CMS Draft Rule Could Modernize EHR Data Exchange, Public Health


By Hannah Nelson

– A CMS draft rule set to enhance the hospital reimbursement course of might additionally remodel affected person knowledge alternate, successfully revolutionizing the EHR to enhance affected person security and assist public well being wants, in accordance with a latest Pew article.

On Might 10, CMS proposed the Inpatient Potential Cost Techniques rule (IPPS), which outlines revisions to hospital reimbursement practices.

Up to now, hospitals and suppliers might select whether or not they despatched sure data to public well being businesses. Nonetheless, after COVID-19 underscored the significance of information in response to public crises, the proposal would require hospitals collaborating in Medicare’s Selling Interoperability (PI) reimbursement program to electronically report their knowledge to public well being businesses.

The proposed public well being reporting necessities would come with: case reporting, which provides well being departments knowledge on sufferers with sure circumstances; lab reporting, which outlines how many individuals have examined optimistic for an sickness; syndromic surveillance, which offers community-level knowledge on well being threats; and immunization registry knowledge, together with details about people’ vaccine standing and neighborhood vaccination charges.

The proposed rules may additionally present higher well being IT safety whereas enhancing affected person and supplier entry to well being data, in accordance with Pew.

If handed, the rule would require hospitals to evaluate the security of their EHRs utilizing the ONC’s Security Assurance for EHR Resilience (SAFER) Guides. This could permit hospitals to flag design options or implementation practices which will contribute to medical errors, Pew famous.

Moreover, there’s an non-obligatory measure within the proposal that permits hospitals within the PI program to indicate that they’re sharing worthwhile medical data with different suppliers.

One option to reveal that is for hospitals to alternate knowledge with well being data exchanges (HIEs), entities that assist share data amongst suppliers, hospitals, and public well being businesses.

“Specifically, techniques would have to have the ability to alternate knowledge included within the Widespread Medical Information Set or the present model of the United States Core Information for Interoperability,” Pew famous. “Each embrace crucial details about sufferers, reminiscent of demographics, a listing of their medicines and medical histories, allergic reactions, immunizations, and different background that clinicians persistently want to offer high quality care.”

To alternate knowledge with HIEs, hospitals might make the most of software programming interface (APIs) instruments to mixture knowledge from a number of sources.

“Furthermore, these APIs may very well be primarily based on the Quick Healthcare Interoperability Sources normal, essentially the most generally used normal in well being IT,” Pew famous. “This could permit suppliers to entry particular items of data, fairly than having to kind via pages of pointless or unhelpful data.

The CMS draft guidelines additionally requested suggestions on how you can encourage API use in healthcare. Whereas the interfaces are generally utilized in different sectors of the financial system, reminiscent of to assist individuals e book airline flights on-line, they aren’t as well-liked within the healthcare sphere.

“APIs may very well be used to automate knowledge reporting for EHRs,” Pew defined. “For instance, CMS asks hospitals to yearly report sure high quality measures, reminiscent of charges of hospital-acquired infections, to gather data on well being care outcomes. Utilizing APIs to conduct this reporting might cut back the burdens on hospitals.”

At the moment, ONC is growing guidelines relating to the sorts of information that APIs should be capable of entry. CMS can be amassing suggestions to increase using APIs in affected person knowledge alternate and high quality reporting packages.

“Past these proposals, extra guidelines may very well be wanted to encourage distributors to make these and associated objectives a precedence,” Pew mentioned. “Nonetheless, the CMS proposal marks a step towards safer, simpler well being IT techniques. And implementation of those guidelines would assist deliver higher look after sufferers and assist for communities going through well being crises.”

The draft guidelines are open for feedback via June, and the ultimate model is predicted to take impact at the start of 2022.


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