Release date: 2017-07-24
In June of this year, the US Medicare and Medicaid Services Center (CMS) announced that it will postpone the 2018 Quality Payment Program (QPP) for compulsory medical institutions to complete the 2015 certification version of the eHealth File (2015 Edition). Certified EHR technology, CEHRT) Deadline for upgrades.
The original plan of the CMS is to require all quality payment project participants (such as those involved in performance incentive payment systems and advanced alternative payment models) to use the 2015 certified version of the electronic health record technology in 2018. But the plan can't keep up with the changes! In the latest requirements, the electronic version of the 2014 edition or the 2014\2015 fusion edition is also within acceptable limits.
Is it blessing or a curse?
This may be good news for all project participants: no need to keep up with the progress, continue to use the 2014 version can also earn more costs. The 2018 Quality Payment Program (IPPS) issued in April stipulates that all hospitals or qualified doctors who participate in the “Inpatient Quality Report and Effective Use Program†must have electronic health record system technology in 2018. The version is upgraded to the 2015 certification version.
According to the National Office of Health Information Technology Coordination (ONC), by 2018, 85% of hospitals and 74% of quality payment project participants can use the 2015 version of the electronic health record technology. In addition, the certified electronic health record technology used by most hospitals is from the top 5 developers, and the electronic health record technology providers of mobile medical service organizations are widely distributed, and the certification and testing progress of each company is difficult to unify.
Therefore, if the CMS does not have a rigid requirement, the medical institution will face the following challenges:
1. From testing, deploying, correcting, training, and finally fully enabling new technology features, this is bound to be a long process. As far as the 15th edition of the electronic health archive technology is concerned, medical institutions have little knowledge of it and lack of operational experience and functional awareness, which will inevitably delay the progress of technological innovation.
2. Compliance doctors participating in the “Efficient Use of Electronic Health Archives Program†may have to succumb to the terms of the quality payment program. For these medical practitioners, this is two completely different measurement systems (effective use systems and advanced care information systems in performance incentive payment systems). In comparison, the criteria for effectiveness are more difficult to achieve than the advanced care information system.
3. For health systems that manage both the quality of hospital care and mobile first aid treatment, two sets of systems that are almost completely different – ​​the effectiveness use system and the advanced care information system – need to be monitored.
4. Medical practitioners involved in quality payment programs, whether working in the hospital front or behind the office, will be troubled. Due to the different technical update schedules on both sides of the hospital and office, the information cannot be symmetrical.
It is expected that CMS will announce the final 2018 Inpatient Proactive Payments (IPPS) Regulations in early August this year. At that time, the time of the electronic health record technology innovation plan can be settled.
If the plan is really delayed, then the US medical institutions can at least relax during the transition period between the two systems. If it is not postponed, then everyone needs to keep up with the technology update and application nodes as soon as possible, reducing the possibility of two sets of measurement systems conflicting.
Source: Health
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