Government & Policy

Early returns from the Health Care Innovation Awards, a CMS initiative that tests new payment and service delivery models, already "show a wide range of experiences that have resulted in tangible benefits for patients" and have helped the agency develop better policies, said CMS Chief Medical Officer Patrick Conway, MD.

The federal regulatory environment has not kept pace with the progress of mobile health, which is driven by consumers who expect to have all sorts of information, including health data, on their phones.

The Agency for Healthcare Research and Quality will dedicate nearly $2 million for the creation of the PCOR Clinical Decision Support Learning Network, aiming to address the barriers hindering the incorporation of patient-centered outcomes research into CDS tools.

Patricia Flatley Brennan, a professor at the University of Wisconsin at Madison, and a former practicing nurse with a Ph.D. in industrial engineering, will take the lead as director at the National Library of Medicine. The NLM is the world's largest biomedical library and the producer of digital information services used by scientists, health professionals and members of the public worldwide. National Institutes of Health Director Francis S. Collins, MD, announced the pick today. Brennan is expected to begin her new role in August 2016. "Patti brings her incredible experience of having cared for patients as a practicing nurse, improved the lives of homebound patients by developing innovative information systems and services designed to increase their independence, and pursued cutting-edge research in data visualization and virtual reality," Collins said in a statement. For seven years, Brennan worked in both critical care and psychiatric nursing. As Collins sees it, Brennan's combination of skills makes her ideally suited to lead the NLM in the era of precision medicine. She will take charge of the library as it becomes the epicenter for biomedical data science, not just at NIH, but across the biomedical research enterprise, he noted. At the University of Wisconsin-Madison, she is a professor at the School of Nursing and College of Engineering. She also leads the Living Environments Laboratory at the Wisconsin Institutes for Discovery, which is developing new ways for effective visualization of high dimensional data. Brennan is recognized as a pioneer in developing information systems for patients.   She designed ComputerLink, an electronic network to reduce isolation and improve self-care among home care patients. She directed HeartCare, a web-based information and communication service that helps cardiac patients at home to recover faster, and with fewer symptoms. Brennan also directed Project HealthDesign, an initiative designed to stimulate the next generation of personal health records. She also conducts external evaluations of health information technology architectures, and works to repurpose engineering methods for healthcare. She received a master of science in nursing from the University of Pennsylvania and a Ph.D. in industrial engineering from the University of Wisconsin-Madison. Following seven years of clinical practice in critical care nursing and psychiatric nursing, Brennan held several academic positions at Marquette University, Milwaukee; Case Western Reserve University, Cleveland; and the University of Wisconsin-Madison. NLM Acting Director Betsy L. Humphreys led the NLM over the past year, after Donald Lindberg, MD, retired having served more than 30 years. Twitter: @Bernie_HITN Email the writer: bernie.monegain@himssmedia.com Like Healthcare IT News on Facebook and LinkedIn

"With respect to some business practices: It's time to lead, follow or get out of the way," CMS Acting Administrator Andy Slavitt said at the 2016 Health Datapalooza in Washington, D.C. "If you want to lead the way with innovations that help consumers, great; if you want to follow by using established standards for data and measurement and technology, also great," he added. "If you have a business model which relies on silo-ing data, not using standards or not allowing data to follow the needs of patients – pick a new business model or pick a new business." On the heels of the April announcement of the proposed MACRA ruling, Slavitt spoke to healthcare innovators, industry leaders and developers early Tuesday evening. And while he had no further news to share with the specifics of the proposal, it was clear his intentions were firm. "What Vice President Biden said should stick with us: As taxpayers, we did not spend $35 billion so companies could build their own silos," Slavitt said. "At this stage, there's no room for business practices that don’t match the need of patients." On the forefront of Slavitt's thoughts were patients with the least access to care and an "obsession with a plight of the independent physician." However, "physicians are baffled by what feels like the 'physician data paradox.' They're overloaded on data entry and yet rampantly under-informed," Slavitt said. And the majority of providers are seeing a chasm between the time needed to invest in making the IT work and the actual positive results within their practices. "Technology isn’t doing the things we know it can," he added. "Help us make smarter decisions, reduce our wasted time, help us communicate or understand what to expect next." While these issues are troubling, according to Slavitt, the solution isn't the need for more IT inventions. But rather five crucial steps to initiate change in the healthcare industry: the massive release of data; changing incentives to reward providers for patient outcomes; creating "core" quality measures across all payers; advancing interoperability; and the proposed replacement of meaningful use. "These steps are designed to make it easier for you to innovate, to open up competition and to move the focus from designing around regulations, to allowing you to design around patients’ and physicians’ needs," Slavitt said. "The opportunity for you to transform healthcare into an information industry has never been more ripe or more urgent." Twitter: @JessieFDavis Email the writer: jessica.davis@himssmedia.com Like Healthcare IT News on Facebook and LinkedIn

Many physicians have waited with bated breath for the end of meaningful use, looking forward to a new era of less burdensome compliance requirements and more realistic reporting guidelines. This may not be what they had in mind.

The workgroup’s research found productivity hiccups in providers’ coding, and clinical documentation alongside positive impacts for payers in the areas of claims validation and data analytics. But isn’t it too early to tell whether the transition really went well? 

For Vice President Joe Biden, his National Cancer Moonshot Initiative is more than just a government program – it's personal.

The proposal would keep hospitals and clinics private, allow physicians to bill under a fee-for-service model, and be funded by rolling combining current sources of government health spending into a single fund with modest new taxes. 

Two new funding initiatives, dubbed High Impact Pilots Standards Exploration Award, will focus on improving care delivery and data sharing.