Grad Health Info_Key Events to EHR

  • The Health Insurance Portability and Accountability Act

    The Health Insurance Portability and Accountability Act
    21 Aug 1996 This Act created legal protection for personal health information which refers to individually identifiable data and mandated the adoption of certain standard transactions for electronic data interchange.The health care industry estimates that full implementation could save up to $9 billion per year from administrative overhead.Nurses can no longer give out any information on any patient except healthcare providers.
  • Government Paperwork Elimination Act

    Government Paperwork Elimination Act
    21 Oct 1998 This Act states that electronic records and their related electronic signatures are not to be denied legal effect, validity, or enforceability because they are in electronic form. It minimizes the overhead cost of physician's offices which in turn minimizes the cost of office visits for the patient. This minimizes the amount of paperwork that must be filled out by nurses and allows for faster reimbursement for patients and providers
  • Pres Bush -2014 goal

    In April 2004 President Bush announced the plan that all Americans have access to medical records by 2014. To implement this, the Office of the National Coordinator for Health Information Technology was established. In July 2004, a frame of action was published which included plans to speed up the adoption process of EHRs. A time bound goal and plan of action helped to promote adoption of electronic health records across the country.
  • Executive Order 1335 forms the ONC

    In 2004, the ONC was established but legislatively mandated in the HITECH act in 2009. It works directly under the Health and Human Services. Its goals include, lower health care cost, quality health care, improved health, clinical research, and coordinate care effectively. 2015 is the deadline. The cost and complexity of adopting the EHR has contributed to its slow progress. http://www.healthit.gov/newsroom/about-onc. http://www.healthit.gov/providers-professionals/faqs/how-much-going-cost-me
  • DHHS forms EHR collaborative

    http://www.hhs.gov/asl/testify/t040722.htmlDHHS announced the formation of the EHR collaborative. This group of founding stakeholder organizations was charged with the task of facilitating rapid input from the healthcare community to support the adoption of standards for the HER. Member organizations included American Health Information Management Association, American Medical Association, American Medical Informatics Association, American Nurses Association, College of Healthcare Information Ma
  • National Health Information Network (NHIN)

    The NHIN was initiated by the ONC in 2004. The goal of this body is to create an interoperable national system for secure exchange of health information. Cost and technical issues are very important in the adoption of Helath IT systems. According to studies, it cost about $44,000 to purchase per provider and $8,500 per annum to operate. http://www.worldprivacyforum.org/NHIN_timeline.html

    Healthcare Information Technology Standards Panel was founded to establish partnership between public and private sectors to achieve interoperability of the EHR infrastructures. HITSP's contract with US Health and Human services ended on April 2010. Unfortunately, the goal of complete interoperability does not seem to be achievable in the near future because of the variety of systems that are in use.
  • Final Rule - Electroni Prescription Drug Program

    Goals are to ensure the safety of the patients. Make sure that they are receivng the best available care at the most savings. The effective date was Jan. 1, 2006. Financial impact: relationship to other initiatives: Impact on nursing: Nurses will be able to provide safer care. Receive more legible prescriptions.
  • Federal Health Architecture (FHA)

    FHA is an initiative led by the ONC for Health IT. It is an E-Government line of business initiative that securely exchanges data with other public and private organizations. As of March 2006, FHA was already aligned to ensure interoperability between the public and private sector. http://www.healthit.gov/policy-researchers-implementers/federal-health-architecture-fha
  • National Alliance of Health Information Technology defined the electronic health record (EHR)

    http://www.healthcare-informatics.com/news-item/nahit-releases-hit-definitionsNational Alliance of Health Information Technology defined the electronic health record (EHR) to eliminate the confusion of the terms EHR and EMR (electronic medical record). The Alliance noted that the primary distinction between the EMR and HER was the ability to exchange information outside of a single healthcare delivery system
  • Deadline for Implementation of The Medicare Improvements and Providers Act

    Deadline for Implementation of The Medicare Improvements and Providers Act
    15 Jul 2008 Relationship to other initiatives – The Electronic Signatures in Global and National Commerce Act which allows for electronic signatures. Without making electronic signatures legal, providers would not be able to e-prescribe.
  • The American Recovery and Reinvestment Act

    Used to jumpstart the economy and includes provisions for health information technology in particular. $19.2 billion was given to providers and hospitals to increase the use of electronic health records. Nurses are going to need to become more computer literate and learn how to use any new computer systems implemented by providers to comply with a health information network. It is related to the Health Insurance Portability and Accountability Act and the HITECH Act.
  • Health Information Technology for Economic and Clinical Health Act

    Provides funds and incentives to increase the use of Electronic Health Records by physicians and hospitals. Beginning in 2011 Medicare and Medicaid will provide financial incentives per eligible physician and for hospitals that utilize the Electronic Health Records. Beginning in 2015 negative incentives will be used for those who do not use information technology.
  • Patient Protection and Affordable Care Act

    Provide affordable healthcare to all individuals which will require more staff, more supplies, and more Health Information coordination. Small physician offices may not be able to afford these systems and therefore must either go out of business or merge with a bigger group of physicians to share the cost.
  • Final Rule- Meaningful Use of Stage 1 Objectives and Measures

    Goal: To set mininim standards for certifications for eligible hospitals and healthcare providers in using EHR. It also set forth the requirements that must be met to received Midicare and Medicaid EHR Incentive Programs. Effective: 8/27/10 Relationship to other initiatives: Financial impact: A great financial impact on hospitals and healthcare providers that participate and follow rules that will allow them to recive funds that are payed out over a period of time. Impact on nursing:
  • Final Rule- FDA

    Goal: Management of data improvement Effective; 04/18/11 relationship to other initiatives: Ensure proper us and storage of pt information. Easier access to information. financial impact: Savings for companies with data sharing, less paper documentation Impact on nursing: Able to access information from anywhere to provide better quality service.
  • ONC HIT certification program

    Office of the National Coordinator for Health Information Technology established a certification program to ensure adoption of EHRs that are innteroperable and meet the requirements of "meaningful use of EHRs" established by the HITECH Act. This is another step towards attaining a fully interoperable system of health records across the country
  • Structured Data Capture Initiative (SDC)

    SDC is an initiative under the ONC Standards &Interoperability (S&I) framework. Goals include to enable collection of structured data within EHR, to store or transmit templates to the appropriate organization or researcher. http://www.healthit.gov/buzz-blog/electronic-health-and-medical-records/ehr-interoperability-structured-data-capture-initiative/