Articles of Interest

We hope to post here articles of interest to the CHITA community, such as links to journal articles and helpful technologies, online examples of forms, work by partner organizations, and more. Please e-mail CHITA Staff at the Foundation for Health Care Quality if you have any items you think should be posted here….

Meaningful Use: Role in Process Improvement, Patient Safety and support to ACO development:

“Meaningful Use” of Health Information Technology (HIT) Is Essential for Modernizing our Current Health System to Improve Quality, Patient Safety, Affordability, and Efficiency

National Business Group on Health
The article describes how “meaningful use” will help achieve patient safety and quality, increase efficiency of payment and health care administration.

Meaningful Use is Leading to ACOs

EHRScope, 11/2011
This article shares some great insights from Dr. Segal on how information gathered from Electronic Health Records (EHRs) leads to continuous improvement taking Accountable Care Organizations to a level of proactive care.

A ‘Meaningful’ User of an Electronic Health Record System Describes Its Clinical and Financial Benefits

Klein S, The Commonwealth Fund, 07/2011
One of the first physicians in the country to be certified as a “meaningful” user of health information technology says the electronic health record system she implemented has significantly improved her performance on measures of clinical quality by providing immediate feedback on her adherence to evidence-based standards of care. The system has also reduced the administrative burden on physicians and staff, resulting in increased productivity and income for the practice.

ACOs and meaningful use to go hand in hand

Manos D, Healthcare IT News, 03/2011
The new proposed regulations on accountable care organizations (ACOs), released by the Department of Health and Human Services, show the government planning to link the HITECH meaningful use incentive program with its plans for ACOs. Read the article to understand the linkage between meaningful use and ACOs.

Preparing for Health Reforms: Meaningful Use & Pay –for-Performance

4medica, 2011
This paper describes the factors—the quest for improved quality, clinical outcomes, cost reduction and patient satisfaction; regulatory mandates; financial incentives; and Medicare payment reductions—increasingly driving physicians to adopt health information technology (HIT) such as electronic health records (EHRs) to provide better care and prepare for health reforms. It examines the role of cloud-based EHRs and integrated ambulatory and inpatient records in enabling doctors to facilitate health information exchange (HIE) and coordinate care collaboratively with hospitals, specialists, insurers, pharmacies, laboratories and other stakeholders involved in treating their patients.

System interoperability key to health IT innovation, payment reform

SearchHealthIT, 01/2011
System interoperability enhances IT usage in the health care industry and supports the payment reform many deem necessary to cutting health care costs in the United States. Read this publication for more details.

Early Lessons from Accountable Care Models in the Private Sector: Partnerships between Health Plans and Providers

Higgins A et al, Health Affairs, 10/2011
DOI: 10.1377/HITHAFL.2011.0561 Health Affairs 30, NO. 9 [2011]:1718-1727

The study examines key characteristics of several private accountable care models, including their overall efforts to improve the quality, efficiency and accountability of care; their payment methods and performance measures; and the technical assistance they supply to the providers. The results show that providers are willing to enter into arrangements with health plans. Also, there are lessons for organizations implementing programs to provide comprehensive and timely data to providers; to tailor payments in accordance with the providers’ readiness for contracts and measurement of quality across multiple years and care settings.

Stimulus funds will build state health exchanges but might not sustain them

Israel J and Leonard K, iWatch News/The Center for Public Integrity, 11/2011
Federal stimulus funds are paying to build or expand systems enabling health care providers within each state to share patient information, but state officials are concerned about how to keep paying for the programs once the federal money runs out. Read the iWatch News report to learn more.


Electronic Health Records and Meaningful Use

Electronic Health Records and Meaningful Use

The Office of the National Coordinator for Health Information Technology, 9/2011
The article describes the benefits of Electronic Health Records (EHRs) and provides valuable background information pertaining to health care information technology legislation and regulations.

EHR Meaningful Use Criteria

practice fusion
This article explains ‘Meaningful Use’ criteria. Also includes two lists of mandatory and menu Meaningful Use criteria.

The “Meaningful Use” Regulation for Electronic Health Records

Blumenthal D and Tavenner M
New England Journal of Medicine, 08/2010; 363:501-504

This article describes the core and menu elements of the Health Information Technology for Economic and Clinical Health Act (HITECH). Also, talks about the HITECH legislation requiring electronic data reporting on quality of care.

Results of EHR Meaningful Use Physician Study

Nuance Communications, Inc.
The article identifies whether Electronic Health Records (HER) reduced time for documenting care, identifies important EHR components and measures for meaningful use pay-outs that the government should consider all from physicians’ perspectives.

Meaningful Use Drives Agenda in Healthcare IT

Iron Mountain, Bhalerao R
This article talks about how the American Recovery and Reinvestment Act (ARRA) is driving health care organizations across the country to update their Electronic Medical Records (EMRs). The organizations are required to demonstrate meaningful use to be able to receive incentive payments from Medicaid and Medicare.

ICD-10

The ICD-10 Transition: An Introduction

Centers for Medicare and Medicaid, 04/2010
The document provides guidance to providers, payers, software vendors, third party billing services and clearing houses to prepare for ICD-10 transition.

ICD-10 Code Set to Replace ICD-9

American Medical Association
This issue clearly states the difference between ICD-9 and ICD-10 code sets.

ICD-9 and ICD-10 FAQ

American College of Emergency Physicians
This set of FAQs give quick and important facts that you should know about ICD-9 and ICD-10.

What should you know about the Health Insurance Portability and Accountability Act (HIPAA)?

Summary of the HIPAA Privacy Rule

United States Department of Health and Human Services, 05/03
The document enlists key elements of the Privacy Rule including who are covered, what type of information is protected, and how the protected information can be used and disclosed.

Guidance on Significant Aspects of the Privacy Rule

United States Department of Health and Human Services
This set of documents explains many provisions of the Privacy Rule including business associates, special topics disclosures for research and public health purposes, and incidental uses and disclosures.

Summary of the HIPAA Security Rule

United States Department of Health and Human Services
This set of documents summarizes the key elements of the Security Rule that includes guidance on implementing administrative, physical and technical safeguards for entities to enable them to protect the security of electronic health information.

Guidance on How to Comply with the Security Rule

United States Department of Health and Human Services
This set of documents explains how the Department expects the entities to achieve compliance with the Security Rule.

Health Information Exchange

Stimulus funds will build state health exchanges but might not sustain them

iWatch News
As 56 U.S. states, territories and the District of Columbia inch toward a 2015 deadline for creating “exchanges” allowing health providers to share electronic medical records, those on the front lines of the effort are expressing concern about whether these systems will be able to talk to their counterparts in other regions.

Accountable Care Organizations

AHIP Article in Health Affairs Examines Private-Sector Accountable Care Models

AHIP (America’s Health Insurance Plans) Press Release
Health Aff September 2011 vol. 30 no. 9 1718-1727

This set of documents explains how the Department expects the entities to achieve compliance with the Security Rule.

Accountable Care Organizations: The Next Business Shift for Healthcare Organizations

Beacon Partners
Patient system reforms will require providers to bear greater population-based financial risk.