The Hcr Kicking The Bucket Has Been Cast
(Implications for HIT Industry)
Whether this makes y'all happy or distraught, whether y'all woke upward in a Socialist State this morning, or a Humanitarian one, whether y'all prefer Tea parties or Starbucks lattes, if y'all are a Healthcare Information Technology (HIT) professional, today brings amongst it a wealth of novel challenges together with opportunities to brand a difference.
While ARRA together with HITECH tasked the HIT community amongst the creation of an electronic medical tape for every American past times 2014, the novel HCR neb volition demand that HIT does its portion to back upward improvements to the global lineament of wellness care. Some of the lineament goals outlined inwards the neb pick out been discussed for quite some fourth dimension together with others are beingness tried out inwards diverse clinical settings already.
Roughly speaking, in that place are iv objectives inwards the HCR neb that volition require massive HIT support: administrative streamlining, lineament measurement, patient interest together with innovative aid models. In these contexts, HIT volition demand to create existent time, online communications betwixt physicians together with their patients, betwixt community members, aid givers, payers, pharmacists together with regime agencies. This could endure the shining 2nd of the emerging Health 2.0 movement together with a bang-up chance for wellness insurers to redeem themselves past times creating spider web accessible transparency inwards costs together with lineament for consumers.
So hither is a hopefully comprehensive selection where HIT tin pick out the largest beneficial impact.
All department numbers are from the original Senate Bill - H. R. 3590. My comments inwards blue.
Administrative
TITLE I—QUALITY, AFFORDABLE HEALTH CARE FOR ALL AMERICANS
Subtitle B—Immediate Actions to Preserve together with Expand Coverage
Sec. 1104. Administrative simplification.
Financial together with administrative electronic transactions betwixt payers together with providers are to endure standardized, made to a greater extent than transparent, timely together with uniform. This refers to the HIPAA transactions such equally eligibility, electronic claims together with electronic remittance advice. Hopefully this provision volition eliminate, or at to the lowest degree cut back the variations inwards format together with the multitude of the, thence called, payer edits.
TITLE II—ROLE OF PUBLIC PROGRAMS
Subtitle H—Improved Coordination for Dual Eligible Beneficiaries
Sec. 2601. 5-year catamenia for demonstration projects.
Sec. 2602. Providing Federal coverage together with payment coordination for dual eligible beneficiaries.
Both demonstration projects together with the ensuing coordination of benefits volition require sophisticated additions to electrical flow billing software, both on the provider goal together with the payer end.
TITLE VI—TRANSPARENCY AND PROGRAM INTEGRITY
Subtitle F—Additional Medicaid Program Integrity Provisions
Sec. 6504. Requirement to study expanded laid of information elements nether MMIS to respect fraud together with abuse.
Subtitle G—Additional Program Integrity Provisions
Sec. 6603. Development of model uniform study form.
More reporting.
Quality Measurement
TITLE III—IMPROVING THE QUALITY AND EFFICIENCY OF HEALTH CARE
Subtitle A—Transforming the Health Care Delivery System
PART I—LINKING PAYMENT TO QUALITY OUTCOMES UNDER THE MEDICARE PROGRAM
Sec. 3001. Hospital Value-Based purchasing program.
Sec. 3002. Improvements to the Dr. lineament reporting system.
Sec. 3003. Improvements to the Dr. feedback program.
Sec. 3004. Quality reporting for long-term aid hospitals, inpatient rehabilitation hospitals, together with hospice programs.
Sec. 3005. Quality reporting for PPS-exempt cancer hospitals.Title III. Subtitle A. Part II.
PART II—NATIONAL STRATEGY TO IMPROVE HEALTH CARE QUALITY
Sec. 3014. Quality measurement.
Sec. 3015. Data collection; world reporting.
TITLE VI—TRANSPARENCY AND PROGRAM INTEGRITY
Subtitle D—Patient-Centered Outcomes Research
Sec. 6301. Patient-Centered Outcomes Research.
Sec. 6302. Federal coordinating council for comparative effectiveness research.
Patient Empowerment
TITLE I—QUALITY, AFFORDABLE HEALTH CARE FOR ALL AMERICANS
Subtitle D—Available Coverage Choices for All Americans
PART II—CONSUMER CHOICES AND INSURANCE COMPETITION THROUGH HEALTH BENEFIT EXCHANGES
Sec. 1312. Consumer choice.
The institution of insurance exchanges volition take away supporting software both for oversight of telephone commutation activities together with mainly to allow consumers to brand informed purchasing decisions.
TITLE II—ROLE OF PUBLIC PROGRAMS
Subtitle L—Maternal together with Child Health Services
Sec. 2952. Support, education, together with inquiry for postpartum depression.
Sec. 2953. Personal responsibleness education.
Sec. 2954. Restoration of funding for abstinence education.
Sec. 2955. Inclusion of information almost the importance of having a wellness aid ability of attorney inwards transition planning for children aging out of foster aid together with independent living programs.
TITLE III—IMPROVING THE QUALITY AND EFFICIENCY OF HEALTH CARE
Subtitle F—Health Care Quality Improvements
Sec. 3507. Presentation of prescription drug practice goodness together with run a jeopardy information.
Sec. 3510. Patient navigator program.
TITLE IV—PREVENTION OF CHRONIC DISEASE AND IMPROVING PUBLIC HEALTH
Subtitle A—Modernizing Disease Prevention together with Public Health Systems
Sec. 4004. Education together with outreach movement regarding preventive benefits.
TITLE V—HEALTH CARE WORKFORCE
Subtitle F—Strengthening Primary Care together with Other Workforce Improvements
Sec. 5507. Demonstration projects To address wellness professions workforce needs; extension of family-to-family wellness information centers.
Multiple patient educational activity together with patient interest efforts that volition demand to endure disseminated together with accomplished, to a greater extent than than likely, past times electronic means.
Innovative Care Models
TITLE II—ROLE OF PUBLIC PROGRAMS
Subtitle I—Improving the Quality of Medicaid for Patients together with Providers
Sec. 2704. Demonstration projection to evaluate integrated aid around a hospitalization.
Sec. 2705. Medicaid Global Payment System Demonstration Project.
Sec. 2706. Pediatric Accountable Care Organization Demonstration Project.
Sec. 2707. Medicaid emergency psychiatric demonstration project.
TITLE III—IMPROVING THE QUALITY AND EFFICIENCY OF HEALTH CARE
Subtitle A—Transforming the Health Care Delivery System
PART III—ENCOURAGING DEVELOPMENT OF NEW PATIENT CARE MODELS
Sec. 3023. National airplane pilot programme on payment bundling.
Sec. 3024. Independence at habitation demonstration program.
Sec. 3025. Hospital readmissions reduction program.
Sec. 3026. Community-Based Care Transitions Program.
Sec. 3027. Extension of gainsharing demonstration.
Subtitle F—Health Care Quality Improvements
Sec. 3501. Health aid delivery organisation research; Quality improvement technical assistance.
Sec. 3502. Establishing community wellness teams to back upward the patient-centered medical home.
Sec. 3503. Medication management services inwards handling of chronic disease.
Sec. 3506. Program to facilitate shared decisionmaking.
Sec. 3508. Demonstration programme to integrate lineament improvement together with patient security grooming into clinical educational activity of wellness professionals.
TITLE IV—PREVENTION OF CHRONIC DISEASE AND IMPROVING PUBLIC HEALTH
Subtitle C—Creating Healthier Communities
Sec. 4206. Demonstration projection concerning individualized wellness plan.
Subtitle D—Support for Prevention together with Public Health Innovation
Sec. 4301. Research on optimizing the delivery of world wellness services.
Sec. 4302. Understanding wellness disparities: information collection together with analysis.
Sec. 4303. CDC together with employer-based wellness programs.
Sec. 4306. Funding for Childhood Obesity Demonstration Project.
TITLE VI—TRANSPARENCY AND PROGRAM INTEGRITY
Subtitle B—Nursing Home Transparency together with Improvement
PART II—TARGETING ENFORCEMENT
Sec. 6114. National demonstration projects on civilization alter together with role of information
technology inwards nursing homes.
A host of pilots together with demonstration projects to explore terms reductions together with lineament improvements through a diversity of innovative models such equally Patient Centered Medical Homes, Accountable Care Organizations, wellness programs, payment bundling together with global budgets. All these projects volition require electronic coordination of aid together with payments together with most volition too require online patient together with community participation.
Now that the dust has settled, or thence nosotros hope, I would state that nosotros pick out our operate cutting out for us. So allow us ringlet upward our sleeves together with practice our part.
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