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Health information technology for economic and clinical heal

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Anna Post

on 18 April 2018

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Transcript of Health information technology for economic and clinical heal

Health information technology for economic and clinical health (HITECH Act)

Health information technology for economic and clinical health (HITECH Act)

Group E:
Alycia Welch, Anna Post, Nasra Ali, Riley Boedigheimer, Shelby Kurr, Sierra Rodero

Political
All business associates also now fall under the HITECH Act
Legislation added these fines for civil and criminal penalties, repeat/uncorrected violations, and wrong-doings.
Legislative is using more of an enhanced enforcement to catch providers for non-compliance

Social
The HITECH Act effects every patient in the healthcare system & creates behavioral Change within the organizations with incentives
Easier access to electronic medical records for patients and other providers (and also must now give notification of a breach in security of records)

Implications or impacts of the law


Because of the HITECH Act, “HIPAA (Health Insurance Portability and Accountability Act) regulation compliance has become more strict and there are now larger fines for data breaches” (SearchHealthIT.com, 2010).



Intro
Essentially the criteria for quality, safety and efficiency
There are 4 categories of violations with correlating legal consequences
Maximum penalty amount of $1.5 million
Strengthens criminal and civil enforcement of HIPPA rules and regulations.
Overview
Requires patients to be notified of any breach
Historical
Economic
Helps avoid data breaches and other penalties which can cost money for companies.
Less work using paper files, once fully adopted saves both time and money.
Incentives for providers to adopt the use of EHR (Electronic Health Records).
By end of 2014, 28.1 Billion dollars used as incentive towards EHR use
Not fully adopted by 2014 as planned, not sure if it was as cost-effective as once believed.

2 Unintended Consequences
Findings
Recommendations
Conclusion
References
HHS Office of the Secretary,Office for Civil Rights, & OCR. (2017, June 16). HITECH Act Enforcement Interim Final Rule. Retrieved April 03, 2018, from https://www.hhs.gov/hipaa/for-professionals/special-topics/hitech-act-enforcement-interim-final-rule/index.html
The Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009 provides financial incentives to providers for adopting meaningful use EHR technology.
Provides patient with right to access ePHI in electronic format
Compliance regarding marketing communications, restrictions to uses and disclosures.
Specific breach protocol procedure
Palma, George. (2014, October 14). Electronic Health Records: The Good, the Bad, and the Ugly. Retrieved April 03, 2018, from https://www.medpagetoday.com/Blogs/disruptions-or-distractions/61207
1. Higher Costs

2. Extensive Documentation leading to decreased Patient Satisfaction


There are many costs associated with EHRs. Some of these costs include the physical hardware and/or software, setup, maintenance, training, IT support, and system updates. For many small practices with lower cash flow, cost alone prohibits them from properly implementing and maintaining the system (Becker’s Health IT & CIO Report, 2013).
Higher Costs
Increases use of EHR
move away from fax machines
ease sharing information with public health officials
measure large-scale public health outcomes
2008 - 9.4% of non-federal acute care hospitals used a Basic EHR system
2015 - 96% of hospitals & 78% of physicians used certified electronic health record technology.
HITECH Act brought many regulation changes.

The HITECH Act has radically changed the way hospitals and physicians manage electronic health records.
Increased HIPPA enforcement
Data breach notifications
Electronic Health Record Access
Policing Business Associates
Meaningful use program - empowering patients and familiers
Build on Meaningful use program to find and reduce health disparities
example: access to health info in other languages
use health IT to further empower patients
HITECH signed into law in 2009, goal was to be fully adopted by 2014.
Goal was meaningful used by all physicians of EHR.
Enacted as part of the American Recovery and Reinvestment Act of 2009

Extensive Documentation leading to decreased Patient Satisfaction
Physicians are required to enter more information before, during, and after a visit. Because Physicians spend so much time on the computer documenting information during visits, there is less patient interaction.
According to a study by Northwestern Researchers, Doctors who use computers during visits spend almost 1/3 of the time gazing at the screen (Hochman and Rosenfeld, 2016).

Another study from the Annals of Internal Medicine found that ambulatory Physicians spend an average of 1-2 hours doing “additional computer & other clerical work”, and that they spend almost twice as long in front of a computer screen as they do with patients (Hochman and Rosenfeld, 2016).
Lastly, according to a 2016 study published by Physician’s Practice, 46% of clinician’s report seeing fewer patients following EHR implementation (Hochman and Rosenfeld, 2016).
Continued
Continued
Hochman, Michael and Rosenfeld, Jordan. (2016, November 3). The Unintended Consequences of Medical’s Digital Age. Retrieved April 03, 2018, from https://www.beckershospitalreview.com/healthcare-information-technology/electronic-health-records-the-good-the-bad-and-the-ugly.html

Palma, George. (2014, October 14). Electronic Health Records: The Good, the Bad, and the Ugly. Retrieved April 03, 2018, from https://www.medpagetoday.com/Blogs/disruptions-or-distractions/61207

Winn, Z. (2018, January 31). Is The HITECH Act Working? A Summary of its Effect on Healthcare. Retrieved April 15, 2018, from
https://www.campussafetymagazine.com/hospital/hitech-act-summary-healthcare-compliance/


USF Health. Retrieved April 15, 2018, from https://www.usfhealthonline.com/resources/key-concepts/hitech-act-summary/


In the earlier years “the percent of outpatient departments using Electronic Health Records for recording patient problems and conditions increased by about 31 percent” (Bleiberg, 2016). This information suggests that the HITECH Act was relatively successful in changing methods for record keeping in many outpatient departments.
One of the main positive outcomes of implementing electronic health records is how the system “has promoted efficiency and organization while reducing the error rate greatly in outpatient settings. “Between 2010 and 2011, the error rate went from 18.2 percent to 8.2 percent because of EHRs” (Menachemi, 2011). Electronic systems continue to reduce error rates today. One of the most notable disadvantages with electronic health record systems is related patient confidentiality and data breaches.
Implications Continued
Menachemi, N., & C. (2011). Benefits and drawbacks of electronic health record systems. Risk Management and
Healthcare Policy, 47. doi:10.2147/rmhp.s12985
Journal of the American Medical Informatics Association, Volume 23, Issue 2, 1 March 2016, Pages 375–379,
https://doi.org/10.1093/jamia/ocv103

How the HITECH Act changes HIPAA compliance. (2010, August). Retrieved April 13, 2018, from
https://searchhealthit.techtarget.com/tip/How-the-HITECH-Act-changes-HIPAA-compliance

Staff, C. (2017, August 21). How the HITECH Act May Affect Your Healthcare Facility. Retrieved April 15, 2018, from
https://www.campussafetymagazine.com/hospital/how-the-hitech-act-may-affect-your-healthcare-facility/
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