systems report achieving a broad range of benefits from their implementations, including clinical quality, patient safety and operational efficiencies.
The data collected for the report, EMR Benefits and Benefit Realization Methods of Stage 6 and 7 Hospitals, indicates that highly advanced EMR environments can produce substantial benefits for individual hospitals and the healthcare system as a whole. The survey is the first to report results from hospitals that have achieved Stages 6 or Stage 7 on the EMR Adoption Model (EMRAM)SM , providing unique insight into how ERM systems are working for hospitals further along the development track.
The study collected data from 33 chief information officers (CIOs) at Stage 6 or Stage 7 EMRAM hospitals from throughout the country.
Source: HIMSS News Release
The data collected for the report, EMR Benefits and Benefit Realization Methods of Stage 6 and 7 Hospitals, indicates that highly advanced EMR environments can produce substantial benefits for individual hospitals and the healthcare system as a whole. The survey is the first to report results from hospitals that have achieved Stages 6 or Stage 7 on the EMR Adoption Model (EMRAM)SM , providing unique insight into how ERM systems are working for hospitals further along the development track.
The study collected data from 33 chief information officers (CIOs) at Stage 6 or Stage 7 EMRAM hospitals from throughout the country.
Source: HIMSS News Release
Monday, March 12, 2012
Policies Give States More Flexibility to Establish Affordable Insurance Exchanges
Health and Human Services Secretary Kathleen Sebelius announced policies to assist States in building Affordable Insurance Exchanges. Starting in 2014, these one-stop marketplaces will allow consumers and small businesses to choose a private health insurance plan and offer the public the same kinds of insurance choices as members of Congress.
The policies released will help States in designing their Exchanges to best meet the needs of their consumers. They offer States substantial flexibility as they design a marketplace that works for their residents.
“These policies give States the flexibility they need to design an Exchange that works for them,” said HHS Secretary Kathleen Sebelius. “These new marketplaces will offer Americans one-stop shopping for health insurance, where insurers will compete for your business. More competition will drive down costs and Exchanges will give individuals and small businesses the same purchasing power big businesses have today.”
The policies provide States with the guidance and certainty they need as they continue to work to build these marketplaces for their residents for operation in 2014. The policies offer guidance about the options on how to structure Exchanges in two key areas:
-Setting standards for establishing Exchanges, setting up a Small Business Health Options Program (SHOP), performing the basic functions of an Exchange, and certifying health plans for participation in the Exchange;
-Establishing a streamlined, web-based system for consumers to apply for and enroll in qualified health plans and insurance affordability programs.
The final rule builds on the flexibility and resources provided by HHS already to build State-based Exchanges. A majority of States have taken significant steps in building Exchanges. Previously, HHS awarded 49 States and the District of Columbia $50 million to begin planning their Exchanges, and as announced recently, 33 States and the District of Columbia have received over $667 million in Establishment Grants to begin building their Exchanges.
The announcement builds on over two years’ worth of work with States, small businesses, consumers, and health insurance plans. The administration examined models of Exchanges; convened numerous meetings and regional listening sessions across the country with stakeholders; and consulted closely with State leaders, consumer advocates, employers and insurers. To finalize the rules , HHS accepted public comment over 75 days to learn from States, consumers, and other stakeholders on how the rules could be improved, and HHS modified the proposals based on feedback from the American people.
For more information on the announcement, visit:
http://www.healthcare.gov/news/factsheets/2011/07/exchanges07112011a.html
For more information on Exchanges, including fact sheets, visit http://www.healthcare.gov/exchanges.
Source: HHS News Release
The policies released will help States in designing their Exchanges to best meet the needs of their consumers. They offer States substantial flexibility as they design a marketplace that works for their residents.
“These policies give States the flexibility they need to design an Exchange that works for them,” said HHS Secretary Kathleen Sebelius. “These new marketplaces will offer Americans one-stop shopping for health insurance, where insurers will compete for your business. More competition will drive down costs and Exchanges will give individuals and small businesses the same purchasing power big businesses have today.”
The policies provide States with the guidance and certainty they need as they continue to work to build these marketplaces for their residents for operation in 2014. The policies offer guidance about the options on how to structure Exchanges in two key areas:
-Setting standards for establishing Exchanges, setting up a Small Business Health Options Program (SHOP), performing the basic functions of an Exchange, and certifying health plans for participation in the Exchange;
-Establishing a streamlined, web-based system for consumers to apply for and enroll in qualified health plans and insurance affordability programs.
The final rule builds on the flexibility and resources provided by HHS already to build State-based Exchanges. A majority of States have taken significant steps in building Exchanges. Previously, HHS awarded 49 States and the District of Columbia $50 million to begin planning their Exchanges, and as announced recently, 33 States and the District of Columbia have received over $667 million in Establishment Grants to begin building their Exchanges.
The announcement builds on over two years’ worth of work with States, small businesses, consumers, and health insurance plans. The administration examined models of Exchanges; convened numerous meetings and regional listening sessions across the country with stakeholders; and consulted closely with State leaders, consumer advocates, employers and insurers. To finalize the rules , HHS accepted public comment over 75 days to learn from States, consumers, and other stakeholders on how the rules could be improved, and HHS modified the proposals based on feedback from the American people.
For more information on the announcement, visit:
http://www.healthcare.gov/news/factsheets/2011/07/exchanges07112011a.html
For more information on Exchanges, including fact sheets, visit http://www.healthcare.gov/exchanges.
Source: HHS News Release
AHRQ Releases Patient Safety Organization Tools
The Agency for Healthcare Research and Quality (AHRQ) launched a resource program for Patient Safety Organizations (PSOs) that wish to assist hospitals in reducing unnecessary readmissions. This program is in response to the Affordable Care Act (ACA), which designates PSOs as an entity that can help hospitals with high readmission rates improve their performance, and calls for the Department of Health and Human Services (HHS) to support PSOs in this work.
To obtain additional information about this program, including the provisions in the ACA legislation and available readmissions resources, please go to: http://www.pso.ahrq.gov/readmin/readmin.htm
Source: AHRQ News Release
To obtain additional information about this program, including the provisions in the ACA legislation and available readmissions resources, please go to: http://www.pso.ahrq.gov/readmin/readmin.htm
Source: AHRQ News Release
Study: Consumers Choose High-Value Health Care Providers When Given Good Cost, Quality Info
When asked to choose a health care provider based only on cost, consumers choose the more expensive option, according to a new study funded by HHS' Agency for Healthcare Research and Quality (AHRQ) that appears in the March issue of Health Affairs.
The study found that consumers equate cost with quality and worry that lower cost means lower quality care. But higher costs may indicate unnecessary services or inefficiencies, so cost information alone does not help consumers get the best value for their health care dollar, according to the study.
The study, entitled "An Experiment Shows That a Well-Designed Report on Costs and Quality Can Help Consumers Choose High-Value Health Care," found that when consumers were shown the right mix of cost and quality information, they were better able to choose high-value health care providers—defined as those who deliver high-quality care at a lower cost.
Health care consumers want to visit high-quality doctors and hospitals, and many public report cards are available to help them compare providers. However, few report cards include information on cost, and there has been little scientific evidence to guide the presentation of that information to help consumers choose high value providers.
A team of researchers, led by Judith H. Hibbard, Dr. P.H., at the University of Oregon in Eugene, studied 1,400 employees in a randomized experiment to find out how they responded to different presentations of quality and cost information. When providers were clearly identified as high quality, cost had less influence on consumers' decisions and consumers were more likely to choose a provider with lower cost but better quality than a high-cost provider.
"This study has important implications for the more than 150 public reports on physician and hospital care," said AHRQ Director Carolyn M. Clancy, M.D. "It's not simply a question of providing information on cost, but providing it in a way that is integrated with quality scores."
The study explored a number of ways to present cost and quality information effectively, using combinations of symbols such as dollar signs and stars, specific information such as dollar amounts and percentages, and labels such as "appropriate use" or "better." Consumers were more likely to choose high-value providers when presented with strong, unambiguous quality and cost information. In addition, a check mark indicating a "high-value" provider, along with the cost and quality information, also helped consumers use the information to make high-value choices. Given strong quality signals, consumers were also more confident in their choices.
The study's findings have implications for the design of public report cards that offer consumers information on the quality and cost of health care providers. Although report producers have been adopting strategies to help consumers process and use comparative information on quality and cost, many reporting websites still use overly technical information or present other barriers to easy comprehension, according to the study.
For additional AHRQ information about public reporting, please visit http://www.ahrq.gov/path/publicreporting.htm.
Source: AHRQ News Release
The study found that consumers equate cost with quality and worry that lower cost means lower quality care. But higher costs may indicate unnecessary services or inefficiencies, so cost information alone does not help consumers get the best value for their health care dollar, according to the study.
The study, entitled "An Experiment Shows That a Well-Designed Report on Costs and Quality Can Help Consumers Choose High-Value Health Care," found that when consumers were shown the right mix of cost and quality information, they were better able to choose high-value health care providers—defined as those who deliver high-quality care at a lower cost.
Health care consumers want to visit high-quality doctors and hospitals, and many public report cards are available to help them compare providers. However, few report cards include information on cost, and there has been little scientific evidence to guide the presentation of that information to help consumers choose high value providers.
A team of researchers, led by Judith H. Hibbard, Dr. P.H., at the University of Oregon in Eugene, studied 1,400 employees in a randomized experiment to find out how they responded to different presentations of quality and cost information. When providers were clearly identified as high quality, cost had less influence on consumers' decisions and consumers were more likely to choose a provider with lower cost but better quality than a high-cost provider.
"This study has important implications for the more than 150 public reports on physician and hospital care," said AHRQ Director Carolyn M. Clancy, M.D. "It's not simply a question of providing information on cost, but providing it in a way that is integrated with quality scores."
The study explored a number of ways to present cost and quality information effectively, using combinations of symbols such as dollar signs and stars, specific information such as dollar amounts and percentages, and labels such as "appropriate use" or "better." Consumers were more likely to choose high-value providers when presented with strong, unambiguous quality and cost information. In addition, a check mark indicating a "high-value" provider, along with the cost and quality information, also helped consumers use the information to make high-value choices. Given strong quality signals, consumers were also more confident in their choices.
The study's findings have implications for the design of public report cards that offer consumers information on the quality and cost of health care providers. Although report producers have been adopting strategies to help consumers process and use comparative information on quality and cost, many reporting websites still use overly technical information or present other barriers to easy comprehension, according to the study.
For additional AHRQ information about public reporting, please visit http://www.ahrq.gov/path/publicreporting.htm.
Source: AHRQ News Release
Medicare Redesigns Claims and Benefits Statement
As part of National Consumer Protection Week, the Acting Administrator of the Centers for Medicare & Medicaid Services (CMS), Marilyn Tavenner, announced the redesign of the statement that informs Medicare beneficiaries about their claims for Medicare services and benefits. The redesigned statement, known as the Medicare Summary Notice (MSN), will be available online and, starting in 2013, mailed out quarterly to beneficiaries.
This MSN redesign is part of a new initiative, “Your Medicare Information: Clearer, Simpler, At Your Fingertips,” which aims to make Medicare information clearer, more accessible, and easier for beneficiaries and their caregivers to understand. CMS will take additional actions this year to make information about benefits, providers, and claims more accessible and easier to understand for seniors and people with disabilities who have Medicare. This MSN redesign reflects more than 18 months of research and feedback from beneficiaries to provide enhanced customer service and respond to suggestions and input.
“Consumer protection starts with making sure consumers not only get timely and accurate information, but that they understand what services they’re receiving from Medicare,” said Acting Administrator Tavenner. “The new Medicare Summary Notice empowers Medicare’s seniors and people with disabilities. The statement is easier to understand and navigate, and makes clear what information to check and how to report potential fraud. The new MSN also makes it easier for people with Medicare to understand their benefits and file appeals if a claim is denied.”
To see a side-by-side comparison of the former and redesigned MSNs, please visit: http://www.cms.gov/apps/files/msn_changes.pdf
The redesign of the MSN includes several features not currently available to Medicare beneficiaries with the current MSN:
· A clear notice on how to check the form for important facts and potential fraud;
· Clearer language, including consumer-friendly descriptions for medical procedures;
· Definitions of all terms used in the form;
· Larger fonts throughout to make it easier to read;
The redesigned MSN will be available to beneficiaries on mymedicare.gov, Medicare’s secure online service for personalized information regarding Medicare benefits and services; and, in early 2013, paper copies of the redesigned MSN will start to replace the current version being mailed.
Source: CMS News Release
This MSN redesign is part of a new initiative, “Your Medicare Information: Clearer, Simpler, At Your Fingertips,” which aims to make Medicare information clearer, more accessible, and easier for beneficiaries and their caregivers to understand. CMS will take additional actions this year to make information about benefits, providers, and claims more accessible and easier to understand for seniors and people with disabilities who have Medicare. This MSN redesign reflects more than 18 months of research and feedback from beneficiaries to provide enhanced customer service and respond to suggestions and input.
“Consumer protection starts with making sure consumers not only get timely and accurate information, but that they understand what services they’re receiving from Medicare,” said Acting Administrator Tavenner. “The new Medicare Summary Notice empowers Medicare’s seniors and people with disabilities. The statement is easier to understand and navigate, and makes clear what information to check and how to report potential fraud. The new MSN also makes it easier for people with Medicare to understand their benefits and file appeals if a claim is denied.”
To see a side-by-side comparison of the former and redesigned MSNs, please visit: http://www.cms.gov/apps/files/msn_changes.pdf
The redesign of the MSN includes several features not currently available to Medicare beneficiaries with the current MSN:
· A clear notice on how to check the form for important facts and potential fraud;
· Clearer language, including consumer-friendly descriptions for medical procedures;
· Definitions of all terms used in the form;
· Larger fonts throughout to make it easier to read;
The redesigned MSN will be available to beneficiaries on mymedicare.gov, Medicare’s secure online service for personalized information regarding Medicare benefits and services; and, in early 2013, paper copies of the redesigned MSN will start to replace the current version being mailed.
Source: CMS News Release
Wednesday, March 7, 2012
ONC Requests Input on Safeguarding Health Info on Mobile Devices
The ONC Office of the Chief Privacy Officer (OCPO), along with the HHS Office for Civil Rights (OCR), invites members of the public to provide input on mobile devices' uses and the current and emerging privacy and security best practices regarding protecting and securing health information while using mobile devices.
In conjunction with the input gathered during the Mobile Devices Roundtable: Safeguarding Health Information event, public input will help inform the development of an effective and practical way to bring awareness and understanding to those in the clinical sector regarding protecting and securing health information while using mobile devices.
ONC is seeking your input. The public comment period will remain open until Friday, March 30, 2012.
For more information, please click here.
Source: ONC News Release
In conjunction with the input gathered during the Mobile Devices Roundtable: Safeguarding Health Information event, public input will help inform the development of an effective and practical way to bring awareness and understanding to those in the clinical sector regarding protecting and securing health information while using mobile devices.
ONC is seeking your input. The public comment period will remain open until Friday, March 30, 2012.
For more information, please click here.
Source: ONC News Release
Tuesday, March 6, 2012
NeHC Releases 2012 Stakeholder Survey Results
National eHealth Collaborative (NeHC) released the results of the 2012 NeHC Stakeholder Survey, featuring responses related to health information exchange, consumer engagement and other NeHC programs. NeHC previewed the results at HIMSS12 during its stakeholder meet-up and other strategic meetings.
Coming on the heels of the release of the proposed rule for meaningful use Stage 2, survey results provide insights into perceptions of stakeholders related to barriers to health information exchange (HIE) and the importance of consumer engagement to transforming healthcare, which relate to some of the core measures that physicians and hospitals must meet in order to be eligible for Stage 2 meaningful use incentives. Stakeholders believe that the most important benefits of HIE include care coordination, ensuring that patients and providers have the right information available when needed to support patient care, and improving quality and efficiency. In addition, stakeholders believe that consumer engagement will be very important or important to transforming healthcare and achieving better outcomes.
“It is both interesting and enlightening to understand what stakeholders are thinking related to core strategic priorities for NeHC including education, HIE, and consumer engagement,” said NeHC CEO Kate Berry. “This type of information can help inform our programs to ensure we emphasize the areas of greatest need to encourage progress toward widespread deployment of HIT and HIE to improve patient care.”
Highlights from the survey are included below:
“What are the most important benefits of health information exchange?” (Respondents were asked to select three)
73% - Better care coordination
65% - Providers and patients have the right information available when needed
39% - Improved efficiency
37% - Improved quality
“What are the biggest challenges to achieving widespread health information exchange?” (Respondents were asked to select three)
61% - Funding and sustainability
53% - Interoperability standards
46% - Provider adoption
46% - Disparate electronic medical record systems
34% - Privacy and security
“How important is patient/consumer engagement to transforming healthcare?”
95% - Very important or Important
5% - Somewhat important
“What Health IT topics are of greatest interest to you?”(Respondents were asked to select all that apply)
60% - Interoperability standards
57% - Meaningful use
51% - Examples of HIE
49% - Health IT policy updates
49% - Healthcare reform
44% - Privacy and security
For a full reporting of the top survey results click here.
NeHC conducted the survey from February 13-17. The questionnaire was distributed to over 7,000 stakeholders with a response rate of 3 percent.
NeHC intends to use survey results and additional stakeholder feedback to inform its continued work with HIE, consumer engagement through the Consumer Consortium on eHealth, and with planning future NeHC University education programs.
Source: NeHC News Release
Coming on the heels of the release of the proposed rule for meaningful use Stage 2, survey results provide insights into perceptions of stakeholders related to barriers to health information exchange (HIE) and the importance of consumer engagement to transforming healthcare, which relate to some of the core measures that physicians and hospitals must meet in order to be eligible for Stage 2 meaningful use incentives. Stakeholders believe that the most important benefits of HIE include care coordination, ensuring that patients and providers have the right information available when needed to support patient care, and improving quality and efficiency. In addition, stakeholders believe that consumer engagement will be very important or important to transforming healthcare and achieving better outcomes.
“It is both interesting and enlightening to understand what stakeholders are thinking related to core strategic priorities for NeHC including education, HIE, and consumer engagement,” said NeHC CEO Kate Berry. “This type of information can help inform our programs to ensure we emphasize the areas of greatest need to encourage progress toward widespread deployment of HIT and HIE to improve patient care.”
Highlights from the survey are included below:
“What are the most important benefits of health information exchange?” (Respondents were asked to select three)
73% - Better care coordination
65% - Providers and patients have the right information available when needed
39% - Improved efficiency
37% - Improved quality
“What are the biggest challenges to achieving widespread health information exchange?” (Respondents were asked to select three)
61% - Funding and sustainability
53% - Interoperability standards
46% - Provider adoption
46% - Disparate electronic medical record systems
34% - Privacy and security
“How important is patient/consumer engagement to transforming healthcare?”
95% - Very important or Important
5% - Somewhat important
“What Health IT topics are of greatest interest to you?”(Respondents were asked to select all that apply)
60% - Interoperability standards
57% - Meaningful use
51% - Examples of HIE
49% - Health IT policy updates
49% - Healthcare reform
44% - Privacy and security
For a full reporting of the top survey results click here.
NeHC conducted the survey from February 13-17. The questionnaire was distributed to over 7,000 stakeholders with a response rate of 3 percent.
NeHC intends to use survey results and additional stakeholder feedback to inform its continued work with HIE, consumer engagement through the Consumer Consortium on eHealth, and with planning future NeHC University education programs.
Source: NeHC News Release
AHRQ Quality Indicators Toolkit for Hospitals
The Agency for Healthcare Research and Quality (AHRQ) has developed an array of health care decision making and research tools that can be used by program managers, researchers, and others at the Federal, State and local levels. The Quality Indicators (QIs) are measures of health care quality that make use of readily available hospital inpatient administrative data. The current AHRQ QI modules expand HCUP QIs. The QIs can be used to highlight potential quality concerns, identify areas that need further study and investigation, and track changes over time.
In response to high demand for a recent Webinar about the AHRQ Quality IndicatorsTM Toolkit for Hospitals, AHRQ is repeating this popular event. Participants will hear live presentations about the toolkit from its developers and learn from a quality expert at a hospital that tested it.
The toolkit is a free resource to guide hospitals through the process of using the AHRQ Inpatient Quality Indicators (IQIs) and Patient Safety Indicators (PSIs) to improve care.
Webinar information:
Date: Tuesday, March 13
Time: 3:00-4:30 pm Eastern Standard Time
Register at: http://meet63385651.adobeconnect.com/hospitaltoolkitregistration2/event/event_info.html
(Note: If you registered for the first Webinar but could not participate, you can register for the repeat Webinar by simply entering your email address and password.)
The Webinar will cover:
-The purpose of the toolkit.
-How it was developed.
-How it is organized for easy use.
-How a hospital has used it to assess performance on the indicators, identify priorities, and implement changes to improve quality and safety.
Download the AHRQ Quality IndicatorsTM Toolkit for Hospitals at: http://www.ahrq.gov/qual/qitoolkit
More information on the AHRQ Quality Indicators is available at: http://www.qualityindicators.ahrq.gov/
In response to high demand for a recent Webinar about the AHRQ Quality IndicatorsTM Toolkit for Hospitals, AHRQ is repeating this popular event. Participants will hear live presentations about the toolkit from its developers and learn from a quality expert at a hospital that tested it.
The toolkit is a free resource to guide hospitals through the process of using the AHRQ Inpatient Quality Indicators (IQIs) and Patient Safety Indicators (PSIs) to improve care.
Webinar information:
Date: Tuesday, March 13
Time: 3:00-4:30 pm Eastern Standard Time
Register at: http://meet63385651.adobeconnect.com/hospitaltoolkitregistration2/event/event_info.html
(Note: If you registered for the first Webinar but could not participate, you can register for the repeat Webinar by simply entering your email address and password.)
The Webinar will cover:
-The purpose of the toolkit.
-How it was developed.
-How it is organized for easy use.
-How a hospital has used it to assess performance on the indicators, identify priorities, and implement changes to improve quality and safety.
Download the AHRQ Quality IndicatorsTM Toolkit for Hospitals at: http://www.ahrq.gov/qual/qitoolkit
More information on the AHRQ Quality Indicators is available at: http://www.qualityindicators.ahrq.gov/
Thursday, March 1, 2012
SAFE CARE Patient Safety Education Program Launched
In celebration of Patient Safety Awareness Week, March 4-10, 2012, a unique patient safety education program was launched to provide patients and their families with instant access to current patient safety videos at their bedside and while receiving care.
The 2012 SAFE CARE Patient Safety Education Program is a free offering developed to assist health care organizations in educating patients to help prevent medical errors. The campaign features videos from The Joint Commission’s Speak Up™ campaign, the Centers for Disease Control and Prevention (CDC), Kimberly-Clark, the Patient Channel® from The Wellness Network, and Safe Care Campaign. The goal of the SAFE CARE Patient Safety Education Program is to save lives, prevent harm and help patients receive safer care.
The SAFE CARE Program utilizes free posters that hospitals can hang in patient rooms which allows patients and families to instantly access and watch safety videos by topic on their own smart phones by simply pointing a smart phone at a QR code on the poster, or texting the word “SAFE” to 411247 to receive a link to Safe Care’s safety video library. The nine short videos address the most common patient safety issues in hospitals such as hand hygiene, preventing infections, avoiding medication errors, patient falls, and more. Organizations are also able to customize the videos for a nominal fee.
“We are making important safety information available to patients and their families 24/7 with no training or time obligation whatsoever from the hospital care staff,” says Victoria Nahum, executive director, SAFE CARE Campaign. “These videos show how to receive the safest care possible and we put it right into the hands of the patients and their families’ right when they need it most - while they're at the bedside.”
“We know that the more patients are involved in their care the less likely there will be a bad outcome such as a medication mix-up or a health care-associated infection,” says Cathy Barry-Ipema, chief communications officer, The Joint Commission. “This campaign gives patients the information they need to speak up and be active participants in their health care.”
"Patients have a right to know that they are receiving safe care," said Arjun Srinivasan, M.D., associate director of Healthcare-Associated Infection Prevention Programs, Centers for Disease Control and Prevention. "We hope that educational materials, like these, will empower patients to start a discussion with their healthcare provider about what can be done to prevent infections during their medical care."
Source: TJC News Release
The 2012 SAFE CARE Patient Safety Education Program is a free offering developed to assist health care organizations in educating patients to help prevent medical errors. The campaign features videos from The Joint Commission’s Speak Up™ campaign, the Centers for Disease Control and Prevention (CDC), Kimberly-Clark, the Patient Channel® from The Wellness Network, and Safe Care Campaign. The goal of the SAFE CARE Patient Safety Education Program is to save lives, prevent harm and help patients receive safer care.
The SAFE CARE Program utilizes free posters that hospitals can hang in patient rooms which allows patients and families to instantly access and watch safety videos by topic on their own smart phones by simply pointing a smart phone at a QR code on the poster, or texting the word “SAFE” to 411247 to receive a link to Safe Care’s safety video library. The nine short videos address the most common patient safety issues in hospitals such as hand hygiene, preventing infections, avoiding medication errors, patient falls, and more. Organizations are also able to customize the videos for a nominal fee.
“We are making important safety information available to patients and their families 24/7 with no training or time obligation whatsoever from the hospital care staff,” says Victoria Nahum, executive director, SAFE CARE Campaign. “These videos show how to receive the safest care possible and we put it right into the hands of the patients and their families’ right when they need it most - while they're at the bedside.”
“We know that the more patients are involved in their care the less likely there will be a bad outcome such as a medication mix-up or a health care-associated infection,” says Cathy Barry-Ipema, chief communications officer, The Joint Commission. “This campaign gives patients the information they need to speak up and be active participants in their health care.”
"Patients have a right to know that they are receiving safe care," said Arjun Srinivasan, M.D., associate director of Healthcare-Associated Infection Prevention Programs, Centers for Disease Control and Prevention. "We hope that educational materials, like these, will empower patients to start a discussion with their healthcare provider about what can be done to prevent infections during their medical care."
Source: TJC News Release
NIH Releases Genetic Testing Online Tool
An online tool launched by the National Institutes of Health will make it easier to navigate the rapidly changing landscape of genetic tests. The free resource, called the Genetic Testing Registry (GTR), is available at http://www.ncbi.nlm.nih.gov/gtr/.
"I’m delighted that NIH has created this powerful, new tool. It is a tremendous resource for all who are struggling to make sense of the complex world of genetic testing," said NIH Director Francis S. Collins, M.D., Ph.D., who unveiled GTR at NIH's observance of international Rare Disease Day. "This registry will help a lot of people — from health care professionals looking for answers to their patients’ diseases to researchers seeking to identify gaps in scientific knowledge."
Genetic tests currently exist for about 2,500 diseases, and the field continues to grow at an astonishing rate. To keep pace, GTR will be updated frequently, using data voluntarily submitted by genetic test providers. Such information will include the purpose of each genetic test and its limitations; the name and location of the test provider; whether it is a clinical or research test; what methods are used; and what is measured. GTR will contain no confidential information about people who receive genetic tests or individual test results.
Genetic tests that the Food and Drug Administration has cleared or approved as safe and effective are identified in the GTR. However, most laboratory developed tests currently do not require FDA premarket review. Genetic test providers will be solely responsible for the content and quality of the data they submit to GTR. NIH will not verify the content, but will require submitters to agree to a code of conduct that stipulates that the information they provide is accurate and updated on an annual basis. If submitters do not adhere to this code, NIH can take action, including requiring submitters to correct any inaccuracies or to remove such information from GTR.
In addition to basic facts, GTR will offer detailed information on analytic validity, which assesses how accurately and reliably the test measures the genetic target; clinical validity, which assesses how consistently and accurately the test detects or predicts the outcome of interest; and information relating to the test’s clinical utility, or how likely the test is to improve patient outcomes.
"Our new registry features a versatile search interface that allows users to search by tests, conditions, genes, genetic mutations and laboratories," said Wendy Rubinstein, M.D., Ph.D., director of GTR. "What's more, we designed this tool to serve as a portal to other medical genetics information, with context-specific links to practice guidelines and a variety of genetic, scientific and literature resources available through the National Library of Medicine at NIH."
GTR is built upon data pulled from the laboratory directory of GeneTests, a pioneering NIH-funded resource that will be phased out over the coming year. GTR is designed to contain more detailed information than its predecessor, as well as to encompass a much broader range of testing approaches, such as complex tests for genetic variations associated with common diseases and with differing responses to drugs. GeneReviews, which is the section of GeneTests that contains peer-reviewed, clinical descriptions of more than 500 conditions, is also now available through GTR.
The GTR database was developed by the National Center for Biotechnology Information (NCBI), part of NIH’s National Library of Medicine, under the oversight of the NIH Office of the Director and with extensive input from researchers, testing labs, health care providers, patients and other stakeholders. To view video tutorials on how to use GTR, go to http://www.youtube.com/playlist?list=PL1C4A2AFF811F6F0B.
The Office of the Director, the central office at NIH, is responsible for setting policy for NIH, which includes 27 Institutes and Centers. This involves planning, managing, and coordinating the programs and activities of all NIH components. The Office of the Director also includes program offices which are responsible for stimulating specific areas of research throughout NIH. Additional information is available at http://www.nih.gov/icd/od/.
NCBI creates public databases in molecular biology, conducts research in computational biology, develops software tools for analyzing molecular and genomic data, and disseminates biomedical information, all for the better understanding of processes affecting human health and disease. NCBI is a division of the National Library of Medicine, the world's largest library of the health sciences.
Source: NIH Press Release
"I’m delighted that NIH has created this powerful, new tool. It is a tremendous resource for all who are struggling to make sense of the complex world of genetic testing," said NIH Director Francis S. Collins, M.D., Ph.D., who unveiled GTR at NIH's observance of international Rare Disease Day. "This registry will help a lot of people — from health care professionals looking for answers to their patients’ diseases to researchers seeking to identify gaps in scientific knowledge."
Genetic tests currently exist for about 2,500 diseases, and the field continues to grow at an astonishing rate. To keep pace, GTR will be updated frequently, using data voluntarily submitted by genetic test providers. Such information will include the purpose of each genetic test and its limitations; the name and location of the test provider; whether it is a clinical or research test; what methods are used; and what is measured. GTR will contain no confidential information about people who receive genetic tests or individual test results.
Genetic tests that the Food and Drug Administration has cleared or approved as safe and effective are identified in the GTR. However, most laboratory developed tests currently do not require FDA premarket review. Genetic test providers will be solely responsible for the content and quality of the data they submit to GTR. NIH will not verify the content, but will require submitters to agree to a code of conduct that stipulates that the information they provide is accurate and updated on an annual basis. If submitters do not adhere to this code, NIH can take action, including requiring submitters to correct any inaccuracies or to remove such information from GTR.
In addition to basic facts, GTR will offer detailed information on analytic validity, which assesses how accurately and reliably the test measures the genetic target; clinical validity, which assesses how consistently and accurately the test detects or predicts the outcome of interest; and information relating to the test’s clinical utility, or how likely the test is to improve patient outcomes.
"Our new registry features a versatile search interface that allows users to search by tests, conditions, genes, genetic mutations and laboratories," said Wendy Rubinstein, M.D., Ph.D., director of GTR. "What's more, we designed this tool to serve as a portal to other medical genetics information, with context-specific links to practice guidelines and a variety of genetic, scientific and literature resources available through the National Library of Medicine at NIH."
GTR is built upon data pulled from the laboratory directory of GeneTests, a pioneering NIH-funded resource that will be phased out over the coming year. GTR is designed to contain more detailed information than its predecessor, as well as to encompass a much broader range of testing approaches, such as complex tests for genetic variations associated with common diseases and with differing responses to drugs. GeneReviews, which is the section of GeneTests that contains peer-reviewed, clinical descriptions of more than 500 conditions, is also now available through GTR.
The GTR database was developed by the National Center for Biotechnology Information (NCBI), part of NIH’s National Library of Medicine, under the oversight of the NIH Office of the Director and with extensive input from researchers, testing labs, health care providers, patients and other stakeholders. To view video tutorials on how to use GTR, go to http://www.youtube.com/playlist?list=PL1C4A2AFF811F6F0B.
The Office of the Director, the central office at NIH, is responsible for setting policy for NIH, which includes 27 Institutes and Centers. This involves planning, managing, and coordinating the programs and activities of all NIH components. The Office of the Director also includes program offices which are responsible for stimulating specific areas of research throughout NIH. Additional information is available at http://www.nih.gov/icd/od/.
NCBI creates public databases in molecular biology, conducts research in computational biology, develops software tools for analyzing molecular and genomic data, and disseminates biomedical information, all for the better understanding of processes affecting human health and disease. NCBI is a division of the National Library of Medicine, the world's largest library of the health sciences.
Source: NIH Press Release
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