MACRA: Then and Now

By David Heller

MACRA

How much do you know about Congress’ effort to “rein in” expenses associated with healthcare’s fee-for-service system with the passage of MACRA?

Incentivizing value-based care was the goal of the Medicare and CHIP Reauthorization Act of 2015, aka MACRA, writes David Heller of the EHRA Public Policy Committee and Corporate Counsel for Regulatory Affairs at Greenway in an article tracing MACRA’s policy roots and offering recommendations for its future in the American University Health Law and Policy Brief.

In the article, “MACRA: Emerging from the Thicket,” Heller explains some of the reporting complexities that the Congressional authors of MACRA were trying to address.

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Standardizing Data Collection to Support Clinicians in the Opioid Fight

By David Bucciferro and Katelyn Fontaine
EHRA Opioid Crisis Task Force 

Dataset Infographic

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Volunteers on EHRA’s Opioid Crisis Task Force have made great strides in the past year in our efforts to identify the policy changes and adoption patterns needed to maximize the capacities of health IT to combat the opioid crisis.

From the start, our focus has been, What do providers need from technology to support their efforts in the opioid crisis?

When we began our work in early 2018, we were surprised to find that there was no comprehensive source for the state-specific policies and standards surrounding prescription drug monitoring programs (PDMPs) and electronic prescribing of controlled substances (EPCS). So, we set out to create our own.

State by state, we collected data, including timeframes for reporting controlled substance prescriptions to PDMPs, what data is collected, which professionals are able to access PDMP information, if and when information can be shared across states, and any limits on retaining PDMP data within an EHR.

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How EHR Technology Can Support Best Practices for Opioid Prescribing

By Dan Seltzer and Alan Staples
Co-chairs, Clinician Impact Subgroup, EHRA Opioid Crisis Task Force

screenshot_2018-12-26 ehra cdc opioid guideline implementation guide for ehrs - ehra-cdc-opioid-guideline-implementation-gu[...]The widespread opioid epidemic and its devastating effects flood our news feeds daily. No one is immune, which is why when the Electronic Health Record Association (EHRA) asked for volunteers to join a new Opioid Crisis Task Force, we and many others – including doctors, nurses, and pharmacists – stepped forward to share our experiences and expertise. For the past year, we have been conducting research and providing recommendations on new ways EHR technology can contribute solutions to help solve the complex puzzle of the opioid crisis.

Our most recent contribution is the CDC Opioid Guideline – Implementation Guide for Electronic Health Records.

Initial research and conversations with providers focused on the question, What do providers need from technology to support their efforts in the opioid crisis?  The input we received led us to develop a guide to assist healthcare organizations implement clinical practice guidelines within the EHR to improve opioid stewardship in clinical practice.   Read the full post »

Five Easy Healthcare Cybersecurity Tips From EHR Developers

By the EHRA Privacy & Security Workgroup

FIVE SIMPLE HEALTHCARE CYBERSECURITY TIPSWhether you work for a large health system or small physician practice, you know that securing your patients’ data is important, and it’s a responsibility you take seriously. But chances are, you haven’t fully implemented as many cybersecurity best practices as you could.
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IPPS: Ambiguous Measures Won’t Reduce Burden

By Sasha TerMaat
Co-Chair, EHRA Executive Committee

man holding three white medication pills

The final 2019 IPPS rule included changes to the Promoting Interoperability/ Meaningful Use program beginning January 1, 2019. Disappointingly, with only six weeks between the close of the public comment period for the proposed rule in late June and the publication of the final rule in early August, CMS’ rushed process and failure to fully consider stakeholder comments (including EHRA’s) led to a rule filled with measures that will be unworkable, inefficient, and onerous.

In a previous blog we delved into PDMP query as just one of the measures where EHR developers anticipate challenges. In that case it’s due to differing levels of PDMP integration with CEHRT and inconsistent references within the rule about whether the query needs to be made via CEHRT, along with other areas in which the measure is ambiguous.  

In this blog post, let’s look at the reasons we’re concerned about a different measure, this one related to opioid treatment agreements.

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Coming Soon: Guide to Implementing CDC Opioid Rx Guidelines Within the EHR

By the Clinical Impact Subgroup, 
EHRA Opioid Crisis Task Force

CDC opioid guide image
During
National Health IT Week, we celebrate and take pride in the value that health information and technology has brought to patients and their healthcare providers. We also look ahead to new benefits that health IT can bring.

EHRA is committed to bringing together forward-looking experts from among our 34 member companies to collaborate on solving industry challenges. In 2018, we formed an Opioid Crisis Task Force to research and provide recommendations on ways EHR technology can help with solving the complex puzzle of the opioid crisis.   Read the full post »