HIT Policy Committee Certification and Adoption Workgroup Meeting . Dec 2nd, 2013 11:00am Eastern. Agenda. Review of Agenda HITPC Charge: Step Two Background Regarding LTPAC Providers Who are LTPAC providers? What is the clinical utility of EHRs to LTPAC settings?
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Dec 2nd, 2013
Jennie Harvell, HHS/ASPE
Sue Mitchell, Independent Consultant
When evaluating whether to establish a new certification program, ONC should consider whether the proposed certification program would:
A mix of inpatient (including specialty hospitals) and home and community-based providers who provide care for short or long durations, as part of interdisciplinary teams. Team members may be co-located or remote.
HIT/EHR Adoption Rates for Criteria (2014 Ed.))
Factor #1 Criteria (2014 Ed.))
“Health IT has the potential to empower individuals and increase transparency; enhance the ability to study care delivery and payment systems; and ultimately achieve improvements in care, efficiency, and population health.” ONC Federal Health IT Strategic Plan 2011-2015
Reported benefits in LTPAC include:
Generally, these benefits were reported as a result of using non-interoperable, non-certified technologies.
Factor #2 Criteria (2014 Ed.))
Service delivery transformation is occurring. CMS and States are implementing service delivery and payment programs that require or support HIE with and by LTPAC providers and other care providers across continuum, and with payers and regulators. Some of these programs are:
(i) chronic care management,
(ii) services to support transition in care, and
(iii) payment for telehealth visits
Factor #3 Criteria (2014 Ed.))
HL7 LTC EHR-System Functional Profile (LTC EHR-S FP) (2010):
Certification Commission for Healthcare Information Technology EHR Certification 2011 – LTPAC (CCHIT Certified 2011 LTPAC)
ONC-ACB Certified Products for LTPAC a:
The focus of this analysis is on criteria included in the ONC 2011 Ed. given the limited number of LTPAC EHR products certified to the 2014 ONC Ed.. Number of products reflects the number of products certified to the criterion.
* These standards have not yet been implemented. Piloting of some of the new HL7 C-CDA (Sept. 2013) standards is anticipated.
Factor #4 Criteria (2014 Ed.))
Factor #5 Criteria (2014 Ed.))
NOTE: As noted by ONC during the first SWG call, the focus of a voluntary certification program is on the certification criteria, not of the use of these criteria.