About Mike Squires

Mike Squires is a marketing and sales executive with 12 years focused on e-Healthcare initiatives that helped physicians change the way they work for better patient care. Experienced in introducing new online products to physicians, healthcare professionals, and the pharmaceutical and medical device industries with innovative sales and marketing strategies at start-up and traditional healthcare publishers. Helped position Medscape as the market leader to the industry and accelerate e-product offerings of Elsevier’s International Medical News Group and F-D-C Reports. Directed marketing, sales, client relations, sales support, and implementation of medical education and promotion programs. Entrepreneurial and enthusiastic; excellent mentor and motivator.

ONC Plans National Survey on Attitudes on HIE and Privacy and Security

ONC Plans National Survey on Attitudes about HIE and Privacy and Security
From the Federal Register on March 19, 2010
Proposed Project: Attitudes Toward Electronic Health Information
Exchange and Associated Privacy and Security Aspects

OMB No. 0990-NEW-Office of the National Coordinator for Health Information Technology.

Abstract: “Electronic health information exchange promises an array of potential benefits for individuals and the U.S. health care system through improved health care quality, safety, and efficiency. At the same time, this environment also poses new challenges and opportunities for protecting health information. Health information technology and electronic health information exchange may also provide individuals with new, more effective methods to engage with their health care providers and affect how their health information may be exchanged. Based on findings from a comprehensive literature review, little is known about individuals’ attitudes toward electronic health information exchange and the extent to which they are interested in determining by whom and how their health information is exchanged. The proposed information collection will permit us to better understand individuals’ attitudes toward electronic health information exchange and its associated privacy and security aspects as well as inform policy and programmatic objectives.

“The Office of the National Coordinator for Health Information Technology (ONC) is proposing to conduct a nationwide survey which will use computer-assisted telephone interviews (CATI) to interview a representative sample of the general U.S. population. Data collection will take place over the course of eight weeks. The data will be analyzed using statistical methods and a draft report will be prepared. ONC will hold a Web seminar prior to the publication of the final report to convey the findings to the general public. A final report will be posted on http://healthit.hhs.gov which will include the results and analysis.”

Mary Mosquera of Government HealthIT reported the story on March 19, 2010.

HIT Policy and Standards Committees’ Recommendations for CMS Incentive Programs, ONC Implementation, Certification

HIT Policy Committee Recommendations — March 2010
“The HIT Policy Committee has made recommendations to the National Coordinator on (1) the Centers for Medicare & Medicaid Services’ (CMS) Notice of Proposed Rulemaking regarding CMS’ incentive program for the meaningful use of EHRs; and (2) the Interim Final Rule (IFR) on Initial Set of Standards, Implementation Specifications, and Certification Criteria for EHRs. The recommendations, from the Meaningful Use, Certification/Adoption, Privacy & Security Policy, and Information Exchange Workgroups, were approved by the HIT Policy Committee at its February 2010 meeting. The HIT Policy Committee recommendations have been transmitted to the National Coordinator and to CMS.”

HIT Standards Committee Recommendations–March 2010
“The HIT Standards Committee has made recommendations to the National Coordinator on (1) the Centers for Medicare & Medicaid Services’ (CMS) Notice of Proposed Rulemaking regarding CMS’ incentive program for the meaningful use of EHRs; and (2) the Interim Final Rule (IFR) on Initial Set of Standards, Implementation Specifications, and Certification Criteria for EHRs. The recommendations, from the Clinical Operations, Clinical Quality, and Privacy & Security Workgroups, were approved by the HIT Standards Committee at its February 2010 meeting. The HIT Standards Committee recommendations have been transmitted to the National Coordinator.”

Key Issues Designing/Developing Statewide Technical Infrastructure Webinar: State HIE Toolkit Part Two

“Key Issues in Designing and Developing Statewide Technical Infrastructure” Webinar
[ONC’s State HIE Toolkit: Part Two
“Execution: The Discipline of Getting Things Done”]
The March 15, 2010 Webinar on  State HIE Technical Infrastructure was the third in the “2010 State HIE Leadership Forum Webinar Series Presented by the State Level HIE Consensus Project under the auspices of the ONC State HIE Program.” The series is listed on the Presentation and Webinars Archive Page of the State Health Information Exchange Leadership Forum, and is associated with the State HIE Toolkit. (For more on the Toolkit, see earlier post on e-Healthcare Marketing.) Additional presentations from the Archives section of the State Leadership Forum are listed below Webinar series.

Archived Technical Assistance Webinars

Key Issues in Designing and Developing Statewide Technical Infrastructure – March 15, 2010 

  • Webinar Slides
  • Webinar Recording (you will need the recording id and attendee key below to access this recording)
    • Recording ID: NRNB59
    • Attendee Key: 3!_zQGc

Addressing Key Issues in Effective Strategic and Operational Planning & Establishing Governance – March 5, 2010

  • Webinar Slides
  • Webinar Recording (you will need the recording id and attendee key below to access this recording)
    • Recording ID: 5JJ6B7
    • Attendee Key: qC7X_(W

State HIE Program Webinar – January 5, 2010

Archived SLHIE Project Presentations & Webinars

These are additional 2010 presentations below from SLHIE project.
“HIT and HIE Transforming the Health Care Landscape–States at the Forefront,”
CHIMA-HIMSS Advocacy Day, January 20, 2010

HIE Governance for Arkansas — Key State-level Roles and Functions, Strategic and Operational Considerations,” presentation to Arkansas Governance Work Group, January 15, 2010

eHI Connecting Communities about Leadership Forum,” presentation at eHI, January 11, 2010

HIE Governance for Arkansas — Key State-level Roles and Functions, Strategic and Operational Considerations, ” Arkansas HIT Executive Committee Meeting, January 8, 2010

Certification Programs for HIT Webinar on Rulemaking NPRM Mar 25, 4pm EDT

Certification Programs for Health IT Webinar
Focus on Proposed Rulemaking NPRM

March 25, 2010 4:00 – 5:00 p.m. EDT
Sent via email on March 19, 2010
On March 25, 2010 from 4:00 – 5:00 p.m. EDT, The Office of the National Coordinator for Health Information Technology (ONC), with the National Institute of Standards and Technology (NIST), will present a webinar on the recently released Certification Programs for HIT Notice of Proposed Rulemaking (NPRM).  Public comments on the NPRM are now being accepted.  The temporary certification program’s comment period ends April 9 and the permanent certification program’s comment period ends May 10.  Because this NPRM is currently in the comment period phase, this webinar will be solely informational and seeks to help listeners better understand the proposals included in the NPRM.  

Background
Eligible professionals and eligible hospitals who seek to qualify for incentive payments under the Medicare and Medicaid EHR Incentive Programs are required by statute to use Certified EHR Technology.  This webinar will discuss the proposals included in the NPRM that would enable eligible professionals and eligible hospitals to adopt health IT that meets the definition of Certified EHR Technology.   

Learn more about the NPRM at http://healthit.hhs.gov/CertificationNPRM

To Participate
There is limited space on this webinar. For those unable to join, there will be a transcript posted to the ONC website, http://healthit.hhs.gov, by March 29, 2010.

Join the meeting

Audio Information
Dial-In: 1-888-673-9805
Participant Passcode: 9033671

First Time Users:
To save time before the meeting, check your system to make sure it is ready to use Microsoft Office Live Meeting.

Troubleshooting
Unable to join the meeting? Follow these steps:

  1. Copy this address and paste it into your web browser:
  2. Copy and paste the required information:
    • Meeting ID: 9CS6RH
    • Entry Code: 5z}BQR5

If you still cannot enter the meeting, contact support
# # #

ONC Web site on Certification Programs NPRM
Certification NPRM | [PDF - 463 KB]
Submit a comment on the certification NPRM
Facts-at-a-Glance
Frequently Asked Questions
ONC HIMSS Town Hall (3/2/2010) Slides [PDF - 1.31 MB]
Certification NPRM Webinar

What’s Broadband have to do with HITECH and Healthcare?

National Broadband Plan: Connecting America
FCC broadband plan targets e-health expansion
Brian Robinson of Government HealthIT reported on March 16, 2010 “The Federal Communications Commission
formally adopted and forwarded to Congress a plan to significantly upgrade U.S. broadband connections that could greatly boost the adoption rate of health IT.” 

FCC Unveils U.S. Broadband Plan Promoting Health IT, Telehealth
On March 17, 2010, iHealthBeat cited Robinson’s article and noted “The plan includes 11 recommendations for using broadband networks to spur greater use of electronic health records, health data exchanges and telemedicine” in  Chapter 10 on Health Care. 

White House Blog Post by US CTO Aneesh Chopra
In a post on the White House blog on March 16, 2010, Aneesh Chopra wote that the Obama administration
“has also undertaken initiatives to bring the efficiencies and innovations of broadband to many sectors of the economy. These initiatives include the Department of Health and Human Services’ commitment to facilitating the movement of healthcare information safely and securely from where it is collected to where it is needed in order to reduce costs and improve patient care.” 

Executive Summary: National Broadband Plan

The  Executive Summary, notes that the federal government is the largest health care payor in the country and  the Broadband “plan includes recommendations designed to unleash increased use, private sector investment and innovation” in broadband to support healthcare in addition to other sectors of the economy. 

“Broadband can help improve the quality and lower the cost of health care through health IT and improved data capture and use, which will enable clearer understanding of the most effective treatments and processes. To achieve these objectives, the plan has recommendations that will: 

  • Help ensure health care providers have access to affordable broadband by transforming the FCC’s Rural Health Care Program.
  • Create incentives for adoption by expanding reimbursement for e-care.
  • Remove barriers to e-care by modernizing regulations like device approval, credentialing, privileging and licensing.
  • Drive innovative applications and advanced analytics by ensuring patients have control over their health data and ensuring interoperability of data.”

The Promise of Health IT and the Role of Broadband
“Health IT plays a key role in advancing policy priorities that improve health and health care delivery. Priorities set forth by HHS include the following: 

  • Improving care quality, safety, efficiency and reducing disparities
  • Engaging patients and families in managing their health
  • Enhancing care coordination
  • Improving population and public health
  • Ensuring adequate privacy and security of health information

“Health IT supports these priorities by dramatically improving the collection, presentation and exchange of health care information, and by providing clinicians and consumers the tools to transform care. Technology alone cannot heal, but when appropriately incorporated into care, technology can help health care professionals and consumers make better decisions, become more efficient, engage in innovation, and understand both individual and public health more effectively. 

“Analysis of information gathered through health IT can provide a basis for payment reform. Payors, providers and patients are focusing increasingly on value. However, data to measure the effectiveness of prevention and treatment on individual and population-wide bases are lacking. This hampers attempts to shift from a volume-focused system that pays for visits and procedures to a value-based regime that rewards cost-effective health improvements. 

“Broadband is necessary for these transformations in three ways. First, it enables efficient exchange of patient and treatment information by allowing providers to access patients’ electronic health records (EHRs) from on-site or hosted locations. Second, it removes geography and time as barriers to care by enabling video consultation and remote patient monitoring. Third, broadband provides the foundation for the next generation of health innovation and connected-care solutions.” 

RECOMMENDATIONS
Create appropriate incentives for e-care utilization.
 

Modernize regulation to enable health IT adoption.

Unlock the value of data.

Ensure sufficient connectivity for health care delivery locations.

NATIONAL BROADBAND PLAN: Connecting America
Broadband.Gov Web site
The Plan
Broadband and Healthcare
Chapter 10: Health Care PDF

Health IT Policy Commitee: March 17, 2010

Health IT Policy Commitee: March 17, 2010

A G E N D A (see pdf version below)
March 17, 20109
9:00 a.m. to 12:45 p.m. [Eastern Time]
Washington, DC

9:00 a.m. CALL TO ORDER – Judy Sparrow
Office of the National Coordinator for Health Information Technology
9:05 a.m. Opening Remarks – David Blumenthal, MD, MPP
National Coordinator for Health Information Technology
9:15 a.m. Review of the Agenda – Paul Tang, Vice Chair of the Committee
9:20 a.m. Strategic Plan Workgroup Update
- Paul Tang, Chair, Strategic Plan Workgroup
- Jodi Daniel, Co-Chair
9:45 a.m. Certification/Adoption Workgroup Report on HIT Safety Hearing
- Paul Egerman, Co-Chair
- Mark Probst, Co-Chair
10:30 a.m. NHIN Workgroup Report
- David Lansky, Chair, NHIN Workgroup
- Daniel Weitzner, Co-Chair, NHIN Workgroup
- Farzad Mostashari, Office of the National Coordinator
11:00 a.m. HIT Standards Committee Update [priority setting; synchronization]
- Jonathan Perlin, Chair, HIT Standards Committee
- John Halamka, Vice Chair, HIT Standards Committee
- Janet Corrigan, Clinical Quality Workgroup
- Jamie Ferguson, Chair, Clinical Operations Workgroup
- Dixie Baker, Privacy & Security Workgroup
- Aneesh Chopra, Chair, Implementation Workgroup
12:00 p.m. Report on Certification NPRM
- Carol Bean, Office of the National Coordinator
- Steve Posnack, Office of the National Coordinator
12:15 p.m. Remarks on the NPRM Comments Received & Process
- Tony Trenkle, Centers for Medicare & Medicaid Services (CMS)
12:30 p.m. Clinical Laboratory Improvement Amendments (CLIA)
- Jessica Kahn, Centers for Medicare & Medicaid Services (CMS)
12:45 p.m. Public Comment
1:00 p.m. Adjourn

Agenda [PDF - 400 KB]

  • Strategic Plan Workgroup Update [PPT - 1.26 MB]

  • Certification/Adoption Workgroup Report on HIT Safety Hearing [PPT - 1.18 MB]

  • NHIN Workgroup Report [PPT - 1.11 MB]
  • HIT Standards Committee Update [PPT - 118 KB]
  • Report on Certification NPRM [PPT - 542 KB]
  • Clinical Laboratory Improvement Amendments (CLIA) [PPT - 1.21 MB]To participate:
    Webconference

    At least 10 minutes prior to the meeting start time, please go to: http://altarum.na3.acrobat.com/HITpolicy

    • (If for any reason the link does not work, simply copy and paste the URL into your browser’s address bar)
    • Select “enter as a guest” 
    • Type your first and last name into the field 
    • Click “enter room” 

    Audio
    You may listen in via computer or telephone.
    US toll free:   1-877-705-6006
    International Direct:  1-201-689-8557
    Confirmation Code: HIT Committee Meeting 

  • ONC’s State HIE Toolkit: “Execution: The Discipline of Getting Things Done”

    ONC’s State HIE Toolkit: “Execution: The Discipline of Getting Things Done”
    For the Office of National Coordinator for Health IT, 2010 and the ONC’s State HIE Toolkit are about “getting things done’” to quote the title of Larry Bossidy’s and Ram Charan’s 2002 business classic “Execution: The Discipline of Getting Things Done.”  

    National Coordinator for Health IT  Dr. David Blumenthal spoke with reporters in a March 15, 2010 conference call about the final round of awards of  State HIE Cooperative Agreements to 16 remaining states, and said “As part of the grants, the Office of the National Coordinator for Health IT will give states guidance and technical assistance, essentially working ‘side by side with the states, looking at their plans and helping them to design and implement them,’” which was reported by Mary Mosquera of Government HealthIT. The State HIE Toolkit developed by AHIMA under the direction of ONC is part of the “side by side” relationship to which Blumenthal referred.

    Excerpts from the State HIE Toolkit as of March 16, 2010:
    http://statehieresources.org

    State HIE Toolkit
    State HIE Toolkit

    “Welcome to the State Health Information Exchange Toolkit.  The Toolkit is a compilation of resources provided under the auspices of the State HIE Program sponsored by the Office of the National Coordinator for Health IT (ONC). The Toolkit is designed to support State HIE Leadership Forum participants – the State HIE Program applicants and recipients of cooperative agreements who are either HIT Coordinators or leaders of state designated entities – with practical “how to” guidance on developing and implementing plans for achieving statewide Interoperability that align with State HIE Program milestones.  

    “As a dynamic resource, the Toolkit will be regularly updated to reflect the ongoing experiences and needs of states as well as the growing body of lessons learned about what constitute “best practices” in statewide HIE.  Throughout the Toolkit are some examples from the field of state HIE development as it has been evolving to date.  However, information and examples from ONC approved strategic and operational plans and the latest updates on ONC Program guidance will be integrated into the Toolkit as it becomes available.”     http://statehieresources.org  

    About the State HIE Toolkit
    “The Toolkit addresses the five essential domains (i.e. governance, finance, technical infrastructure, business operations, and legal/policy) and also offers information related to general planning, grant management and other cross-cutting areas such as coordination with federal programs.” 

    Toolkit Content Development
    “Contributors to the Toolkit content include a collaborative team of experts with experience in the field, led by staff from the ONC funded State-level Consensus Project (SLHIE Project).  

    “The Toolkit is inherently a “work in progress”, designed to be regularly updated to reflect the ongoing experiences and needs of states as well as the growing body of lessons learned about what constitute “best practices” in statewide planning and implementation.  

    •Throughout the Toolkit are some examples from the field of state development as it has been evolving to date.  

    •However, as it becomes available, information and examples from approved strategic and operational plans will be integrated into the Toolkit.  

    •The Toolkit will continue to link to relevant Program documents as information becomes available from the Office of the National Coordinator (ONC).” 

    Toolkit Organization & Updates
    “The number of Toolkit modules will be expanded and all of the modules will be updated on a regular basis as additional information becomes available. Subscribe to the State Forum listserv and check back often to get the most up to date information, examples and tools.”  

    Toolkit v1 – Planning Fundamentals – December 2009 Release
    Includes Modules:
    Planning Overview
    Governance
    Finance
    Technical Infrastructure
    Nationwide Health Information Network
    Grants Management  

    Toolkit v2 – Additional Modules – Early 2010 Release
    Includes Modules:
    Business Operations
    Technical Operations
    Legal/Policy
    Privacy and Security
    Program Coordination and Leverage
    Guidance on Meaningful Use
    Module Content and Structure  

    “Each module of the Toolkit contains a variety of information designed to foster learning on the topic and support states making design decisions and carrying out implementation approaches. Each Module is structured to include:  

    •Overview information about the topic
    •Frequently Asked Questions (FAQ’s), updated regularly in response to states’ issues and inquiries
    •Resources, including reference materials, tools and other decision supports
    •Case Studies and Examples
    •Links to Federal Program documents and guidance released by ONC and other agencies”

    HHS Announces Additional $162 Million in Recovery Act Investment to Advance Widespread Meaningful Use of Health IT

    HHS Announces Additional $162 Million in Recovery Act Investment to Advance Widespread Meaningful Use of Health IT 
    HHS Press Release: March 15, 2010

    Final awards of state health information exchange cooperative agreement program work to build health information exchange infrastructure throughout the states
    (
    Alaska, Connecticut, Florida, Idaho, Indiana, Iowa, Louisiana, Maryland, Mississippi, Montana, Nebraska, New Jersey, North Dakota, South Carolina, South Dakota, Texas.)

     U.S. Department of Health and Human Services Secretary Kathleen Sebelius today announced awards to help states facilitate health information exchange and advance health information technology (health IT).  Funded by the American Recovery and Reinvestment Act of 2009, today’s  awards are part of the $2 billion effort to achieve widespread meaningful use of health IT and provide use of an electronic health record by every citizen by the year 2014.  Every state and eligible territory has now been awarded funds under this program.

     “These critical investments will help unleash the power of health information technology to cut costs, eliminate paperwork, and help doctors deliver high-quality, coordinated care to patients,” said Secretary Sebelius. “States are important partners in improving and expanding our electronic health records system.  By improving the secure exchange of electronic health records between providers and hospitals within and across states, these awards mark a significant step in bringing our health system into the 21st century.”

    The health information exchange HIE awards announced today provide approximately $162 million to 16 states and qualified state designated entities (SDEs) to facilitate non-proprietary health information exchange that adheres to national standards.  Health information exchange is critical to enabling care coordination and improving the quality and efficiency of health care.   

     “Today’s announcement of awards to 16 states and SDEs marks a significant milestone with all states now empowered to start their journey towards identifying innovative ways to break down theses barriers that prevent the seamless exchange of information, so that we can give patients the access to care they deserve and expect,” stated Dr. David Blumenthal, national coordinator for health information technology.  “States play a critical leadership role in advancing the development of the exchange capacity of healthcare providers and hospitals within their states and across the nation. Health information exchange will enable eligible healthcare providers to be deemed meaningful users of health IT and receive incentive payments under the Medicare and Medicaid electronic health record (EHR) incentive program.”

    These cooperative agreements were awarded under the authority of Title XIII of ARRA, the Health Information Technology for Economic and Clinical Health (HITECH) Act which amends Title XXX of the Public Health Service Act by adding Section 3013, State Grants to Promote Health Information Technology. Section 3013 provides for the awarding of competitive grants to promote health information technology.  On February 12, 2010, HHS awarded $385 million to 40 states and SDEs.  The awards announced today complete the awarding of cooperative agreements funded by this program. 

    A listing of the state HIE competitive agreements announced today follow:

    State/SDE Award Amount
    Agency of Health Care Administration (FL) $20,738,582
    The Maryland Department of Health and Mental Hygiene $9,313,924
    New Jersey Health Care Facilities Financing Authority $11,408,594
    South Carolina Department of Health & Human Services $9,576,408
    Iowa Department of Public Health $8,375,000
    Idaho Health Data Exchange $5,940,500
    State of North Dakota, Information Technology Department $5,343,733
    State of Alaska $4,963,063
    Nebraska Department of Administrative Services $6,837,180
    South Dakota Department of Health $6,081,750
    Department of Public Health, State of CT $7,297,930
    State of Mississippi $10,387,000
    Indiana Health Information Technology, Inc. $10,300,000
    HealthShare Montana $5,767,926
    Texas Health and Human Services Commission $28,810,208
    Louisiana Health Care Quality Forum $10,583,000
    Total $161,724,798

    Recovery and Reinvestment Act of 2009 can be found here: http://HealthIT.HHS.gov

    For more information about the Recovery Act, please visit: www.hhs.gov/recovery and www.recovery.gov
    # # #

    Blumenthal Adds Post to ONC Health IT Buzz Blog
    “A Key Step Toward Nationwide Health Information Exchange”

    On March 15, 2009, National Coordinator for Health IT, Dr. David Blumenthal wrote “As part of this round of awards, 16 states and qualified State Designated Entities (SDE) will obtain the resources and technical assistance to rapidly build capacity for exchanging health information among and between health care professionals and hospitals.  Such exchange will allow any two providers in a state – and ultimately across the nation – send and receive relevant clinical and other data necessary for improved coordination of patient care.  Recipients of these awards will establish and implement appropriate governance and policies and ensure the necessary technical infrastructure and business operations are in place to support secure exchange within and across states.

    “An unprecedented level of coordination and collaboration is needed to achieve our vision of a secure, interoperable, nationwide health information infrastructure where health data can follow patients to their point of care.  We must find innovative ways to break down the barriers that prevent the seamless exchange of information, and States have to be key players.

    “I congratulate each grant recipient, and welcome a dialog on the role of states in advancing our challenging agenda.”

    HHS Press Release
    ONC: State HIE Cooperative Agreement Program Page
    “In March 2010, ONC completed the announcement of State Health Information (State HIE) Exchange Cooperative Agreement Program awardees. In total, 56 states, eligible territories, and qualified State Designated Entities (SDE) received awards.

    “The State HIE Cooperative Agreement Program funds states’ efforts to rapidly build capacity for exchanging health information across the health care system both within and across states. Awardees are responsible for increasing connectivity and enabling patient-centric information flow to improve the quality and efficiency of care. Key to this is the continual evolution and advancement of necessary governance, policies, technical services, business operations, and financing mechanisms for HIE over each state, territory, and SDE’s four-year performance period. This program is building on existing efforts to advance regional and state-level health information exchange while moving toward nationwide interoperability.”

    Additional Facts and Resources from ONC Site
    Facts-At-A-Glance
    Frequently Asked Questions
    State HIE Toolkit 
    Original Funding Announcement Information

    ePrescribing grows to 1 in 4 office-based prescribers: Surescripts Report

    ePrescribing grows to 1 in 4 office-based prescribers: Surescripts Report
    “The number of prescribers routing prescriptions electronically grew from 74,000 at the end of 2008 to 156,000 by the end of 2009–representing 25 percent of all office-based prescribers,”  according to the latest report from Surescripts, the leading e-prescription network in report released March 2, 2010. Surescripts also reported that 18 percent of prescriptions in the US are now being sent electronically.

    On March 15, 2010, Pamela Lewis Dolan of amednews.com, reported “About 70% of physicians who do e-prescribe use an application on their EMRs,” the Surescripts report found. Dolan’s article also points to the American Medical Association’s “Zero-In Rx e-prescribing learning centers” as an example of the public and private initiatives driving e-prescribing. Dolan’s report describes some of the barriers to e-prescribing including the “Drug Enforcement Agency rule that requires all controlled substance presecriptions be written on paper.”

    Surecripts Press Release (pdf)
    Surescripts 2009 Progress Report on e-Prescribing (pdf)
    amednews.com article
    American Medical Association’s Zero-In Rx ePrescribing Learning Center

    ONC Summarizes Fed Laws/Regs on Confidentiality, Privacy and Security

    ONC SUMMARY OF SELECTED FEDERAL LAWS AND REGULATIONS ADDRESSING CONFIDENTIALITY, PRIVACY AND SECURITY [PDF]
    ONC has prepared and posted a working document dated  February 18, 2010 that summarizes federal laws and regulation related to confidentiality, privacy and security. The table is the most recent document on an ONC Web page titled “Privacy and Security and Health Information Technology.” The pdf table lists Federal Law, Citation, General Description, Applicability, Information Covered, and Summary for each item.

    ONC requested you ”contact ONC.Request@hhs.gov attention Jonathan Ishee/Privacy Law Table if you have any comments or suggestions related to this document.” They added this disclaimer: “This information was prepared as an educational resource and should not be relied on or construed as legal advice. Use of this table alone will not ensure compliance with applicable Federal and State law.”

    Laws
    These are the laws listed. See the PDF table for the complete summary.

    1. The Privacy Act of 1974
    2. The Freedom of Information Act (FOIA) 5 U.S.C. § 552 (2006), amended by OPEN Government Act of 2007, Pub. L. No. 110-175, 121Stat. 2524.
    3. Health Insurance Portability and Accountability Act (HIPAA), Privacy Rule (2000)
    4. Health Insurance Portability and Accountability Act (HIPAA) Security Rule
    5. Health Breach Notification Rule(Federal Trade Commission Rule)
    6. Health Breach Notification Rule (Health and Human Services)
    7.  SAMHSA: Confidentiality of Substance Abuse Patient Records
    8. Medicaid Privacy Requirements
    9. Genetic Information Nondiscrimination Act of 2008 (GINA)
    10. Clinical Laboratory Improvement Amendments (CLIA) (1988)
    11. Federal Food, Drug, and Cosmetic Act (FDCA)
    13. Controlled Substances Act (CSA)
    14. Federal Policy for the Protection of Human Subjects (Common Rule)
    15. Statutory Authority for Certificates of Confidentiality
    16. AHRQ Confidentiality Provisions
    17. CDC Confidentiality Provisions
    18. SAMHSA: Confidentiality Provisions for Data Collection and Survey Information
    19. Patient Safety and Quality Improvement Act of 200(Patient Safety Act)
    20. Employee Retirement Income Security Act of 1974(ERISA)
    21. Individuals with Disabilities Education Improvement Act (2004)
    22. Family Educational Rights and Privacy Act (1974)
    23. Protection of Pupil Rights Amendment (2002)
    24. Right to Financial Privacy Act (1978)
    25. Financial Modernization Act (Gramm-Leach-Bliley Act 1999) and Privacy of Consumer Financial Information Regulations
    26. Fair and Accurate Credit Transaction Act (FACTA) (2003)
    27. Fair Credit Reporting Act (FCRA) (1970)
    28. Fair Credit Reporting Medical Information Regulations (2005)
    29. Fair Debt Collection Practices Act (Revised 2006)
    30. Children’s Online Privacy Protection Act (1998)and accompanying rule
    31. Cable Communications Policy Act (1984)
    32. Telephone Consumer Protection Act (1991)
    33. Video Privacy Protection Act (1988)
    34. Drivers Privacy Protection Act (1994)
    35. REAL ID Act (2005)
    36. Employee Polygraph Protection Act (1988)
    37. Federal Trade Commission Act (FTCA) (1914)
    38. Federal Information Security Management Act (FISMA) (2002)
    39. Electronic Signatures in Global and National Commerce Act (2000)
    40. Telecommunications Act (1996)
    41. Stored Communications Act
    42. Electronic Communications Privacy Act (1986)
    43. The PATRIOT Act(2001)
    44. Foreign Intelligence Surveillance Act (FISA) (1978)
    45. Privacy Protection Act (1980)
    46. Communications Assistance for Law Enforcement Act (1994)
    47. Confidential Information Protection and Statistical Efficiency Act of 2002
    48. Computer Fraud and Abuse Act
    49. Federal Trade Commission Identify Theft Rule