[an error occurred while processing this directive] Health Information Technology [an error occurred while processing this directive]

Health Information Technology

Health Information Technology (HIT) gives rural hospitals the ability to store, transfer, and retrieve patient information electronically. This is an important component to our health care system because it promotes health information sharing between providers that in turn may help to reduce or avoid medical errors.

Tools

AHRQ Health Information Security and Privacy Collaboration Toolkit
This toolkit provides guidance for conducting organization-level assessments of business practices, policies, and State laws that govern the privacy and security of health information exchange (HIE). The toolkit was developed as part of the Agency for Healthcare Research and Quality (AHRQ) and Office of the National Coordinator for Health Information Technology (ONC) joint-funded Health Information Security and Privacy Collaboration (HISPC) project.

DOQ-IT e-Learning Tool
DOQ-IT U is an interactive, Web-based tool designed to provide solo and small-to-medium sized physician practices with the education for successful HIT adoption, including lessons on culture change, vendor selection and operational redesign, along with clinical processes. The system is available at no charge.

eHealth Initiative Connecting Communities Toolkit [an error occurred while processing this directive]
The Toolkit is a distillation of the knowledge that the eHealth Initiative has accumulated through its work with multiple stakeholders and different communities. Stakeholders and leading experts have provided significant input into a set of common principles and guides in seven Toolkit modules, each including easily accessible online documents and tools.

State Level Health Information Exchange Initiative Development Workbook: A Guide to Key Issues, Options and Strategies [an error occurred while processing this directive]
The role and development of state level HIE initiative are the focus of this workbook, designed as a practical tool to help those involved in developing and managing a state-leve HIT initiative. It provides guidance on some of the issues, options and strategies to consider when developing a state-level HIE initiative.

Resources

AHRQ: New profile of an integrated health system using e-prescribing to improve patient safety and ambulatory provider workflow
The Everett Clinic is a community-based, physician-owned integrated health system in the north Puget Sound area. With 16 locations, 250 physicians in 40 diverse specialties, and 1,300 staff members, the Everett Clinic serves about 225,000 patients, who make approximately 700,000 visits per year.

AHRQ State and Regional Demonstration Projects
Six States have been awarded 5-year contracts under the State and Regional Demonstrations in Health Information Technology (AHRQ-04-0015) funding opportunity from the Agency for Healthcare Research and Quality (AHRQ). Five States -- Colorado, Indiana, Rhode Island, Tennessee and Utah -- started their contracts in October 2004 with one State, Delaware, beginning in October 2005.

AHRQ's Cost and Benefits of Health Information Technology
An evidence-based report prepared by the Agency for Healthcare Research and Quality (AHRQ) to assess the benefits and costs of health information technology systems in various healthcare settings.

Current Status of HIT use in CAHs
Report examining the outcomes of a CAH health information technology survey. Findings suggest that the adoption of HIT for CAHs is a priority and currently CAH use rates for several technologies is lower than overall rates of hospitals reported by the AHA. See results and specifics in the report.

Development of State Level Health Information Exchange Initiatives Final Report: Extention Tasks [an error occurred while processing this directive]
This report explores the potential roles of and interactions between state level RHIOs and federal activities for health care and information technology. It also identifies the health information exchange projects that have achieved financial stability.

Directory of Federal HIT Programs
The National Coordinator for Health Information Technology has been given the responsibility for coordinating HIT efforts throughout the federal government. As part of the outreach effort, the programs, projects, and policies that involve HIT are being compiled.

Emerging Lessons from the HIT Field
With the support of AHRQ's National Resource Center for Health Information Technology, these HIT projects are overcoming key hurdles. AHRQ grantees' collective experience offers an important learning opportunity for other health IT implementations across the country.

Establishing a Foundation for Medicaid's Role in the Adoption of Health Information Technology [an error occurred while processing this directive]
This report summarizes AHRQ's findings of their project to clarify key issues and challenges of Medicaid's participation in HIT and HIE efforts. This report also focuses on opportunities for State Medicaid agencies and researchers to leverage the potential of HIT and HIE to control costs and improve the quality of care for Medicaid recipients.

GAO Report: HHS Should Specify Steps and Time Frame for Using Information Technology to Collect and Submit Data [an error occurred while processing this directive]
The Government Accountability Office (GAO) was asked to examine (1) hospital processes to collect and submit quality data, (2) the extent to which IT facilitates hospitals’ collection and submission of quality data, and (3) whether CMS has taken steps to promote the use of IT systems to facilitate the collection and submission of hospital quality data.

Health Information Technology: Early Efforts Initiated but Comprehensive Privacy Approach Needed for National Strategy [an error occurred while processing this directive]
GAO recommends that HHS define and implement an overall privacy approach that identifies milestones for integrating the outcomes of its initiatives, assures that key privacy principles are fully addressed, and addresses challenges that are associated with the nationwide exchange of health information.

Health Information Technology: HHS is Continuing Efforts to Define a National Strategy
The assessment of progress being made by the Department of Health and Human Services (HHS) since 2005 to develop a national HIT strategy and an overview of selected federal agencies HIT initiatives related to the national HIT strategy.

Health IT in Small and Rural Communities
Increasing the adoption of health information technology (health IT) in hospitals and physician practices is a major focus for the current Administration and Congress. Despite progress in the last few years, adoption rates remain low, particularly in small and rural communities.

HIT Issues and Opportunities
A presentation given by Tami Lichtenberg, TASC Program Manager, on the issues and opportunities facing rural providers trying to implement health information technology into their facilities.

Office of the National Coordinator for HIT
The Office of the National Coordinator for Health Information Technology provides leadership for the development and nationwide implementation of an interoperable health information technology infrastructure to improve the quality and efficiency of health care and the ability of consumers to manage their care and safety.

Recommended Requirements for Enhancing Data Quality in Electronic Health Record Systems
The primary purpose of this project is to identify requirements for EHRs that can help enhance data protections, such as increased data validity, accuracy, and integrity including appropriate fraud management.

Results of AHRQ and CMS-funded electronic prescribing (e-prescribing) pilot projects now available
In 2005, the Centers for Medicare & Medicaid Services (CMS) awarded grants to five pilot sites to test electronic prescribing (e-prescribing) standards. The testing focused on the interoperability of these standards with one another, their ability to delivery messages accurately and unambiguously, and their downstream effect on healthcare outcomes such as medical errors and clinical efficiency.

Using IT to Improve Patient Safety in Small, Rural Hospitals
In rural West Virginia, a patient safety project supported by AHRQ is proving that, with the right kind of assistance, all hospitals - regardless of their size or resources, can use state-of-the-art IT to vastly improve attention to patient care.

Legislation

Better Health Care Through Information Technology Act (S. 1355)
To enhance the adoption of health information technology and to improve the quality and reduce the costs of healthcare in the United States.

Critical Access to Health Information Technology Act of 2005 (S. 1952)
A bill to provide grants for rural health information technology development activities.

Electronic Health Information Technology Act of 2006 (H.R. 4832)
To amend the Social Security Act to establish an Office of Health Information Technology for the purpose of creating a national interoperable health information infrastructure, to provide loans to health care entities seeking to implement such infrastructure, and to provide exceptions to certain health anti-kickback laws to encourage the dissemination of health information technology.

Federal Family Health Information Act of 2006 (H.R. 4859)
To amend chapter 89 of title 5, United States Code, to provide for the implementation of a system of electronic health records under the Federal Employees Health Benefits Program.

Health Care Access and Rural Equity Act (H-CARE) of 2006 (H.R. 6030)
The implementation of this bill would help rural health care providers address the unique challenges associated with delivering quality health care close to home. The bill would include authorizing health information technology grants for rural practitioners.

Health Information Technolgy Promotion Act (H.R. 4157)
This legislation contains provisions that codify the Office of the National Coordinator for HIT I statute and delineates its roles and responsibilities;
*Offer statutory safe harbors in physician self-referral ("Stark" laws) and anti-kickback laws that allow hospitals, group practices, and other entities to provide physicians with hardware, software, or information technology training and support services that are used primarily for the electronic exchange of clinical health information;
*Call for the development of a strategic plan for the coordination of HIT and the implementation of electronic health records (EHR).
*This bill has been passed in the House.

Independent Health Record Bank Act of 2006 (H.R. 5559)
To improve the exchange of health information by encouraging the creation, use, and maintenance of lifetime electronic health records in independent health record banks, by using such records to build a nationwide health information technology infrastructure, and by promoting participation in health information exchanges by consumers through tax incentives.

Independent Health Record Bank Act of 2006 (S. 3454)
A bill to amend the Internal Revenue Code of 1986 to improve the exchange of healthcare information through the use of technology, to encourage the creation, use and maintenance of lifetime electronic health records that may contain health plan and debit card functionality in independent health record banks, to use such records to build a nationwide health information technology infrastructure, and to promote participation in health information exchange by consumers through tax incentives and for other purposes.

Medicare Telehealth Enhancement Act of 2005 (S. 1909)
A bill to improve the provision of telehealth services under the Medicare Program, to provide grants for the development of telehealth networks, and for other purposes.

Wired for Health Care Quality Act (S. 1418)
To enhance the adoption of a nationwide inter operable health information technology system and to improve the quality and reduce the costs of health care in the United States.

Funding

FCC Adopts Pilot Program Under Rural Health Care Mechanism [an error occurred while processing this directive]
The Federal Communications Commission adopted an order that establishes a pilot program to help public and non-profit health care providers build state and region wide broadband networks dedicated to the provision of health care services.

Rural Health Network Development Grant Program
To support the development of rural health networks, whose purpose is to increase access to care by overcoming the fragmentation and vulnerability of providers in rural areas. Grant funds are used to support activities that strenghten capabilities of these networks.
Deadline is October 15, 2007

USDA Announces Nearly $153 Million For Distance Learning and Telemedicine in Rural Communities
USDA is making available $62.9 million in distance learning and telemedicine loans, $75 million in loan and grant combinations, and $15 million in grants. Application deadline is June 11, 2007.

[an error occurred while processing this directive] Health Information Technology [an error occurred while processing this directive] Health Information Technology [an error occurred while processing this directive]

Health Information Technology

Health Information Technology (HIT) gives rural hospitals the ability to store, transfer, and retrieve patient information electronically. This is an important component to our health care system because it promotes health information sharing between providers that in turn may help to reduce or avoid medical errors.

Tools

AHRQ Health Information Security and Privacy Collaboration Toolkit
This toolkit provides guidance for conducting organization-level assessments of business practices, policies, and State laws that govern the privacy and security of health information exchange (HIE). The toolkit was developed as part of the Agency for Healthcare Research and Quality (AHRQ) and Office of the National Coordinator for Health Information Technology (ONC) joint-funded Health Information Security and Privacy Collaboration (HISPC) project.

DOQ-IT e-Learning Tool
DOQ-IT U is an interactive, Web-based tool designed to provide solo and small-to-medium sized physician practices with the education for successful HIT adoption, including lessons on culture change, vendor selection and operational redesign, along with clinical processes. The system is available at no charge.

eHealth Initiative Connecting Communities Toolkit [an error occurred while processing this directive]
The Toolkit is a distillation of the knowledge that the eHealth Initiative has accumulated through its work with multiple stakeholders and different communities. Stakeholders and leading experts have provided significant input into a set of common principles and guides in seven Toolkit modules, each including easily accessible online documents and tools.

State Level Health Information Exchange Initiative Development Workbook: A Guide to Key Issues, Options and Strategies [an error occurred while processing this directive]
The role and development of state level HIE initiative are the focus of this workbook, designed as a practical tool to help those involved in developing and managing a state-leve HIT initiative. It provides guidance on some of the issues, options and strategies to consider when developing a state-level HIE initiative.

Resources

AHRQ: New profile of an integrated health system using e-prescribing to improve patient safety and ambulatory provider workflow
The Everett Clinic is a community-based, physician-owned integrated health system in the north Puget Sound area. With 16 locations, 250 physicians in 40 diverse specialties, and 1,300 staff members, the Everett Clinic serves about 225,000 patients, who make approximately 700,000 visits per year.

AHRQ State and Regional Demonstration Projects
Six States have been awarded 5-year contracts under the State and Regional Demonstrations in Health Information Technology (AHRQ-04-0015) funding opportunity from the Agency for Healthcare Research and Quality (AHRQ). Five States -- Colorado, Indiana, Rhode Island, Tennessee and Utah -- started their contracts in October 2004 with one State, Delaware, beginning in October 2005.

AHRQ's Cost and Benefits of Health Information Technology
An evidence-based report prepared by the Agency for Healthcare Research and Quality (AHRQ) to assess the benefits and costs of health information technology systems in various healthcare settings.

Current Status of HIT use in CAHs
Report examining the outcomes of a CAH health information technology survey. Findings suggest that the adoption of HIT for CAHs is a priority and currently CAH use rates for several technologies is lower than overall rates of hospitals reported by the AHA. See results and specifics in the report.

Development of State Level Health Information Exchange Initiatives Final Report: Extention Tasks [an error occurred while processing this directive]
This report explores the potential roles of and interactions between state level RHIOs and federal activities for health care and information technology. It also identifies the health information exchange projects that have achieved financial stability.

Directory of Federal HIT Programs
The National Coordinator for Health Information Technology has been given the responsibility for coordinating HIT efforts throughout the federal government. As part of the outreach effort, the programs, projects, and policies that involve HIT are being compiled.

Emerging Lessons from the HIT Field
With the support of AHRQ's National Resource Center for Health Information Technology, these HIT projects are overcoming key hurdles. AHRQ grantees' collective experience offers an important learning opportunity for other health IT implementations across the country.

Establishing a Foundation for Medicaid's Role in the Adoption of Health Information Technology [an error occurred while processing this directive]
This report summarizes AHRQ's findings of their project to clarify key issues and challenges of Medicaid's participation in HIT and HIE efforts. This report also focuses on opportunities for State Medicaid agencies and researchers to leverage the potential of HIT and HIE to control costs and improve the quality of care for Medicaid recipients.

GAO Report: HHS Should Specify Steps and Time Frame for Using Information Technology to Collect and Submit Data [an error occurred while processing this directive]
The Government Accountability Office (GAO) was asked to examine (1) hospital processes to collect and submit quality data, (2) the extent to which IT facilitates hospitals’ collection and submission of quality data, and (3) whether CMS has taken steps to promote the use of IT systems to facilitate the collection and submission of hospital quality data.

Health Information Technology: Early Efforts Initiated but Comprehensive Privacy Approach Needed for National Strategy [an error occurred while processing this directive]
GAO recommends that HHS define and implement an overall privacy approach that identifies milestones for integrating the outcomes of its initiatives, assures that key privacy principles are fully addressed, and addresses challenges that are associated with the nationwide exchange of health information.

Health Information Technology: HHS is Continuing Efforts to Define a National Strategy
The assessment of progress being made by the Department of Health and Human Services (HHS) since 2005 to develop a national HIT strategy and an overview of selected federal agencies HIT initiatives related to the national HIT strategy.

Health IT in Small and Rural Communities
Increasing the adoption of health information technology (health IT) in hospitals and physician practices is a major focus for the current Administration and Congress. Despite progress in the last few years, adoption rates remain low, particularly in small and rural communities.

HIT Issues and Opportunities
A presentation given by Tami Lichtenberg, TASC Program Manager, on the issues and opportunities facing rural providers trying to implement health information technology into their facilities.

Office of the National Coordinator for HIT
The Office of the National Coordinator for Health Information Technology provides leadership for the development and nationwide implementation of an interoperable health information technology infrastructure to improve the quality and efficiency of health care and the ability of consumers to manage their care and safety.

Recommended Requirements for Enhancing Data Quality in Electronic Health Record Systems
The primary purpose of this project is to identify requirements for EHRs that can help enhance data protections, such as increased data validity, accuracy, and integrity including appropriate fraud management.

Results of AHRQ and CMS-funded electronic prescribing (e-prescribing) pilot projects now available
In 2005, the Centers for Medicare & Medicaid Services (CMS) awarded grants to five pilot sites to test electronic prescribing (e-prescribing) standards. The testing focused on the interoperability of these standards with one another, their ability to delivery messages accurately and unambiguously, and their downstream effect on healthcare outcomes such as medical errors and clinical efficiency.

Using IT to Improve Patient Safety in Small, Rural Hospitals
In rural West Virginia, a patient safety project supported by AHRQ is proving that, with the right kind of assistance, all hospitals - regardless of their size or resources, can use state-of-the-art IT to vastly improve attention to patient care.

Legislation

Better Health Care Through Information Technology Act (S. 1355)
To enhance the adoption of health information technology and to improve the quality and reduce the costs of healthcare in the United States.

Critical Access to Health Information Technology Act of 2005 (S. 1952)
A bill to provide grants for rural health information technology development activities.

Electronic Health Information Technology Act of 2006 (H.R. 4832)
To amend the Social Security Act to establish an Office of Health Information Technology for the purpose of creating a national interoperable health information infrastructure, to provide loans to health care entities seeking to implement such infrastructure, and to provide exceptions to certain health anti-kickback laws to encourage the dissemination of health information technology.

Federal Family Health Information Act of 2006 (H.R. 4859)
To amend chapter 89 of title 5, United States Code, to provide for the implementation of a system of electronic health records under the Federal Employees Health Benefits Program.

Health Care Access and Rural Equity Act (H-CARE) of 2006 (H.R. 6030)
The implementation of this bill would help rural health care providers address the unique challenges associated with delivering quality health care close to home. The bill would include authorizing health information technology grants for rural practitioners.

Health Information Technolgy Promotion Act (H.R. 4157)
This legislation contains provisions that codify the Office of the National Coordinator for HIT I statute and delineates its roles and responsibilities;
*Offer statutory safe harbors in physician self-referral ("Stark" laws) and anti-kickback laws that allow hospitals, group practices, and other entities to provide physicians with hardware, software, or information technology training and support services that are used primarily for the electronic exchange of clinical health information;
*Call for the development of a strategic plan for the coordination of HIT and the implementation of electronic health records (EHR).
*This bill has been passed in the House.

Independent Health Record Bank Act of 2006 (H.R. 5559)
To improve the exchange of health information by encouraging the creation, use, and maintenance of lifetime electronic health records in independent health record banks, by using such records to build a nationwide health information technology infrastructure, and by promoting participation in health information exchanges by consumers through tax incentives.

Independent Health Record Bank Act of 2006 (S. 3454)
A bill to amend the Internal Revenue Code of 1986 to improve the exchange of healthcare information through the use of technology, to encourage the creation, use and maintenance of lifetime electronic health records that may contain health plan and debit card functionality in independent health record banks, to use such records to build a nationwide health information technology infrastructure, and to promote participation in health information exchange by consumers through tax incentives and for other purposes.

Medicare Telehealth Enhancement Act of 2005 (S. 1909)
A bill to improve the provision of telehealth services under the Medicare Program, to provide grants for the development of telehealth networks, and for other purposes.

Wired for Health Care Quality Act (S. 1418)
To enhance the adoption of a nationwide inter operable health information technology system and to improve the quality and reduce the costs of health care in the United States.

Funding

FCC Adopts Pilot Program Under Rural Health Care Mechanism [an error occurred while processing this directive]
The Federal Communications Commission adopted an order that establishes a pilot program to help public and non-profit health care providers build state and region wide broadband networks dedicated to the provision of health care services.

Rural Health Network Development Grant Program
To support the development of rural health networks, whose purpose is to increase access to care by overcoming the fragmentation and vulnerability of providers in rural areas. Grant funds are used to support activities that strenghten capabilities of these networks.
Deadline is October 15, 2007

USDA Announces Nearly $153 Million For Distance Learning and Telemedicine in Rural Communities
USDA is making available $62.9 million in distance learning and telemedicine loans, $75 million in loan and grant combinations, and $15 million in grants. Application deadline is June 11, 2007.

[an error occurred while processing this directive]

Health Information Technology

Health Information Technology (HIT) gives rural hospitals the ability to store, transfer, and retrieve patient information electronically. This is an important component to our health care system because it promotes health information sharing between providers that in turn may help to reduce or avoid medical errors.

Tools

AHRQ Health Information Security and Privacy Collaboration Toolkit
This toolkit provides guidance for conducting organization-level assessments of business practices, policies, and State laws that govern the privacy and security of health information exchange (HIE). The toolkit was developed as part of the Agency for Healthcare Research and Quality (AHRQ) and Office of the National Coordinator for Health Information Technology (ONC) joint-funded Health Information Security and Privacy Collaboration (HISPC) project.

DOQ-IT e-Learning Tool
DOQ-IT U is an interactive, Web-based tool designed to provide solo and small-to-medium sized physician practices with the education for successful HIT adoption, including lessons on culture change, vendor selection and operational redesign, along with clinical processes. The system is available at no charge.

eHealth Initiative Connecting Communities Toolkit [an error occurred while processing this directive] Health Information Technology [an error occurred while processing this directive]

Health Information Technology

Health Information Technology (HIT) gives rural hospitals the ability to store, transfer, and retrieve patient information electronically. This is an important component to our health care system because it promotes health information sharing between providers that in turn may help to reduce or avoid medical errors.

Tools

AHRQ Health Information Security and Privacy Collaboration Toolkit
This toolkit provides guidance for conducting organization-level assessments of business practices, policies, and State laws that govern the privacy and security of health information exchange (HIE). The toolkit was developed as part of the Agency for Healthcare Research and Quality (AHRQ) and Office of the National Coordinator for Health Information Technology (ONC) joint-funded Health Information Security and Privacy Collaboration (HISPC) project.

DOQ-IT e-Learning Tool
DOQ-IT U is an interactive, Web-based tool designed to provide solo and small-to-medium sized physician practices with the education for successful HIT adoption, including lessons on culture change, vendor selection and operational redesign, along with clinical processes. The system is available at no charge.

eHealth Initiative Connecting Communities Toolkit [an error occurred while processing this directive]
The Toolkit is a distillation of the knowledge that the eHealth Initiative has accumulated through its work with multiple stakeholders and different communities. Stakeholders and leading experts have provided significant input into a set of common principles and guides in seven Toolkit modules, each including easily accessible online documents and tools.

State Level Health Information Exchange Initiative Development Workbook: A Guide to Key Issues, Options and Strategies [an error occurred while processing this directive]
The role and development of state level HIE initiative are the focus of this workbook, designed as a practical tool to help those involved in developing and managing a state-leve HIT initiative. It provides guidance on some of the issues, options and strategies to consider when developing a state-level HIE initiative.

Resources

AHRQ: New profile of an integrated health system using e-prescribing to improve patient safety and ambulatory provider workflow
The Everett Clinic is a community-based, physician-owned integrated health system in the north Puget Sound area. With 16 locations, 250 physicians in 40 diverse specialties, and 1,300 staff members, the Everett Clinic serves about 225,000 patients, who make approximately 700,000 visits per year.

AHRQ State and Regional Demonstration Projects
Six States have been awarded 5-year contracts under the State and Regional Demonstrations in Health Information Technology (AHRQ-04-0015) funding opportunity from the Agency for Healthcare Research and Quality (AHRQ). Five States -- Colorado, Indiana, Rhode Island, Tennessee and Utah -- started their contracts in October 2004 with one State, Delaware, beginning in October 2005.

AHRQ's Cost and Benefits of Health Information Technology
An evidence-based report prepared by the Agency for Healthcare Research and Quality (AHRQ) to assess the benefits and costs of health information technology systems in various healthcare settings.

Current Status of HIT use in CAHs
Report examining the outcomes of a CAH health information technology survey. Findings suggest that the adoption of HIT for CAHs is a priority and currently CAH use rates for several technologies is lower than overall rates of hospitals reported by the AHA. See results and specifics in the report.

Development of State Level Health Information Exchange Initiatives Final Report: Extention Tasks [an error occurred while processing this directive]
This report explores the potential roles of and interactions between state level RHIOs and federal activities for health care and information technology. It also identifies the health information exchange projects that have achieved financial stability.

Directory of Federal HIT Programs
The National Coordinator for Health Information Technology has been given the responsibility for coordinating HIT efforts throughout the federal government. As part of the outreach effort, the programs, projects, and policies that involve HIT are being compiled.

Emerging Lessons from the HIT Field
With the support of AHRQ's National Resource Center for Health Information Technology, these HIT projects are overcoming key hurdles. AHRQ grantees' collective experience offers an important learning opportunity for other health IT implementations across the country.

Establishing a Foundation for Medicaid's Role in the Adoption of Health Information Technology [an error occurred while processing this directive]
This report summarizes AHRQ's findings of their project to clarify key issues and challenges of Medicaid's participation in HIT and HIE efforts. This report also focuses on opportunities for State Medicaid agencies and researchers to leverage the potential of HIT and HIE to control costs and improve the quality of care for Medicaid recipients.

GAO Report: HHS Should Specify Steps and Time Frame for Using Information Technology to Collect and Submit Data [an error occurred while processing this directive]
The Government Accountability Office (GAO) was asked to examine (1) hospital processes to collect and submit quality data, (2) the extent to which IT facilitates hospitals’ collection and submission of quality data, and (3) whether CMS has taken steps to promote the use of IT systems to facilitate the collection and submission of hospital quality data.

Health Information Technology: Early Efforts Initiated but Comprehensive Privacy Approach Needed for National Strategy [an error occurred while processing this directive]
GAO recommends that HHS define and implement an overall privacy approach that identifies milestones for integrating the outcomes of its initiatives, assures that key privacy principles are fully addressed, and addresses challenges that are associated with the nationwide exchange of health information.

Health Information Technology: HHS is Continuing Efforts to Define a National Strategy
The assessment of progress being made by the Department of Health and Human Services (HHS) since 2005 to develop a national HIT strategy and an overview of selected federal agencies HIT initiatives related to the national HIT strategy.

Health IT in Small and Rural Communities
Increasing the adoption of health information technology (health IT) in hospitals and physician practices is a major focus for the current Administration and Congress. Despite progress in the last few years, adoption rates remain low, particularly in small and rural communities.

HIT Issues and Opportunities
A presentation given by Tami Lichtenberg, TASC Program Manager, on the issues and opportunities facing rural providers trying to implement health information technology into their facilities.

Office of the National Coordinator for HIT
The Office of the National Coordinator for Health Information Technology provides leadership for the development and nationwide implementation of an interoperable health information technology infrastructure to improve the quality and efficiency of health care and the ability of consumers to manage their care and safety.

Recommended Requirements for Enhancing Data Quality in Electronic Health Record Systems
The primary purpose of this project is to identify requirements for EHRs that can help enhance data protections, such as increased data validity, accuracy, and integrity including appropriate fraud management.

Results of AHRQ and CMS-funded electronic prescribing (e-prescribing) pilot projects now available
In 2005, the Centers for Medicare & Medicaid Services (CMS) awarded grants to five pilot sites to test electronic prescribing (e-prescribing) standards. The testing focused on the interoperability of these standards with one another, their ability to delivery messages accurately and unambiguously, and their downstream effect on healthcare outcomes such as medical errors and clinical efficiency.

Using IT to Improve Patient Safety in Small, Rural Hospitals
In rural West Virginia, a patient safety project supported by AHRQ is proving that, with the right kind of assistance, all hospitals - regardless of their size or resources, can use state-of-the-art IT to vastly improve attention to patient care.

Legislation

Better Health Care Through Information Technology Act (S. 1355)
To enhance the adoption of health information technology and to improve the quality and reduce the costs of healthcare in the United States.

Critical Access to Health Information Technology Act of 2005 (S. 1952)
A bill to provide grants for rural health information technology development activities.

Electronic Health Information Technology Act of 2006 (H.R. 4832)
To amend the Social Security Act to establish an Office of Health Information Technology for the purpose of creating a national interoperable health information infrastructure, to provide loans to health care entities seeking to implement such infrastructure, and to provide exceptions to certain health anti-kickback laws to encourage the dissemination of health information technology.

Federal Family Health Information Act of 2006 (H.R. 4859)
To amend chapter 89 of title 5, United States Code, to provide for the implementation of a system of electronic health records under the Federal Employees Health Benefits Program.

Health Care Access and Rural Equity Act (H-CARE) of 2006 (H.R. 6030)
The implementation of this bill would help rural health care providers address the unique challenges associated with delivering quality health care close to home. The bill would include authorizing health information technology grants for rural practitioners.

Health Information Technolgy Promotion Act (H.R. 4157)
This legislation contains provisions that codify the Office of the National Coordinator for HIT I statute and delineates its roles and responsibilities;
*Offer statutory safe harbors in physician self-referral ("Stark" laws) and anti-kickback laws that allow hospitals, group practices, and other entities to provide physicians with hardware, software, or information technology training and support services that are used primarily for the electronic exchange of clinical health information;
*Call for the development of a strategic plan for the coordination of HIT and the implementation of electronic health records (EHR).
*This bill has been passed in the House.

Independent Health Record Bank Act of 2006 (H.R. 5559)
To improve the exchange of health information by encouraging the creation, use, and maintenance of lifetime electronic health records in independent health record banks, by using such records to build a nationwide health information technology infrastructure, and by promoting participation in health information exchanges by consumers through tax incentives.

Independent Health Record Bank Act of 2006 (S. 3454)
A bill to amend the Internal Revenue Code of 1986 to improve the exchange of healthcare information through the use of technology, to encourage the creation, use and maintenance of lifetime electronic health records that may contain health plan and debit card functionality in independent health record banks, to use such records to build a nationwide health information technology infrastructure, and to promote participation in health information exchange by consumers through tax incentives and for other purposes.

Medicare Telehealth Enhancement Act of 2005 (S. 1909)
A bill to improve the provision of telehealth services under the Medicare Program, to provide grants for the development of telehealth networks, and for other purposes.

Wired for Health Care Quality Act (S. 1418)
To enhance the adoption of a nationwide inter operable health information technology system and to improve the quality and reduce the costs of health care in the United States.

Funding

FCC Adopts Pilot Program Under Rural Health Care Mechanism [an error occurred while processing this directive]
The Federal Communications Commission adopted an order that establishes a pilot program to help public and non-profit health care providers build state and region wide broadband networks dedicated to the provision of health care services.

Rural Health Network Development Grant Program
To support the development of rural health networks, whose purpose is to increase access to care by overcoming the fragmentation and vulnerability of providers in rural areas. Grant funds are used to support activities that strenghten capabilities of these networks.
Deadline is October 15, 2007

USDA Announces Nearly $153 Million For Distance Learning and Telemedicine in Rural Communities
USDA is making available $62.9 million in distance learning and telemedicine loans, $75 million in loan and grant combinations, and $15 million in grants. Application deadline is June 11, 2007.

[an error occurred while processing this directive]
The Toolkit is a distillation of the knowledge that the eHealth Initiative has accumulated through its work with multiple stakeholders and different communities. Stakeholders and leading experts have provided significant input into a set of common principles and guides in seven Toolkit modules, each including easily accessible online documents and tools.

State Level Health Information Exchange Initiative Development Workbook: A Guide to Key Issues, Options and Strategies [an error occurred while processing this directive] Health Information Technology [an error occurred while processing this directive]

Health Information Technology

Health Information Technology (HIT) gives rural hospitals the ability to store, transfer, and retrieve patient information electronically. This is an important component to our health care system because it promotes health information sharing between providers that in turn may help to reduce or avoid medical errors.

Tools

AHRQ Health Information Security and Privacy Collaboration Toolkit
This toolkit provides guidance for conducting organization-level assessments of business practices, policies, and State laws that govern the privacy and security of health information exchange (HIE). The toolkit was developed as part of the Agency for Healthcare Research and Quality (AHRQ) and Office of the National Coordinator for Health Information Technology (ONC) joint-funded Health Information Security and Privacy Collaboration (HISPC) project.

DOQ-IT e-Learning Tool
DOQ-IT U is an interactive, Web-based tool designed to provide solo and small-to-medium sized physician practices with the education for successful HIT adoption, including lessons on culture change, vendor selection and operational redesign, along with clinical processes. The system is available at no charge.

eHealth Initiative Connecting Communities Toolkit [an error occurred while processing this directive]
The Toolkit is a distillation of the knowledge that the eHealth Initiative has accumulated through its work with multiple stakeholders and different communities. Stakeholders and leading experts have provided significant input into a set of common principles and guides in seven Toolkit modules, each including easily accessible online documents and tools.

State Level Health Information Exchange Initiative Development Workbook: A Guide to Key Issues, Options and Strategies [an error occurred while processing this directive]
The role and development of state level HIE initiative are the focus of this workbook, designed as a practical tool to help those involved in developing and managing a state-leve HIT initiative. It provides guidance on some of the issues, options and strategies to consider when developing a state-level HIE initiative.

Resources

AHRQ: New profile of an integrated health system using e-prescribing to improve patient safety and ambulatory provider workflow
The Everett Clinic is a community-based, physician-owned integrated health system in the north Puget Sound area. With 16 locations, 250 physicians in 40 diverse specialties, and 1,300 staff members, the Everett Clinic serves about 225,000 patients, who make approximately 700,000 visits per year.

AHRQ State and Regional Demonstration Projects
Six States have been awarded 5-year contracts under the State and Regional Demonstrations in Health Information Technology (AHRQ-04-0015) funding opportunity from the Agency for Healthcare Research and Quality (AHRQ). Five States -- Colorado, Indiana, Rhode Island, Tennessee and Utah -- started their contracts in October 2004 with one State, Delaware, beginning in October 2005.

AHRQ's Cost and Benefits of Health Information Technology
An evidence-based report prepared by the Agency for Healthcare Research and Quality (AHRQ) to assess the benefits and costs of health information technology systems in various healthcare settings.

Current Status of HIT use in CAHs
Report examining the outcomes of a CAH health information technology survey. Findings suggest that the adoption of HIT for CAHs is a priority and currently CAH use rates for several technologies is lower than overall rates of hospitals reported by the AHA. See results and specifics in the report.

Development of State Level Health Information Exchange Initiatives Final Report: Extention Tasks [an error occurred while processing this directive]
This report explores the potential roles of and interactions between state level RHIOs and federal activities for health care and information technology. It also identifies the health information exchange projects that have achieved financial stability.

Directory of Federal HIT Programs
The National Coordinator for Health Information Technology has been given the responsibility for coordinating HIT efforts throughout the federal government. As part of the outreach effort, the programs, projects, and policies that involve HIT are being compiled.

Emerging Lessons from the HIT Field
With the support of AHRQ's National Resource Center for Health Information Technology, these HIT projects are overcoming key hurdles. AHRQ grantees' collective experience offers an important learning opportunity for other health IT implementations across the country.

Establishing a Foundation for Medicaid's Role in the Adoption of Health Information Technology [an error occurred while processing this directive]
This report summarizes AHRQ's findings of their project to clarify key issues and challenges of Medicaid's participation in HIT and HIE efforts. This report also focuses on opportunities for State Medicaid agencies and researchers to leverage the potential of HIT and HIE to control costs and improve the quality of care for Medicaid recipients.

GAO Report: HHS Should Specify Steps and Time Frame for Using Information Technology to Collect and Submit Data [an error occurred while processing this directive]
The Government Accountability Office (GAO) was asked to examine (1) hospital processes to collect and submit quality data, (2) the extent to which IT facilitates hospitals’ collection and submission of quality data, and (3) whether CMS has taken steps to promote the use of IT systems to facilitate the collection and submission of hospital quality data.

Health Information Technology: Early Efforts Initiated but Comprehensive Privacy Approach Needed for National Strategy [an error occurred while processing this directive]
GAO recommends that HHS define and implement an overall privacy approach that identifies milestones for integrating the outcomes of its initiatives, assures that key privacy principles are fully addressed, and addresses challenges that are associated with the nationwide exchange of health information.

Health Information Technology: HHS is Continuing Efforts to Define a National Strategy
The assessment of progress being made by the Department of Health and Human Services (HHS) since 2005 to develop a national HIT strategy and an overview of selected federal agencies HIT initiatives related to the national HIT strategy.

Health IT in Small and Rural Communities
Increasing the adoption of health information technology (health IT) in hospitals and physician practices is a major focus for the current Administration and Congress. Despite progress in the last few years, adoption rates remain low, particularly in small and rural communities.

HIT Issues and Opportunities
A presentation given by Tami Lichtenberg, TASC Program Manager, on the issues and opportunities facing rural providers trying to implement health information technology into their facilities.

Office of the National Coordinator for HIT
The Office of the National Coordinator for Health Information Technology provides leadership for the development and nationwide implementation of an interoperable health information technology infrastructure to improve the quality and efficiency of health care and the ability of consumers to manage their care and safety.

Recommended Requirements for Enhancing Data Quality in Electronic Health Record Systems
The primary purpose of this project is to identify requirements for EHRs that can help enhance data protections, such as increased data validity, accuracy, and integrity including appropriate fraud management.

Results of AHRQ and CMS-funded electronic prescribing (e-prescribing) pilot projects now available
In 2005, the Centers for Medicare & Medicaid Services (CMS) awarded grants to five pilot sites to test electronic prescribing (e-prescribing) standards. The testing focused on the interoperability of these standards with one another, their ability to delivery messages accurately and unambiguously, and their downstream effect on healthcare outcomes such as medical errors and clinical efficiency.

Using IT to Improve Patient Safety in Small, Rural Hospitals
In rural West Virginia, a patient safety project supported by AHRQ is proving that, with the right kind of assistance, all hospitals - regardless of their size or resources, can use state-of-the-art IT to vastly improve attention to patient care.

Legislation

Better Health Care Through Information Technology Act (S. 1355)
To enhance the adoption of health information technology and to improve the quality and reduce the costs of healthcare in the United States.

Critical Access to Health Information Technology Act of 2005 (S. 1952)
A bill to provide grants for rural health information technology development activities.

Electronic Health Information Technology Act of 2006 (H.R. 4832)
To amend the Social Security Act to establish an Office of Health Information Technology for the purpose of creating a national interoperable health information infrastructure, to provide loans to health care entities seeking to implement such infrastructure, and to provide exceptions to certain health anti-kickback laws to encourage the dissemination of health information technology.

Federal Family Health Information Act of 2006 (H.R. 4859)
To amend chapter 89 of title 5, United States Code, to provide for the implementation of a system of electronic health records under the Federal Employees Health Benefits Program.

Health Care Access and Rural Equity Act (H-CARE) of 2006 (H.R. 6030)
The implementation of this bill would help rural health care providers address the unique challenges associated with delivering quality health care close to home. The bill would include authorizing health information technology grants for rural practitioners.

Health Information Technolgy Promotion Act (H.R. 4157)
This legislation contains provisions that codify the Office of the National Coordinator for HIT I statute and delineates its roles and responsibilities;
*Offer statutory safe harbors in physician self-referral ("Stark" laws) and anti-kickback laws that allow hospitals, group practices, and other entities to provide physicians with hardware, software, or information technology training and support services that are used primarily for the electronic exchange of clinical health information;
*Call for the development of a strategic plan for the coordination of HIT and the implementation of electronic health records (EHR).
*This bill has been passed in the House.

Independent Health Record Bank Act of 2006 (H.R. 5559)
To improve the exchange of health information by encouraging the creation, use, and maintenance of lifetime electronic health records in independent health record banks, by using such records to build a nationwide health information technology infrastructure, and by promoting participation in health information exchanges by consumers through tax incentives.

Independent Health Record Bank Act of 2006 (S. 3454)
A bill to amend the Internal Revenue Code of 1986 to improve the exchange of healthcare information through the use of technology, to encourage the creation, use and maintenance of lifetime electronic health records that may contain health plan and debit card functionality in independent health record banks, to use such records to build a nationwide health information technology infrastructure, and to promote participation in health information exchange by consumers through tax incentives and for other purposes.

Medicare Telehealth Enhancement Act of 2005 (S. 1909)
A bill to improve the provision of telehealth services under the Medicare Program, to provide grants for the development of telehealth networks, and for other purposes.

Wired for Health Care Quality Act (S. 1418)
To enhance the adoption of a nationwide inter operable health information technology system and to improve the quality and reduce the costs of health care in the United States.

Funding

FCC Adopts Pilot Program Under Rural Health Care Mechanism [an error occurred while processing this directive]
The Federal Communications Commission adopted an order that establishes a pilot program to help public and non-profit health care providers build state and region wide broadband networks dedicated to the provision of health care services.

Rural Health Network Development Grant Program
To support the development of rural health networks, whose purpose is to increase access to care by overcoming the fragmentation and vulnerability of providers in rural areas. Grant funds are used to support activities that strenghten capabilities of these networks.
Deadline is October 15, 2007

USDA Announces Nearly $153 Million For Distance Learning and Telemedicine in Rural Communities
USDA is making available $62.9 million in distance learning and telemedicine loans, $75 million in loan and grant combinations, and $15 million in grants. Application deadline is June 11, 2007.

[an error occurred while processing this directive]
The role and development of state level HIE initiative are the focus of this workbook, designed as a practical tool to help those involved in developing and managing a state-leve HIT initiative. It provides guidance on some of the issues, options and strategies to consider when developing a state-level HIE initiative.

Resources

AHRQ: New profile of an integrated health system using e-prescribing to improve patient safety and ambulatory provider workflow
The Everett Clinic is a community-based, physician-owned integrated health system in the north Puget Sound area. With 16 locations, 250 physicians in 40 diverse specialties, and 1,300 staff members, the Everett Clinic serves about 225,000 patients, who make approximately 700,000 visits per year.

AHRQ State and Regional Demonstration Projects
Six States have been awarded 5-year contracts under the State and Regional Demonstrations in Health Information Technology (AHRQ-04-0015) funding opportunity from the Agency for Healthcare Research and Quality (AHRQ). Five States -- Colorado, Indiana, Rhode Island, Tennessee and Utah -- started their contracts in October 2004 with one State, Delaware, beginning in October 2005.

AHRQ's Cost and Benefits of Health Information Technology
An evidence-based report prepared by the Agency for Healthcare Research and Quality (AHRQ) to assess the benefits and costs of health information technology systems in various healthcare settings.

Current Status of HIT use in CAHs
Report examining the outcomes of a CAH health information technology survey. Findings suggest that the adoption of HIT for CAHs is a priority and currently CAH use rates for several technologies is lower than overall rates of hospitals reported by the AHA. See results and specifics in the report.

Development of State Level Health Information Exchange Initiatives Final Report: Extention Tasks [an error occurred while processing this directive] Health Information Technology [an error occurred while processing this directive]

Health Information Technology

Health Information Technology (HIT) gives rural hospitals the ability to store, transfer, and retrieve patient information electronically. This is an important component to our health care system because it promotes health information sharing between providers that in turn may help to reduce or avoid medical errors.

Tools

AHRQ Health Information Security and Privacy Collaboration Toolkit
This toolkit provides guidance for conducting organization-level assessments of business practices, policies, and State laws that govern the privacy and security of health information exchange (HIE). The toolkit was developed as part of the Agency for Healthcare Research and Quality (AHRQ) and Office of the National Coordinator for Health Information Technology (ONC) joint-funded Health Information Security and Privacy Collaboration (HISPC) project.

DOQ-IT e-Learning Tool
DOQ-IT U is an interactive, Web-based tool designed to provide solo and small-to-medium sized physician practices with the education for successful HIT adoption, including lessons on culture change, vendor selection and operational redesign, along with clinical processes. The system is available at no charge.

eHealth Initiative Connecting Communities Toolkit [an error occurred while processing this directive]
The Toolkit is a distillation of the knowledge that the eHealth Initiative has accumulated through its work with multiple stakeholders and different communities. Stakeholders and leading experts have provided significant input into a set of common principles and guides in seven Toolkit modules, each including easily accessible online documents and tools.

State Level Health Information Exchange Initiative Development Workbook: A Guide to Key Issues, Options and Strategies [an error occurred while processing this directive]
The role and development of state level HIE initiative are the focus of this workbook, designed as a practical tool to help those involved in developing and managing a state-leve HIT initiative. It provides guidance on some of the issues, options and strategies to consider when developing a state-level HIE initiative.

Resources

AHRQ: New profile of an integrated health system using e-prescribing to improve patient safety and ambulatory provider workflow
The Everett Clinic is a community-based, physician-owned integrated health system in the north Puget Sound area. With 16 locations, 250 physicians in 40 diverse specialties, and 1,300 staff members, the Everett Clinic serves about 225,000 patients, who make approximately 700,000 visits per year.

AHRQ State and Regional Demonstration Projects
Six States have been awarded 5-year contracts under the State and Regional Demonstrations in Health Information Technology (AHRQ-04-0015) funding opportunity from the Agency for Healthcare Research and Quality (AHRQ). Five States -- Colorado, Indiana, Rhode Island, Tennessee and Utah -- started their contracts in October 2004 with one State, Delaware, beginning in October 2005.

AHRQ's Cost and Benefits of Health Information Technology
An evidence-based report prepared by the Agency for Healthcare Research and Quality (AHRQ) to assess the benefits and costs of health information technology systems in various healthcare settings.

Current Status of HIT use in CAHs
Report examining the outcomes of a CAH health information technology survey. Findings suggest that the adoption of HIT for CAHs is a priority and currently CAH use rates for several technologies is lower than overall rates of hospitals reported by the AHA. See results and specifics in the report.

Development of State Level Health Information Exchange Initiatives Final Report: Extention Tasks [an error occurred while processing this directive]
This report explores the potential roles of and interactions between state level RHIOs and federal activities for health care and information technology. It also identifies the health information exchange projects that have achieved financial stability.

Directory of Federal HIT Programs
The National Coordinator for Health Information Technology has been given the responsibility for coordinating HIT efforts throughout the federal government. As part of the outreach effort, the programs, projects, and policies that involve HIT are being compiled.

Emerging Lessons from the HIT Field
With the support of AHRQ's National Resource Center for Health Information Technology, these HIT projects are overcoming key hurdles. AHRQ grantees' collective experience offers an important learning opportunity for other health IT implementations across the country.

Establishing a Foundation for Medicaid's Role in the Adoption of Health Information Technology [an error occurred while processing this directive]
This report summarizes AHRQ's findings of their project to clarify key issues and challenges of Medicaid's participation in HIT and HIE efforts. This report also focuses on opportunities for State Medicaid agencies and researchers to leverage the potential of HIT and HIE to control costs and improve the quality of care for Medicaid recipients.

GAO Report: HHS Should Specify Steps and Time Frame for Using Information Technology to Collect and Submit Data [an error occurred while processing this directive]
The Government Accountability Office (GAO) was asked to examine (1) hospital processes to collect and submit quality data, (2) the extent to which IT facilitates hospitals’ collection and submission of quality data, and (3) whether CMS has taken steps to promote the use of IT systems to facilitate the collection and submission of hospital quality data.

Health Information Technology: Early Efforts Initiated but Comprehensive Privacy Approach Needed for National Strategy [an error occurred while processing this directive]
GAO recommends that HHS define and implement an overall privacy approach that identifies milestones for integrating the outcomes of its initiatives, assures that key privacy principles are fully addressed, and addresses challenges that are associated with the nationwide exchange of health information.

Health Information Technology: HHS is Continuing Efforts to Define a National Strategy
The assessment of progress being made by the Department of Health and Human Services (HHS) since 2005 to develop a national HIT strategy and an overview of selected federal agencies HIT initiatives related to the national HIT strategy.

Health IT in Small and Rural Communities
Increasing the adoption of health information technology (health IT) in hospitals and physician practices is a major focus for the current Administration and Congress. Despite progress in the last few years, adoption rates remain low, particularly in small and rural communities.

HIT Issues and Opportunities
A presentation given by Tami Lichtenberg, TASC Program Manager, on the issues and opportunities facing rural providers trying to implement health information technology into their facilities.

Office of the National Coordinator for HIT
The Office of the National Coordinator for Health Information Technology provides leadership for the development and nationwide implementation of an interoperable health information technology infrastructure to improve the quality and efficiency of health care and the ability of consumers to manage their care and safety.

Recommended Requirements for Enhancing Data Quality in Electronic Health Record Systems
The primary purpose of this project is to identify requirements for EHRs that can help enhance data protections, such as increased data validity, accuracy, and integrity including appropriate fraud management.

Results of AHRQ and CMS-funded electronic prescribing (e-prescribing) pilot projects now available
In 2005, the Centers for Medicare & Medicaid Services (CMS) awarded grants to five pilot sites to test electronic prescribing (e-prescribing) standards. The testing focused on the interoperability of these standards with one another, their ability to delivery messages accurately and unambiguously, and their downstream effect on healthcare outcomes such as medical errors and clinical efficiency.

Using IT to Improve Patient Safety in Small, Rural Hospitals
In rural West Virginia, a patient safety project supported by AHRQ is proving that, with the right kind of assistance, all hospitals - regardless of their size or resources, can use state-of-the-art IT to vastly improve attention to patient care.

Legislation

Better Health Care Through Information Technology Act (S. 1355)
To enhance the adoption of health information technology and to improve the quality and reduce the costs of healthcare in the United States.

Critical Access to Health Information Technology Act of 2005 (S. 1952)
A bill to provide grants for rural health information technology development activities.

Electronic Health Information Technology Act of 2006 (H.R. 4832)
To amend the Social Security Act to establish an Office of Health Information Technology for the purpose of creating a national interoperable health information infrastructure, to provide loans to health care entities seeking to implement such infrastructure, and to provide exceptions to certain health anti-kickback laws to encourage the dissemination of health information technology.

Federal Family Health Information Act of 2006 (H.R. 4859)
To amend chapter 89 of title 5, United States Code, to provide for the implementation of a system of electronic health records under the Federal Employees Health Benefits Program.

Health Care Access and Rural Equity Act (H-CARE) of 2006 (H.R. 6030)
The implementation of this bill would help rural health care providers address the unique challenges associated with delivering quality health care close to home. The bill would include authorizing health information technology grants for rural practitioners.

Health Information Technolgy Promotion Act (H.R. 4157)
This legislation contains provisions that codify the Office of the National Coordinator for HIT I statute and delineates its roles and responsibilities;
*Offer statutory safe harbors in physician self-referral ("Stark" laws) and anti-kickback laws that allow hospitals, group practices, and other entities to provide physicians with hardware, software, or information technology training and support services that are used primarily for the electronic exchange of clinical health information;
*Call for the development of a strategic plan for the coordination of HIT and the implementation of electronic health records (EHR).
*This bill has been passed in the House.

Independent Health Record Bank Act of 2006 (H.R. 5559)
To improve the exchange of health information by encouraging the creation, use, and maintenance of lifetime electronic health records in independent health record banks, by using such records to build a nationwide health information technology infrastructure, and by promoting participation in health information exchanges by consumers through tax incentives.

Independent Health Record Bank Act of 2006 (S. 3454)
A bill to amend the Internal Revenue Code of 1986 to improve the exchange of healthcare information through the use of technology, to encourage the creation, use and maintenance of lifetime electronic health records that may contain health plan and debit card functionality in independent health record banks, to use such records to build a nationwide health information technology infrastructure, and to promote participation in health information exchange by consumers through tax incentives and for other purposes.

Medicare Telehealth Enhancement Act of 2005 (S. 1909)
A bill to improve the provision of telehealth services under the Medicare Program, to provide grants for the development of telehealth networks, and for other purposes.

Wired for Health Care Quality Act (S. 1418)
To enhance the adoption of a nationwide inter operable health information technology system and to improve the quality and reduce the costs of health care in the United States.

Funding

FCC Adopts Pilot Program Under Rural Health Care Mechanism [an error occurred while processing this directive]
The Federal Communications Commission adopted an order that establishes a pilot program to help public and non-profit health care providers build state and region wide broadband networks dedicated to the provision of health care services.

Rural Health Network Development Grant Program
To support the development of rural health networks, whose purpose is to increase access to care by overcoming the fragmentation and vulnerability of providers in rural areas. Grant funds are used to support activities that strenghten capabilities of these networks.
Deadline is October 15, 2007

USDA Announces Nearly $153 Million For Distance Learning and Telemedicine in Rural Communities
USDA is making available $62.9 million in distance learning and telemedicine loans, $75 million in loan and grant combinations, and $15 million in grants. Application deadline is June 11, 2007.

[an error occurred while processing this directive]
This report explores the potential roles of and interactions between state level RHIOs and federal activities for health care and information technology. It also identifies the health information exchange projects that have achieved financial stability.

Directory of Federal HIT Programs
The National Coordinator for Health Information Technology has been given the responsibility for coordinating HIT efforts throughout the federal government. As part of the outreach effort, the programs, projects, and policies that involve HIT are being compiled.

Emerging Lessons from the HIT Field
With the support of AHRQ's National Resource Center for Health Information Technology, these HIT projects are overcoming key hurdles. AHRQ grantees' collective experience offers an important learning opportunity for other health IT implementations across the country.

Establishing a Foundation for Medicaid's Role in the Adoption of Health Information Technology [an error occurred while processing this directive] Health Information Technology [an error occurred while processing this directive]

Health Information Technology

Health Information Technology (HIT) gives rural hospitals the ability to store, transfer, and retrieve patient information electronically. This is an important component to our health care system because it promotes health information sharing between providers that in turn may help to reduce or avoid medical errors.

Tools

AHRQ Health Information Security and Privacy Collaboration Toolkit
This toolkit provides guidance for conducting organization-level assessments of business practices, policies, and State laws that govern the privacy and security of health information exchange (HIE). The toolkit was developed as part of the Agency for Healthcare Research and Quality (AHRQ) and Office of the National Coordinator for Health Information Technology (ONC) joint-funded Health Information Security and Privacy Collaboration (HISPC) project.

DOQ-IT e-Learning Tool
DOQ-IT U is an interactive, Web-based tool designed to provide solo and small-to-medium sized physician practices with the education for successful HIT adoption, including lessons on culture change, vendor selection and operational redesign, along with clinical processes. The system is available at no charge.

eHealth Initiative Connecting Communities Toolkit [an error occurred while processing this directive]
The Toolkit is a distillation of the knowledge that the eHealth Initiative has accumulated through its work with multiple stakeholders and different communities. Stakeholders and leading experts have provided significant input into a set of common principles and guides in seven Toolkit modules, each including easily accessible online documents and tools.

State Level Health Information Exchange Initiative Development Workbook: A Guide to Key Issues, Options and Strategies [an error occurred while processing this directive]
The role and development of state level HIE initiative are the focus of this workbook, designed as a practical tool to help those involved in developing and managing a state-leve HIT initiative. It provides guidance on some of the issues, options and strategies to consider when developing a state-level HIE initiative.

Resources

AHRQ: New profile of an integrated health system using e-prescribing to improve patient safety and ambulatory provider workflow
The Everett Clinic is a community-based, physician-owned integrated health system in the north Puget Sound area. With 16 locations, 250 physicians in 40 diverse specialties, and 1,300 staff members, the Everett Clinic serves about 225,000 patients, who make approximately 700,000 visits per year.

AHRQ State and Regional Demonstration Projects
Six States have been awarded 5-year contracts under the State and Regional Demonstrations in Health Information Technology (AHRQ-04-0015) funding opportunity from the Agency for Healthcare Research and Quality (AHRQ). Five States -- Colorado, Indiana, Rhode Island, Tennessee and Utah -- started their contracts in October 2004 with one State, Delaware, beginning in October 2005.

AHRQ's Cost and Benefits of Health Information Technology
An evidence-based report prepared by the Agency for Healthcare Research and Quality (AHRQ) to assess the benefits and costs of health information technology systems in various healthcare settings.

Current Status of HIT use in CAHs
Report examining the outcomes of a CAH health information technology survey. Findings suggest that the adoption of HIT for CAHs is a priority and currently CAH use rates for several technologies is lower than overall rates of hospitals reported by the AHA. See results and specifics in the report.

Development of State Level Health Information Exchange Initiatives Final Report: Extention Tasks [an error occurred while processing this directive]
This report explores the potential roles of and interactions between state level RHIOs and federal activities for health care and information technology. It also identifies the health information exchange projects that have achieved financial stability.

Directory of Federal HIT Programs
The National Coordinator for Health Information Technology has been given the responsibility for coordinating HIT efforts throughout the federal government. As part of the outreach effort, the programs, projects, and policies that involve HIT are being compiled.

Emerging Lessons from the HIT Field
With the support of AHRQ's National Resource Center for Health Information Technology, these HIT projects are overcoming key hurdles. AHRQ grantees' collective experience offers an important learning opportunity for other health IT implementations across the country.

Establishing a Foundation for Medicaid's Role in the Adoption of Health Information Technology [an error occurred while processing this directive]
This report summarizes AHRQ's findings of their project to clarify key issues and challenges of Medicaid's participation in HIT and HIE efforts. This report also focuses on opportunities for State Medicaid agencies and researchers to leverage the potential of HIT and HIE to control costs and improve the quality of care for Medicaid recipients.

GAO Report: HHS Should Specify Steps and Time Frame for Using Information Technology to Collect and Submit Data [an error occurred while processing this directive]
The Government Accountability Office (GAO) was asked to examine (1) hospital processes to collect and submit quality data, (2) the extent to which IT facilitates hospitals’ collection and submission of quality data, and (3) whether CMS has taken steps to promote the use of IT systems to facilitate the collection and submission of hospital quality data.

Health Information Technology: Early Efforts Initiated but Comprehensive Privacy Approach Needed for National Strategy [an error occurred while processing this directive]
GAO recommends that HHS define and implement an overall privacy approach that identifies milestones for integrating the outcomes of its initiatives, assures that key privacy principles are fully addressed, and addresses challenges that are associated with the nationwide exchange of health information.

Health Information Technology: HHS is Continuing Efforts to Define a National Strategy
The assessment of progress being made by the Department of Health and Human Services (HHS) since 2005 to develop a national HIT strategy and an overview of selected federal agencies HIT initiatives related to the national HIT strategy.

Health IT in Small and Rural Communities
Increasing the adoption of health information technology (health IT) in hospitals and physician practices is a major focus for the current Administration and Congress. Despite progress in the last few years, adoption rates remain low, particularly in small and rural communities.

HIT Issues and Opportunities
A presentation given by Tami Lichtenberg, TASC Program Manager, on the issues and opportunities facing rural providers trying to implement health information technology into their facilities.

Office of the National Coordinator for HIT
The Office of the National Coordinator for Health Information Technology provides leadership for the development and nationwide implementation of an interoperable health information technology infrastructure to improve the quality and efficiency of health care and the ability of consumers to manage their care and safety.

Recommended Requirements for Enhancing Data Quality in Electronic Health Record Systems
The primary purpose of this project is to identify requirements for EHRs that can help enhance data protections, such as increased data validity, accuracy, and integrity including appropriate fraud management.

Results of AHRQ and CMS-funded electronic prescribing (e-prescribing) pilot projects now available
In 2005, the Centers for Medicare & Medicaid Services (CMS) awarded grants to five pilot sites to test electronic prescribing (e-prescribing) standards. The testing focused on the interoperability of these standards with one another, their ability to delivery messages accurately and unambiguously, and their downstream effect on healthcare outcomes such as medical errors and clinical efficiency.

Using IT to Improve Patient Safety in Small, Rural Hospitals
In rural West Virginia, a patient safety project supported by AHRQ is proving that, with the right kind of assistance, all hospitals - regardless of their size or resources, can use state-of-the-art IT to vastly improve attention to patient care.

Legislation

Better Health Care Through Information Technology Act (S. 1355)
To enhance the adoption of health information technology and to improve the quality and reduce the costs of healthcare in the United States.

Critical Access to Health Information Technology Act of 2005 (S. 1952)
A bill to provide grants for rural health information technology development activities.

Electronic Health Information Technology Act of 2006 (H.R. 4832)
To amend the Social Security Act to establish an Office of Health Information Technology for the purpose of creating a national interoperable health information infrastructure, to provide loans to health care entities seeking to implement such infrastructure, and to provide exceptions to certain health anti-kickback laws to encourage the dissemination of health information technology.

Federal Family Health Information Act of 2006 (H.R. 4859)
To amend chapter 89 of title 5, United States Code, to provide for the implementation of a system of electronic health records under the Federal Employees Health Benefits Program.

Health Care Access and Rural Equity Act (H-CARE) of 2006 (H.R. 6030)
The implementation of this bill would help rural health care providers address the unique challenges associated with delivering quality health care close to home. The bill would include authorizing health information technology grants for rural practitioners.

Health Information Technolgy Promotion Act (H.R. 4157)
This legislation contains provisions that codify the Office of the National Coordinator for HIT I statute and delineates its roles and responsibilities;
*Offer statutory safe harbors in physician self-referral ("Stark" laws) and anti-kickback laws that allow hospitals, group practices, and other entities to provide physicians with hardware, software, or information technology training and support services that are used primarily for the electronic exchange of clinical health information;
*Call for the development of a strategic plan for the coordination of HIT and the implementation of electronic health records (EHR).
*This bill has been passed in the House.

Independent Health Record Bank Act of 2006 (H.R. 5559)
To improve the exchange of health information by encouraging the creation, use, and maintenance of lifetime electronic health records in independent health record banks, by using such records to build a nationwide health information technology infrastructure, and by promoting participation in health information exchanges by consumers through tax incentives.

Independent Health Record Bank Act of 2006 (S. 3454)
A bill to amend the Internal Revenue Code of 1986 to improve the exchange of healthcare information through the use of technology, to encourage the creation, use and maintenance of lifetime electronic health records that may contain health plan and debit card functionality in independent health record banks, to use such records to build a nationwide health information technology infrastructure, and to promote participation in health information exchange by consumers through tax incentives and for other purposes.

Medicare Telehealth Enhancement Act of 2005 (S. 1909)
A bill to improve the provision of telehealth services under the Medicare Program, to provide grants for the development of telehealth networks, and for other purposes.

Wired for Health Care Quality Act (S. 1418)
To enhance the adoption of a nationwide inter operable health information technology system and to improve the quality and reduce the costs of health care in the United States.

Funding

FCC Adopts Pilot Program Under Rural Health Care Mechanism [an error occurred while processing this directive]
The Federal Communications Commission adopted an order that establishes a pilot program to help public and non-profit health care providers build state and region wide broadband networks dedicated to the provision of health care services.

Rural Health Network Development Grant Program
To support the development of rural health networks, whose purpose is to increase access to care by overcoming the fragmentation and vulnerability of providers in rural areas. Grant funds are used to support activities that strenghten capabilities of these networks.
Deadline is October 15, 2007

USDA Announces Nearly $153 Million For Distance Learning and Telemedicine in Rural Communities
USDA is making available $62.9 million in distance learning and telemedicine loans, $75 million in loan and grant combinations, and $15 million in grants. Application deadline is June 11, 2007.

[an error occurred while processing this directive]
This report summarizes AHRQ's findings of their project to clarify key issues and challenges of Medicaid's participation in HIT and HIE efforts. This report also focuses on opportunities for State Medicaid agencies and researchers to leverage the potential of HIT and HIE to control costs and improve the quality of care for Medicaid recipients.

GAO Report: HHS Should Specify Steps and Time Frame for Using Information Technology to Collect and Submit Data [an error occurred while processing this directive] Health Information Technology [an error occurred while processing this directive]

Health Information Technology

Health Information Technology (HIT) gives rural hospitals the ability to store, transfer, and retrieve patient information electronically. This is an important component to our health care system because it promotes health information sharing between providers that in turn may help to reduce or avoid medical errors.

Tools

AHRQ Health Information Security and Privacy Collaboration Toolkit
This toolkit provides guidance for conducting organization-level assessments of business practices, policies, and State laws that govern the privacy and security of health information exchange (HIE). The toolkit was developed as part of the Agency for Healthcare Research and Quality (AHRQ) and Office of the National Coordinator for Health Information Technology (ONC) joint-funded Health Information Security and Privacy Collaboration (HISPC) project.

DOQ-IT e-Learning Tool
DOQ-IT U is an interactive, Web-based tool designed to provide solo and small-to-medium sized physician practices with the education for successful HIT adoption, including lessons on culture change, vendor selection and operational redesign, along with clinical processes. The system is available at no charge.

eHealth Initiative Connecting Communities Toolkit [an error occurred while processing this directive]
The Toolkit is a distillation of the knowledge that the eHealth Initiative has accumulated through its work with multiple stakeholders and different communities. Stakeholders and leading experts have provided significant input into a set of common principles and guides in seven Toolkit modules, each including easily accessible online documents and tools.

State Level Health Information Exchange Initiative Development Workbook: A Guide to Key Issues, Options and Strategies [an error occurred while processing this directive]
The role and development of state level HIE initiative are the focus of this workbook, designed as a practical tool to help those involved in developing and managing a state-leve HIT initiative. It provides guidance on some of the issues, options and strategies to consider when developing a state-level HIE initiative.

Resources

AHRQ: New profile of an integrated health system using e-prescribing to improve patient safety and ambulatory provider workflow
The Everett Clinic is a community-based, physician-owned integrated health system in the north Puget Sound area. With 16 locations, 250 physicians in 40 diverse specialties, and 1,300 staff members, the Everett Clinic serves about 225,000 patients, who make approximately 700,000 visits per year.

AHRQ State and Regional Demonstration Projects
Six States have been awarded 5-year contracts under the State and Regional Demonstrations in Health Information Technology (AHRQ-04-0015) funding opportunity from the Agency for Healthcare Research and Quality (AHRQ). Five States -- Colorado, Indiana, Rhode Island, Tennessee and Utah -- started their contracts in October 2004 with one State, Delaware, beginning in October 2005.

AHRQ's Cost and Benefits of Health Information Technology
An evidence-based report prepared by the Agency for Healthcare Research and Quality (AHRQ) to assess the benefits and costs of health information technology systems in various healthcare settings.

Current Status of HIT use in CAHs
Report examining the outcomes of a CAH health information technology survey. Findings suggest that the adoption of HIT for CAHs is a priority and currently CAH use rates for several technologies is lower than overall rates of hospitals reported by the AHA. See results and specifics in the report.

Development of State Level Health Information Exchange Initiatives Final Report: Extention Tasks [an error occurred while processing this directive]
This report explores the potential roles of and interactions between state level RHIOs and federal activities for health care and information technology. It also identifies the health information exchange projects that have achieved financial stability.

Directory of Federal HIT Programs
The National Coordinator for Health Information Technology has been given the responsibility for coordinating HIT efforts throughout the federal government. As part of the outreach effort, the programs, projects, and policies that involve HIT are being compiled.

Emerging Lessons from the HIT Field
With the support of AHRQ's National Resource Center for Health Information Technology, these HIT projects are overcoming key hurdles. AHRQ grantees' collective experience offers an important learning opportunity for other health IT implementations across the country.

Establishing a Foundation for Medicaid's Role in the Adoption of Health Information Technology [an error occurred while processing this directive]
This report summarizes AHRQ's findings of their project to clarify key issues and challenges of Medicaid's participation in HIT and HIE efforts. This report also focuses on opportunities for State Medicaid agencies and researchers to leverage the potential of HIT and HIE to control costs and improve the quality of care for Medicaid recipients.

GAO Report: HHS Should Specify Steps and Time Frame for Using Information Technology to Collect and Submit Data [an error occurred while processing this directive]
The Government Accountability Office (GAO) was asked to examine (1) hospital processes to collect and submit quality data, (2) the extent to which IT facilitates hospitals’ collection and submission of quality data, and (3) whether CMS has taken steps to promote the use of IT systems to facilitate the collection and submission of hospital quality data.

Health Information Technology: Early Efforts Initiated but Comprehensive Privacy Approach Needed for National Strategy [an error occurred while processing this directive]
GAO recommends that HHS define and implement an overall privacy approach that identifies milestones for integrating the outcomes of its initiatives, assures that key privacy principles are fully addressed, and addresses challenges that are associated with the nationwide exchange of health information.

Health Information Technology: HHS is Continuing Efforts to Define a National Strategy
The assessment of progress being made by the Department of Health and Human Services (HHS) since 2005 to develop a national HIT strategy and an overview of selected federal agencies HIT initiatives related to the national HIT strategy.

Health IT in Small and Rural Communities
Increasing the adoption of health information technology (health IT) in hospitals and physician practices is a major focus for the current Administration and Congress. Despite progress in the last few years, adoption rates remain low, particularly in small and rural communities.

HIT Issues and Opportunities
A presentation given by Tami Lichtenberg, TASC Program Manager, on the issues and opportunities facing rural providers trying to implement health information technology into their facilities.

Office of the National Coordinator for HIT
The Office of the National Coordinator for Health Information Technology provides leadership for the development and nationwide implementation of an interoperable health information technology infrastructure to improve the quality and efficiency of health care and the ability of consumers to manage their care and safety.

Recommended Requirements for Enhancing Data Quality in Electronic Health Record Systems
The primary purpose of this project is to identify requirements for EHRs that can help enhance data protections, such as increased data validity, accuracy, and integrity including appropriate fraud management.

Results of AHRQ and CMS-funded electronic prescribing (e-prescribing) pilot projects now available
In 2005, the Centers for Medicare & Medicaid Services (CMS) awarded grants to five pilot sites to test electronic prescribing (e-prescribing) standards. The testing focused on the interoperability of these standards with one another, their ability to delivery messages accurately and unambiguously, and their downstream effect on healthcare outcomes such as medical errors and clinical efficiency.

Using IT to Improve Patient Safety in Small, Rural Hospitals
In rural West Virginia, a patient safety project supported by AHRQ is proving that, with the right kind of assistance, all hospitals - regardless of their size or resources, can use state-of-the-art IT to vastly improve attention to patient care.

Legislation

Better Health Care Through Information Technology Act (S. 1355)
To enhance the adoption of health information technology and to improve the quality and reduce the costs of healthcare in the United States.

Critical Access to Health Information Technology Act of 2005 (S. 1952)
A bill to provide grants for rural health information technology development activities.

Electronic Health Information Technology Act of 2006 (H.R. 4832)
To amend the Social Security Act to establish an Office of Health Information Technology for the purpose of creating a national interoperable health information infrastructure, to provide loans to health care entities seeking to implement such infrastructure, and to provide exceptions to certain health anti-kickback laws to encourage the di