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Health Information Technology for Economic and Clinical Health Act
The Health Information Technology for Economic and Clinical Health Act, abbreviated the HITECH Act, was enacted under Title XIII of the American Recovery and Reinvestment Act of 2009 (Pub. L. 111–5 (text) (PDF)). Under the HITECH Act, the United States Department of Health and Human Services (U.S. HHS) resolved to spend $25.9 billion to promote and expand the adoption of health information technology. The Washington Post reported the inclusion of "as much as $36.5 billion in spending to create a nationwide network of electronic health records." At the time it was enacted, it was considered "the most important piece of health care legislation to be passed in the last 20 to 30 years" and the "foundation for health care reform."
The former National Coordinator for Health Information Technology, Farzad Mostashari, has explained: "You need information to be able to do population health management. You can serve an individual quite well; you can deliver excellent customer service if you wait for someone to walk through the door and then you go and pull their chart. What you can't do with paper charts is ask the question, 'Who didn't walk in the door?'"
In the years since the law was passed, electronic health records in the United States have become more common, but it is unclear how much of this was caused by the law. The meaningful use incentives in the law only applied to certain types of hospitals. However, a 2017 study suggests that these hospitals did adopt electronic health records more aggressively.
The HITECH Act set meaningful use of interoperable EHR adoption in the US healthcare system as a critical national goal and incentivized EHR adoption. The "goal is not adoption alone but 'meaningful use' of EHRs—that is, their use by providers to achieve significant improvements in care."
Title IV of the act promises maximum incentive payments for Medicaid to those who adopt and use "certified EHRs" of $63,750 over 6 years beginning in 2011. Eligible professionals must begin receiving payments by 2016 to qualify for the program. For Medicare, the maximum payments are $44,000 over 5 years. Doctors who do not adopt an EHR by 2015 will be penalized 1% of Medicare payments, increasing to 3% over 3 years. The HITECH Act (ARRA) requires doctors to show "meaningful use" of an EHR system to receive the EHR stimulus money. As of June 2010, there are no penalty provisions for Medicaid.
Health information exchange (HIE) has emerged as a core capability for hospitals and physicians to achieve "meaningful use" and receive stimulus funding. Starting in 2015, hospitals and doctors will be subject to financial penalties under Medicare if they are not using electronic health records.
The main components of meaningful use are:
In other words, providers need to demonstrate their use of certified EHR technology in ways that can be measured significantly in quality and in quantity.
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Health Information Technology for Economic and Clinical Health Act
The Health Information Technology for Economic and Clinical Health Act, abbreviated the HITECH Act, was enacted under Title XIII of the American Recovery and Reinvestment Act of 2009 (Pub. L. 111–5 (text) (PDF)). Under the HITECH Act, the United States Department of Health and Human Services (U.S. HHS) resolved to spend $25.9 billion to promote and expand the adoption of health information technology. The Washington Post reported the inclusion of "as much as $36.5 billion in spending to create a nationwide network of electronic health records." At the time it was enacted, it was considered "the most important piece of health care legislation to be passed in the last 20 to 30 years" and the "foundation for health care reform."
The former National Coordinator for Health Information Technology, Farzad Mostashari, has explained: "You need information to be able to do population health management. You can serve an individual quite well; you can deliver excellent customer service if you wait for someone to walk through the door and then you go and pull their chart. What you can't do with paper charts is ask the question, 'Who didn't walk in the door?'"
In the years since the law was passed, electronic health records in the United States have become more common, but it is unclear how much of this was caused by the law. The meaningful use incentives in the law only applied to certain types of hospitals. However, a 2017 study suggests that these hospitals did adopt electronic health records more aggressively.
The HITECH Act set meaningful use of interoperable EHR adoption in the US healthcare system as a critical national goal and incentivized EHR adoption. The "goal is not adoption alone but 'meaningful use' of EHRs—that is, their use by providers to achieve significant improvements in care."
Title IV of the act promises maximum incentive payments for Medicaid to those who adopt and use "certified EHRs" of $63,750 over 6 years beginning in 2011. Eligible professionals must begin receiving payments by 2016 to qualify for the program. For Medicare, the maximum payments are $44,000 over 5 years. Doctors who do not adopt an EHR by 2015 will be penalized 1% of Medicare payments, increasing to 3% over 3 years. The HITECH Act (ARRA) requires doctors to show "meaningful use" of an EHR system to receive the EHR stimulus money. As of June 2010, there are no penalty provisions for Medicaid.
Health information exchange (HIE) has emerged as a core capability for hospitals and physicians to achieve "meaningful use" and receive stimulus funding. Starting in 2015, hospitals and doctors will be subject to financial penalties under Medicare if they are not using electronic health records.
The main components of meaningful use are:
In other words, providers need to demonstrate their use of certified EHR technology in ways that can be measured significantly in quality and in quantity.