HHS Publishes Proposed Rule for Electronic Health Record Incentive Program

HHS published today in the Federal Register:  “Medicare and Medicaid Programs–Electronic Health Record Incentive Program; Proposed Rule.”  75 FR 1844-2011.  Comments on this Notice of Proposed Rulemaking (NPRM) may be submitted to HHS no later than March 15, 2010.  Here is the Summary from the NPRM: “This proposed rule would implement the provisions of the American Recovery and Reinvestment Act of 2009 (ARRA)(Public Law 111-5) that provide incentive payments to eligible professionals (EPs) and eligible hospitals participating in Medicare and Medicaid programs that adopt and meaningfully use certified electronic health record (EHR) technology.  The proposed rule would specify the initial criteria an EP and eligible hospital must meet in order…

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HHS Publishes EHR Standards, Implementation Specifications and Certification Criteria IFR

HHS published today in the Federal Register:  “Health Information Technology: Initial Set of Standards, Implementation Specifications, and Certification Criteria for Electronic Health Record Technology”  75 FR 2013-2047.  This Interim Final Rule (IFR) is effective February 2, 2010.  Comments on the IFR may be submitted to HHS no later than March 15, 2010.  Here is the Summary from the IFR: “The Department of Health and Human Services (HHS) is issuing this interim final rule with a request for comments to adopt an initial set of standards, implementation specifications, and certification criteria, as required by section 3004(b)(1) of the Public Health Service Act.  This interim final rule represents the first step in…

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ONC’s Dr. Blumenthal Announces SHARP Program Funding Availability

Please read the following announcement released on December 18, 2009: A Message from Dr. David Blumenthal, National Coordinator for Health Information Technology Today the Obama administration announced the availability of $60 million in Recovery Act funds to support the development of the Strategic Health IT Advanced Research Projects (SHARP) program. SHARP awards will fund research focused on identifying technology solutions to address well-documented problems impeding broad adoption of health information technology (health IT). By helping to overcome key challenges, the research will also accelerate progress towards achieving nationwide meaningful use of health IT. 

As we continue this unprecedented effort towards meaningful use and seamless, secure information exchange, we also must acknowledge…

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Exploring HIPAA and HITECH Act Definitions: Part 6

From now through November, HIPAA.com is providing a run through of HIPAA transaction & code set, privacy, and security definitions, along with relevant HITECH Act definitions pertaining to breach notification, securing of protected health information, and electronic health record (EHR) standards development and adoption. These definitions are key to understanding the referenced HIPAA and HITECH Act enabling regulations that are effective now and that will required compliance by covered entities and business associates now or in the months ahead, as indicated in HIPAA.com’s timeline. Each posting will contain three definitions, with a date reference to the Federal Register, Code of Federal Regulations (CFR), or statute, as appropriate. Exploring HIPAA and…

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HHS Strengthens HIPAA Enforcement

On Friday, October 30, 2009, HHS published in the Federal Register its Interim Final Rule that strengthens HIPAA enforcement under HITECH Act civil penalty revisions enacted as part of the American Recovery and Reinvestment Act on February 17, 2009.  “These HITECH Act revisions significantly increase the penalty amounts the Secretary [of HHS] may impose for violations of the HIPAA rules and encourage prompt corrective action,” according to the HHS press release.  The Interim Final Rule is effective as federal policy on November 30, 2009, and HHS requests comments by December 29, 2009. With the definition of ‘breach’ in the HITECH Act moving privacy and security violations under one requirement requiring…

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Three Key Properties of HIPAA Privacy and Security of Protected Health Information

HIPAA.com has received from its readers requests for information on topics related to HIPAA Administrative Simplification Privacy and Security Rules and to updates to those rules reflected in the HITECH Act provisions of the American Recovery and Reinvestment Act of 2009, signed by President Obama on February 17, 2009.  Recently, HIPAA.com answered the question of particular interest to several readers:  what exactly is protected health information (PHI)?  In this posting, we answer the question:  what are the fundamental properties that underlie privacy and security of protected health information? Three Key Properties The three key properties that underpin privacy and security under the Health Insurance Portability and Accountability Act (HIPAA) are availability,…

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CMS Issues New and Updated HIPAA and HITECH Act FAQs: EHR Incentives

The Centers for Medicare and Medicaid Services (CMS) periodically issues new and updated Frequently Asked Questions (FAQs).  HIPAA.com will periodically reproduce new and updated Questions and Answers pertaining to HIPAA Administrative Simplification standards and implementation specifications and to HITECH Act provisions that will be of interest to its readers.  The FAQ [ID#9844] that follows is new, published by CMS on August 13, 2009. Question:  Are physicians who practice in hospital-based ambulatory clinics eligible to receive the Recovery Act’s Medicare or Medicaid electronic health record (EHR) incentive payments. Answer:  Hospital-based eligible professionals are ineligible for the EHR incentive payments under both Medicare and Medicaid.  Our [Department of Health and Human Services] forthcoming NPRM…

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HHS Issues Interim Final Rule for HITECH ‘Breach Notification’

U.S. Department of Health and Human Services Secretary, Kathleen Sebelius, has issued the Interim Final Rule for Breach Notification for Unsecured Protected Health Information.  The Interim Final Rule was signed by Secretary Sebelius on August 6, 2009, filed at the Federal Register on Wednesday, August 19, 2009, and will be published on Monday, August 24, 2009, in the Federal Register.  The effective date of the Interim Final Rule will be 30 days after publication, and will cover both covered entities and business associates of covered entities.  Here is the Summary of the Interim Final Rule: “The Department of Health and Human Services (HHS) is issuing this interim final rule with…

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HHS Secretary Sebelius Delegates Oversight and Enforcement of HIPAA Security Rule to OCR

U.S. Health and Human Services (HHS) Secretary Kathleen Sebelius has delegated oversight and enforcement of the HIPAA Administrative Simplification Security Rule Standards for Protection of Electronic Protected Health Information to HHS’s Office of Civil Rights (OCR), effective July 27, 2009.  Since October 7, 2003, the Security Rule had been the responsibility of HHS’s Center for Medicare & Medicaid Services (CMS). OCR also has responsibility for the HIPAA Administrative Simplification Privacy Rule.  This delegation brings responsibility for administrative, technical, and physical standards for safeguarding of protected health information in each rule under one authority, and likely will facilitate enforcement of the HITECH Act breach, notification, and business associate security rule compliance…

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Accountability Key Privacy/Security Principle of Meaningful Use 2011 Objectives

On December 15, 2008, the Office of the National Coordinator for Health Information Technology of the U.S. Department of Health and Human Services (HHS) published its 11 page report: Nationwide Privacy and Security Framework for Electronic Exchange of Individually Identifiable Health Information. The eight principles in this report underpin the HIPAA Administrative Simplification Privacy and Security Rule standards, provide a foundation of the Privacy provisions of the HITECH Act in the American Recovery and Reinvestment Act of 2009, signed by President Obama on February 17, 2009, and are a key objective of proposed 2011 Objective recommendations for Meaningful Use published by HHS’ Health IT Policy Committee on June 16, 2009….

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