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Agencies Issue Final Rules that Define, Support 'Meaningful Use' of EHRs
By Sheri Porter
A companion rule, issued by CMS, defines the minimum EHR meaningful use objectives that physicians and other professionals must meet to qualify for bonus programs enacted under the American Recovery and Reinvestment Act of 2009.
AAFP Presents 'Meaningful Use' Webinar
The "2010 Understanding the Meaning of Meaningful Use" webinar will be 90 minutes in length and will take place from noon to 1:30 p.m. CDT. The cost to attend the webinar is $10 for members.
You can register via a new Web page dedicated to helping members understand new health information technology, or health IT, regulations. Webinar hosts will be Steven Waldren, M.D., director of the AAFP's Center for Health IT, and Jason Mitchell, M.D., the center's assistant director. Registration is limited to 500 participants.
In the news release, David Blumenthal, M.D., national coordinator for health information technology, or health IT, called the regulations "a turning point for electronic health records in America and for improved quality and effectiveness in health care."
He said the federal government received extensive input from the health care community, and he added, "We have drawn on their experience and wisdom to produce objectives that are both ambitious and achievable."
CMS received more than 2,000 comments -- including comments from the AAFP -- on the proposed meaningful use rule that was issued on Jan. 13.
According to Steven Waldren, M.D., director of the AAFP's Center for Health IT, CMS thoughtfully reviewed the comments it received and made significant changes to the regulations.
"CMS has addressed the Academy's biggest concerns, and many of the changes they have made will benefit family physicians," said Waldren.
For example, in its Feb. 26 comment letter to CMS (7-page PDF; About PDFs), the AAFP suggested that CMS abandon its "all-or-nothing" approach to achieving meaningful use of EHRs and, instead, increase physician participation by offering partial incentives.
Waldren pointed out that the final rule grants physicians greater flexibility in meeting and reporting certain objectives for demonstrating meaningful use. The final regulation states that physicians initially must meet 15 core measures but then can choose from a subset of additional objectives to work on in 2011-12.
"CMS also significantly reduced the threshold for some of the measures that the AAFP deemed particularly onerous for physicians," said Waldren. For example, the threshold for an electronic prescribing measure that originally called for 75 percent of all permissible prescriptions to be transmitted electronically has been reduced to 40 percent.
Another priority issue for the Academy was CMS' measure on computerized provider order entry that called for transmitting at least 80 percent of all orders electronically. That percentage now applies to medication orders only, and the threshold for electronic transmission of other types of orders has been reduced, said Waldren.
"During the next few days, the Center for Health IT staff will carefully analyze the meaningful use rule and the certification rule to make sure that we understand what members have to do to qualify," said Waldren.
"We'll look for those areas that we know are still going to present a challenge for family physicians -- especially our solo and small-practice physicians -- so that the Academy can develop appropriate resources to help," he added.
'Meaningful Use' Rule Needs Significant Modifications, Says AAFP
Some Elements Would Impede Goals of Health IT Legislation
Federal Government Issues New Health IT Regulations
CMS Proposes Definition of EHR 'Meaningful Use'
More From AAFP
Center for Health IT: "Meaningful Use" Web page
CMS Fact Sheets on "Meaningful Use" Definition and Standards Rules
CMS Medicare and Medicaid EHR Incentive Programs
Office of the National Coordinator for Health Information Technology: "Health Information Technology: Initial Set of Standards, Implementation Specifications, and Certification Criteria for Electronic Health Record Technology Final Rule"
(66-page PDF; About PDFs)
CMS: "Medicare and Medicaid Programs: Electronic Health Record Incentive Program Final Rule"
(276-page PDF; About PDFs)