hipaa-hitech-mu simplified
TRANSCRIPT
HIPAA – HITECH – MUSimplified
A Brief History Current State
Future Directions
Why “Accountability” for Privacy?
Historic Medical Record Modern Medical Record
www.medbid.com http://electronicmedicalrecords.page.tl/Home.htm
The History of PrivacyHealth Records Were
Regulated in 1996Other examples regulated prior
to 1996
Video Rentals
Phone Records
Driver’s License
Cable TVSchool Records
Are You Kidding Me?
HIPAAThe PRIVACY RULE Addresses:
• The use of individuals’ protected health information (PHI)
• How the information can be disclosed (shared)
• Standards for individuals' rights to understand and control how their health information is used.
Under the SECURITY RULE Covered Entities Must:
• Ensure the confidentiality, integrity, and availability of all e-PHI they create, receive, maintain or transmit
• Identify and protect against threats to the security or integrity of the information
• Protect against impermissible uses or disclosures
• Ensure compliance by their workforce
Security Rule: “Safeguards” for Compliance
• SECURITY:• Management• Incident• Contingency
Admin• Workstations• Disposal• Data Backup
Physical• Unique User ID• Encryption• Secure Transmission
Technical
http://www.hhs.gov/ocr/privacy/hipaa/administrative/securityrule/security101.pdf
Uniform Code Set – also a Part of HIPAA 1996
1996
1996 to 2009
The American Recovery and
Reinvestment ActARRA
The American Recovery and Reinvestment Act
The Health Information Technology for Economic and Clinical Health Act
Meaningful Use
ARRA - 2009
HITECH
MU
ARRA – Where is the Money Going?
http://www.recovery.gov/arra/Transparency/fundingoverview/Pages/fundingbreakdown.aspx
The Health Information Technology for Economic and
Clinical Health
HITECH
The American Recovery and Reinvestment Act
The Health Information Technology for Economic and Clinical Health Act
Meaningful Use
ARRA - 2009
HITECH
MU
Meaningful UseUsing certified EHR technology to:
• Improve quality, safety, efficiency, and reduce health disparities• Engage patients and families in their health care• Improve care coordination• Improve population and public health
AND• All the while maintaining privacy and security
https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/downloads/MU_Stage1_ReqOverview.pdf
The American Recovery and Reinvestment Act
The Health Information Technology for Economic and Clinical Health Act
Meaningful Use
ARRA - 2009
HITECH
MU
Core Objectives
• E-Prescribing (eRx) • Provide clinical summaries for patients for each office
visit • Drug-drug interaction checks • Record demographics • Maintain active medication list • Record smoking status for patients 13 years or older • Capability to exchange key clinical information among
providers of care electronically • Protect electronic health information
Sampling of Stage One Measures
incentive payments
• $18,000 in 2011 or 2012 in the first year (only
$15,000 after 2012);
• $12,000 for the second year;
• $8,000 for the third year;
• $4,000 for the fourth year; and
• $2,000 for the fifth year
• After 2015, physicians who fail to meaningfully use
EHRs will be subject to reductions in Medicare and
Medicaid reimbursement
eligible professionals who demonstrate the meaningful use of an EHR
Policy/Law Money/Funding
HIPAA
HITECH
MU
ARRA
HITECH
MU
Future?
Coding and Billing Clinical Notes and Lab Results
Future?• SNOMED• Myocardial Infarction• Myocardial Infarct• MI• Cardiac Infarction• Heart Attack
• LOINC• Comprehensive Metabolic Panel• CMP• Chemistry Panel• Chemistry Screen• Chem-12