In 2009, American Recovery and Reinvestment Act (ARRA) was passed into law as a stimulus package in efforts to reverse the financial recession in the United States. Part of this Act included, the Health Information Technology for Economic and Clinical Health (HITECH) Act that incentivized hospitals and physician practices to modernize computer systems and to adopt use of health care technology in a meaningful way. Twenty-seven billion dollars was appropriated for hospitals and eligible providers who were able to demonstrate meaningful use of technology, mainly electronic health records (EHR) (Snyder & Oliver, 2014). There are key objectives and measures that hospitals and eligible providers must reported within an established time frame. For example: percentage of orders entered using computerized physician order entry (CPOE) or percentage of medication reconciliation completion during transitions of care. The HITECH Act and the incentive distributions are managed by the Centers for Medicare and Medicaid Services (CMS). In 2012, the first payments were made …show more content…
At a time when so many health care organizations were seeing decreased reimbursements, the promise of additional incentive funds to support the bottom line were very tempting. However, many organizations struggled with the implementation of technology and the EHR. Poor workflows and system designs have created in many cases an EHR that is a financial application with a patient added on. This was of great concern for the Joint Commission (TJC), in 2015 they released Sentinel Event Issue #54, that discusses examples of EHR errors that can potentially lead to patient harm as a direct result of technology. The most common concerns reported to the TJC as a result of technology were usability issues, followed by workflow, and clinical appropriateness of clinical decision support (The Joint Commission [TJC],
In 2009, President Obama signed the Health Information Technology for Economic and Clinical Health (HITECH) Act to promote meaningful use of health information technology (Jha, 2015). Before the HITECH Act was passed, only about 17% of U.S. doctors and about 9% of U.S. hospitals were using an EHR according to Jha (2015). During 2013, the percentages increased to
In 2009 The American Recovery and Reinvestment Act (ARRA) allocated approximately $19 billion to support physicians and hospitals in attaining meaningful use of health information technology (HIT). The meaningful use program is intended to facilitate providers to amass
The American Recovery and Reinvestment Act (ARRA) of 2009 identified three main components of meaningful use: the use of a certified EHR in a meaningful manner, electronic exchange of health information to improve quality of care, and the use of technology to submit clinical outcomes and quality measures (Heath Resources and Service Administration, n.d.). ARRA includes many measures to modernize our nation’s infrastructure, with the “Health Information Technology for Economic and Clinical Health (HITECH) Act” being an example. The HITECH Act is an effort led by Centers for Medicare and Medicare Services (CMS) in support of electronic health records and meaningful use (Centers for Disease Control and Prevention, CDC 2016). According to Galbraith (2013), the HITECH Act aims to promote the use of EHRs by providing over $27 billion in monetary incentives for health care providers that become “meaningful users”. CMS uses these core objectives to determine if a health care provider has satisfied meaningful use and is eligible to receive financial incentives (Galbraith, 2013).
The Affordable Care Act of 2010 marks a new era in American health care. Yet in many ways, this era began more than a year earlier, with the passage of the American Recovery and Reinvestment Act (ARRA) of 2009 and its Health Information Technology for Economic and Clinical Health (HITECH) provisions. Although HITECH may be viewed narrowly as legislation to
In 2009, more than $30 billion dollars in incentives was allocated by congress for hospitals to institute meaningful use of electronic health records (EHRs) by 2011 (Adler-Milstein, Bates, & Jha, 2011) (Murphy, 2010). The Meaningful Use Act is a complicated principle that is part of the American Recovery and Reinvestment Act (ARRA) as well as the Health Information Technology for Economic and Clinical Health (HITECH) act.
Access the CMS website and locate information regarding the Meaningful Use Act. In 2009, the Health Information Technology for Economic and Clinical Health Act (HITECH Act) legislation was created to stimulate the adoption of electronic health records(EHR) and supporting technology in the United States. On Feb 17, 2009, President Obama signed HITECH into law as part of the American Recovery and Reinvestment Act of 2009 (ARRA) economic stimulus bill. The HITECH Act outlined the intended plans for the adoption of electronic health records through meaningful use. The CMS Medicare and Medicaid EHR Incentive Programs have evolved into three stages of meaningful use with their own priorities, goals and their own final rule. Meaningful Use means “providers
In 2009, the American Recovery and Reinvestment Act (ARRA) were passed by the Obama legislation to try and improve healthcare for Americans by reducing costs and improving quality. The ARRA is commonly known as the ‘stimulus package’. The Health Information Technology for Economic and Clinical Health (HITECH) act was part of the ARRA to help improve our country’s infrastructure. HITECH supports electronic health records– meaningful use (EHR-MU) which is led by the Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator for Health IT (ONC). HITECH allocated over $27 billion in funds to help encourage the healthcare industry in
“Go Paperless and Get Paid” is how the Office of the National Coordinator for Health Information Technology (ONC) presents the incentives for electronic health records. The United States Department of Health and Human Services (U.S. Department of HHS) distributed more than $160 billion dollars to “improve and preserve health care, health information technology, community health, and prevention initiatives” (United States Department of Health and Human Services [HHS], 2014e). Likewise, the ONC offers “Health IT Adoption Programs” through the Health Information Technology for Economic and Clinical Health (HITECH) Act, seeking to advance the American health care delivery system and to improve patient care through an unique investment towards health information technology (HHS, 2014d). Additionally, the American Recovery and Reinvestment Act of 2009 allows the Centers for Medicare & Medicaid Services (CMS) to reward eligible hospitals and professionals with monetary incentives as they implement, adopt, or upgrade and demonstrate meaningful use of certified electronic health record (EHR) technology (HHS, 2014b). The Electronic Health Records Improvement Act (H.R. 1331) introduced by the United States House of Representative Diane Black is a bill to further improve the nation’s health care adoption of health information technology.
HITECH act is part of the ARRA (American Recovery and Reinvestment) Act of 2009 designed to promote the adoption of Health information Technology (HIT) and meaningful use of the HIT. The US Department of Health and Human Services (HHS) and CMS have spent more than 25.9 billion under the HITECH act to create the HIT infrastructure and a nationwide network for Electronic Health Records (EHR). According to Washington Post, as much 36.5 billion has been spent toward incentives and EHR infrastructure.
The Health Information Technology for Economic and Clinical Health (HITECH) Act is part of the American Reinvestment & Recovery Act (ARRA) signed into law by President Obama on February 17, 2009. The HITECT Act introduced the concept of ‘meaningful use’ which incentivized the adoption of electronic health records (EHR) for the overall improvement of healthcare. This act authorized payments to qualified provider groups that meet the 'meaning use ' requirements that are paid out over five year. According to data from the National Ambulatory Medical care Survey, 57% of office based physicians’ utilized EHR system as of 2011 and 52% of this physician plan to apply for the meaningful use incentives in same year. This is a 11% increase from the year before.
Muhammed H. (2015) conducted a study to determine the relationship between EHRs and patient safety. According to the researcher, EHRs are healthcare applications that digitize patient information and clinical workflows. It may be considered as a data repository that stores patient data, and assists providers by providing reference information and recommendations for care. Furthermore it enables providers to electronically place orders and consolidate clinical notes across hospital departments. The results showed that about 70% of hospitals in PA adopted advanced EHRs since 2012 and there has been a 27% decline in patient safety events
In 2009 the HITECH Act was enacted with the purpose to improve health for Americans; however satisfying the requirements of the Act potentially reduces the quality of the care given to the patient due to the increased burdens placed on providers. Providers must purchase Electronic Health Record (EHR) Technology and comply with Meaningful Use (1). Initially providers are compensated for participating in Meaningful Use, however, the ultimate end result is providers are penalized if the 15 Core Measures for which they attest to are not met. Although the stimulus money can provide a gain in the beginning, what happens when the stimulus money is gone? Will the technology be able to support itself? There are costs for maintenance and upgrades of
HITECH Act provides billions of dollars in incentive payments through Medicare and Medicaid programs to providers that meaningfully use EHR. The HITECH Act also revised many segments of the Social Security Act (SSA) and in doing so, recognized the accessibility of incentive payments to providers to encourage the acceptance and Meaningful Use of Certified Electronic Health Record Technology (CEHRT). The ARRA provides the incentives to the following groups: hospitals, healthcare clinics, private practices, nursing facilities, long term health care facilities, and metal institutions.
Over the past decade, virtually every major industry invested heavily in computerization. Relative to a decade ago, today more Americans buy airline tickets and check in to flights online, purchase goods on the Web, and even earn degrees online in such disciplines as nursing,1 law,2 and business,3 among others. Yet, despite these advances in our society, the majority of patients are given handwritten medication prescriptions, and very few patients are able to email their physician4 or even schedule an appointment to see a provider without speaking to a live receptionist. Electronic health record (EHR) systems have the potential to transform the health care system from a mostly paper-based industry to one that utilizes clinical
Electronic health records (EHR’s) have many advantages, but there are plenty of disadvantages. EHR’s were created to manage the many aspects of healthcare information. Medical professionals use them daily and most would feel lost without it. Healthcare organizations were encouraged to adopt EHR’s in 2009 due to the fact that a bill passed known as The Health Information Technology for Economic and Clinical Health Act (HITECH Act). “The HITECH Act outlines criteria to achieve “meaningful use” of certified electronic records. These criteria must be met in order for providers to receive financial incentives to promote adoption of EHRs as an integral part of their daily practice”, (Conrad, Hanson, Hasenau & Stocker-Schneider, 2012).