All posts tagged ASTP

HTI-2: Immature Standards and Lopsided Mandates

By Danielle Friend (Epic), Chair, Standards & Interoperability Workgroup, and John Stamm (Epic), Vice Chair, Public Health Workgroup

Previous installments of this 3-part blog series on the EHR Association’s top concerns with HTI-2 focused on the overarching issues and specific issues with the complex web of proposed changes to Insights Measures. Our full comments to ASTP are available on our website.

Along with unrealistic compliance timeframes and out-of-sync cross-agency requirements, ASTP’s Health Data, Technology, and Interoperability: Patient Engagement, Information Sharing, and Public Health Interoperability (HTI-2) proposed rule creates substantial compliance burdens for providers, the EHR developers that support them, and public health agencies (PHAs) due to the laundry list of premature and/or unnecessary and lopsided requirements.

Three areas where these issues are quite prominent are HTI-2’s proposed requirements pertaining to standards, electronic prior authorization (ePA), and public health reporting.

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by EHR Association on October 15, 2024  •  Permalink
Posted in Health IT Regulation
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Posted by EHR Association on October 15, 2024

https://ehrablog.org/2024/10/15/hti-2-immature-standards-and-lopsided-mandates/

ASTP’s HTI-2 Proposes Concerning Changes to Insights Measures

By Greg Thole (Oracle), Chair, EHR Association Certification Workgroup

In the previous installment of our blog series dissecting the EHR Association’s raft of concerns with ASTP’s Health Data, Technology, and Interoperability: Patient Engagement, Information Sharing, and Public Health Interoperability (HTI-2) proposed rule, we focused on the overarching issues. In this blog, we take a deep dive into the complex web of proposed changes to Insights measures that present specific challenges for certified health IT developers and indirect impacts for the providers that use their solutions. (Our full comments to ASTP are available on our website.)

Insights is a Condition and Maintenance of Certification requirement introduced via statutory directive in the 21st Century Cures Act, which tasked ASTP with creating an EHR reporting program for certified health IT developers. By its nature, Insights poses a difficult value proposition for developers, as it requires the commitment of development time and resources to efforts that do not directly benefit providers. 

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by EHR Association on October 7, 2024  •  Permalink
Posted in Health IT Regulation
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Posted by EHR Association on October 7, 2024

https://ehrablog.org/2024/10/07/astps-hti-2-proposes-concerning-changes-to-insights-measures/

Huge Scope, Not Enough Time: Concerns with ASTP’s HTI-2 Proposed Rule

By Stephanie Jamison (Greenway Health), Chair, and Leigh Burchell (Altera Digital Health), Vice Chair, EHR Association Executive Committee

In the months leading up to ASTP’s July 2024 release of the Health Data, Technology, and Interoperability: Patient Engagement, Information Sharing, and Public Health Interoperability (HTI-2) proposed rule, the EHR Association and other health IT stakeholder organizations braced themselves for what was certain to be a massive policy proposal. Those fears were quickly realized when the overwhelming scope of proposed new and expanded software requirements in the 1067-page HTI-2 NPRM was revealed. 

Following our in-depth analysis of HTI-2 and the process of drafting comments, the Association has identified concerns related to public health, standards, Insights measures, and electronic prior authorization requirements within the proposed rule, all of which will be discussed in greater detail in the subsequent blogs in this HTI-2 series. Additionally, there are several overarching issues we believe need to be addressed – including some previously raised by the EHR Association that have yet to be adequately addressed by ASTP and other regulatory agencies.

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by EHR Association on October 1, 2024  •  Permalink
Posted in Certification, Health IT Regulation, Health IT Standards, Interoperability
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Posted by EHR Association on October 1, 2024

https://ehrablog.org/2024/10/01/huge-scope-not-enough-time-concerns-with-astps-hti-2-proposed-rule/

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