Difference between revisions of "E9-31216"

From VistApedia
Jump to: navigation, search
 
Line 2: Line 2:
 
http://edocket.access.gpo.gov/2010/pdf/E9-31216.pdf
 
http://edocket.access.gpo.gov/2010/pdf/E9-31216.pdf
  
 +
== Title Page ==
 
  Part III
 
  Part III
 
  Department of Health and Human Services
 
  Department of Health and Human Services
Line 11: Line 12:
 
  Interim Final Rule
 
  Interim Final Rule
  
 +
 +
== Header ==
 
  DEPARTMENT OF HEALTH AND HUMAN SERVICES
 
  DEPARTMENT OF HEALTH AND HUMAN SERVICES
 
  Office of the Secretary
 
  Office of the Secretary
 +
 
  45 CFR Part 170
 
  45 CFR Part 170
 +
 
  RIN 0991–AB58
 
  RIN 0991–AB58
  
Line 23: Line 28:
 
  Human Services.
 
  Human Services.
 
  ACTION: Interim final rule.
 
  ACTION: Interim final rule.
 +
 +
== Summary ==
 +
 +
The Department of Health and Human Services (HHS) is issuing this interim final rule with a request for comments to adopt an initial set of standards, implementation specifications, and certification criteria, as required by section 3004(b)(1) of the Public Health Service Act.
 +
 +
This interim final rule represents the first step in an incremental approach to adopting standards, implementation specifications, and certification criteria to enhance the interoperability, functionality, utility, and security of health information technology and to support its meaningful use.
 +
 +
The certification criteria adopted in this initial set establish the capabilities and related standards that certified electronic health record (EHR) technology will need to include in order to, at a minimum, support the achievement of the proposed meaningful use Stage 1 (beginning in 2011) by eligible professionals and eligible hospitals under the Medicare and Medicaid EHR Incentive Programs.
 +
 +
== DATES: ==
 +
''Effective Date:'' This interim final rule is effective February 12, 2010. The
 +
incorporation by reference of certain publications listed in the rule is approved by the Director of the Federal Register as of February 12, 2010.
 +
 +
''Comment Date:'' To be assured consideration, written or electronic comments must be received at one of the addresses provided below, no later than 5 p.m. on March 15, 2010.
 +
 +
== ADDRESSES: ==
 +
Because of staff and resource limitations, we cannot accept comments by facsimile (FAX) transmission.
 +
 +
You may submit comments, identified by RIN 0991–AB58, by any of the following methods (please do not submit duplicate comments).
 +
 +
* Federal eRulemaking Portal:
 +
  Follow the instructions for submitting comments.
 +
  Attachments should be in Microsoft Word, WordPerfect, or Excel;
 +
  however, we prefer Microsoft Word. http://www.regulations.gov.
 +
 +
* Regular, Express, or Overnight Mail:
 +
  Department of Health and Human Services,
 +
  Office of the National Coordinator for Health Information Technology,
 +
  Attention: HITECH Initial Set Interim Final Rule,
 +
  Hubert H. Humphrey Building,
 +
  Suite 729D,
 +
  200 Independence Ave., SW.,
 +
  Washington, DC 20201.
 +
 +
Please submit one original and two copies.
 +
 +
* Hand Delivery or Courier:
 +
  Office of the National Coordinator for Health Information Technology,
 +
  Attention: HITECH Initial Set Interim Final Rule,
 +
  Hubert H. Humphrey Building,
 +
  Suite 729D,
 +
  200 Independence Ave., SW.,
 +
  Washington, DC 20201.
 +
 +
Please submit one original and two copies.
 +
(Because access to the interior of the Hubert H. Humphrey Building is not readily available to persons without federal government identification, commenters are encouraged to leave their comments in the mail drop slots located in the main lobby of the building.)
 +
 +
== Inspection of Public Comments: ==
 +
 +
All comments received before the close of the comment period will be available for public inspection, including any personally identifiable or confidential business information that is included in a comment.
 +
 +
Please do not include anything in your comment submission that you do not wish to share with the general public.
 +
 +
Such information includes, but is not limited to: A person’s social security number; date of birth; driver’s license number; state identification number or foreign country equivalent; passport number; financial account number; credit or debit card number; any personal health information; or any business information that could be considered to be proprietary.
 +
 +
We will post all comments received before the close ofthe comment period at http://www.regulations.gov.
 +
 +
== Docket: ==
 +
 +
For access to the docket to read background documents or comments received, go to http:// www.regulations.gov
 +
 +
or
 +
 +
U.S. Department of Health and Human Services,
 +
Office of the National Coordinator for Health Information Technology,
 +
Hubert H. Humphrey Building, Suite 729D,
 +
200 Independence Ave., SW.,
 +
Washington, DC 20201
 +
(call ahead to the contact listed below to arrange for inspection).
 +
 +
== FOR FURTHER INFORMATION CONTACT: ==
 +
Steven Posnack,
 +
Policy Analyst,
 +
202–690–7151.
 +
 +
== SUPPLEMENTARY INFORMATION: ==
 +
 +
=== Acronyms ===
 +
;AHIC
 +
:American Health Information Community
 +
;ANSI
 +
:American National Standards Institute
 +
;ASP
 +
:Application Service Provider
 +
;CAH
 +
:Critical Access Hospital
 +
;CCD
 +
:Continuity of Care Document
 +
;CCHIT
 +
:Certification Commission for Health Information Technology
 +
;CCR
 +
:Continuity of Care Record
 +
;CDA
 +
:Clinical Document Architecture
 +
;CDC
 +
:Centers for Disease Control and Prevention
 +
;CFR
 +
:Code of Federal Regulations
 +
;CGD
 +
:Certification Guidance Document
 +
;CMS
 +
:Centers for Medicare & Medicaid Services
 +
;CPOE
 +
:Computerized Provider Order Entry
 +
;EHR
 +
:Electronic Health Record
 +
;FIPS
 +
:Federal Information Processing Standards
 +
;GIPSE
 +
:Geocoded Interoperable Population Summary Exchange
 +
;HHS
 +
:Department of Health and Human Services
 +
;HIPAA
 +
:Health Insurance Portability and Accountability Act of 1996
 +
;HIT
 +
:Health Information Technology
 +
;HITECH
 +
:Health Information Technology for Economic and Clinical Health
 +
;HITSP
 +
:Healthcare Information Technology Standards Panel
 +
;HL7
 +
:Health Level Seven
 +
;ICD
 +
:International Classification of Diseases
 +
;ICD–9–CM
 +
:ICD, 9th Revision, Clinical Modifications
 +
;ICD–10–PCS
 +
:ICD, 10th Revision, Procedure Coding System
 +
;ICD–10–CM
 +
:ICD, 10th Revision, Related Health Problems
 +
;IHS
 +
:Indian Health Service
 +
;LOINC
 +
:Logical Observation Identifiers Names and Codes
 +
;MA
 +
:Medicare Advantage
 +
;NCPDP
 +
:National Council for Prescription Drug Programs
 +
;NCVHS
 +
:National Committee on Vital and Health Statistics
 +
;NLM
 +
:National Library of Medicine
 +
;NQF
 +
:National Quality Forum
 +
;OASIS
 +
:Organization for the Advancement of Structured Information Standards
 +
;OCR
 +
:Office for Civil Rights
 +
;OIG
 +
:Office of Inspector General
 +
;OMB
 +
:Office of Management and Budget
 +
;ONC
 +
:Office of the National Coordinator for Health Information Technology
 +
;PHSA
 +
:Public Health Service Act
 +
;PQRI
 +
:Physician Quality Reporting Initiative
 +
;REST
 +
:Representational state transfer
 +
;RFA
 +
:Regulatory Flexibility Act
 +
;SDOs
 +
:Standards Development Organizations
 +
;SNOMED CT
 +
:Systematized Nomenclature of Medicine Clinical Terms
 +
;SOAP
 +
:Simple Object Access Protocol
 +
;UCUM
 +
:Unified Code for Units of Measure
 +
;UMLS
 +
:Unified Medical Language System
 +
;UNII
 +
:Unique Ingredient Identifier
 +
;XML
 +
:eXtensible Markup Language

Revision as of 19:48, 27 January 2010

This is an electronic, anotated copy of a document available at: http://edocket.access.gpo.gov/2010/pdf/E9-31216.pdf

Title Page

Part III
Department of Health and Human Services
45 CFR Part 170
Health Information Technology: Initial Set
of Standards, Implementation
Specifications, and Certification Criteria
for Electronic Health Record Technology;
Interim Final Rule


Header

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Office of the Secretary

45 CFR Part 170

RIN 0991–AB58

Health Information Technology: Initial Set of Standards, Implementation Specifications, and Certification Criteria for Electronic Health Record Technology 

AGENCY: Office of the National
Coordinator for Health Information
Technology, Department of Health and
Human Services.
ACTION: Interim final rule.

Summary

The Department of Health and Human Services (HHS) is issuing this interim final rule with a request for comments to adopt an initial set of standards, implementation specifications, and certification criteria, as required by section 3004(b)(1) of the Public Health Service Act.

This interim final rule represents the first step in an incremental approach to adopting standards, implementation specifications, and certification criteria to enhance the interoperability, functionality, utility, and security of health information technology and to support its meaningful use.

The certification criteria adopted in this initial set establish the capabilities and related standards that certified electronic health record (EHR) technology will need to include in order to, at a minimum, support the achievement of the proposed meaningful use Stage 1 (beginning in 2011) by eligible professionals and eligible hospitals under the Medicare and Medicaid EHR Incentive Programs.

DATES:

Effective Date: This interim final rule is effective February 12, 2010. The incorporation by reference of certain publications listed in the rule is approved by the Director of the Federal Register as of February 12, 2010.

Comment Date: To be assured consideration, written or electronic comments must be received at one of the addresses provided below, no later than 5 p.m. on March 15, 2010.

ADDRESSES:

Because of staff and resource limitations, we cannot accept comments by facsimile (FAX) transmission.

You may submit comments, identified by RIN 0991–AB58, by any of the following methods (please do not submit duplicate comments).

  • Federal eRulemaking Portal: 
 Follow the instructions for submitting comments.
 Attachments should be in Microsoft Word, WordPerfect, or Excel;
 however, we prefer Microsoft Word. http://www.regulations.gov.
  • Regular, Express, or Overnight Mail:
 Department of Health and Human Services, 
 Office of the National Coordinator for Health Information Technology, 
 Attention: HITECH Initial Set Interim Final Rule,
 Hubert H. Humphrey Building,
 Suite 729D,
 200 Independence Ave., SW.,
 Washington, DC 20201. 

Please submit one original and two copies.
  • Hand Delivery or Courier: 
 Office of the National Coordinator for Health Information Technology,
 Attention: HITECH Initial Set Interim Final Rule,
 Hubert H. Humphrey Building,
 Suite 729D,
 200 Independence Ave., SW.,
 Washington, DC 20201.

Please submit one original and two copies. 
(Because access to the interior of the Hubert H. Humphrey Building is not readily available to persons without federal government identification, commenters are encouraged to leave their comments in the mail drop slots located in the main lobby of the building.)

Inspection of Public Comments:

All comments received before the close of the comment period will be available for public inspection, including any personally identifiable or confidential business information that is included in a comment.

Please do not include anything in your comment submission that you do not wish to share with the general public.

Such information includes, but is not limited to: A person’s social security number; date of birth; driver’s license number; state identification number or foreign country equivalent; passport number; financial account number; credit or debit card number; any personal health information; or any business information that could be considered to be proprietary.

We will post all comments received before the close ofthe comment period at http://www.regulations.gov.

Docket:

For access to the docket to read background documents or comments received, go to http:// www.regulations.gov

or 

U.S. Department of Health and Human Services,
Office of the National Coordinator for Health Information Technology,
Hubert H. Humphrey Building, Suite 729D,
200 Independence Ave., SW.,
Washington, DC 20201
(call ahead to the contact listed below to arrange for inspection).

FOR FURTHER INFORMATION CONTACT:

Steven Posnack,
Policy Analyst,
202–690–7151.

SUPPLEMENTARY INFORMATION:

Acronyms

AHIC
American Health Information Community
ANSI
American National Standards Institute
ASP
Application Service Provider
CAH
Critical Access Hospital
CCD
Continuity of Care Document
CCHIT
Certification Commission for Health Information Technology
CCR
Continuity of Care Record
CDA
Clinical Document Architecture
CDC
Centers for Disease Control and Prevention
CFR
Code of Federal Regulations
CGD
Certification Guidance Document
CMS
Centers for Medicare & Medicaid Services
CPOE
Computerized Provider Order Entry
EHR
Electronic Health Record
FIPS
Federal Information Processing Standards
GIPSE
Geocoded Interoperable Population Summary Exchange
HHS
Department of Health and Human Services
HIPAA
Health Insurance Portability and Accountability Act of 1996
HIT
Health Information Technology
HITECH
Health Information Technology for Economic and Clinical Health
HITSP
Healthcare Information Technology Standards Panel
HL7
Health Level Seven
ICD
International Classification of Diseases
ICD–9–CM
ICD, 9th Revision, Clinical Modifications
ICD–10–PCS
ICD, 10th Revision, Procedure Coding System
ICD–10–CM
ICD, 10th Revision, Related Health Problems
IHS
Indian Health Service
LOINC
Logical Observation Identifiers Names and Codes
MA
Medicare Advantage
NCPDP
National Council for Prescription Drug Programs
NCVHS
National Committee on Vital and Health Statistics
NLM
National Library of Medicine
NQF
National Quality Forum
OASIS
Organization for the Advancement of Structured Information Standards
OCR
Office for Civil Rights
OIG
Office of Inspector General
OMB
Office of Management and Budget
ONC
Office of the National Coordinator for Health Information Technology
PHSA
Public Health Service Act
PQRI
Physician Quality Reporting Initiative
REST
Representational state transfer
RFA
Regulatory Flexibility Act
SDOs
Standards Development Organizations
SNOMED CT
Systematized Nomenclature of Medicine Clinical Terms
SOAP
Simple Object Access Protocol
UCUM
Unified Code for Units of Measure
UMLS
Unified Medical Language System
UNII
Unique Ingredient Identifier
XML
eXtensible Markup Language
Retrieved from "https://vistapedia.com/index.php?title=E9-31216&oldid=6057"