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HIPAA NewsEHR Adopters May End Up Costing Much More Than the New Incentives Because of Failure to Harmonize EHR Adoption with Mandated HIPAA Electronic Upgrades(April 22, 2009) - The huge number of dollars in federal financial incentives to adopt electronic health records (EHRs) may end up costing healthcare organizations considerably more than those enticements because of other clumsy IT mandates, according to Melamedia, LLC, which is sponsoring a May 13 audio seminar that discusses strategies for avoiding this danger. The most evident example of the risk: HIPAA transactions (ANSI 5010) must be upgraded by Jan 1, 2012, and ICD-10 coding must be used by Oct 1, 2013. The danger is that organizations - lured by the federal money - will rush to install EHR systems by 2011 with little or no thought as to how those systems will function with their other computer systems that will require major upgrades within the following two years. Make no mistake, the EHR and HIPAA initiatives are separate but related expansive and expensive computer system upgrades. Not surprisingly, there is substantial confusion. For example, HIPAA billing information is already used for quality purposes. So how will healthcare entities distinguish between EHR quality measurement systems from those using HIPAA billing data? One big risk is that without proper planning and forethought, healthcare organizations may fall prey to the expected army of EHR entrepreneurs who will make promises they cannot keep. The bottom line: Healthcare organizations cannot rely on EHR vendor assurances that the HIPAA billing component can simply be tacked on to an EHR systems. Nor can they assume that their clinical, administrative and practice management systems will work seamlessly without planning. Just as important, these initiatives will require the involvement of HIPAA privacy and security officers because the EHR initiative and HIPAA updates will expand the amount of information collected and shared as well as create new security issues that come with any major change in electronic systems. Moreover, while the economic stimulus package included new controls on patient data, the EHR initiative and HIPAA are not the only laws that will have an immediate effect on EHR systems. For example, the U.S. Equal Employment Opportunity Commission recently issued proposals establishing a formal definition of "family histories" and new controls on the collection and use of this commonly sought information under the Genetic Nondiscrimination Information Act (GINA).So the ultimate danger is that healthcare organizations may be thousands of dollars-wise in pursuing EHR incentives but hundreds of thousands of dollars foolish in trying to meet their other compliance and IT mandates. To assist healthcare organizations in maximizing their investments in EHRs and other IT initiatives, Melamedia, LLC, publishers of Health Information Privacy/Security Alert, is sponsoring: PARTICIPANTS WILL BE BRIEFED ON
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