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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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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Looking Ahead at 2024

By Stephanie Jamison (Greenway Health), Chair, EHR Association

Last year ended with a bang as ONC issued the HTI-1 final rule and officially opened the doors to TEFCA by designating the first five QHINs. It was a small taste of what’s to come in 2024, and the EHR Association will be busy ensuring our members’ voices are heard at the state and federal levels as the regulatory wheel continues to spin.

Even as EHR developers and providers begin work on HTI-1 compliance, ONC is already moving forward with plans for the HTI-2 proposed rule, which is expected to focus on public health, patient engagement, and information sharing. The EHR Association will work closely with ONC and other stakeholders to voice concerns, provide recommendations, and educate on issues impacting our membership.

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Concerns Grow over Ambiguity of USCDI Data Classes

By Hans Buitendijk (Oracle) Ex Officio Member, EHRA Executive Committee

As USCDI and USCDI+ expand, we see an increase in ambiguities in their data definitions that are creating increased challenges for programs and health IT required to support USCDI as intended. It’s of particular concern for certified health IT developers, as the ambiguity gap raises questions about what support is actually required, as HL7 FHIR US Core and HL7 CDA C-CDA specifications are used to certify to supporting USCDI.

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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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