MN Coordinated Responses

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.

In Progress

2020-2025 Federal Health IT Strategic Plan

The Minnesota e-Health Initiative (Initiative) is responding to the 2020-2025 Federal Health IT Strategic Plan developed by the Office of the National Coordinator for Health Information Technology. This plan, which was developed in collaboration with over 25 federal organizations, is intended to guide federal health information technology (IT) activities. The Initiative is collecting and compiling written feedback into a coordinated response. Submit written comments by Wednesday, March 4, 2020 to mn.ehealth@state.mn.us.

Completed

Confidentiality of Substance Use Disorder Patient Records

Substance Abuse and Mental Health Services Administration (SAMHSA) is proposing to update the Confidentiality of Substance Use Disorder Patient Records regulations, 42 CFR 2 (Part 2). The proposed rule aims to align the regulations with advances in the U.S. health care delivery system, while retaining important privacy protections for individuals seeking treatment for substance use disorders (SUDs). Within the constraints of the statute, the proposed changes are also an effort to make the regulations more understandable and less burdensome.

Minnesota e-Health Initiative coordinated response for the Confidentiality of Substance Use Disorder Patient Records proposed rule (PDF) was submitted on October 25, 2019.


CMS proposed rule for electronic prior authorization for Medicare Part D

The Centers for Medicare and Medicaid Services (CMS) is proposing to update electronic prescribing standards for the prior authorization process for Medicare Part D. The proposed rule would implement new prior authorization transaction standards for the Part D e-Prescribing program as required by the SUPPORT (Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment) for Patients and Communities Act. If finalized, all Part D plans would be required to support the new standards, which were developed by the National Council for Prescription Drug Plans.

Minnesota e-Health Initiative coordinated response for the CMS electronic proposed rule (PDF) was submitted on August 13, 2019.


Interoperability, Information Blocking and the ONC Health IT Certificate Program

The 21st Century Cures Act: Interoperability, Information Blocking and the ONC Health IT Certificate Program proposed rule was developed by the Office of the National Coordinator for Health Information Technology (ONC). The proposed rule implements certain provisions of the 21st Century Cures Act. The Minnesota e-Health Initiative Coordinated Response for the ONC Information Blocking Proposed Rule (PDF) was submitted June 3, 2019.


Medicare and Medicaid Programs

The Center for Medicare and Medicaid Services (CMS) proposed rule focused on moving the health care ecosystem in the direction of interoperability and supporting the 21st Century Cures Act. The Minnesota e-Health Initiative Coordinated Response for the CMS Interoperability Proposed Rule (PDF) was submitted June 3, 2019.


Trusted Exchange Framework and Common Agreement (TEFCA) Draft 2

The Draft Trusted Exchange Framework and Common Agreement (TEFCA) Draft 2 developed by the Office of the National Coordinator for Health Information Technology (ONC) outlines a common set of principles, terms, and conditions to support the development of a Common Agreement that would help enable nationwide exchange of electronic health information (EHI) across disparate health information networks (HINs). The TEFCA is designed to scale EHI exchange nationwide and help ensure that HINs, health care providers, health plans, individuals, and many more stakeholders have secure access to their electronic health information when and where it is needed.

The Minnesota e-Health Initiative Response to the Trusted Exchange Framework and Common Agreement Draft 2 (PDF) was submitted June 14, 2019.


Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs Report

The Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs Report (PDF) developed by the ONC included strategies and recommendations to:

  1. Reduce the effort and time required to record information in EHRs for health care providers during care delivery.
  2. Reduce the effort and time required to meet regulatory reporting requirements for clinicians, hospitals, and health care organizations.
  3. Improve the functionality and intuitiveness (ease of use) of EHRs.

The Minnesota e-Health Initiative Coordinated Response for the Burden Report (PDF) was submitted January 28, 2019.


2018 Interoperability Standards Advisory (ISA)

The 2018 ISA represents the Office of the National Coordinator for Health Information Technology’s current thinking on best available standards and implementation specifications. The Minnesota e-Health Initiative Coordinated Response for the 2018 Interoperability Standards Advisory (PDF) was submitted September 28, 2018.

The Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2019; Medicare Shared Savings Program Requirements; Quality Payment Program; and Medicaid Promoting Interoperability Program developed by CMS covered a broad range of programs and policy changes. The Minnesota e-Health Initiative used input from previous coordinated responses and focused on two sections:

  1. Proposed Advancing Care Information Performance Category.
  2. 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.

Medicare Physician Fee Schedule and Other Part B Payment CY 2019

The Minnesota e-Health Initiative statewide coordinated response Medicare Rule (PDF) was submitted on September 6, 2018.


Inpatient Prospective Payment System (IPPS)

The 2019 Inpatient Prospective Payment System (IPPS) Proposed Rule (PDF) developed by CMS covered a broad range of programs and policy changes. The Minnesota e-Health Initiative coordinated response focused on two sections:

  1. 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.
  2. 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 rule (PDF) 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.

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Updated Friday, 21-Feb-2020 13:13:33 CST