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Rule to Change MU Reporting Period to 90 Days is Issued

Today, CMS issued a new proposed rule for the Medicare and Medicaid EHR Incentive Programs to align Stage 1 and Stage 2 objectives and measures with the long-term proposals for Stage 3.

The modifications would allow providers to focus more closely on the advanced use of certified EHR technology to support health information exchange and quality improvement.

The new rule proposes a change in the reporting period for meaningful use from one year to 90 days in 2015.

Proposed Changes for EHR Incentive Programs
Together with the proposed Stage 3 notice of proposed rulemaking (NPRM) issued on March 20, 2015, the proposed rules align and merge the “stages” of meaningful use requirements.

The proposed rule changes the programs by:

  • Streamlining reporting by removing redundant, duplicative, and topped-out measures
  • Modifying patient action measures in Stage 2 objectives related to patient engagement
  • Aligning the EHR reporting period for eligible hospitals and CAHs with the full calendar year
  • Changing the EHR reporting period in 2015 to a 90-day period to accommodate modifications
April 10, 2015 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

HIMSS Formally Submits Comments on ONC on Nationwide Interoperability Roadmap

In an April 3rd letter to the Office of the National Coordinator (ONC), HIMSS submitted its final comments in response to ONC’s Connecting Health Care for the Nation: A Shared Nationwide Interoperability Roadmap.

In an April 3 letter to the Office of the National Coordinator (ONC), HIMSS submitted its final comments in response to ONC’s Connecting Health Care for the Nation: A Shared Nationwide Interoperability Roadmap.

HIMSS overall supports ONC’s tenets of the Interoperability Roadmap for an interoperable health IT infrastructure.  The Interoperability Roadmap lays out a plan that builds on what HIMSS has already invested in: standards that enable the foundation for interoperability today, and processes to test and certify that health IT systems implement those standards consistently and according to constrained implementation guidance.  In its comments, HIMSS is recommending ONC focus on six key ideas:

  • The plan put forth by ONC to advance interoperability requires well-coordinated governance processes that include involvement from federal partners, the private sector, payers, and the patient community, with robust incentives for each domain to buy-in to the process
  • Many of the timelines put forth in the Interoperability Roadmap for the three, six, and ten-year timeframes for critical actions are too aggressive and need to be reevaluated, with the exception of the privacy and security provisions
  • HIMSS applauds ONC for its person-centric vision in the Interoperability Roadmap that enables interoperability and empowers patients to demand that their providers and relevant health IT systems be interoperable
  • HIMSS does not support the idea that individual consent should be required for use and disclosure of information if individual consent is not required under applicable law
  •   Regarding security, HIMSS observes that healthcare, as a critical US infrastructure, needs support at many levels to keep data secure and to be positioned to address cyber threats
  •   HIMSS is committed to being a thought leader on interoperability and spurring the community and stakeholder groups forward

HIMSS is committed to continuing our role as a thought leader on advancing the principles described in our public comments and stands ready to work with ONC, federal partners, and all stakeholders to realize an achievable vision for interoperability and health information exchange.

HIMSS’ final comments are available here.

April 3, 2015 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

New EHR Attestation Deadline for Medicare Eligible Professionals: March 20, 2015

Eligible professionals now have until 11:59 pm ET on March 20, 2015, to attest to meaningful use for the Medicare Electronic Health Record (EHR) Incentive Program 2014 reporting year.

CMS extended the deadline to allow providers extra time to submit their meaningful use data. CMS continues to urge providers to begin attesting for 2014 as soon as they can.

This extension also allows eligible professionals, who have not already used their one “switch”, to switch programs (from Medicare to Medicaid, or vice versa) for the 2014 payment year until 11:59 pm ET on March 20, 2015. After that time, eligible professionals will no longer be able to switch programs.

Medicare eligible professionals must attest to meaningful use every year to receive an incentive and avoid a payment adjustment. Providers who successfully attest for the 2014 program year will:

Note: The Medicare extension does not affect deadlines for the Medicaid EHR Incentive Program. Additionally, the EHR reporting option for PQRS has been extended until March 20, 2015. Please be on the lookout for a separate listserv with information regarding the PQRS program extension.

How to Attest
Submit your data to the Registration and Attestation System, which includes 2014 Certified EHR Technology (CEHRT) Flexibility Rule options.

Tips for speed:

  • Attest during non-peak hours, such as evenings and weekends
  • Start now to:
    • Check that your information is up to date
    • Begin entering your 2014 data

To learn more, see the Educational Resources on the CMS EHR Incentive Programs website.

February 25, 2015 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Hospitals Must Start Medicare EHR Participation in 2015 to Earn Incentives

Not participating in the Medicare EHR Incentive Program yet? 2015 is the last year for eligible hospitals to begin and still earn incentive payments.

To earn a 2015 incentive payment and avoid a 2016 payment adjustment, first-time participants should:

  • Begin their 90-day reporting period no later than April 1, 2015
  • Attest by July 1, 2015

Eligible hospitals that miss this deadline can still earn a 2015 incentive payment—and avoid the 2017 payment adjustment—if they begin their reporting period by July 1 and attest by November 30. However, they will be subject to the 2016 payment adjustment unless they apply and qualify for a hardship exception.

Hospitals that successfully attest in 2015 will also be eligible to earn a 2016 incentive if they continue to participate.

Eligible hospitals that begin participating after 2015 will not be able to earn incentive payments. They will also be subject to payment adjustments in 2016 and 2017.

Additional Resources
The EHR Incentive Programs website offers tools and resources to help eligible hospitals to successfully participate:

February 11, 2015 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

New EHR Attestation Deadline for Eligible Hospitals: December 31, 2014

I just got the following note from CMS about an extension to the EHR Attestation deadline for eligible hospitals. Here’s all the details:

CMS is extending the deadline for eligible hospitals and Critical Access Hospitals (CAHs) to attest to meaningful use for the Medicare Electronic Health Record (EHR) Incentive Program 2014 reporting year from 11:59 pm EST on November 30, 2014 to 11:59 pm EST on December 31, 2014.

This extension will allow more time for hospitals to submit their meaningful use data and receive an incentive payment for the 2014 program year, as well as avoid the 2016 Medicare payment adjustment.

CMS is also extending the deadline for eligible hospitals and CAHs that are electronically submitting clinical quality measures (CQMs) to meet that requirement of meaningful use and the Hospital Inpatient Quality Reporting (IQR) program. Hospitals now have until December 31, 2014 to submit their eCQM data via Quality Net.

Note: This extension does not impact the deadlines for the Medicaid EHR Incentive Program.

November 24, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Fine Thinking Friday

I just posted a tweet summary of today’s #HITsm chat about meaningful use. It was full of amazing insights on what’s happening with EHR, meaningful use and healthcare IT. There were so many insights that it got really long, but go and read it anyway. It’s still just a bunch of easily digestible tweets.

Since the post was getting too long, I didn’t want to make it longer by including some of the off topic tweets that were sent during the #HITsm chat. I guess that’s where it’s an advantage to have a full network of EHR and Healthcare IT blogs. I decided that I’d share the really interesting off topic tweets from today’s Twitter chat here.


What a great discussion between Keith and Stephanie. I think we’d all like to see a “little less talk…a lot more action!” (sorry to get that song in your head, but I had to do it)


Gregg Masters response to this tweet was spot on: “Bingo! you nailed the problem. ‘complexity’.” It is super complex and Mandi’s right that no doctor is going to go through the trouble. Bernadette also replied to the tweet and said that “Experts like you are precious.” Very true!


This is the challenge that we’ll be dealing with for a while to come. The shift will not be easy.

I love when a Twitter chat goes off topic. These tweets are great examples of why I like it. Definitely worthy of a Fine Thinking Friday post!

October 17, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Capturing Unstructured Data for Better Patient Care

The following is a guest blog post by Dr. Chris Tackaberry, CEO of Clinithink.
Clinithink_Chris Tackaberry_CEO and Founder
There is a veritable gold mine of high value data locked inside the free text fields of all EHR systems, as well as in the free text of other sources of clinical documentation such as progress notes, discharge summaries, consult requests and diagnostic reports. In all of these sources, rich, actionable patient data is trapped in unstructured text—stored side by side with more easily accessible structured data.

Take echocardiography reports, for example. The data contained within them—specifically ejection fraction, for instance—are crucial to the management of heart failure as outlined within NQMC core measures for this serious chronic condition. Yet seldom is an ejection fraction captured as structured data. Instead, it is usually documented as free text.

Since narrative has been an inherent part of clinical workflow for many years, HIT software vendors have reasonably added free text fields to their applications. While there is clearly value in driving insights from structured data captured in such systems, the unstructured piece in free text fields remains untapped. This represents a source of potentially significant additional value that can be gleaned from EHR and other clinical documentation sources. However, conventional structured data tools do not support the ability to exploit it for use in clinical decision making.

Unlocking the clinical value in unstructured data

In the days of paper charts, highly experienced physicians were able to quickly scan large charts to find information such as allergies, medications, family history, past and current symptoms, social history, and other background detail that provided the context so critically important to any clinical encounter. This information was usually summarized in documents (discharge summaries, referrals, etc.). Ironically, such information is now more difficult to find when stored electronically.

If the existence of unstructured narrative data were known, discoverable, searchable and actionable for every patient—across any EMR or other health IT systems—the currently hidden additional diagnostic and clinical data could further increase the efficiency and quality of care. Clinical Natural Language Processing (CNLP) is a technology that enables access to unstructured narrative data which can be used to unlock this additional value. Using narrative data found in reports, web pages, transcribed output, EMRs, and other electronic sources of free text at the point of care can expand our knowledge of the patient beyond the information obtained from structured data.

Recently, the AMA issued a report in conjunction with the RAND Corporation on the need for EHR vendors to improve the software solutions they are delivering to better meet the needs of physicians. Utilizing CNLP technology to access the clinical value inherent in unstructured EHR data would allow vendors to begin addressing some of the potential improvements.

As we move from a world in which healthcare is delivered on an episodic basis retrospectively to one where care is delivered almost continuously and prospectively, CNLP increases the opportunity to deliver rich, actionable and meaningful clinical content to help improve decision-making for more accurate, evidence-based and effective care.

Dr. Chris Tackaberry is the CEO of Clinithink.

October 9, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

History of Health Informatics Infographic

Nothing like taking a look back at history to remember how far we’ve come. The crazy thing is that we still have a long way to go.
History of Healthcare Informatics

August 11, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

New Interactive Hardship Exception Tool for Eligible Professionals

Eligible professionals can now use CMS’ new interactive tool to help determine if they will avoid upcoming 2015 and 2016 Medicare EHR Incentive Program payment adjustments by demonstrating meaningful use, or if they should apply for a hardship exception.

If an eligible professional determines that they need to apply for a hardship exception, the application must be submitted by July 1, 2014CMS will review applications to determine whether or not a hardship exception will be granted. If approved, the exception is valid for one year.

Applying for Hardship Exception
When submitting hardship exception applications, entries must include supporting documentation that proves demonstrating meaningful use presented significant hardship.

CMS has posted hardship exception applications on the EHR website for:

Please read and follow the submission instructions on the application. Note that all required supporting documentation must be included at the time of submission. Completing your application online and submitting it electronically toEHRhardship@provider-resources.com, with all required supporting documentation, will reduce the application processing time. Please do not submit hand-written applications.

Hardship Exception Tipsheets
You can also avoid payment adjustments by successfully demonstrating meaningful use prior to the payment adjustment. Tipsheets are available on the CMS website that outline when eligible professionals must demonstrate meaningful use in order to avoid the payment adjustments.

June 18, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Healthcare Cloud Infographic

As you know, I always love a good infographic. This one does a decent job showing where we’re at in healthcare’s view of the cloud. Basically, cloud is a part of healthcare and will be forever. Watch for that trend to continue.

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June 16, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.