EHR Association Statement on HTI-2 Final Rule

Following is the statement from the EHR Association on the Dec. 11, 2024 publication by ASTP/ONC of the Health Data, Technology, and Interoperability: Trusted Exchange Framework and Common Agreement (HTI-2) Final Rule, which will publish in the Federal Register on Dec. 16, 2024. The scaled-based rule finalizes certain proposals related to the Trusted Exchange Framework and Common Agreement (TEFCA). It also amends the information blocking regulations by including definitions related to the TEFCA Manner Exception and implements provisions to support the reliability, privacy, security, and trust within TEFCA.

“This first rule finalizing parts of the HTI-2 proposals was released on December 11, 2024, and the focus on TEFCA allows ASTP to solidify pillars of that program that outgoing leadership wants to leave as a legacy. We expect the remaining components of the HTI-2 proposed rule to be split into multiple other final rules. In doing so, the EHR Association hopes that ASTP/ONC will prioritize the necessary additional technical corrections specific to health IT vendors, the most urgent of which relate to Insights Measures. As currently drafted, the Insights Measures are likely to produce data of questionable value – something we have been stressing to ASTP since publication of the HTI-1 proposed rule in 2023. As we inch closer to the January 1, 2026, start date, the uncertainty of finalized measurements creates challenges. We hope that future rules finalizing HTI-2 proposals will include helpful and necessary clarifications.”

Election 2024: Potential Impacts on Health IT

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

With a new administration poised to enter office and Republicans set to control both the House and Senate, the anticipated impact of the 2024 election on health IT policy is a question many in the industry are contemplating as they consider policy priorities for the year ahead. 

In assessing what to expect from the next four years, we can consider both the previous Trump Administration and those areas where Congress has been vocal in its desire to put forward legislation. While the assumption is that healthcare is unlikely to be the highest priority for either the incoming administration or Congress—the most urgent focus areas will likely be border security, tax, trade, energy, and environmental regulations—technology is top-of-mind in many areas. Legislation addressing AI, cybersecurity, and data privacy is expected to be a focal point of a new Congress.

(more…)

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. 

(more…)

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.

(more…)

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.

(more…)
  • Categories

  • Follow EHRA on Twitter

  • Enter your email address to follow this blog and receive notifications of new posts by email.

    Join 204 other subscribers
  • Contact Us

    Kasey Nicholoff
    staff @ ehra.org

    Amanda Patanow
    Communications and Media
    ehracomms @ npccs.com