Difference between revisions of "American Reinvestment Act of 2009"
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This [[ARRA|policy]] was enacted in 2009 to mandate implementation of EMR technology across the country. The mandate encouraged health care providers to invest in EMR technology and provides financial incentives to providers who participate. United States | This [[ARRA|policy]] was enacted in 2009 to mandate implementation of EMR technology across the country. The mandate encouraged health care providers to invest in EMR technology and provides financial incentives to providers who participate. United States | ||
American Reinvestment Act of 2009, which is a complex economic stimulus package written during the administration of George W Bush (43rd President of the United States of America) and signed into law by Barack H Obama (44th President of the United States of America) is the funding and legislative vehicle to instigate economic development, job creation and address the implementation of EMR [[EMR|electronic medical record (EMR)]] technology that has not been implemented to this point. | American Reinvestment Act of 2009, which is a complex economic stimulus package written during the administration of George W Bush (43rd President of the United States of America) and signed into law by Barack H Obama (44th President of the United States of America) is the funding and legislative vehicle to instigate economic development, job creation and address the implementation of EMR [[EMR|electronic medical record (EMR)]] technology that has not been implemented to this point. | ||
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| + | It is to be noted that President Bush, in 2004, through an Executive Order, first tasked the nation with a 10 year mandate to embrace EMRs and also created the Office of the National Coordinator (ONC) to oversee this massive initiative. | ||
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== '''Legislation''' == | == '''Legislation''' == | ||
The legislation consists of two (2) parts. (1) To preserve and create jobs and promote economic recovery. (2) To assist those most impacted by the recession. (3) To provide investments needed to increase economic efficiency by spurring technological advances in science and health. (4) To invest in transportation, environmental protection, and other infrastructure that will provide long-term economic benefits. (5) To stabilize State and local government budgets, in order to minimize and avoid reductions in essential services and counterproductive state and local tax increases | The legislation consists of two (2) parts. (1) To preserve and create jobs and promote economic recovery. (2) To assist those most impacted by the recession. (3) To provide investments needed to increase economic efficiency by spurring technological advances in science and health. (4) To invest in transportation, environmental protection, and other infrastructure that will provide long-term economic benefits. (5) To stabilize State and local government budgets, in order to minimize and avoid reductions in essential services and counterproductive state and local tax increases | ||
Revision as of 16:45, 25 January 2015
This policy was enacted in 2009 to mandate implementation of EMR technology across the country. The mandate encouraged health care providers to invest in EMR technology and provides financial incentives to providers who participate. United States American Reinvestment Act of 2009, which is a complex economic stimulus package written during the administration of George W Bush (43rd President of the United States of America) and signed into law by Barack H Obama (44th President of the United States of America) is the funding and legislative vehicle to instigate economic development, job creation and address the implementation of EMR electronic medical record (EMR) technology that has not been implemented to this point.
It is to be noted that President Bush, in 2004, through an Executive Order, first tasked the nation with a 10 year mandate to embrace EMRs and also created the Office of the National Coordinator (ONC) to oversee this massive initiative.
Legislation
The legislation consists of two (2) parts. (1) To preserve and create jobs and promote economic recovery. (2) To assist those most impacted by the recession. (3) To provide investments needed to increase economic efficiency by spurring technological advances in science and health. (4) To invest in transportation, environmental protection, and other infrastructure that will provide long-term economic benefits. (5) To stabilize State and local government budgets, in order to minimize and avoid reductions in essential services and counterproductive state and local tax increases
DIVISION A—APPROPRIATIONS PROVISIONS
Agriculture, Rural Development, Food And Drug Administration, and Related Agencies, Commerce, Justice, Science, And Related Agencies, Department Of Defense, Energy And Water Development, Financial Services And General Government, Department Of Homeland Security Interior, Environment, And Related Agencies Departments Of Labor, Health And Human Services, And Education, And Related Agencies, Legislative Branch, Military Construction And Veterans Affairs And Related, Agencies, State, Foreign Operations, And Related Programs, Transportation, Housing And Urban Development, And Related Agencies, Health Information Technology, State Fiscal Stabilization Fund, Accountability And Transparency, General Provisions—This Act
DIVISION B—TAX, UNEMPLOYMENT, HEALTH, STATE FISCAL RELIEF, AND OTHER PROVISIONS.
Division 'B' Tax provisions—Assistance for unemployed workers and struggling families —Premium assistance for COBRA benefits. —Medicare and Medicaid health information technology; Miscellaneous Medicare provisions. —State fiscal relief. —Broadband technology opportunities program —Limits on Executive compensation.
TITLE IV—MEDICARE AND MEDICAID HEALTH INFORMATION TECHNOLOGY;MISCELLANEOUS MEDICARE
The integral portion of the legislation to implement EMR technology is PROVISIONS Meaningful Use is the legislative vehicle to fund The Health Information Technology for Economic and Clinical Health Act (HITECH) authorized incentive payments through Medicare and Medicaid to clinicians and hospitals when they use EHRs privately and securely to achieve the goals of ‘Meaningful Use’.
The Purpose of Meaningful Use:
1. Improve quality, safety, efficiency, and reduce health disparities.
2. Engage patients and families.
3. Improve care coordination.
4. Ensure adequate privacy and security protections for personal health information.
5. Improve population and public health.
Some of the Core Objectives for Meaningful Use (Stage 1) are as follows (these are three out of thirteen core objectives needed to be met by eligible professionals):
Use Computerized Provider Order Entry (CPOE) for medication orders directly entered by any licensed healthcare professional who can enter orders into the medical record per State, local, and professional guidelines.
Record all of the following demographics: (A) Preferred language (B) Gender (C) Race (D) Ethnicity (E) Date of birth (F) Date and preliminary cause of death in the event of mortality in the eligible hospital or CAH
Record and chart changes in the following vital signs: (A) Height (B) Weight (C) Blood pressure (D) Calculate and display body mass index (BMI) (E) Plot and display growth charts for children 2–20 years, including BMI
It is noteworthy to add that eligible professionals and hospitals have a different amount of core objectives that must be met in the first stage of meaningful use. Eligible professionals must meet a total of 13 core objectives, while eligible hospitals and Critical Access Hospitals must meet 12 core objectives.
Whereas in the first stage of meaningful use, it seemed as if the government wanted eligible providers and hospitals to focus on implementation of EHR systems and collect certain patient data, stage 2 of meaningful use seems to focus on how the data that is being collected is being used and disseminated. For instance, patients must now be able to view, transmit and download information regarding their hospital visit.
Total health care spending: $155.1 billion.
Health Information Technology
Medicare and Medicaid EHR Incentive Program will provide incentive payments to eligible professionals (EP), eligible hospitals (EH) and critical access hospitals (CAH) as they adopt, implement, upgrade or demonstrate meaningful use of certified EHR technology.
$25.8 billion for health information technology investments and incentive payments to physicians, hospitals and health care providers.
As enacted in 2009, mental health treatment facilities were excluded from the financial incentives available to most hospitals. The Behavioral Health Information Technology Act of 2011 extended the HITECH definition of “provider” and “facility” to include those for behavioral and mental health care. This incentivized proliferation of interoperable health information technology across psychiatric and primary health where continuity is vital. [need to fix citation error for https://www.aacap.org/App_Themes/AACAP/docs/Advocacy/federal_and_state_initiatives/health_care_reform/aacap_policy_summary_on_health_information_technology.pdf ]
Resources
http://www.hhs.gov/recovery/overview/index.html
http://www.gpo.gov/fdsys/pkg/BILLS-111hr1enr/pdf/BILLS-111hr1enr.pdf
