Next Steps Towards ePA

By EHRA Chair David Bucciferro (Foothold Technology)

Health information technology (IT) holds great promise for contributing to efforts to streamline and improve the efficiency of the highly complex prior authorization process, and the EHR Association is confident that electronic health record (EHR) systems have a vital role to play in doing so. However, the adoption of electronic prior authorization (ePA) is not without its challenges – challenges that will require time, significant cross-stakeholder coordination, and standardization of access to and exchange of related data to overcome.

As we laid out in the previous three blogs in this series, the EHR Association supports streamlining the ePA process, provided the effort is appropriately supported by accepted standards and care is taken to avoid past mistakes of rolling out policy requirements faster than standards have been developed to support the work. 

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A Focus on Standards 

Screen Shot 2019-07-04 at 6.19.08 PMOn June 3, EHRA submitted feedback to ONC on its proposed rule, the  21st Century Cures Act: Interoperability, Information Blocking, and the ONC Health IT Certification Program. In this feedback, EHRA members drew on both their expertise as software developers and as contributors to standards work across the health IT industry. 

One theme of EHRA and other stakeholders’ feedback is that a focus on standards is critical. A particular standard proposed recently by ONC is the United States Core Data for Interoperability, or USCDI. USCDI “is a standardized set of health data classes and constituent data elements for nationwide, interoperable health information exchange” and includes important health data classes. 

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