Michael Booth May 10, 2015 HCM – 500 – Q4298 Healthcare Informatics 15TW4 Healthcare Law and IT Healthcare Law and IT With the enforcement of both the Health Information Technology for Economic and Clinical Health Act (HITECH) and the Patient Protection and Affordable Care Act (PPACA), our health care systems have undergone drastic and continuous change in health care policy, regulations, and reforms. This has significantly changed the way our health care organizations have provided medical services to patients, and at the same time meet new health care law requirements. The issue, however, in meeting these reforms lies in ensuring patients receive quality care at an affordable price, and that health care organizations meet these goals through technological improvements with Healthcare Information Technology (HIT). In doing so, health care organizations can not only meet the new health care law requirements, but, at the same time, save financial resources to improve quality standards of care for patients in the present and in the future. To support this claim I have provided the following research that will illustrate a brief insight into the new health care laws regarding HIT, how HIT tracks patient data, why patient data collected by HIT is important, how health care organizations use patient data from HIT to improve care and cost efficiency, and how health care organization use patient data from HIT to meet the new health care
Technology is being used everywhere in the world. For example, technology is used to make cars, clothes, eye glasses, to teach and now it is utilized in health care every day. Technology plays a major role in the health care reform Act to reduce costs, improve access, and save lives. The Patient Protection and Affordable Care Act , and its constitutionality ruling by the United States Supreme Court last June 28, 2012, mandates requiring all electronic medical records for all health care agencies in 2014 ( Jha, 2013, p 1628) . David Blumenthal (2009) surveyed all acute care hospitals in the American Hospital Association and found only 1.5% of U.S. Hospitals have comprehensive electronic medical records system. Also included in the Patient
In response to the “Patient Protection and Affordable Care Act (ACA) amended by the Health Care and Education Reconciliation Act (Reconciliation Act), collectively referred to as healthcare reform” (); Wishard-Eskenazi Health of Indianapolis, Indiana has begun to make milestone changes to meet the requirements of the healthcare reform. Being a leader in today’s technology which began thirty years ago with development of one of the nation’s first electronic medical record and continues to excel in the healthcare informatics technology today continues to use this technology in quality improvement initiatives, support for future technology research and improving the quality care of the patient.
The high cost of healthcare continues to rise and many in the United States are optimistic for health information technology to reduce and improve our current situation. Health IT encompasses a broad array of new technologies designed to manage and share health-related information. When properly implemented, these systems can help coordinate patient care, reduce medical errors, and improve administrative efficiency. Therefore, implementing a Regional Health Information Organization (RHIO) will help the National Health Information Network (NHIN) achieve their goals in improving quality of care for the citizens of the United States. Thus, in order for the health IT to deliver on its promise, several obstacles must be overcome.
The American Recovery and Reinvestment Act (ARRA) of 2009 identified three main components of meaningful use: the use of a certified EHR in a meaningful manner, electronic exchange of health information to improve quality of care, and the use of technology to submit clinical outcomes and quality measures (Heath Resources and Service Administration, n.d.). ARRA includes many measures to modernize our nation’s infrastructure, with the “Health Information Technology for Economic and Clinical Health (HITECH) Act” being an example. The HITECH Act is an effort led by Centers for Medicare and Medicare Services (CMS) in support of electronic health records and meaningful use (Centers for Disease Control and Prevention, CDC 2016). According to Galbraith (2013), the HITECH Act aims to promote the use of EHRs by providing over $27 billion in monetary incentives for health care providers that become “meaningful users”. CMS uses these core objectives to determine if a health care provider has satisfied meaningful use and is eligible to receive financial incentives (Galbraith, 2013).
The Affordable Care Act of 2010 marks a new era in American health care. Yet in many ways, this era began more than a year earlier, with the passage of the American Recovery and Reinvestment Act (ARRA) of 2009 and its Health Information Technology for Economic and Clinical Health (HITECH) provisions. Although HITECH may be viewed narrowly as legislation to
There remains a need for further adoption and implement of HIT within the systems daily practices to help improve access to care, quality of care, and reduce cost of the care provided.
“Go Paperless and Get Paid” is how the Office of the National Coordinator for Health Information Technology (ONC) presents the incentives for electronic health records. The United States Department of Health and Human Services (U.S. Department of HHS) distributed more than $160 billion dollars to “improve and preserve health care, health information technology, community health, and prevention initiatives” (United States Department of Health and Human Services [HHS], 2014e). Likewise, the ONC offers “Health IT Adoption Programs” through the Health Information Technology for Economic and Clinical Health (HITECH) Act, seeking to advance the American health care delivery system and to improve patient care through an unique investment towards health information technology (HHS, 2014d). Additionally, the American Recovery and Reinvestment Act of 2009 allows the Centers for Medicare & Medicaid Services (CMS) to reward eligible hospitals and professionals with monetary incentives as they implement, adopt, or upgrade and demonstrate meaningful use of certified electronic health record (EHR) technology (HHS, 2014b). The Electronic Health Records Improvement Act (H.R. 1331) introduced by the United States House of Representative Diane Black is a bill to further improve the nation’s health care adoption of health information technology.
Information Technology can be use to address escalating health care costs, reform payment systems, reducing health care disparities, and can be effective in comparative research (). In this next section will discuss how these recommendations fit or not fit with the initiatives of the ACA.
It appears that we do not have the technology required or currently a sufficient number of trained users for a successful implementation of the HITECH Act. We are potentially setting providers up for failure either on a patient satisfaction level or reimbursement level. There needs to be further investigation on clinical care processes, the execution and use of HIT, and restructuring of reimbursement to the providers. The current EHRs need to be able support both
The ARRA includes the Health Information Technology for Economic and Clinical Health (HITECH) Act, which pursues to improve American Healthcare and patient care through an extraordinary investment in Healthcare IT (HIT). The requirements of the HITECH Act are precisely designed to work jointly to provide the necessary assistance and technical operation to providers, enable grammatical relation and organization within and among states, establish connectivity in case of emergencies, and see to it the workforce is properly trained and equipped to be meaningful users of certified Electronic Health Records (EHRs). These computer software products are designed collaboratively to intensify the footing for every American to profit from an electronic health record (EHR) as part of a modernized, interrelated, and vastly improved grouping of care delivery.
Health care spending across the nation has increased exponentially. In response and attempt for resolution, the government looked to health information technology (HIT). Research suggests, the rising expenditures of health care was due to high-cost advanced technology and prescription drugs, redundant tests and procedures, and inefficient healthcare administration (Yaraghi, 2014). The Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009 and the Affordable Care Act (ACA) of 2010 was implemented to enhance overall health care quality, efficiency, and safety, increase access, decrease health care costs, and to provide a platform for the private exchange of health information electronically (“Health IT”, 2016). The
The health care industry is one of the most dynamic and delicate industries in the U.S. having experienced healthy and substantial changes for the last thirty years most of which have aimed to improve health care management and services delivery to the patients. The changes have enabled the integration of technology into the industry such as in the area of informatics, science and research and payment services and clinical treatments. The health care sector has introduced various changes to address disease and health care management such as the Modernization Act of 2003, the Patient Protection Act and Affordable Act, which aim at improving health provision and most
Health information technology (HIT) has become a growing phenomenon in the past sev-eral years. Healthcare providers, organizations, policymakers, and patients all share a similar vi-sion of a healthcare system powered by information technology. These visions stem from the Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009, which authorizes grants and incentives to promote the use of electronic health records (EHRs) by pro-viders. In the past couple of years, with the implementation of HIT and EHRs, the healthcare field has had an increasing amount of medical malpractice lawsuits. Unfortunately, with technol-ogy advancing more rapidly causing medical professionals a difficult task in identifying and ad-dressing medico-legal issues before they occur. Therefore, healthcare teams are in need of con-sidering how to fix the underlying problems of HIT in order to ensure malpractice lawsuits do not continue to happen in practice.
The road to patient-centered care was paved with the passing of the HITECH act, which authorized incentive payments through Medicare and Medicaid to clinicians and hospitals when they use EHRs privately and securely to achieve specified improvements in care delivery. If providers do not become meaningful users of EHRs by 2015, penalties will be triggered through reduced Medicare payments. These provisions aim to create a nationwide electronic health system that is efficient and secure to improve health outcomes and lower the cost of healthcare. To accomplish these goals, the federal government allotted $19.2 billion of funding to promote the adoption and meaningful use of interoperable health information technology and electronic health records (EHRs).
In the past, our healthcare distribution system predicated its payments solely on the number of accommodations provided and not on the quality of care distributed to patients. As a result, patients might receive redundant tests, medication errors, or accommodations that might not ameliorate their health – and may cost them more in copayments or coinsurance. As required by the Affordable Care Act, Health and Human Services (HHS) launched several initiatives to link payments more proximately with quality outcomes and promote value-predicated care. These reforms promote value over volume and ascertain that care is better coordinated across the healthcare distribution system (Health IT, 2013). As a result the government is looking to influence innovation and best practices to enhance administration, quality and patient engagement, while securing protection and minimizing expenses (Nir Menachemi and Taleah H. Collum, 2011). This influential innovation is in direct response to the Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009. Therefore in this paper one will evaluate the current state of the infrastructure in workflow and processes; identify the existing gaps and issues within the environment, provide solutions for improvement in association with the present gaps – zero cost and limitless budget, and recognize current technology that can change the current health care infrastructure. This evaluation will display the current state of the