HHS Establishes ASTP/ONC

On July 25, 2024, HHS announced it had reorganized its technology, cybersecurity, data, and AI strategy and policy functions to “streamline and bolster technology, cybersecurity, data, and artificial intelligence (AI) strategy and policy functions.” Historically, responsibility for policy and operations has been distributed across the ONC, ASA, and ASPR. Now those responsibilities have been consolidated into the Assistant Secretary for Technology Policy and Office of the National Coordinator for Health Information Technology, or ASTP/ONC.

In response to this announcement, the EHR Association issued the following statement:

“In establishing ASTP/ONC, HHS is acknowledging the increasingly important role of health IT in the care delivery system since the inception of ONC 20 years ago, as well as the critical role electronic patient data plays in the provision of and access to quality care. ONC has collaborated with the health IT industry as we have expanded patient access to their data, the exchange of health information between numerous stakeholders, and now the rapidly growing influence of AI.

“Along with great potential, these changes bring heightened privacy and security risks and the need for a fresh approach to policy, standards, and strategy to address the complex nature of health information technology. The EHR Association believes the new ASTP/ONC can add great value in expanding even further the work they do to coordinate health IT-related policy across the Federal government.

“We look forward to collaborating with ASTP/ONC as we work toward our shared goals of continually improving the quality and efficiency of care through safe, innovative interoperable health IT adoption and use.”

Success of ONC’s Health IT Strategic Plan Rests on Realistic Expectations, Regulatory Timelines

By Stephanie Jamison (Greenway Health), Chair, and William Hayes, M.D. (Trubridge), Vice Chair, EHR Association

With its Draft 2024-2030 Federal Health IT Strategic Plan, ONC seeks to enhance individual and community health through improved healthcare experiences, advanced research and innovation, and integrated health data systems – important goals the EHR Association finds commendable provided the path taken to achieve them is paved with realistic expectations and timelines for regulations targeting them.

In many ways, the mission and vision laid out by ONC in its strategic plan echoes the objectives of our member companies; namely, advancing the quality and efficiency of care through innovative, interoperable health IT adoption and use. However, our enthusiastic support is tempered by concerns over the potential for too-aggressive compliance timelines and expectations that are beyond the reach of EHR and other health IT developers and the provider organizations utilizing these tools – concerns we shared in our response to ONC’s call for feedback on the Draft Federal Health IT Strategic Plan. 

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States Should Look to TEFCA when Regulating Data Exchange

By Josh Mast (Oracle Health), Chair, EHR Association Public Policy Leadership Workgroup

As the 21st Century Cures Act transitions from policy to practice, numerous states are looking at their interoperability and privacy regulations with an eye toward enacting laws governing healthcare and health IT utilization. This includes establishing state health data utilities (HDUs), health information exchanges (HIEs), and data sharing agreements.

The EHR Association supports states’ ability to gather information for public health, population health, and other purposes. However, a patchwork regulatory approach could create unintended roadblocks to the secure national exchange of and access to critical health information.

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Advocating for Inclusive Disincentives to Support Broader Information Sharing

By Leigh Burchell (Altera Digital Health), Vice Chair, EHR Association Information Blocking Compliance Task Force

The EHR Association submitted feedback to the Office of the National Coordinator’s proposed rule for Health Information Technology (ONC) concerning the Establishment of Disincentives for Health Care Providers That Have Committed Information Blocking. This proposed rule aims to establish disincentives for healthcare providers found guilty of information blocking. The Association’s comments, while reinforcing our commitment to improving information sharing, also highlight the need for a more inclusive approach to disincentives that could motivate a wider range of healthcare providers to embrace information sharing best practices.

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EHRs are Prioritizing Data Usability with Help from The Sequoia Project and AHIMA

By Didi Davis, Vice President of Informatics, Conformance & Interoperability with the Sequoia Project

When folks talk about interoperability, the conversation is usually focused on the “why” or the “how” for health information exchange. The Sequoia Project, in partnership with AHIMA and health IT organizations participating in the Data Usability Taking Root Movement, is expanding the dialogue to “what” data is exchanged, and how we can ensure it is accurate, complete, usable, and in alignment with current regulations.

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Looking Back: The 5 Dominant Issues of 2023

By David Bucciferro (Foothold Technology-Radicle Health), Outgoing Chair, EHR Association

Reflecting on 2023, the year was dominated primarily by five issues of importance to the EHR Association and its 29 member companies, all of which aligned with our overarching focus on collaborative efforts to accelerate health information and technology adoption, advance interoperability, and improve the quality and efficiency of care through the use of EHRs.

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