Medicare and Medicaid Programs; Electronic Health Record Incentive Program
2010-04-23 2010-04-19 2010-04-19 2010-04-22 2010-04-22
CMS-2009-0117-1956 CMS-2009-0117-1085 CMS-2009-0117-1105 CMS-2009-0117-1348 CMS-2009-0117-1334
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https://api.regulations.gov/v4/comments/CMS-2009-0117-1956 https://api.regulations.gov/v4/comments/CMS-2009-0117-1085 https://api.regulations.gov/v4/comments/CMS-2009-0117-1105 https://api.regulations.gov/v4/comments/CMS-2009-0117-1348 https://api.regulations.gov/v4/comments/CMS-2009-0117-1334
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CMS-0033-P Please find comments submitted on behalf of Arizona Health-e Connection on the Proposed Rule for Meaningful Use. AnMed Health - Comments on CMS Notice of Proposed Rulemaking on the Medicare and Medicaid Electronic Health Records Incentive program. University of Wisconsin Hospital and Clinics was just recognized with a HIMSS Analytics Stage 7 Award which represents the highest level of the HIMSS EHR Adoption Model. UW Hospital and Clinics is one of two Acadmic Medical Centers in the country to achieve this level. Despite our fully integrated EHR, achieving the benefits of HIT is more demanding and takes longer than proposals imply. We invested heavily in risk identification and mitiigation activities prior to the implementation of the various components of the EHR. We conducted FMEAs to evaluate our cutover plans from our old systems to our new, identifying what could go wrong at each and every step. Based upon the assigned risk priority number, we developed and implemented risk mitigation strategies for those items with the greatest risk. Even with aggressive preparation and training, we experienced significant numbers of close calls and actual patient safety events during go-lives. Even now, a year after CPOE implmentation, we are still making changes to improve the system. The National Council recommends the Proposed Rules clarify that Community Behavioral Healthcare Organizations are key participants in this and other Federal Health Information Technology (HIT) initiatives to ensure that individuals with mental illnesses and addictions and their healthcare providers have equal access to the benefits of HIT.The Health Information Technology for Economic and Clinical Health Act (HITECH Act), enacted as part of the economic recovery bill passed by Congress, establishes a program of incentives for the meaningful use of Electronic Health Records (EHRs) thorugh Medicare and Medicaid to support the widespread adoption of EHRs to improve health outcomes, care delivery, population health and cost efficiency.  These goals cannot be achieved without clear inclusion and active partipation of CBHOs, which currently are a critical part of the healthcare delivery system and the safety network.