Stream: social
Topic: 100 page summary of the rules?
Dave deBronkart (Mar 12 2020 at 17:45):
Hi from the Patient EMpowerment WG meeting.
Jan Oldenburg notes that there's a 100 page section that has the core of the ONC rule, starting around page 1100. Where is it?
We're asking because HL7 asks all WGs to comment on what impact the Final Rules will have on them, by March 19. Can't read all 1700 pages.
John Moehrke (Mar 12 2020 at 17:47):
The beginning of the PDF is 1100 pages of discussion of comments. These pages are NOT the rule. So skip them and read from 1100 on to read the rule.
Josh Mandel (Mar 12 2020 at 17:49):
But the official stuff is dense and written a set of "diffs" from previous regulations, so it's very hard to get a comprehensive picture of the results.
Josh Mandel (Mar 12 2020 at 17:49):
I'd seriously focus on the ONC-published highlights/summary from the perspective of the patient empowerment WG.
Dave deBronkart (Mar 12 2020 at 18:42):
Josh Mandel said:
I'd seriously focus on the ONC-published highlights/summary from the perspective of the patient empowerment WG.
Thanks, but here's all it says on the What it means for patients page:
Ease of Access to Their Records
ONC's Cures Act Final Rule supports a patient's control of their health care and their medical record through smartphones and modern software apps.Protecting Patient Privacy and Security
The rule supports secure patient access to their electronic medical record data. Patients will be able to use applications they authorize to receive data from their medical records. OAuth 2 is used to authorize applications – the same highly secure protocol used on travel and banking apps.Promoting the Ability to Shop for Care and Manage Costs
ONC's Cures Act Final Rule looks to expand patient and payer choice in health care by increasing the availability of data that can support insights about care quality and costs. Much in the way apps have helped transparency in many industries such as online shopping, travel, and banking, they will be used to deliver information to patients and payers to assist in making decisions.
Seems to me we'd need to know a lot more specifics than that, but maybe I'm wrong... @Keith Boone what's your perspective?
Dave deBronkart (Mar 12 2020 at 18:44):
And @Josh since you didn't mention CMS, are you suggesting there's nothing of interest for us there?
Dave deBronkart (Mar 12 2020 at 19:18):
John Moehrke said:
The beginning of the PDF is 1100 pages of discussion of comments. These pages are NOT the rule. So skip them and read from 1100 on to read the rule.
Thanks, John. I've been plowing through the PDF for a while, and oy, there is NO way for a layperson to tell where that starts. :-) I'm going to guess it's at the bottom of page 1145 (exactly the last 100 pages), where it says this:
**PART 170 – HEALTH INFORMATION TECHNOLOGY STANDARDS, IMPLEMENTATION SPECIFICATIONS, AND CERTIFICATION CRITERIA AND CERTIFICATION PROGRAMS FOR HEALTH INFORMATION TECHNOLOGY
**
And yeah, as Josh says, it's indeed just a pile of edits / diffs / changes to previous rules. Utterly unreadable for a citizen like me.
So now, off to dig up (and place in this thread) the various pages ONC and CMS posted on Monday. Thanks all.
Josh Mandel (Mar 12 2020 at 20:01):
There's definitely outcomes of interest on the CMS side too -- apologies for suggesting otherwise. Re: ONC, I'm not suggesting you limit yourselves to the for-patient highlights; I'd review all of the fact sheets!
Dave deBronkart (May 12 2020 at 14:14):
Dave deBronkart said:
And yeah, as Josh says, it's indeed just a pile of edits / diffs / changes to previous rules. Utterly unreadable for a citizen like me.
Do I understand correctly that the net-net final rule is what we'll find in the Federal Register?
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Dave deBronkart (May 12 2020 at 14:30):
Specifically this 131 page PDF https://www.govinfo.gov/content/pkg/FR-2020-05-01/pdf/2020-05050.pdf
Vassil Peytchev (May 12 2020 at 14:32):
The PDF seems to be the CMS rule, and yes, that is the final rule. As far as I understand the ONC rule is a separate publication.
Dave deBronkart (May 12 2020 at 14:50):
Yes, it certainly does seem to be the CMS rule, because it says that right at the start. :-) (slapping my forehead...)
Dave deBronkart (May 12 2020 at 19:43):
Vassil Peytchev said:
the ONC rule is a separate publication.
In the Federal Register it appears to be this 320 page PDF, which appears to still be hundreds of pages of discussion (comments and ONC responses), then perhaps the "diffs" that @Josh Mandel mentioned back in March. https://www.govinfo.gov/content/pkg/FR-2020-05-01/pdf/2020-07419.pdf But this is a mystery to me - where do I find the net-net-net?
The preliminary rule was 1100 pages, this one is 320...
Scott Rossignol (May 13 2020 at 19:58):
@Dave deBronkart There is an executive summary at the top of the rule that typically outlines the provisions within the rule in just a few pages. Otherwise you could look to 3rd parties for their summaries.
Dave deBronkart (May 13 2020 at 20:04):
Yeah, I've been doing that, and the third parties (and top of rule summary) are all too vague for what my buddy needs. So I may just have to leave it to him to satisfy himself :-) Thanks!
Last updated: Apr 12 2022 at 19:14 UTC
