AAOS June 26, 2018
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Health IT Advisory Committee Announces Interoperability Forum

The Office of the National Coordinator's (ONC) Health IT Advisory Committee (HITAC) held its monthly meeting by phone Wednesday, June 20. The ONC Director, Donald Rucker, gave initial introductory remarks and made several announcements, including: ONC will hold its annual Interoperability Forum August 6-8, HHS Secretary Alex Azar has approved the HITAC Policy Framework, and the Committee will begin work to establish a new task group to produce the annual HITAC Progress Report required under the 21st Century Cures Act.

Dr. Kate Goodrich (Director of CMS’ Center for Clinical Standards and Quality) gave HITAC members an update on the changes contained in the 2019 Inpatient Prospective Payment System (IPPS) proposed rule. As with the Patients Over Paperwork initiative launched by CMS, the agency intends to increase the proportion of tasks that CMS customers can do in a completely digital way and are looking to replicate much of what they have done for the Quality Payment Program (QPP) in terms of digital tools for other programs.

Additionally, CMS has developed an API for data submission under QPP that can be used for reporting to MIPS for clinicians using registries and QCDRs; and will be allowing teaching physicians to verify in the medical record student documentation of E/M services rather than re-documenting the student's notes.

Among other changes addressed in the newly renamed Promoting Interoperability program (formerly Meaningful Use), CMS reiterates that the 2015 CEHRT Edition upgrade requirement will begin on track in 2019; the EHR reporting period for this program in 2019 and 2020 will remain at a minimum of 90 continuous days; and CMS will be making no significant changes to CQMs for 2019 other than to remove a few that were particularly problematic. Public feedback on the 2019 IPPS proposed rule is due June 25, and AAOS will be submitting comments.