2012 is upon us, and for many healthcare organization leaders, the ticking clock of healthcare reform just got a lot louder. In a mere two years, the incentives to implement EHRs will end, and penalties for those that have failed to comply will begin.
From researching and implementing EHR systems to developing training and education plans for ICD-10 to overseeing your Recovery Audit Program review results, the daily tasks of an HIM director can quickly become overwhelming.
In November 2006, CMS published a final rule on the Conditions of Participation (CoP) for hospitals. Among the finalized provisions, there was a five-year window given during which CMS permitted orders (including verbal and telephone orders) to be signed by either the ordering physician or another physician responsible for the patient's care (e.g., a covering physician or practice partner). Those five years came to an end on January 27, 2012, meaning that, as of that date, hospitals needed to ensure that their orders were signed only by the ordering practitioner him- or herself. However, in October 2011, CMS released a proposed rule addressing the five-year sunset provision. Per the Federal Register:
HIM directors must renew efforts in the new year to ensure the effectiveness of EHR quality monitors. With increased attention on HIPAA 5010 requirements and instituting ICD-10, focusing on the quality of your medical records may sometimes take a backseat to other priorities. However, as inaccurate data tends to affect all areas of HIM-not to mention patient care-taking an active role in developing quality measures will ultimately save time and money in the long run and help ensure quality care for patients. Developing a plan for managing data integrity before issues occur will free up time for HIM staff to focus on other initiatives.
