The final rule for the Medicare home health prospective payment system for CY 2015 includes language on the use of electronic health records by home health agencies. In the final rule, CMS says that the Department of Health and Human Services (HHS) will continue to promote the adoption and implementation of certified EHRs but doesn’t explicitly state that HHS encourages their use in a home health setting.
Last month, the proposed rule on Medicare and Medicaid Conditions of Participation for Home Health Agencies encouraged “home health providers to use-and their health IT vendors to develop-ONC-certified HIT/EHR technology to support interoperable health information exchange with physicians, hospitals, other long-term and post-acute care providers, and their patients.” The final rule also states that the ONC expressed in the 2014 Edition Release 2 final rule an intention to propose future changes to the ONC HIT Certification Program that would permit the certification of health IT for other health care settings, including long term and post acute care and behavioral health settings.
In a meeting of the HIT Policy Committee’s certification and adoption workgroup, the Pennsylvania Homecare Association (PHA) submitted a written comment which argued for the establishment of voluntary EHR certification criteria. PHA representatives stated that even if these criteria were put in place, EHR adoption among home health providers could start to “level off or even decrease” since they are not eligible for the monetary and technical assistance provided under the HITECH Act.
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