Disability Inclusion Part One: What is Accessibility and Why It’s Important for EHRs

By Tammy Coutts (MEDITECH), Vice Chair of the EHR Association User Experience Work Group, and Mike Shonty (MEDITECH), Member of the User Experience Work Group

One in four Americans has a disability, whether temporary or permanent, including physical, mental, intellectual, or sensory impairments that hinder their full and effective participation in society on an equal basis with others. The EHR Association has long focused on identifying ways health IT can be leveraged to advance disability inclusion across healthcare benefitting not only patients but also providers and other healthcare workers requiring accommodation to fully and effectively participate in both the provision and receipt of healthcare. 

Most recently, the Association’s User Experience Work Group has turned its focus toward advancing disability inclusion with our latest project: building awareness of how disability exclusion impacts health IT users and identifying design solutions to eliminate the challenges. This includes expanding the Association’s Personas Library to include Accessibility Personas and potentially creating workflow scenarios.

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Global Health Equity Week: Bridging Healthcare Disparities Through Technology and Policy Advocacy

By EHR Association SDOH & Health Equity Task Force

Global Health Equity Week, October 23 – 27, 2023, is a week of action that seeks to spotlight the transformative capabilities of health information and technology in reshaping healthcare, reducing health disparities, and improving access to healthcare for all communities. As part of its mission to improve the quality and efficiency of care through innovative, interoperable health IT adoption and use, the EHR Association continues to appeal to lawmakers and national regulators in support of expanding access to telehealth, addressing social determinants of health (SDOH), and increasing interoperability between healthcare providers and community-based organizations (CBOs).

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Timeline to Comply:  EHR Developers Face a Complex Regulatory Compliance Landscape

By the EHR Association Public Policy Leadership Workgroup

Leading the digital transformation of the healthcare industry, electronic health records (EHRs) and health information technology (IT) play a pivotal role in streamlining patient care and improving healthcare outcomes. This transformation comes with a host of regulatory and compliance requirements that EHR and health IT developers must navigate – this timeline highlights the challenges and complexities of a portion of the upcoming projects.

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How Not to Lose $1 Million: Preparing for OIG’s Information Blocking Enforcement

Guest post by Alya Sulaiman and James A. Cannatti III, Partners with McDermott, Will & Emery LLP

On Sept. 1, 2023, the HHS Office of Inspector General (OIG) began enforcing rules against information blocking in healthcare – authority it was granted under the 21st Century Cures Act – putting certified health IT developers, HINs, and HIEs at risk of civil monetary penalties (CMPs) of up to $1 million for each confirmed violation. (Ultimately, healthcare providers will also be subject to disincentives for information blocking not yet published by HHS.) The EHR Association’s membership is committed to preventing information blocking and supporting efforts to share electronic health information (EHI) to better patient care. Part of that is arming impacted health IT developers with as much information as possible to help them – and by extension, their customers – comply with current and future regulations to help protect themselves from potentially crippling penalties.

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Scoring is a Primary Concern with CORE’s proposed ASN eCQM

By Toni Wilken (Meditech), Vice Chair, Quality Measures Workgroup

Creation of the proposed Addressing Social Needs (ASN) electronic quality measure (eCQM) supports the important goal of addressing an unmet need in patient care by helping to improve screening and coordination with local and community-based resources. However, the EHR Association has identified several issues with the measure as proposed by its developer, Yale New Haven Health Services Corporation–Center for Outcomes Research and Evaluation (CORE), which we shared recently in our response to CORE’s call for comments.

ASN eCQM

Briefly, the Centers for Medicare & Medicaid Services (CMS) engaged CORE to develop a re-designed measure to evaluate how well hospitals were screening for and following up on the social needs of their patients. The result was the ASN eCQM, which is designed to measure screening of patients for social needs within four domains – food insecurity, housing insecurity, utility insecurity, and transportation insecurity – as well as if an intervention activity is performed. 

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SDOH and Health Equity Task Force

By Janet Campbell (Epic), Chair, SDOH & Health Equity Task Force

Recognizing an important opportunity for the EHR Association to be a proactive leader in the burgeoning and increasingly critical field of social determinants of health (SDOH) and health equity, the Association has kicked off its recently established SDOH & Health Equity Task Force. 

EHRs have revolutionized the healthcare industry and even how care is delivered. But the practice of addressing social risks and delivering care equitably varies widely across organizations. Thus the role of the EHR  – and therefore the role of health IT developers – remains largely undefined. The potential for EHRs to advance SDOH and health equity is significant, including the proactive collection of demographic and determinant data, segmenting quality reports to uncover disparities, and facilitating prompt closed-loop community-based organization (CBO) referrals. 

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