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News & Press: Government Affairs News

AAOE Calls for Provider Bill of Rights in Health IT Strategy

Sunday, February 3, 2019   (0 Comments)
Posted by: Bradley Coffey, MA, AAOE Government Affairs
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Indianapolis, IN - The American Alliance of Orthopaedic Executives (AAOE) submitted comments on Monday, January 28, 2019 on the Office of the National Coordinator for Health IT's (ONC) Draft Strategy for Reducing Burdens in Health IT. In its comments on the draft strategy, AAOE encouraged ONC to fully address the cost burdens of implementing health IT in a medical practice; specifically, the AAOE called for the creation of a Provider Health IT Bill of Rights that would protect medical practices from expensive EHR data extractions and overcharges related to establishing interoperable connections.

These issues have plagued healthcare practitioners and their practices for years leading to yearly technology costs of $88,000 per year for the median practice, according to AAOE 2017 benchmarking results. The Provider Health IT Bill of Rights would:

  • Ensure fair market value for the costs of implementing health IT solutions;
  • Establish transparency in health IT vendor operations and contracting; and,
  • Provide predictability to EHR pricing and allow for more predictable budgeting.

In addition to the Provider Health IT Bill of Rights, AAOE called on ONC to implement an enforcement mechanism to ensure compliance with the Bill of Rights.

AAOE also called on ONC to delay future changes to EHR certification standards and propose future changes on a timeline that allows for EHR vendors to comply with the standards while focusing on user interfaces. During conversations held with members in preparations for development of the annual Public Policy Agenda, this was a frequent complaint AAOE staff heard. Further discussions with EHR vendors indicated that the frequent changes to certification standards gives them little time or incentive to focus on user interface. The AAOE believes that fewer changes to certification standards could improve the way in which EHRs are used in the delivery of care.

Finally, AAOE applauded CMS' request for information in last year's annual rulemaking about removing the Public Health and Clinical Data Registry Reporting Objective from the MIPS program and encouraged CMS to fully remove this measure from the Promoting Interoperability for the 2020 performance period.

If you have questions about AAOE's comments on this or other rulemaking or legislation, email

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