be on your radar, it should be. That’s because on top of implementing Stage 2, you will have to contend with ICD- 10 compliance in 2014. In October of that year, the Department of Health and Human Services, which delayed ICD-10 implementation one year due to objec- tions from TMA and others, expects all physicians to switch to the new system. Matt Murray, MD, a Fort Worth pe- diatrician and vice chair of the Texas Medical Association Ad Hoc Commit- tee on Health Information Technology (HIT), is concerned that the Centers for Medicare & Medicaid Services “doubled down on physician implementation bur- dens by postponing the ICD-10 deadline to the same year as Stage 2 meaningful use. This is one reason we will keep the TMA Calendar of Doom pinned to the wall,” he said.
TMA developed the Calendar of Doom, a web-based regulatory compli- ance tool, to give physicians a big-pic- ture view of upcoming state and federal compliance timelines and key health policy issues. View the calendar at www
.texmed.org/doom, and click on compli- ance dates to review background infor- mation, regulations, penalties and incen- tives, and suggested steps to help with meeting deadlines. Joseph Schneider, MD, chair of the TMA HIT committee, urges physicians to start preparing now for Stage 2 mean- ingful use and the ICD-10 transition. “Stay on top of these and other regu- lations affecting our profession, and don’t assume the federal government will push back ICD-10 implementation again,” Dr. Schneider said. TMA has additional resources to help you get ready for new regulations in 2014. TMA’s EHR Implementation Guide, EHR Product Comparison Tool (TMA member login required), Medicare and Medicaid EHR Incentive Comparison, EHR incentive eligibility tool, and Medi- care and Medicaid incentive program in- structions are available on the HIT site,
www.texmed.org/hit.
If you have questions about the EHR incentive programs, contact the TMA HIT helpline at (800) 880-5720, or email
HIT@texmed.org. Texas’ regional extension centers
(RECs) also have valuable services to help with achieving meaningful use, regardless of a physician’s stage in the program.
The four Texas RECs are:
• North Texas REC,
www.ntrec.org, an- chored by the Dallas-Fort Worth Hos- pital Council Foundation;
• Gulf Coast REC,
www.uthouston.edu/ gcrec, led by The University of Texas Health Science Center at Houston;
• CentrEast REC,
www.centreastrec.org, directed by the Texas A&M Health Science Center-Rural and Community Health Institute; and
• West Texas REC,
www.wtxhitrec.org, headed by Texas Tech University Health Sciences Center.
See a map of REC service regions and
contact information for each center by visiting the TMA website, www.texmed .org/rec. The website features an infor-
mative video on how RECs help physi- cians adopt EHRs and earn federal in- centive payments for meeting meaning- ful use criteria.
Meaningful use HIPAA security analysis
Physicians participating in the federal electronic health record (EHR) incentive program must comply with meaningful use measures. One of the measures re- quires physicians to “protect electronic health information created or main- tained by the certified EHR technology through the implementation of appropri- ate technical capabilities.” The rule requires physicians to “con- duct or review a security risk analysis in
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