Chapter Advocacy Roundtable (CAR) Monthly Call Pam Varhol CAR Chair New England Chapter June 19, 2020 1 1
Agenda • Partner Presentations – National Governors Association & Association of State and Territorial Health Officials • Federal & State Update • Open Discussion on COVID -19 Wrap up of FY20 • Announcements 2
U.S. Federal & State Updates Ala na L e re r Ma nage r, Go ve r nme nt Rela tio ns 3
Social Justice and Health IT • HIMSS is str iving to suppor t r a c ia l justic e thr oug h building a c ultur e of he a lth e quity. Ra c e is a ma jor soc ia l de te r mina nt of he a lth. How is HIMSS a c ting ? • He a lth e q uity in p ub lic p o lic y • HIMSS’ s So c ial De termina nt o f He a lth T a sk F o rc e la unc he d this mo nth. • Glo b al He a lth E q uity Ne two rk– Co nta c t: ghe n@ himss.o r g to e nga ge ! • And mo re to c o me ... • We e nc our a g e a dvoc a te s to c onside r a dopting or c ontinue using a he a lth e quity le ns. • Do the se p o lic ies improve p ub lic he a lth/ healthc are fo r a t risk c o mmunitie s? Do the y he lp c a p ture c ritic al d a ta o n ra c e / e thnic ity/ gend er, e tc ? • Ho w d o we me e t p e o p le whe re the y a re with p o lic ie s? Do the se p o lic ies le ave a ny c o mmunities b e hind ? • Ho w d o we c re a te & susta in a mo re d ive rse a nd inc lusive he a lth IT wo rkfo rc e ? 4
Public Health Data Modernization https:/ / www.c dc .g o v/ budg e t/ do c ume nts/ fy2021/ fy2021-PHDM-fa c tshe e t.pdf 5
Connected Care after the PHE • HIMSS is de ve loping public polic y r e c omme nda tions for U.S. fe de r a l polic ie s to c ontinue a fte r public he a lth e me r g e nc y c onc lude s in c onne c te d c a r e (te le he a lth, r e mote pa tie nt monitor ing , e tc .) • We a r e looking for use c a se s, da ta , a nd stor ie s on how you, your sta te or your or g a niza tion use c onne c te d c a r e . Ple a se sha r e with a le r e r @himss.or g by T ue sda y 6/ 24. 6
OIG CMP Proposed Regulation Comment Letter • E nsur e that the for mal e nfor c e me nt date whe n CMPs c an be applie d would be 6 months afte r public ation of the OIG Final Rule • 6-mo nth pe r io d wo uld allo w O IG to c o ntinue e duc ating and info r ming the c o mmunity o n ho w e nfo r c e me nt will pr o c e e d, with a fo c us o n “e nfo r c ing ,” but thr o ugh adviso r ie s, no t pe naltie s • De ve lop Sub-Re gulator y Guidanc e to Ke e p the Community Update d on OIG’s Cur r e nt T hought Pr oc e sse s • Publish e ve r y ac tio n O I G take s (whe ther an info r matio nal ac tio n o r a C MP) o n the ir we bsite and also to a list that anyo ne c an subsc r ibe • Se e k E xplanator y Advisor y Opinions fr om OIG whe n Available • L o ng e r time line is r e quir e d to de ve lo p adviso r y o pinio ns, but the y wo uld pr o vide mo r e de tails fo r ac to r s to he lp g uide the m thr o ug h info r matio n blo c king e nfo r c ement • Align OIG’s “Fac tor s to Conside r ” with the Wor k of OCR on HIPAA Violations • Whe n to impo se a C MP and ho w muc h that C MP sho uld be • C an O IG impo se C o r r e c tive A c tio n Plans in lie u o f a C MP – O pe n Q ue stio n • Build on the E nfor c e me nt Pr ior itie s • Mor e de tails ar ound de fining inte nt • C le ar ly de fine ho w “inte nt” will be de te r mine d, inc luding pr o viding spe c ific e xample s o f what it me ans to have and no t have r e quisite inte nt, as we ll as e xample s o f inno c e nt mistakes fo r whic h no e nfo r c e me nt ac tio n wo uld be br o ug ht up • Clar ify Single vs. Multiple Violations 7
EHR Reporting Program Request for Feedback • T he Prog ra m will provide public ly a va ila ble, c ompa ra tive informa tion on c ertified hea lth IT produc ts tha t will inform hea lth IT users’ purc ha sing a nd implementa tion dec isions • Pro g ra m c o mpo se d o f dra ft v o lunta r y use r-re po rte d c rite ria • 21st Century Cures Ac t direc ted HHS to esta blish a new E HR R eporting Prog ra m • De v e lo pe rs a nd e nd use rs will re po rt c o mpa ra tiv e info rma tio n o n c e rtifie d he a lth IT • Urba n Institute c rea ted a ta ble summa rizing dra ft c riteria for end users by topic a nd da ta sourc e • U se r q ue stio nna ire for c ollec ting infor mation for dr aft voluntar y user -re po rte d c rite ria • Q uestions to c onsider • Whic h dra ft c rite ria wo uld yo u prio ritize fo r inc lusio n in the E HR Re po rting Pro g ra m, a nd why? • Whic h dra ft c rite ria sho uld b e re phra se d, re wo rde d, o r re mo v e d? • Sho uld the v o lunta ry use r-re po rte d c rite ria c o v e r o nly the mo st re c e nt v e rsio n o f a c e rtifie d he a lth IT pro duc t o r a ll v e rsio ns o f the pro duc t? • Wha t c e rtifie d he a lth IT use rs a re mo st like ly a b le to re po rt o n the c rite ria (e .g ., c linic ia ns, a dministra to rs, IT spe c ia lists)? • Wha t c o uld mo tiv a te e nd use rs to v o lunta r ily re po rt o n c e rtifie d he a lth IT pro duc ts? • Comments due by Aug ust 10 8
Federal Agency Public Comment Opportunities • F CC Proposed R eg ula tion on esta blishing a 5G F und for R ura l Americ a • It wo uld use multi-ro und re v e rse a uc tio ns to distrib ute up to $9 b illio n o v e r the ne xt te n ye a rs to suppo rt te le c o mmunic a tio ns c a rrie rs in b ring ing 5G se rv ic e s to rura l a re a s • Co mme nts due T hursda y, June 25 • O NC E HR R eporting Prog ra m • U rb a n Institute just re le a se d a ne w dra ft se t o f v o lunta ry use r-re po rte d c rite ria fo r pub lic fe e db a c k • Co mme nts due Aug ust 10 • F T C is seeking c omment on the Hea lth Brea c h Notific a tion R ule • T his re v ie w fro m F T C is pe rio dic in nature to e nsure the y are ke e ping pac e with c hang e s in the e c o no my, te c hno lo g y, a nd b usine ss mo de ls • Co mme nts due T hursda y, Aug ust 20 • CMS published a nnua l Inpa tient Prospec tive Pa yment System Proposed R eg ula tion • O f mo st inte re st to HIMSS a re the pro po se d c ha ng e sto the Me dic a re Pro mo ting Inte ro pe ra b ility Pro g ra m (re po rting pe rio d, q ua lity me a sure me nt, e tc ) • Pub lic c o mme nts due July 10 • R ec ently Submitted L etter • HIMSS a nd PCHAllia nc e pro v ide d writte n c o mme nts to CMS o n the CO VID–19 Pub lic He a lth E me rg e nc y IF R • Sub mitte d Mo nda y, June 1 9
COVID -19 Open Discussion • Ad vo c ac y d uring COVID – why is it impo rtant NOW mo re than e ve r? http s:/ / d o c s.go o gle .c o m/ d oc ument/ d/ 18XwwA1OG • Ho w has COVID c hang e d po lic ymake rs’ pe rspe c tive s T xt8o F T CM_Hf-Gg7BE SH2N3O-s5sOB1T tF c / edit o n he alth IT ? • Ho w are yo u c o ntinuing to ad vo c ate in a virtual wo rld ? Disc ussio n L e a ds: Bo nny Ro b e rts, Co lo ra do Cha p te r & CAR Vic e Cha ir , We ste rn Re gio n Jo hn Ritte r, We ste rn Pe nnsylvania Cha p te r; CAR E a ste rn Re gio n Vic e Chair 10
Year-End Wrap up 11
CAR Cha ir & Vic e Cha irs F Y19-F Y20 Pa m Va rho l, CAR Cha ir Bo nny Ro b e rts, We ste rn Re g io n Ke vin Co nwa y, Midwe ste rn Re g io n Ang e liq ue Ro b a te a u, So uthe rn Re g io n Jo hn Ritte r, E a ste rn Re g io n
CAR regions
Accomplishments • • U.S. NHIT We e k E ng a g e me nt Offic ia ls Re c og nize d • • Cha pte r L e a de r E xc ha ng e Re la tionships c r e a te d • • Advoc a c y Da ys Pe e r to pe e r le a r ning • • Pr oc la ma tions a nd Re solutions 1 ne w Ca na dia n c ha pte r : Br itish Columbia • L e g isla tion pa sse d 14
Recognition Chapter Advocate of the Year : Kendall Brown, South Florida Chapter State Officials of the Year : Cecilia Aguiar-Curry, Assemblywoman, California Deb Soholt, State Senator, South Dakota State Health IT Roadmap Advocacy Challenge recipients : Alabama & New Mexico Chapters
Announcements 16
Chapter Advocate Recognition You did a ll the work. Now it’s time to be re c og nize d! • Submit your FY20 Advoc a c y Rec og nition form by July 1, 2020. GR tea m will review a nd send your c ha pter a c ertific a te a nd emblem upon meeting qua lific a tions. • Key a spec ts: Advoc a c y Ac tivities c ompleted; Pa rtic ipa tion/ Attenda nc e on CAR Ca lls; Communic a tion with HIMSS Sta ff a nd/ or CAR L ea ders a s needed • Doc umenta tion of a dvoc a c y a c tivities required • Clic k here for mor e infor mation and submission for m! 17
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