Transcript Tina Grande 114th Congress and HIT 012315x

HEALTH INFORMATION TECHNOLOGY IN
THE 114TH CONGRESS
TINA OLSON GRANDE
SVP, POLICY
HEALTHCARE LEADERSHIP COUNCIL
January 23, 2015
Aetna
Amerinet
AmerisourceBergen
Amgen
American Clinical Laboratory
Association
American Hospital Association
American Pharmacists Association
American Society for Radiation Oncology
Anthem
America’s Health Insurance Plans
Ascension Health
Association of American Medical
Colleges
Association of Clinical Research
Organizations
Athenahealth
Augmedix
Baylor Scott & White Health
Bio-Reference Laboratories, Inc.
Blue Cross Blue Shield Association
BlueCross BlueShield of Tennessee
Boeringer Ingelheim
Pharmaceuticals
Cardinal Health
CIGNA Corporation
Cleveland Clinic
College of American Pathologists
C.R. Bard
CVS Caremark
Edwards Lifesciences
Eli Lilly
Express Scripts
Federation of American Hospitals
Franciscan Missionaries of Our Lady
Health System
Genetic Alliance
Health Care Service Corporation
Health Dialog
Healthcare Leadership Council
Ikaria
IMS Health
Indiana University Health
inVentiv Health
Johnson & Johnson
Kaiser Permanente
Marshfield Clinic
Mayo Clinic
McKesson Corporation
Medtronic
MemorialCare Health System
Merck
MetLife
National Association of Chain Drug
Stores
National Association of Health
Underwriters
National Association of Psychiatric
Health Systems
National Community Pharmacists
Association
NewYork-Presbyterian Hospital
NorthShore University HealthSystem
Novartis
Novo Nordisk
Owens & Minor
Pharmaceutical Care Management
Association
Premier healthcare alliance
Privacy Analytics
Quest Diagnostics Incorporated
Sanofi US
SCAN Health Plan
State Farm
Stryker
Surescripts
Takeda Pharmaceuticals North America
Texas Health Resources
Theragenics
Vanderbilt University School of
Nursing
VHA
Walgreens
Weight Watchers International
Workgroup for Electronic Data Interchange
ZS Associates
Interoperability

“Cromnibus” 2015 Office of the National Coordinator
for Information Technology Appropriation
 Information
Blocking – “…ONC should use its authority to
certify only those products that clearly meet current
meaningful use program standards and that do not block
health information exchange. ONC should take steps to
decertify products that proactively block the sharing of
information …

The Committee requests a detailed report from ONC no later than
90 days after enactment of this act regarding the extent of the
information blocking problem…”
 Interoperability–Health
IT Policy Committee report
House of Representatives
21st Century Cures


Led by E&C Chairman Upton (R-MI) and Rep. Degette (D-CO)

Promote better access and sharing of data among researchers

Foster interoperability

Reduce regulatory uncertainty for developers as they design new
products.
House Republican Conference Chairman Cathy McMorris Rodgers
(R-WA) Draft legislation to be part of 21st Century Cures

HIPAA changes

Data policy
Privacy




“Big Data” frontier changing traditional uses and
needs
When is it really a barrier to health information
exchange?
Potential for cybersecurity or data breach
legislation
Uniform state laws needed
Meaningful Use
MU2

Concerns that a surprisingly low number of healthcare providers have successfully
achieved Stage 2 meaningful use.

CMS said in December about 257,000 doctors will face MU penalties this year.

Final rule gave additional year to meet Stage 2 requirements
MU3


Set to begin Oct. 1, 2016, for hospitals and Jan. 1, 2017, for physicians
Proposed Rule currently at OMB for review (Dec 31) and expected to be issued
soon.

Will propose changes to the reporting period, timelines, and structure of the
program, including providing a single definition of meaningful use.

Address a broader systemic healthcare landscape (care coordination, etc…)

Final rule expected June 2015
ICD-10

Compliance date is set for Oct. 1, 2015.
 Congress
quietly slipped a year delay into another
Sustainable Growth Rate patch (expires March 31,
2015).
 Delay
could happen again to appease physicians if
Congress does not permanently fix SGR this year.
Senate


REBOOT group

Senate Republican Conference Chairman John Thune (R-SD);

Chairmen Lamar Alexander (R-TN) and Mike Enzi (R-WY) ;

Senators Pat Roberts (R-KS) and Richard Burr (R-NC)

Concerned about 5 challenges facing HIT policy:

increased costs,

lack of a clear path toward interoperability,

lack of oversight,

program sustainability,

patient privacy.
HELP and SFC Hearings likely
Obama Administration



Final version of the ONC interoperability roadmap
expected this year
SOTU remarks about cybersecurity and privacy
policy and personalized medicine
Final version of the Food and Drug Administration
Safety Innovation Act (FDASIA) health IT report, a
joint effort of the ONC, FDA and Federal
Communications Commission.
Questions
Tina Olson Grande
Sr. Vice President, Policy
Healthcare Leadership Council
750 9th Street, NW, Suite 500,
Washington, DC 20001
[email protected]