HEALTH INFORMATION TECHNOLOGY IN THE 114TH

CONGRESS

TINA OLSON GRANDESVP, POLICY

HEALTHCARE LEADERSHIP COUNCIL

January 23, 2015

AetnaAmerinetAmerisourceBergen AmgenAmerican Clinical Laboratory AssociationAmerican Hospital AssociationAmerican Pharmacists AssociationAmerican Society for Radiation OncologyAnthemAmerica’s Health Insurance PlansAscension HealthAssociation of American Medical CollegesAssociation of Clinical Research

OrganizationsAthenahealthAugmedixBaylor Scott & White HealthBio-Reference Laboratories, Inc.Blue Cross Blue Shield AssociationBlueCross BlueShield of TennesseeBoeringer Ingelheim PharmaceuticalsCardinal Health CIGNA CorporationCleveland ClinicCollege of American PathologistsC.R. BardCVS CaremarkEdwards LifesciencesEli LillyExpress Scripts

Federation of American HospitalsFranciscan Missionaries of Our Lady Health SystemGenetic AllianceHealth Care Service Corporation Health DialogHealthcare Leadership Council IkariaIMS HealthIndiana University Health inVentiv HealthJohnson & Johnson Kaiser PermanenteMarshfield ClinicMayo ClinicMcKesson CorporationMedtronicMemorialCare Health SystemMerckMetLifeNational Association of Chain Drug Stores

National Association of Health UnderwritersNational Association of Psychiatric Health SystemsNational Community Pharmacists AssociationNewYork-Presbyterian HospitalNorthShore University HealthSystemNovartisNovo NordiskOwens & MinorPharmaceutical Care Management AssociationPremier healthcare alliancePrivacy AnalyticsQuest Diagnostics IncorporatedSanofi USSCAN Health PlanState FarmStrykerSurescripts Takeda Pharmaceuticals North AmericaTexas Health ResourcesTheragenics Vanderbilt University School of Nursing VHAWalgreensWeight Watchers InternationalWorkgroup for Electronic Data InterchangeZS Associates

Interoperability

“Cromnibus” 2015 Office of the National Coordinator for Information Technology Appropriation

Information Blocking – “…ONC should use its authority to certify only those products that clearly meet current meaningful use program standards and that do not block health information exchange. ONC should take steps to decertify products that proactively block the sharing of information …

The Committee requests a detailed report from ONC no later than 90 days after enactment of this act regarding the extent of the information blocking problem…”

Interoperability–Health IT Policy Committee report

House of Representatives21st Century Cures

Led by E&C Chairman Upton (R-MI) and Rep. Degette (D-CO)

Promote better access and sharing of data among researchers

Foster interoperability Reduce regulatory uncertainty for developers as they

design new products.

House Republican Conference Chairman Cathy McMorris Rodgers (R-WA) Draft legislation to be part of 21st Century Cures HIPAA changes Data policy

Privacy

“Big Data” frontier changing traditional uses and needs

When is it really a barrier to health information exchange?

Potential for cybersecurity or data breach legislation

Uniform state laws needed

Meaningful Use

MU2 Concerns that a surprisingly low number of healthcare providers have

successfully achieved Stage 2 meaningful use. CMS said in December about 257,000 doctors will face MU penalties

this year. Final rule gave additional year to meet Stage 2 requirements

MU3 Set to begin Oct. 1, 2016, for hospitals and Jan. 1, 2017, for physicians Proposed Rule currently at OMB for review (Dec 31) and expected to be

issued soon. Will propose changes to the reporting period, timelines, and

structure of the program, including providing a single definition of meaningful use.

Address a broader systemic healthcare landscape (care coordination, etc…)

Final rule expected June 2015

ICD-10

Compliance date is set for Oct. 1, 2015. Congress quietly slipped a year delay into

another Sustainable Growth Rate patch (expires March 31, 2015).

Delay could happen again to appease physicians if Congress does not permanently fix SGR this year.

Senate

REBOOT group Senate Republican Conference Chairman John Thune (R-

SD); Chairmen Lamar Alexander (R-TN) and Mike Enzi (R-WY) ; Senators Pat Roberts (R-KS) and Richard Burr (R-NC) Concerned about 5 challenges facing HIT policy:

increased costs,

lack of a clear path toward interoperability,

lack of oversight,

program sustainability,

patient privacy.

HELP and SFC Hearings likely

Obama Administration

Final version of the ONC interoperability roadmap expected this year

SOTU remarks about cybersecurity and privacy policy and personalized medicine

Final version of the Food and Drug Administration Safety Innovation Act (FDASIA) health IT report, a joint effort of the ONC, FDA and Federal Communications Commission.

Tina Olson GrandeSr. Vice President, PolicyHealthcare Leadership Council750 9th Street, NW, Suite 500, Washington, DC 20001tgrande@hlc.org

Questions