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CMS publishes Stage 3 Meaningful Use proposal

The rumor I heard this morning was true. CMS has published its proposed rules for Stage 3 of Meaningful Use, once again waiting until late on a Friday to release a major document. Stage 3 will start no earlier than 2017.

Simultaneously, ONC released its proposed update to EHR certification regulations, to be known as the 2015 edition.

Both documents will appear in the Federal Register March 30, triggering a public comment period. CMS will take comments on the MU rule through May 29, while ONC will do so on the certification plan through June 30. Expect to see final rules before the end of the year.

From an HHS e-mail announcement:

Together, these proposed rules will give providers additional flexibility, make the program simpler and reduce burden, drive interoperability among electronic health records, and increase the focus on patient outcomes to improve care.

The proposed rules are one part of a larger effort across HHS to deliver better care, spend health dollars more wisely, and have healthier people and communities by working in three core areas: to improve the way providers are paid, improving the way care is delivered, and improving the way information is shared; to support transparency for consumers, health care providers, and researchers; and to strengthen decision-making.

“The flow of information is fundamental to achieving a health system that delivers better care, smarter spending, and healthier people. The steps we are taking today will help to create more transparency on cost and quality information, bring electronic health information to inform care and decision making, and support population health,” said HHS Secretary Sylvia M. Burwell.

The Meaningful Use Stage 3 proposed rule issued by CMS specifies new criteria that eligible professionals, eligible hospitals, and critical access hospitals must meet to qualify for Medicaid EHR incentive payments (Medicare incentive payments end in 2016). The rule also proposes criteria that providers must meet to avoid Medicare payment adjustments (Medicaid has no payment adjustments) based on program performance beginning in payment year 2018.

The 2015 Edition Health IT Certification Criteria proposed rule aligns with the path toward interoperability – the secure, efficient, and effective sharing and use of health information – identified in ONC’s draft shared Nationwide Interoperability Roadmap. The proposed rule builds on past editions of adopted health IT certification criteria, and includes new and updated IT functionality and provisions that support the EHR Incentive Programs care improvement, cost reduction, and patient safety across the health system.

The Stage 3 proposed rule’s scope is generally limited to the requirements and criteria for meaningful use in 2017 and subsequent years. CMS is considering additional changes to meaningful use beginning in 2015 through separate rulemaking.

Enjoy perusing the 301 pages of the Stage 3 proposal and 431 pages of the certification proposal this weekend!

March 20, 2015 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality, hospital/physician practice management and healthcare finance.

New Media Meetup at HIMSS15 showcases Chicago icon

The New Media Meetup, now in its sixth year, has become a staple at the annual HIMSS conference. As a longtime resident of Chicago, I’m excited to tell you that this year’s event will be held at the legendary Gino’s East pizzeria, Tuesday, April 14 from 6 to 8 p.m. CDT.

As usual, your host will be John Lynn, founder of the HealthcareScene.com blog network, of which Meaningful HIT News is a member. Here are the basics:

When: Tuesday 4/14 6:00-8:00 PM
Where: Gino’s East, 162 E. Superior St., Chicago, IL 60611 MAP
Who: Anyone who uses or is interested in New Media (Blogs, Twitter, Social Media, etc)
What: Food, Drinks, and Amazing People

Note: We have limited space for the event and so like in past years, we’ll have to close registration once we reach capacity.

Check out John’s blog post for more details, as well as information on the first-ever Healthcare IT Marketing and PR Conference he is hosting in Las Vegas May 7-8.

In case you were wondering, I still do not know who I will be covering HIMSS15 for, so I’m unable to schedule meetings yet. I expect to have at least a partial answer in the next week or so.

March 17, 2015 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality, hospital/physician practice management and healthcare finance.

So you want a meeting at HIMSS15?

HIMSS15 is less than a month away. The vendor requests for meetings of course have started coming in.

Every year I seem to do fewer and fewer, for several reasons. First off, they’re exhausting. The exhibit hall is huge. This year, it looks like exhibits will fill the entirety of the McCormick Place North Building (705,500 square feet of exhibit space) and South Building (840,000 square feet), and that doesn’t even count the meeting rooms or auditoriums for keynotes. The press room and many of the educational sessions are in the West Building, at least a 15-minute walk from the show floor.

HIMSS says to expect more than 1,200 vendors. I think that’s a conservative estimate, given that there were 1,300 last year and the number seems to grow every year. In any case, that’s a lot of vendors. Remarkably, even as the HIMSS conference has grown over the years, there is only one of me. I can maybe manage 10-12 vendor meetings during the entirety of the conference, so statistically, you have less than a 1 percent chance of snagging one of those spots.

Of course, the more meetings I schedule, the less time I have to do my actual work — you know, the reason why I go to HIMSS every year.

At this point, with my career in a bit of flux, I don’t know yet whom I will be covering HIMSS for. Until I know my assignments, it’s hard to schedule meetings. Please bear with me.

I notice others have recently expressed similar concerns about their own scheduling. For years, I’ve had a “Rule No. 1” for people attending HIMSS for the first time: Wear comfortable shoes. The people at HIMSS have caught on. “Don’t forget to wear your comfortable shoes!” reads the main Exhibition page on the HIMSS Conference site this year.

Joe Goedert at Health Data Management wrote a nice piece last month with “Tips for Meeting with Reporters at HIMSS15.” Among his advice: Give us the biggest news, not your entire media kit/life story; bring customers, not marketing managers; understand and respect our knowledge and get to the point rather than giving health IT reporters background on the HITECH Act; avoid buzzwords; and respect the reporter’s preference of meeting in either the press room or exhibit hall.

Personally, I hate the exhibit hall. It takes forever to get anywhere, and I don’t need to be stopped every 50 feet for a carnival barker or “booth babe” to ask me to enter to win an iPad in exchange for adding my business card to a marketing list. I’m not your target customer.

I would add to Joe’s list the fact that there is a lot more to HIMSS than just the “show.” There are more than 300 educational sessions, many of which are better uses of my time than a product update. It’s astounding how many vendor reps I speak to each year who haven’t left the exhibit hall all week.

Hopefully I’ll have the coverage question resolved in the next week or two. As for the other issues, well, that’s up to you.

March 13, 2015 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality, hospital/physician practice management and healthcare finance.