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REPORT FROM INCENTIVES

REPORT FROM INCENTIVES. Mark Frisse Susan Christensen. Policy Recommendations (ONCHIT). Expand AHRQ HIT RC to include information about certification standards, an assessment tool for product implementation, best practices, product scorecard, funding sources.

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REPORT FROM INCENTIVES

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  1. REPORT FROM INCENTIVES Mark Frisse Susan Christensen

  2. Policy Recommendations(ONCHIT) • Expand AHRQ HIT RC to include information about certification standards, an assessment tool for product implementation, best practices, product scorecard, funding sources. • Create Consumer and Provider Education campaign on benefits of EHR adoption and also create a public reporting system to highlight physicians who have adopted and are using EHRs. • Establish certification process for EHRs to inform physicians and public • Create an interoperability standard funded by all appropriate parties. Interoperability standards should be an essential part of EHR certification processes. The CCR standard should be incorporated into standards. • Congress will include safe harbor legislation to protect providers and payors in NHII (authorization and appropriate bills)

  3. Policy Recommendations (Congress) • Reform Medicare reimbursement system for physicians, including repeal of Sustainable Growth Rate methodology. The new reimbursement system should include payments for care management, disease management, data sharing, publishing/ subscribing performance accountability and quality.

  4. Upfront Funding(ONCHIT) • Create pilots that will test increased investment to physicians for adoption of EHRs conforming with standards. Use results to build a generalized business case • Establish a mechanism for providing grants and loans (with a matching requirement) and loan guarantees from public and private sources to finance upfront adoption of Health IT (consider tax credits). Create a network of regional HIT financing authorities to manage the grants and loans for EHRs and for LHII development (the “highway”).

  5. Private Payer Compensation (Alliance) • Reform reimbursement to incent appropriate use of health IT including care coordination, disease/care management, data sharing, publishing/subscribing performance accountability and quality. (under auspices of the Alliance.) • Pay for submission of QI data from interoperable system ($5 per visit.) • Equitable payments by all payers for the ongoing use of and improved outcomes from HIT. • Do gap analysis to ensure that there are consensus quality indicators for each discipline leading to pay-for performance, based on clinical information from EHRs. Physicians should not be penalized if their specialty has few measures • Create special e/m codes for use of EHR (more funding for greater use and contribution to LHII)

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