Electronic Health Records: Overview, Challenges and Legislation

Elmer Mitchell (Editor)

Series: Health Care in Transition
BISAC: HEA028000



Volume 10

Issue 1

Volume 2

Volume 3

Special issue: Resilience in breaking the cycle of children’s environmental health disparities
Edited by I Leslie Rubin, Robert J Geller, Abby Mutic, Benjamin A Gitterman, Nathan Mutic, Wayne Garfinkel, Claire D Coles, Kurt Martinuzzi, and Joav Merrick


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Recent data breaches have highlighted the importance of ensuring the security of health information, including Medicare beneficiary data. The objectives of chapter 1 are to identify the major external entities that collect, store, and process Medicare fee-for-service beneficiary data; determine whether requirements for the protection of Medicare beneficiary data align with federal guidance; and assess CMS oversight of the implementation of those requirements.

Health care providers are increasingly sharing patients’ health records electronically. When a patient’s records are shared with another provider, it is important to accurately match them to the correct patient. As reported in chapter 2 accurately matching patient health records is a barrier to health information exchange and that inaccurately matched records can adversely affect patient safety or privacy.

VA provides health care services to approximately 9 million veterans and their families and relies on its health information system—VistA—to do so. However, the system is more than 30 years old. In June 2017, the department announced plans to acquire the same system—the Cerner system—that DOD is implementing. Chapter 3 and 4 review key aspects of VistA and VA’s plans for the new acquisition of the Cerner system.

The National Defense Authorization Act for Fiscal Year 2008 included provisions that VA and DOD jointly develop and implement electronic health record systems or capabilities and accelerate the exchange of health care information. The act also required that these systems be compliant with applicable interoperability standards. Further, the act established a joint Interagency Program Office to act as a single point of accountability. Chapter 5 discusses findings on the establishment and evolution of the Interagency Program Office over the last decade.

Chapters 6 through 8 discuss recent legislation pertaining to electronic health records.
(Imprint: SNOVA)

Chapter 1. Electronic Health Information: CMS Oversight of Medicare Beneficiary Data Security Needs Improvement
Chapter 2. Health Information Technology: Approaches and Challenges to Electronically Matching Patients’ Records across Providers
Chapter 3. Electronic Health Records: VA Needs to Identify and Report System Costs
Chapter 4. VA IT Modernization: Preparations for Transitioning to a New Electronic Health Record System Are Ongoing
Statement of David A. Powner
Chapter 5. Electronic Health Records: Clear Definition of the Interagency Program Office’s Role in VA’s New Modernization Effort Would Strengthen Accountability
Statement of Carol C. Harris
Chapter 6. Veterans’ Electronic Health Record Modernization Oversight Act of 2017
Committee on Veterans’ Affairs
Chapter 7. To Amend Title XI of the Social Security Act to Promote Testing of Incentive Payments for Behavioral Health Providers for Adoption and Use of Certified Electronic Health Record Technology
Committee on Energy and Commerce
Chapter 8. Standardizing Electronic Prior Authorization for Safe Prescribing Act of 2018
Committee on Energy and Commerce

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