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Legislative/Executive Branch Update


Senate Steering Committee on Telehealth and Healthcare Informatics. Senate Health Care Quality Improvement and Information Technology Caucus ... – PowerPoint PPT presentation

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Title: Legislative/Executive Branch Update

Legislative/Executive Branch Update
  • Thomas M. Leary
  • Director, Federal Affairs
  • September 23, 2005

Federal Government PrioritiesRemainder of
  • Congress
  • National Priorities
  • Supreme Court Nominees
  • Hurricane Relief
  • Appropriations/Continuing Resolution
  • Health Related Priorities
  • Medicare Sustainable Growth Rate
  • Healthcare IT
  • HIT in Appropriations Bills
  • Making Sense of the 11 HIT bills

Federal Government PrioritiesRemainder of
  • Federal Agencies
  • Biosurveillance and Disaster Management
  • Medicare Prescription Drug Benefit
  • E-Prescribing
  • Integration and Interoperability
  • Standards Harmonization
  • Certification
  • Making strides toward a National Health
    Information Network

FY06 HIT Funding
  • U.S. Senate approved 95.2 million of the
    President's 125 million Budget Request for the
    Office of the National Coordinator for Health
    Information Technology (ONCHIT) and the Agency
    for Healthcare Research and Quality (AHRQ).
  • Increase of 21 million over the FY 2005 level of
  • 45.2 million goes to fund ONCHIT initiatives and
    50 million is for AHRQ.
  • U.S. House of Representatives funded entire 125
    million requested in President's Budget.
  • Because of the two different levels of funding,
    this item will have to be worked out in
    conference committee between the House and Senate
    later this year.

Executive Branch Update
  • ONCHIT Organizational Structure Announced in
    August 2005. Although ONCHIT has been in
    existence since April 2004, federal agencies have
    the responsibility of turning the intent of an
    executive order into a functioning office.
  • Immediate Office of the NC with four director-led
  • Office of Health Information Technology Adoption
  • Office of Interoperability and Standards
  • Office of Programs and Coordination
  • Office of Policy and Research
  • Response to Hurricane Katrina The ONCHIT has
    established KATRINA HEALTH (www.katrinahealth.org)
    a multi-organization response team that is
    addressing legal and technical aspects of evacuee
    registration/information access, field medical
    records development and deployment, dissemination
    and communications, as well as privacy, security
    and authentication components.
  • Go to field solution being developed that has the
    best interest of the affected states at its
  • Rebuilding the healthcare structures with a short
    term goal of helping the evacuees and long term
    goal of moving the communities into the
    electronic era.

Executive Branch Update (cont.)
  • American Health Information Community (AHIC) HHS
    Secretary Leavitt announced the formation on June
    6, 2005. AHIC has been described as a
    public-private entity that will advise HHS on
    specific actions necessary to achieve a common
    interoperable framework and serve as a forum for
    a wide range of healthcare industry
  • The AHIC will be chaired by Secretary Leavitt and
    will have an integral role in developing the work
    products from the four RFPs.
  • Nominations sought through the Federal Register.
    Thousands of names received for 8 slots.
  • Public Meeting October 7, 2005

Executive Branch Update
  • 4 RFPs associated with AHIC
  • Standards Harmonization Award expected before
  • Certification of EHR products Award expected
    before 9/30/2005
  • Privacy and Security Award expected before
  • Prototypes for a National Health Information
    Network Award expected in FY2006
  • Medicaid Advisory Commission Commission
    established by HHS to address cost and quality of
    the Medicaid program. The Commission is
    co-chaired by former governors Don Sundquist (TN)
    and Angus King, (ME). Two-phased reporting
    process with
  • Phase 1 Report (September 1, 2005) Addresses
    potential 10B in savings over 5 years
  • Phase 2 Report (December 31, 2006) Long term
    recommendations on the future of the Medicaid

Executive Branch Update
  • Military Health System CIO
  • Carl Hendricks has been named the new CIO.
  • He takes over for Jim Reardon, who retired in
    April 2005.
  • Medicare Regions RFP

U.S. Congress
  • Legislation
  • H.R. 3617 Medicare Value-Based Purchasing for
    Physicians Act (Johnson)
  • S. 4 Healthy America Act of 2005 (Frist)
  • S. 1356 Medicare Value Purchasing Act of 2005
  • S. 1418 Wired for Healthcare Quality Act
  • S. 1503 Healthy America Act of 2005 (Frist)
  • Markey Amendment to FY06 Appropriations

U.S. Congress (cont.)
  • Congressional Organizations
  • 21st Century Health Care Caucus
  • Senate Steering Committee on Telehealth and
    Healthcare Informatics
  • Senate Health Care Quality Improvement and
    Information Technology Caucus
  • New Democrats Coalition
  • Senate Centrist Coalition
  • Republican Main Street Partnership

Patient Safety and Quality Improvement Act (P.L.
  • First Introduced in 108th Congress by Senator
  • Re-introduced in 109th Congress
  • S. 544
  • Fast tracked by both Houses
  • HIT and most key provisions watered down
  • Signed into law on July 29, 2005

Patient Safety and Quality Improvement Act (Key
  • Patient safety data is designated privileged and
  • DHHS Secretary to designate/certify patient
    safety organizations and maintain patient safety
    network of databases
  • No definition of medical error
  • Secretary to develop or adopt voluntary national
    standards to promote electronic exchange of
    healthcare information
  • Secretary to contract with a research
    organization to study impact of medical
    technologies and therapies of healthcare
  • No funding is provided for implementation

Value-based Purchasing (Pay For Performance)
  • Two versions
  • H.R. 3617 Medicare Value-Based Purchasing for
    Physicians Act of 2005 (Johnson)
  • S. 1356 Medicare Value Purchasing Act of 2005
  • Promotes Value Based Purchasing
  • House bill promotes improvements to Medicare
    reimbursement payment system to physicians and
    resolves sustainable growth rate dilemma
  • Senate bill only promotes quality improvements

Contact Information for HIMSS Washington, DC
  • Thomas M. Leary
  • Director of Federal Affairs
  • Direct 703.837.9814
  • Email tleary_at_himss.org

HIMSS Website www.himss.org
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