Marilyn Tavenner, the CMS Adminstrator announced last Thursday at HIMSS ’14 in Orlando that CMS would be flexible on “hardship exemptions” for meaningful use requirements, which I am sure the healthcare industry heaved a collective sigh of relief.
Expectations were high for this to happen as it had been suggested earlier that this was to come.
In reviewing the CMS document titled “Payment Adjustments & Hardship Exceptions Tipsheet for Eligible Professionals” that was last updated in October 2013 has hardship exemptions for eligible professionals with the following information:
EPs can apply for hardship exceptions in the following categories:
*Infrastructure — EPs must demonstrate that they are in an area without sufficient internet
access or face insurmountable barriers to obtaining infrastructure (e.g., lack of broadband).
— Newly practicing EPs who would not have had time to become meaningful users can apply for a 2-year limited exception to payment adjustments. Thus EPs who begin practice in calendar year 2015 would receive an exception to the penalties in 2015 and 2016, but would have to begin demonstrating meaningful use in calendar year 2016 to avoid payment adjustments in 2017.
—Examples may include a natural disaster or other unforeseeable barrier
1. Lack of face-to-face or telemedicine interaction with patients
2. Lack of follow-up need with patients
Practice at Multiple Locations: Lack of control over availability of CEHRT for more than 50% of patient encounters
With the number of initiatives currently under way at every single care delivery organization, ICD-10, optimization, Patient Portals, Patient Engagement, workflow optimization and so on, we continue to move at, what can only be considered, lightening pace through this decade as we regain American dominance in the healthcare technology sector and then shift our focus to lowering the cost of care delivery and leverage process improvements, better preventative care options.
With current clinician retirement trends the way that they are, I also foresee a great need for qualified physicians and clinicians over the next few years and migration to the United States for technology savvy medical professionals from other countries could assist with this demand in major population centers across the country.