The proposed regulation for meeting
the Stage 2 requirements for EHR
incentives will require healthcare
providers to revisit their HIPAA
compliance strategies. As healthcare
travels more deeply into the world of
interoperable EHRs to improve quality
and efficiency, the requirements to
qualify for the financial incentives are
not always closely tracking the
requirements under HIPAA.
That means covered entities and Business
Associates must decide when and how to
adapt their compliance programs and
clearly understand the interaction of
the Stage 2 proposal with HIPAA's
requirements.
This can be a confusing challenge
particularly as CMS and ONC have
premised their programs on the concept
that EHRs will offer patients more
capabilities and protections than
systems do now.
For example, CMS has proposed
dropping the requirement that patients
receive electronic copies of their
health information. Instead, the
proposal would require healthcare
organizations to provide online access
to those records to qualify for EHR
incentive payments.
Offering online access to the EHRs,
however, raises a variety of HIPAA
issues.
In yet another example, ONC has sent
strong signals that it wants EHRs to
include a capacity for patients to get
an accounting of disclosures for
treatment, payment and healthcare
operations - an issue currently under
regulatory development by OCR.
Because covered entities must now
address these kinds of issues, they have
the opportunity to make strategic
decisions on their longer term
operational plans and related data
stewardship policies.
To assist healthcare organizations in
meeting these challenges, Melamedia,
LLC, publisher of Health Information
Privacy/Security Alert, produced
a 90-minute webinar: