THE 21ST CENTURY CURES ACT

What it means for your practice and how TRIARQ is keeping you compliant.

Get the details you need about new regulations and when they’ll be enforced.

We created this page to help you understand some of the basics of the 21st Century Cures Act, what it means for your practice, and how TRIARQ is helping keep you compliant with new regulations. There are some important new changes when it comes to Interoperatiblity, Information Blocking, and the ONC Health IT Certification Program Final Rule. These will impact your medical practice so we’re here to help you start planning now for the things that will take effect in 2021.

Introduction to the Act

A quick overview of the new rules, when enforcement begins, and how TRIARQ will keep your compliant.

Cures Act Details

Details about the specific changes made and how they will affect a variety of your practice’s day-to-day operations.

TRIARQ's Update Timeline

A timeline of the new features and features and functionality TRIARQ will roll out to keep your compliant.

Introduction to the 21st Century Cures Act “Final Rule”

The Final Rule facilitates the access, exchange, and use of patient health information. It contains new regulations about the way providers must share patient electronic health information when requested

  • Promotes patients’ access to their health information by removing obstacles known as “Information Blocking.”
  • Requires new common data and application programming interface standards to help medical practices share information with patients, other practices, and other industry actors.

The Final Rule places requirements on healthcare providers, payers, HINs/HIEs, and software developers designed to meet these goals. Keep reading to learn more about how to take advantage of the new Final Rule and what you’re responsibile complying with for 2021.

TRIARQ Health will update your EMR software to keep you compliant by making it easier to share clinical notes with patients. This new functionality will also allow patients to easily share their health information with a variety of online applications.

*** Disclaimer: this document is not legal advice or a legal interpretation of the Final Rule. Please review official resources provided by HealthIT.gov.

Official Regulation Resources:

Enforcement Timeline

The advertised November 2, 2020 start date for the “Information Blocking” requirement does not officially begin until April 5, 2021. This date might be delayed further once enforcement policies are announced.

At that time, the Office of Inspector General will issue enforcement policies specifying civil monetary penalties for Health Providers, EMR Developers, and others that fail to meet the new Information Blocking requirements.

This enforcement applies to all healthcare providers, whether or not the provider is participating in a CMS or other program that requires certified EMR technology.

TRIARQ Has Experts To Guide You

While this page provides a brief overview of the changes in the 21st Century Cures Act and the ways TRIARQ is working to make compliance easier, we have a team of experts ready for your call to answer any questions you may have. Keep reading and then when you’re ready, reach out and let us put your mind at ease.

Rules and Tools for Sharing Patient Health Information

Congress via the Department of Health and Human Services is promoting patient access, exchange, and use of their health information with the 21st Century Cures Final Rule in two main ways 1) [Anti] “Information Blocking” regulations on healthcare providers, EMR developers, payers, and HIE/HINs and 2) better technology standards that will result in easier, more universal, use of electronic health information.

Anti-Information Blocking Rules for Healthcare Providers

Congress, via HHS, is promoting patient access, exchange, and use of their health information with the 21st Century Cures Final Rule in two main ways. First, Anti-“Information Blocking” regulations on healthcare providers, EMR developers, payers, and HIE/HINs. Second, better technology standards that will result in easier, more universal, use of electronic health information:

  • Provider must not block or interfere or materially discourage the access, exchange or use of patient health information.
  • Providers must release request health information in the manner requested by the patient unless it is technically infeasible, in which case the information must be provided in an alternative manner.
  • Generally speaking, the provider may not charge patients any fees.
  • There are eight exceptions to the information blocking requirement which, if invoked by providers, usually require documented, written policies that are always applied evenly, in a non-discriminatory fashion.
  • Patients may request their health information be interfaced to any third-party app via an API.
  • EMR developers may charge limited fees to the provider both for the maintenance and updating of technology and on a per usage basic, under conditions specified in the rule.
  • See more – What is Information Blocking?

Anti-Information Blocking Regulatory Timeline

  • April 5, 2021: Information Blocking rules begin, scoped to USCDI v1
    Enforcement is scoped specifically to patient health information elements defined by a new standard, the USCDI v1 which is basically the content of CCDAs (already shared by certified EMRs like QEMR) plus medical notes (ex: Progress Note).
  • December 31,2022: Information Blocking scope expands to Full Health Information (Full EHI) from the EHR
    Enforcement of Information Blocking requirements expand the scope of health information data elements beyond the scope of USCDI v1 to include all clinical data elements stored in the provider’s certified EHR system and that can be exported by that EHR system under a specific export capability requirement. Certified EHRs are required to offer a certified patient health information export before May 2, 2023.

TRIARQ Is Ready To Help You 

While this page provides a brief overview of the changes in the 21st Century Cures Act and the ways TRIARQ is working to make compliance easier, we have a team of experts ready for your call to answer any questions you may have. Keep reading and then when you’re ready, reach out and let us put your mind at ease.

TRIARQ Product & Functionality Roadmap

In 2021, Triarq Health will roll-out new patient engagement and collaboration tools. This includes a new portal + patient smart phone app combination plus new tools for patients to integrate their health information with many common online personal health apps, like Apple Health. See below for more details about our development timeline.

Throughout 2021, TRAIRQ Health will provide opportunities for customers to rigorously test and provide feedback on all the new functionality, to better guarantee that QEMR will function as you need it to. Please contact us to declare your interest and reserve priority.

Current Functionality

QEMR has various ways to provide patients access to their health information including

  • Secure Patient Portal CCDA
  • Secure Messaging CCDA attachment
  • CCDA on a file (i.e. USB stick*)
  • Export/Print/Fax Exam Notes
  • Print/Fax/Secure DIRECT Message/Export Clinical Chart
  • Certified application programming interface (API)

Q2 2021: QEMR Improvements

  • Share Clinical Notes Easily: An option to generate CCDAs upgraded to the USCDI v1 standard (adding medical notes, pediatric vitals, provenance, etc.).
  • Share Health Information Easily With Most Patient Apps Online: An application programming interface (API) built to the FHIR standard for ease of use across the healthcare industry, including an easy interface for patients to Apple Health app.

Q4 2021: QEMR Version Certified to the Revised 2015 Edition

  • Enhanced Patient Engagement Tools: Reimagined patient portal and matching Apple/Android QEMR app that will include practice communications and care team planning communications
  • Integration with various patient fitness apps

Q3 2022: QEMR Will Offer a Patient Health Information Export

  • Certified to the revised 2015 Edition

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