Minnesota Coordinated Responses
The Minnesota e-Health Initiative provides feedback on state and federal definitions, criteria, standards, and/or proposed regulations relating to e-health. Feedback is collected through a coordinated response that engages the Initiative, workgroups and public. Stakeholders can provide feedback during meetings or as written feedback.
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The 2019 Inpatient Prospective Payment System (IPPS) Proposed Rule developed by CMS covered a broad range of programs and policy changes. The Minnesota e-Health Initiative coordinated response focused on two sections:
- Proposed Changes to the Medicare and Medicaid EHR Incentive Programs (now referred to as the Medicare and Medicaid Promoting Interoperability Programs) on pages 1331-1448.
- Request for Information on Promoting Interoperability and Electronic Healthcare Information Exchange through Possible Revisions to the CMS Patient Health and Safety Requirements for Hospitals and Other Medicare and Medicaid-Participating Providers and Suppliers on pages 1471-1484.
The Minnesota e-Health Initiative statewide coordinated response to the IPPS (PDF) rule was submitted on May 25, 2018.
Draft Trusted Exchange Framework and Common Agreement (TEFCA)
The Draft Trusted Exchange Framework and Draft U.S. Core Data for Interoperability (USCDI) and Proposed Expansion Process (PDF) developed by the Office of the National Coordinator for Health Information Technology (ONC) is focused on policies, procedures, and technical standards that build on existing health information network capabilities. It outlines a common set of principles for trusted exchange and minimum terms and conditions for trusted exchange.
The Minnesota e-Health Statewide Coordinated Response to the Trusted Exchange Framework (PDF) was submitted February 20, 2018.
MACRA - related
- Medicare Access & CHIP Reauthorization Act (MACRA) Notice of Proposed Rule Making (NPRM) on Merit-Based Incentive Payment System (MIPS) and Alternative Payment Model (APM) Incentive Under the Physician Fee Schedule, and Criteria for Physician- Focused Payment Model: the Minnesota e-Health Initiative Coordinated Response (PDF) was submitted on June 6, 2016.
- Office of the National Coordinator for Health IT’s Request For Information (RFI) on Assessing Interoperability for MACRA: the Minnesota e-Health Initiative Coordinated Response (PDF) was submitted on June 3, 2016.
Draft 2016 Interoperability Standards Advisory
The Draft 2016 Interoperability Standards Advisory (2016 Advisory) represents the Office of the National Coordinator (ONC) for Health Information Technology’s current thinking on best available standards and implementation specifications. The Minnesota e-Health Initiative Coordinated Response for the Draft 2016 Interoperability Standards Advisory (PDF) was submitted November 5, 2015.
2015 Edition Health IT Certification Criteria, 2015 Edition Base Electronic Health Record (EHR) Definition, and ONC Health IT Certification Program Modifications
The 2015 Edition Health IT Certification Criteria (2015 Edition) proposed rule serves as a key component in establishing interoperable nationwide health information infrastructure. The 2015 Edition proposed rule builds on the foundation established with the 2011 and 2014 Editions, and incorporates changes designed to foster innovation, open new market opportunities, and provide more choices to the care community when it comes to electronic health information exchange. The Minnesota e-Health Initiative Coordinated Response for 2015 Health IT Certification (PDF) proposed rule was submitted on May 29, 2015.
Stage 3 Meaningful Use, Electronic Health Record Incentive Program
This Stage 3 proposed rule would specify the meaningful use criteria that eligible professionals (EPs), eligible hospitals, and critical access hospitals (CAHs) must meet in order to qualify for Medicare and Medicaid electronic health record (EHR) incentive payments and avoid downward payment adjustments under Medicare for Stage 3 of the EHR Incentive Programs. The Minnesota e-Health Initiative Coordinated Response to the Stage 3 NPRM (PDF) was submitted on May 29, 2015.
2015 Interoperability Standards Advisory: Best Available Standards and Implementation Standards
The 2015 Advisory is designed to prompt focused industry dialogue on areas where disagreement exists regarding the best available standards as well as greater certainty and clarity on areas where widespread consensus exists. The Minnesota e-Health Coordinated Response (PDF) to the 2015 Interoperability Standards Advisory was submitted on May 1, 2015.
Connecting Health and Care for the Nation: A Shared Nationwide Interoperability Roadmap Draft Version 1.0.
The Roadmap supports the vision that the ONC outlined in Connecting Health and Care for the National: A 10 Year Vision to Achieve an Interoperability HIT Infrastructure. It proposes critical actions for stakeholders that will advance the national towards interoperable HIT ecosystem, advance research and achieve a learning health system. The Minnesota e-Health Coordinated Response to the Nationwide Interoperability Roadmap (PDF) was submitted on April 3, 2015.
- MN e-Health Response to Stage 2 Certification Standards (PDF) (2012)
- MN e-Health Response to Stage 2 Meaningful Use Criteria (PDF) (2012)
Stages 2 and 3 Preliminary Objectives
e-Health Initiative Final Response to Preliminary Meaningful Use Objectives for Stages 2 and 3 (PDF) (2011)