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CHIME Supports New Pathways for Meaningful Use in 2014
Nation’s CIOs ask for swift finalization of proposed rule with ‘common sense’ amendments
ANN ARBOR, MI, June 30, 2014 – In comments submitted Friday, June 27 on proposed “Modifications to the Medicare and Medicaid Electronic Health Record Incentive Programs for 2014,” the College of Healthcare Information Management Executives (CHIME) offered general support of program changes, but requested additional revisions and clarifications to maintain momentum of the federal initiative.
Comments from the professional association of healthcare CIOs and IT leaders said additional flexibility is needed because changes proposed for the Meaningful Use incentive program were only first released in late May, limiting the amount of time providers have to react to changes.
“CHIME supports the new pathways as defined in the proposed rule,” the letter read. “We believe these options will provide needed flexibility for EHR optimization, encourage continued participation in the program and help maintain the upward trajectory of EHR adoption in the US.”
One of CHIME’s primary requests is that the Centers for Medicare & Medicaid Services allow providers to choose any three-month quarter for an EHR reporting period in the next federal fiscal year or calendar year to qualify for Meaningful Use in 2015. As currently structured, the program requires providers to report a full year of data to qualify for incentives.
“We believe this change will have a dramatically positive effect on program participation and policy outcomes sought in 2015,” CHIME’s comments noted. “The additional time afforded by this modification would help hundreds of thousands of providers meet Stage 2 requirements in an effective and safe manner.”
“We are grateful for the agencies’ acknowledgement that 2014 has been an extremely challenging year for the industry,” said CHIME President and CEO Russell P. Branzell, FCHIME, CHCIO. “The new pathways created by this NPRM will enable many hospitals and physicians to capitalize on progress made to date. However, the benefits of this new flexibility will be immediately lost if 2015 reporting requirements are not tempered. Carrying forward the 2014 policy requiring providers submit data covering one quarter of their choosing in 2015 is common sense.”
Additional flexibility is needed because of the continued industry-wide strain to implement information technology in time to meet ongoing requirements of the program, CHIME contended. “Because there is such limited capacity for the industry to absorb ongoing technology upgrades and process changes, CHIME implores CMS to allow 3-month quarter EHR reporting options in 2015.”
CHIME’s comments also asked that the agencies delete ambiguous attestation requirements related to the definition of “fully implemented” Certified EHR Technology (CEHRT). “A number of CHIME members have indicated their apprehension to take advantage of the new pathways created by this NPRM (because of) how this proposed rule defines ‘full implementation’ of CEHRT since the examples do not adequately represent their situation,” CHIME stated.
“Given the industry’s experience with Meaningful Use audits, there is a lot of anxiety over how such a requirement would be validated,” said CHIME Board Chair Randy McCleese, FCHIME, LCHIME, CHCIO, Vice President of Information Services and CIO at Moorhead, Kentucky-based St. Claire Regional Medical Center. “The fear generated by meaningless audits can be crippling for small and rural organizations like ours. Ambiguity in what constitutes ‘full CEHRT implementation’ defeats the primary intent of this NPRM – namely, to encourage continued participation in the program.”
Overall, CHIME believes “these new pathways will provide much-needed relief to hundreds of thousands of providers struggling to meet MU requirements in 2014, due to circumstances beyond their control,” but CHIME is asking agencies to “explicitly state its intentions to let providers meet MU requirements retrospectively in 2014, if they are able.”
Finally, CHIME offered its support of the one-year extension of Stage 2 for providers that first qualified as meaningful users of EHR technology in 2011 and 2012. “This is a necessary extension to give policymakers time to evaluate past experience and incorporate lessons learned into the third Stage of Meaningful Use,” CHIME stated.
“From Day One, CHIME has been an adamant supporter of Meaningful Use, and we remain supporters to this day,” said Branzell. “Our comments and recommendations are pragmatic and meant to ensure that industry, government and taxpayer investments are properly managed. We are confident that if CMS makes these common sense changes, we can realize the benefits of a modern, connected healthcare system.”
The full text of CHIME’s response to the proposed modifications to the Meaningful Use program can be found at chimecentral.org/wp-content/uploads/2014/11/CHIME_Response_to_Modifications_MU_2014_Final.pdf
About CHIME
The College of Healthcare Information Management Executives (CHIME) is an executive organization dedicated to serving chief information officers and other senior healthcare IT leaders. With more than 1,400 CIO members and more than 130 healthcare IT vendors and professional services firms, CHIME provides a highly interactive, trusted environment enabling senior professional and industry leaders to collaborate; exchange best practices; address professional development needs; and advocate the effective use of information management to improve the health and healthcare in the communities they serve. For more information, please visit www.chimecentral.org.Contact
Stephanie Fraser
Director of Communications
734-665-0000
[email protected]Updated: 6/30/2014 11:47:29 AM
Posted 6.30.2014 -
AMDIS and CHIME Form Strategic Alliance to Further Adoption and Transformation of Health IT
ANN ARBOR, MI, June 9, 2014 -The Association of Medical Directors of Information Systems (AMDIS) and the College of Healthcare Information Management Executives (CHIME) have expanded their relationship through the formation of a strategic alliance. The alliance is intended to benefit both organizations and their respective members in the advancement of healthcare information technology adoption and transformation.
Under the terms of the alliance, CHIME will provide operational support to AMDIS, primarily in the areas of education and public policy. This includes representing AMDIS on public policy matters and developing an education support plan.
AMDIS will serve as the primary physician informatics advisor to and for CHIME, while CHIME will also serve as the primary health IT advisor to and for AMDIS.
“CHIME strongly believes that the formation of closely aligned partnerships can enable true IT transformation and progress in healthcare,” said CHIME President and CEO Russell P. Branzell, FCHIME, CHCIO. “This alliance demonstrates the commitment of both organizations to support the industry’s leading IT professionals and their pivotal role in the delivery of healthcare.”
The two organizations will remain separate entities, legally and financially, while continuing to seek ways to collaborate more efficiently. Most recently, the organizations introduced the CHIME/AMDIS CMIO Boot Camp, an education program providing professional development support to clinicians embarking on chief medical information officer or chief information officer roles.
“Both organizations have a shared understanding of the unprecedented need for health IT in supporting the transformation of care delivery,” said AMDIS CEO Richard L. Rydell, FACHE, LFHIMSS. “Our enhanced relationship will enable meaningful collaboration and accelerate HIT benefits realization.”
“Like CHIME, AMDIS and its physician members are committed to improving the safety, quality and efficiency of patient care, and by combining our efforts, we can significantly further our position in the industry and meet the challenges ahead,” said CHIME Board Chair Randy McCleese, FCHIME, LCHIME, CHCIO.
AMDIS Board Chairman William F. Bria, MD, said, “It has never been more important for all those who understand information instruments and patient care to come together to achieve the transformation of American medicine. Our goal is nothing less than to demonstrably improve the care of our fellow man.”
The strategic alliance was approved by leaders of both the AMDIS Advisory Board and the CHIME Board of Trustees. The two organizations will meet tri-annually to review goals and develop future objectives.
About AMDIS
Founded in 1997, the Association of Medical Directors of Information Systems is the premier professional organization for physicians interested in and responsible for healthcare information technology. AMDIS has more than 2,800 physician members worldwide, 250 associate members and 40 provider organization members. AMDIS members are the thought leaders, decision makers and opinion influencers dedicated to advancing the field of Applied Medical Informatics and thereby improving the practice of medicine. For more information, visit www.AMDIS.org.About CHIME
The College of Healthcare Information Management Executives (CHIME) is an executive organization dedicated to serving chief information officers and other senior healthcare IT leaders. With more than 1,400 CIO members and more than 100 healthcare IT vendors and professional services firms, CHIME provides a highly interactive, trusted environment enabling senior professional and industry leaders to collaborate; exchange best practices; address professional development needs; and advocate the effective use of information management to improve the health and healthcare in the communities they serve. For more information, please visit www.chimecentral.org.Contact
Stephanie Fraser
Director of Communications, CHIME
[email protected]Updated: 6/11/2014 10:09:42 AM
Posted 6.9.2014