Disincentives for Information Blocking

From the U.S. Department of Health and Human Services

FOR IMMEDIATE RELEASE

June 24, 2024

Contact: HHS Press Office
202-690-6343
media@hhs.gov

HHS Finalizes Rule Establishing Disincentives for Health Care Providers That Have Committed Information Blocking

The U.S. Department of Health and Human Services (HHS) today released a final rule that establishes disincentives for health care providers that have committed information blocking. This final rule exercises the Secretary’s authority under the 21st Century Cures Act (Cures Act) to establish “disincentives” for health care providers who engage in practices that the health care providers knew were unreasonable and were likely to interfere with, prevent, or materially discourage the access, exchange, or use of electronic health information (EHI), except as required by law or covered by a regulatory exception.

“This final rule is designed to ensure we always have access to our own health information and that our care teams have the benefit of this information to guide their decisions. With this action, HHS is taking a critical step toward a health care system where people and their health providers have access to their electronic health information,” said HHS Secretary Xavier Becerra. “When health information can be appropriately accessed and exchanged, care is more coordinated and efficient, allowing the health care system to better serve patients. But we must always take the necessary actions to ensure patient privacy and preferences are protected – and that’s exactly what this rule does.”

HHS has established the following disincentives for health care providers found by the HHS Office of Inspector General (OIG) to have committed information blocking and referred by OIG to the Centers for Medicare & Medicaid Services (CMS): 

  • Under the Medicare Promoting Interoperability Program, an eligible hospital or critical access hospital (CAH) that has committed information blocking and is referred to CMS by OIG will not be a meaningful electronic health record (EHR) user during the calendar year of the EHR reporting period in which OIG refers its determination to CMS.  If the eligible hospital is not a meaningful EHR user, the eligible hospital will not be able to earn three quarters of the annual market basket increase they would have been able to earn for successful program participation; for CAHs, payment will be reduced to 100 percent of reasonable costs instead of 101 percent. This disincentive will be effective 30 days after publication of the final rule.
  • Under the Promoting Interoperability performance category of the Merit-based Incentive Payment System (MIPS), a MIPS eligible clinician (including a group practice) who has committed information blocking will not be a meaningful EHR user during the calendar year of the performance period in which OIG refers its determination to CMS. If the MIPS eligible clinician is not a meaningful EHR user, then they will receive a zero score in the MIPS Promoting Interoperability performance category. The MIPS Promoting Interoperability performance category score is typically a quarter of an individual MIPS eligible clinician’s or group’s total final score in a performance period/MIPS payment year, unless an exception applies and the MIPS eligible clinician is not required to report measures for the performance category. CMS has modified its policy for this disincentive to clarify that if an individual eligible clinician is found to have committed information blocking and is referred to CMS, the disincentive under the MIPS Promoting Interoperability performance category will only apply to the individual, even if they report as part of a group. This disincentive will be effective 30 days after publication of the final rule.
  • Under the Medicare Shared Savings Program, a health care provider that is an Accountable Care Organization (ACO), ACO participant, or ACO provider or supplier who has committed information blocking may be ineligible to participate in the program for a period of at least one year. Consequently, the health care provider may not receive revenue that they might otherwise have earned through the Shared Savings Program. CMS also finalized in this rule that it will consider the relevant facts and circumstances (e.g. time since the information blocking conduct, the health care provider’s diligence in identifying and correcting the problem, whether the provider was previously subject to a disincentive in another program, etc.) before applying a disincentive under the Shared Savings Program. This disincentive will be effective 30 days after publication of the final rule; however, any disincentive under the Shared Savings Program would be imposed after January 1, 2025.
  • Additional disincentives may be established through future rulemaking.

This HHS final rule complements OIG’s final rule from June 2023 that established penalties for information blocking actors other than health care providers, as identified in the Cures Act (health information technology (IT) developers of certified health IT or other entities offering certified health IT, health information exchanges, and health information networks). If OIG determines that any of these individuals or entities committed information blocking, they may be subject to a civil monetary penalty of up to $1 million per violation.

The Office of the National Coordinator for Health Information Technology (ONC) and CMS will host a joint information session about the final rule on June 26, 2024 at 2pm ET. More information can be found at healthit.gov/informationblocking and via ONC’s X account, @ONC_HealthIT.

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Staffing Crisis Solution from Wellsky and Ava

Recruitment and Retention Wellsky Ava Logo

WellSky® and Ava Launch Groundbreaking Solution to Combat Staffing Crisis for Home-Based Care Agencies

The new innovation helps improve healthcare employee retention and engagement through incentive-based rewards

OVERLAND PARK, Kan. & NEW YORK, NY. – May 30, 2024 – WellSky, a leading health and community care technology company, today announced the release of WellSky TeamEngage powered by Ava, a new innovation for home-based care providers aimed at increasing employee retention, reliability, and recruitment through gamification. The solution incentivizes and rewards caregivers for completing targeted activities and achieving performance goals, fostering a culture of appreciation while improving staff retention rates and agency differentiation.

WellSky TeamEngage comes at a time when home-based care providers face a growing workforce shortage crisis. The turnover rate for home care providers is 77%, challenging agencies to meet a growing demand for services with a shrinking supply of caregivers. This can result in higher rates of referral and client case rejection. With WellSky TeamEngage, agencies can implement customizable, data-driven incentives to attract and retain talent at scale, while shifting focus toward other operational priorities and providing exceptional care.

Using WellSky and Ava’s integrated technology, Griswold, one of the country’s largest home care franchises with more than 170 locations in 32 states and over 9,000 caregivers, reduced turnover rate in its eight company-owned offices by 13% in just seven months and helped a large majority of caregivers reach key goals, such as clocking in and out on time and meeting minimum weekly hour requirements. The company has since rolled out the technology to its franchise network and expects significant adoption.

“We have seen tremendous benefit from using WellSky TeamEngage powered by Ava, both in the retainment of talented staff members and in the differentiation of our agency,” said Caitlin Griffith, Director of People & Culture at Griswold. “Our organization believes that care professionals are the foundation of our success, with innovation being key to improving the lives of those we serve. We have been pleased with the adoption and staff satisfaction with the solution, and we look forward to further benefiting from a comprehensive set of insights to guide our approach to workforce engagement strategies.”

Ava acts as an AI-powered Chief Engagement Officer for healthcare providers, with its average customer improving employee retention rates by 45% in six months. Ava improves employee engagement so healthcare providers and administrators can redirect attention to scaling their businesses. Now in partnership with WellSky, the organizations will extend this technology to providers across the U.S., with the Ava platform integrated within WellSky electronic health records (EHR) technologies and the WellSky TeamInsights solution. TeamEngage will provide a comprehensive flow of data between systems and a seamless end-user experience.

“Ava works to remove the burden of administrative work and reconnect caregivers and home care administrators with why they chose a healthcare career in the first place,” said Victor Hunt, chief executive officer and co-founder of Ava. “We are excited to lend Ava’s Enterprise AI technologies to TeamEngage and, in doing so, tackle one of the greatest crises facing healthcare.”

By leveraging data directly from WellSky Personal Care, WellSky TeamEngage incorporates specific caregiver actions, such as taking open shifts and performing timely clock-ins, into the agency’s defined incentive model, which stores all actions and awards points that caregivers can redeem for monetary or other agency-defined rewards. These day-to-day behaviors combined with pulse survey results, gamified referrals, and other engagement metrics are all tracked within WellSky TeamInsights for Personal Care, where powerful algorithms help predict caregiver turnover risk to proactively guide retention strategies.

“The staffing crisis facing our clients and the industry at large is a major concern, both for people seeking care in the home and for agencies trying to meet that need,” said Wes Little, chief analytics officer at WellSky. “We are thrilled to bring WellSky TeamEngage to our clients to not only provide them a tool to incentivize and reward caregivers, but to also gain the insights needed to run their operations at scale in today’s challenging environment.”

To learn more about how WellSky is powering agency staff retention and engagement, visit WellSky.com.

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WellSky Media Contact
Emma Neal
Phone: 617.401.3131
Email: emma.neal@allisonworldwide.com

Ava Media Contact
Deanna Carbone
Phone: 914.523.7865
Email: ava@hirschleatherwood.com

About WellSky®

WellSky is one of America’s largest and most innovative healthcare technology companies leading the movement for intelligent, coordinated care. Our proven software, analytics, and services power better outcomes and lower costs for stakeholders across the health and community care continuum. In today’s value-based care environment, WellSky helps providers, payers, health systems, and community organizations scale processes, improve collaboration for growth, harness the power of data analytics, and achieve better outcomes by further connecting clinical and social care. WellSky serves more than 20,000 client sites — including the largest hospital systems, blood banks, cell therapy labs, home health and hospice franchises, post-acute providers, government agencies, and human services organizations. Informed by more than 40 years of providing software and expertise, WellSky anticipates clients’ needs and innovates relentlessly to build healthy, thriving communities. For more information, visit wellsky.com.

About Ava

Ava is an enterprise AI platform helping healthcare providers streamline administrative busywork so that they can get back to care. In an industry where employee engagement and retention are crucial yet increasingly challenging to maintain, Ava provides an effective AI-driven solution that’s beneficial for clients, caregivers, and providers. Integrating seamlessly with Electronic Health Records (EHRs), Ava offers an engaging experience for caregivers and clinicians while providing administrators with a robust suite of tools for business intelligence, employee management, and gamified incentives. For more information, visit joinava.com.

©2024 Wellsky. All rights reserved. This press release was published by Wellsky and appears on The Rowan Report courtesy of Wellsky.

Ambassador of the Year

FOR IMMEDIATE RELEASE

Contact:

Johnathan Eaves

(903)445-6969

jeaves@axxess.com

Axxess’ Tim Ingram Wins MyHospice Ambassador of the Year

DALLAS, June 13, 2024 – During Hospice Action Week in Washington D.C., the Hospice Action Network (HAN) named Axxess Executive Vice President of Interoperability Tim Ingram the 2023 MyHospice Ambassador of the Year. This award recognizes Ingram’s outstanding leadership and advocacy for hospice care.

Ingram’s passion for hospice care is deeply personal and driven by his profound experiences with family members who benefited from hospice services. His efforts focus on educating lawmakers and the public about the essential benefits of hospice care, ensuring more families receive the compassionate care they deserve at the end of life.

“Advocacy for hospice means sharing the beauty of the hospice benefit with members of the House and Senate, state representatives and anyone else who will listen to our stories of lives improved because of the care patients received in the last weeks and months of their lives,” Ingram said. “It means making sure as many patients and families as possible learn about the benefits of hospice, and it means helping protect the future of hospice care for some of our most vulnerable people.”

“MyHospice Ambassadors play a critical role in ensuring the voices of diverse providers and community members from across the nation are heard,” said Logan Hoover, VP of Policy and Government Relations for the National Hospice and Palliative Care Organization (NHPCO) and Executive Director of the Hospice Action Network (HAN). “Tim’s standout storytelling and dedication have provided an important example of effective engagement for other advocates.”

The MyHospice Ambassadors Program is a volunteer advocacy program for individuals who have the capacity and initiative to lead, network and take action on hospice and palliative care advocacy efforts with the support of HAN. HAN, the 501(c)(4) affiliation of NHPCO, presented three MyHospice Ambassador annual awards, recognizing advocates who stood out, led by example and took action in 2023.

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About Axxess

Axxess is the leading global technology innovator for healthcare at home, focused on solving the most complex industry challenges. Trusted by more than 9,000 organizations that serve more than 5 million patients worldwide, Axxess offers a complete suite of easy-to-use software solutions that empower home health, home care, hospice, and palliative providers to make healthcare in the home human again. Multiple independent certifications have confirmed that Axxess has the most secure and industry-compliant software available for providers. The company’s collaborative culture focused on innovation and excellence is recognized nationally as a “Best Place to Work.”

Tim Ingram Hospice Ambassador of the Year<br />
Tim Ingram Hospice Ambassador of the Year

Tim Ingram is senior vice president of business development for Axxess, a home healthcare technology company. He is responsible for leading the business development team to build valuable industry partnerships and key product integrations that create solutions for Axxess clients. Prior to joining Axxess in February 2018, Ingram served as the regional administrator for Encompass Home Health and vice president of sales for Homecare Homebase, among other industry positions.

HHAeXchange Acquires Cashé Software

HHAeXchange

FOR IMMEDIATE RELEASE

Contact:

Michelle Rand, Alloy
855-300-8209
michelle.rand@alloycrew.com

HHAeXchange Acquires Cashé Software, Strengthening Homecare Operations for Thousands of Agencies and Individuals

Acquisition secures expanded access to solutions that enable caregivers, families, providers, and payers to deliver the best care in the home

NEW YORK, June 18, 2024 – HHAeXchange, a leader in homecare management solutions for providers, managed care organizations (MCOs), state Medicaid agencies, and fiscal intermediaries, today announced its acquisition of Cashé Software, a leading Minnesota-based solution for homecare operations and billing. The strategic transaction brings together two premier, complementary providers of end-to-end homecare software platforms, significantly expanding the combined company’s ability to help thousands of homecare providers and payers across the U.S. ensure compliance, streamline billing, and optimize workforce management. 

The homecare industry continues to experience rapid growth, and is expected to increase from $100 billion in 2024 to $176 billion by 2032. Software that streamlines operations and enables agencies to achieve better health outcomes will play a key role in this projected growth, as home and community-based services (HCBS) providers increasingly turn to such tools to manage all aspects of their agency operations. 

“Today marks an exciting milestone as we join forces with Cashé. In addition to its robust product set, the company shares HHAeXchange’s passion for homecare, technology, and innovative software,” said Paul Joiner, HHAeXchange’s Chief Executive Officer. “Homecare agencies need purpose-built technology to support them in delivering quality care. We are thrilled to partner with the Cashé team to collaborate on our vision of delivering the most comprehensive solution that drives operational efficiency, increases compliance, and improves health outcomes.” 

Since 2004, Cashé has provided advanced technology and services to simplify and streamline mission critical processes, benefiting more than 400 homecare agencies in Minnesota. With its recent launch of the Pavillio platform, Cashé continues to demonstrate its commitment to helping agencies get paid faster, increase team capacity, eliminate error-prone manual processes, and automate revenue cycle management. 

“For 20 years, Cashé has been focused on ensuring our customers can rely on our software to help them deliver the best care in the home,” said former Cashé President Praba Manivasager, who now leads the Cashé business unit at HHAeXchange. “This commitment is strengthened by our partnership with HHAeXchange, and we look forward to working together as a team to accelerate our vision of building the software platform that sets the standard for efficient workflows and insightful data.” 

For more information about HHAeXchange, its solutions, or the Cashé acquisition, visit www.hhaexchange.com

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About Cashé Software 

Cashé Software is a leading technology partner for Home and Community-Based Service (HCBS) providers serving the Medicaid aging and disability population. Dedicated to helping agencies implement top operational practices and achieve the highest standards of care, Cashé Software offers end-to-end solutions that have enabled hundreds of agencies automate operations, implement EVV, ensure compliance, and achieve an impressive 99% first-time payment rate on billing. Driven by their mission to positively impact 2 million lives, all of Cashé’s solutions are designed with a person-centered focus to empower the entire care team. 

Axxess SimiTree Partnership

Axxess SimiTree Partnership

FOR IMMEDIATE RELEASE

Contact:

 Christine Stein
(214) 435-6731
cstein@axxess.com

Axxess and SimiTree Partner to Launch Platforms
to Empower Home Health and Hospice Growth

Key Market, Referral and Utilization Data Available for Streamlined Decision-Making

DALLAS, June 20, 2024 – Axxess, the leading global technology innovator for healthcare at home, and SimiTree, a revenue cycle, coding, professional services, and talent management resource for post-acute and behavioral health organizations, today announced the launch of two new products designed to provide Axxess’ home health and hospice clients with even more valuable insights to strategically plan and drive growth.

With SimiTree’s Market Analysis Platform (MAP) home health and hospice providers can easily quantify their market position, including market share and trends, referral partner strength and competitor analysis. The platform offers key insights into service areas, changes in revenue, referral patterns, quality scores, and more.

“This partnership between SimiTree and Axxess is an incredible opportunity to bring together two organizations that equally strive for excellence, innovation, and making a positive impact on home healthcare,” said William Simione III, CEO . “Pairing our tools together will create an even more powerful technology suite that improves operating efficiency and contributes to better outcomes. It will also allow organizations in this space to take advantage of real-time data that will help them identify the best opportunities for growth. Together, we will continue to empower providers and create the best value possible.”

Axxess clients can now also leverage the new SimiTree Compass tool to help optimize home health visit utilization and resource management. This visit utilization guidance tool provides crucial data to help agencies make informed decisions, ensure consistent care and maintain appropriate documentation. SimiTree Compass includes information on standard visit ranges, LUPA likelihood, and visit discipline mix that is all presented in a user-friendly format tailored to clinicians and managers. Accessible early in the patient’s care episode, the system allows for quick lookups and adjustments to fit specific clinical profiles and agency needs without requiring changes to existing processes.

“We’re excited to partner with SimiTree to bring both of these cutting-edge solutions to our clients to further enhance their capabilities with Axxess,” said Chris Taylor, Senior Vice President of Channel Partnerships at Axxess. “The Market Analysis Platform aligns perfectly with our mission to empower home health and hospice providers with the tools they need to succeed. And by leveraging data and analytics from the SimiTree Compass tool, our clients can make informed decisions to optimize their operations and drive growth.”

SimiTree’s Compass tool is available to Axxess Home Health clients. The MAP tool is available to Axxess Home Health and Axxess Hospice clients.

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About Axxess

Axxess is the leading technology innovator for healthcare at home, focused on solving the most complex industry challenges. Trusted by more than 9,000 organizations that serve more than 3 million patients worldwide, Axxess offers a complete suite of easy-to-use software solutions that empower home health, home care, hospice, and palliative providers to make healthcare in the home human again. The company’s collaborative culture focused on innovation and excellence is recognized nationally as a “Best Place to Work.”

About SimiTree

SimiTree, a company that provides industry-leading, tech-enabled specialty revenue cycle management (RCM), coding, professional services, and talent management resources for post-acute and behavioral health organizations, was created by the merger of Simione Healthcare Consultants and BlackTree Healthcare Consulting in 2021. In 2022, SimiTree further expanded its RCM capabilities with its Imark Billing acquisition, and its behavioral health footprint with a strategic alignment with Infinity, a SimiTree company.

In addition to clinical, financial, and operational consulting, SimiTree offers a robust suite of outsourced services, including billing, coding, OASIS, Review Choice Demonstration (RCD) and Quality Assessment and Performance Improvement (QAPI), and revenue cycle management; executive placement, interim management, retention consulting and other talent solutions; mergers and acquisitions support; compliance assessments and risk mitigation plans; sales and growth training; and benchmarking and data analytics. For more information, visit www.SimiTreeHC.com.

Joint NAHC-NHPCO Statement on Signing of Affiliation Agreement

June 18, 2024

Washington, D.C. and Alexandria, VA – On June 10, the Board Chairs and chief executive officers of the National Association for Home Care & Hospice (NAHC) and the National Hospice and Palliative Care Organization (NHPCO) met in Washington, D.C. to formally sign the affiliation agreement between the two leading organizations in the care at home community.

NAHC and NHPCO are the two largest organizations representing and advocating for providers of care in the home and the millions of disabled, elderly, and dying Americans who depend on that care. With more than 90 years of experience between them, NAHC and NHPCO provide world class education to help their members deliver the best possible care and tireless advocacy to expand access to home and community-based services.

“The NAHC-NHPCO Alliance will be the leading authority and unifying voice of the care at home community,” said NAHC Board Chair and Chair-Elect of the Alliance Kenneth Albert. “The leadership of both organizations have worked for 18 months to make this happen and the talented staff at NAHC and NHPCO are already hard at work integrating the two organizations. Together, we will make home the center of health care.”

“This alliance between NHPCO and NAHC will create the most powerful voice the care at home community has ever had,” said NHPCO Board Chair and Vice Chair-Elect of the Alliance Melinda Gruber. “For members, it means access to the best education and expert advice, as well as a strong advocate for sensible policies that help providers deliver the best possible care to the millions of Americans who need it the most.”

“The affiliation of NAHC and NHPCO is a historic event,” said NAHC President and CEO William A. Dombi. “Unifying the voice of health care at home has been a longstanding goal of NAHC, as it is the essence of the original formation of NAHC in 1982. Combining our two organizations will significantly strengthen that voice for the benefit of our members and the patients they serve.”

“The community of providers delivering care primarily in people’s homes is stronger when we work together,” said NHPCO Interim CEO, Ben Marcantonio. “We have demonstrated that strength in recent years with shared advocacy efforts and joint research that have helped change the conversation in Washington and beyond. Aligning NHPCO and NAHC into one new organization will mean we can better serve our members well into the future.”

The signing of the agreement takes NAHC and NHPCO into a new phase of an ongoing process. Beginning July 1, the organizations will begin integrating operations, a process that is expected to take the rest of the year.  That process will take place under the name the NAHC-NHPCO Alliance while the future name of the organization is determined. Considerable progress on a new name has been made and is in process of trademarking approvals. Meanwhile, a robust search for a CEO for the new organization is under way, with dozens of qualified candidates being considered.

Press Contacts:

  • Thomas Threlkeld, NAHC Director of Communications
  • Elyssa Katz, NHPCO Marketing and Communications Manager

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About National Association for Home Care & Hospice (NAHC)

The National Association for Home Care & Hospice (NAHC) is the voice of home care and hospice. NAHC represents the nation’s 33,000 home care and hospice providers, along with the more than two million nurses, therapists, and aides they employ. These caregivers provide vital services to Americans who are aged, disabled, and ill. Some 12 million patients depend on home care and hospice providers, who depend on NAHC for the best in advocacy, education, and information. NAHC is a nonprofit organization that helps its members maintain the highest standards of care. To learn more, visit http://www.nahc.org.

About NHPCO

The National Hospice and Palliative Care Organization (NHPCO) is the nation’s largest and oldest membership association for providers who care for people affected by serious and life-limiting illness. Our members deliver and expand access to high-quality, person-centered interdisciplinary care to millions of Americans. NHPCO provides education and resources to support that mission. Together with our advocacy partner, the Hospice Action Network (HAN), we serve as the leading voice advancing public policy to improve serious-illness and end-of-life care, while our CaringInfo program provides free resources to educate and empower patients and caregivers. nhpco.org.

AI before AI

by Tom Herzog, COO of Netsmart

Navigating the Next Era of Tech-Enabled Healthcare

While the talk is about Artificial Intelligence, the immediate opportunity is Augmented Intelligence.

Some thoughts from Tom Herzog and Matthew Arnheiter 

We are living through one of the most exhilarating times in healthcare, a journey made possible by significant milestones over recent decades. As healthcare technologists deeply committed to the cause + communities we serve, we’re excited by the promise of the upcoming era of technological empowerment. This phase is set to showcase and expand upon the extensive work done in digitizing healthcare, highlighting the relentless pursuit of innovation that has characterized our field. In conversations with colleagues and clients, we have recognized the need to explore these developments as we progress collectively. Matthew and I thought a series of reflections on these conversations would be helpful for all of us, providing insights into technology’s transformative impact on healthcare and the critical initiatives currently underway. We envision this dialogue as a series of posts throughout the year, sparking discussion and reflection as we navigate forward.

Back to the Future

In 2015, we envisioned a future where the concept of navigation as we know it would be obsolete, advocating for a universal search that is nearly autonomous, informed by the known context specific to every role. By 2019, we were discussing workflow automation, using the example of Lane Departure Warning systems in automobiles as a metaphor for technology that enhances outcomes through precision responses. The pace at which these technologies are evolving is astounding, moving beyond mere speed of thought to how we can iterate at the speed of innovation itself. Before we achieve the aspirations of true Artificial Intelligence, we must start with Augmented Intelligence, which may very well be the most significant technological innovation in my lifetime.

The Gentle Guidance of Technology: Augmented Intelligence in Healthcare

Artificial Intelligence (AI) and Augmented Intelligence stand as beacon forces driving innovation forward in this fast-evolving technology landscape. Drawing an analogy to driver assistance systems in modern vehicles, we explore the nuanced differences between these concepts, simplifying their understanding and underscoring the distinct roles in enhancing human capabilities.

Artificial Intelligence: The Autonomous Navigator

Imagine AI as the driving force behind fully autonomous vehicles, adeptly navigating complex terrains without human intervention. This epitomizes the grand aspiration of AI: to emulate or even transcend human Intelligence in specific tasks, thus granting machines the ability to function independently. It’s a prospect that is as exhilarating as it is intimidating, reminiscent of scenarios depicted in futuristic films. Such advancements bring to light profound questions about the limits of technology and the ethical considerations it entails. While we marvel at the potential, apprehension about the unknown shadows our enthusiasm. As we venture into this era, it’s imperative that we tread thoughtfully, balancing our ambitions with caution, as we unlock new realms of possibilities. Together, we must navigate this journey towards outcomes that are not only innovative but also meaningful and ethically sound.

Augmented Intelligence: The Co-Pilot’s Nudge

Conversely, Augmented Intelligence mirrors the driver assistance systems in vehicles – providing “nudges” or guidance while ensuring the driver remains in control. These systems bolster safety and efficiency, complementing human Intelligence with technological support. This partnership epitomizes the collaborative synergy between technology and human skills for a safer and more efficient driving experience.

The American Medical Association (AMA) aligns with this vision, emphasizing Augmented Intelligence’s role in enhancing human Intelligence rather than replacing it. The AMA advocates for the use of AI in healthcare as a means to augment the capabilities of medical professionals, not to substitute their critical thinking or clinical judgment.

Augmented Intelligence in Healthcare: Enhancing the User’s Ability

Reflecting on the transition from conceptual frameworks to tangible applications, we’ve initiated the Augmented Intelligence family. These solutions are meticulously designed to support clinical, operational, and financial workflows across all healthcare roles. Aimed at simplifying user experiences, these tools provide the best available context and automate information for validation and use as needed. This initiative marks a significant step in harnessing the potential of augmented Intelligence, enabling transformative shifts in healthcare practices and outcomes.

Michelle Donelan MP, reflecting on the U.K.’s commitment to AI in healthcare, highlights the transformative impact of augmented Intelligence, “AI will revolutionize the way we live, including our healthcare system. That is why we’re backing the U.K.’s fantastic innovators to save lives by boosting the frontline of our NHS and tackling the major health challenges of our time”. Donelan’s statement emphasizes the government’s support for utilizing AI to enhance healthcare delivery and address pressing health issues.

Augmented Intelligence promises to extend the partnership between human capabilities and technological advancement to medical professionals. Vincent Liu, MD, from Kaiser Permanente, elucidates this synergy, stating,

There is a stage at which regulations can stifle some of the innovation [that AI might advance] … There is a role for providing a safe harbor [from certain regulations] so that we can use our best data to improve our patients’ care.

This perspective underscores the potential of augmented Intelligence to enrich patient care by integrating comprehensive data analysis within the regulatory framework.

From the inception of conversations at our annual user conferences in the early 2000s to the present, we’ve witnessed the evolving landscape of healthcare technology. The decades-long journey of healthcare digitization has set the stage for today’s advancements, where Artificial Intelligence and Augmented Intelligence solutions leverage data to significantly improve care and operational efficiency.

Navigating Ethical Considerations

The integration of Augmented Intelligence in healthcare navigates through a maze of ethical considerations. Upholding the sanctity of the caregiver-patient relationship, ensuring patient privacy, and addressing potential biases in AI algorithms are paramount. The objective is to leverage Augmented Intelligence in a manner that respects these ethical boundaries while enhancing patient benefits.

A Future of Collaborative Care

Looking ahead, the promise of healthcare augmented by Intelligence offers a landscape where clinicians are equipped with unprecedented tools and information. This era does not diminish the essence of human judgment or the significance of the human touch in medicine but serves as a potent ally to these irreplaceable elements of care.

A Journey of Human-Machine Collaboration

Augmented Intelligence in healthcare symbolizes the collaboration between human Intelligence and artificial capabilities. This collaboration is not about relinquishing control but about enriching human expertise to tackle modern healthcare challenges. As we continue to integrate this technology, it heralds a future where healthcare is more personalized, predictive, and precise. The path forward, illuminated by the gentle guidance of Augmented Intelligence, promises a realm of endless potential for improved health outcomes for all.

Our immediate focus is three-fold 1) providing the communities we serve with the benefits of  Augmented Intelligence, 2) ensuring we achieve Meaningful AI for every role, and 3) doing so through incremental progress so that AI now is a reality.

Final Thoughts

If you are reading this, you are likely one of the pioneers helping forge the path we are on today. If it were not for the initial efforts to digitize the ecosystem, we would not be talking about this today. Thank you for making this happen, for your perseverance and tenacity to find a way. Now we are at the transition from AI as a futuristic concept to its current role in shaping healthcare practices marks a remarkable chapter in the ongoing story of innovation in healthcare. It reaffirms the importance of digitization as the foundation upon which AI and other emerging technologies are built, enabling a future where healthcare is more informed, more empowered, and, ultimately, more human.

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Augmented intelligence Tom HerzogTom Herzog is responsible for leading solution and technology strategies focused on person-centric design to optimize workflow, efficiencies and outcomes. His teams work in collaboration with both clients and partners to deliver comprehensive solutions for the human services and post-acute care communities.

Tom oversees multiple business units, including Netsmart consulting organization, solutions, development, engineering, technology, innovation, product development, IT, support, human resources, legal and operational functions.

Tom’s additional experience includes leading teams to automate systems and integrate financial, document management and information systems. He has been recognized for his ability to create innovative approaches and strategies that deliver results through vision and building strong teams.

Tom earned a bachelor’s degree in business management and human relations from Mid-America Nazarene University. He serves on the boards of the Overland Park Chamber of Commerce and the United Community Services of Johnson County.

Advocacy Continues on Capitol Hill

ROAD TO THE TELEHEALTH “SUPER BOWL”: ATA ACTION CAPITOL HILL DRIVE

WASHINGTON, DC, JUNE 12, 2024 – ATA Action, the American Telemedicine Association’s affiliated trade association focused on advocacy, hosted its 2nd annual Hill Day, bringing nearly two dozen ATA Action members to Capitol Hill for meetings with Congressional leaders to discuss top federal telehealth policy priorities. ATA Action members underscored the ATA and ATA Action playbook for comprehensive, permanent telehealth reform, including passage of the CONNECT for Health Act  (H.R. 4189S. 2016), the Telehealth Modernization Act (HR 7623S.3967) and the Advancing Access to Telehealth Act (HR 7711).

“This well-timed Hill Day accomplished our goal, to keep telehealth access front-and-center in the minds of our Congressional champions and underscore the urgent need for Congress to act now to give patients and providers certainty about the continued availability of telehealth services,” said Kyle Zebley, senior vice president, public policy, the ATA and executive director, ATA Action. “We continue to hammer home the fact that access to telehealth is essential for delivering safe, effective, quality care to all individuals, including those in rural and underserved communities, as part of a modernized healthcare system.

“As we continue to seek permanent access to virtual care services, we remain grateful to the unwavering bipartisan, bicameral support for appropriate and necessary policies to ensure citizens have access to often life-saving telehealth services, when and where they need it. But the clock is ticking. We need Congress to act now, so that appropriate telehealth policies are implemented in a timely manner without arbitrary and unnecessary barriers to care such as in-person, brick-and-mortar, or geographic requirements,” Zebley added. “We are also eager to see our Senate champions act on these important telehealth policies.”

ATA Action members participating in Hill Day included a diverse range of organizations advocating for telehealth. Members of ATA Action’s Patient Voices for Telehealth Coalition also joined Hill Day meetings.

About ATA ActionTelemedicine Advocacy

ATA Action recognizes that telehealth and virtual care have the potential to transform the healthcare delivery system by improving patient outcomes, enhancing the safety and effectiveness of care, addressing health disparities, and reducing costs. ATA Action is a registered 501c6 entity and an affiliated trade organization of the American Telemedicine Association (ATA).

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CONTACT:

Gina Cella
gcella@americantelemed.org
t: 781-799-3137

ATA Partners with West Health Institute

ATA West Health<br />
FOR IMMEDIATE RELEASE

CONTACT:

 

Gina Cella
gcella@americantelemed.org
t: 781-799-3137

AMERICAN TELEMEDICINE ASSOCIATION JOINS WEST HEALTH INSTITUTE’S COLLABORATIVE FOR TELEHEALTH AND AGING

WASHINGTON, DC, JUNE 11, 2024 – The American Telemedicine Association (ATA) today announced it has joined the Collaborative for Telehealth and Aging (C4TA), an initiative led by the West Health Institute (WHI). The ATA will serve as an Advisor to the C4TA, which is committed to accelerating the adoption of telehealth to meet the needs of seniors. WHI is a non-profit medical research organization dedicated to lowering healthcare costs and engaged in applied medical research and improving healthcare delivery for older Americans.

“The ATA has long been a proponent of using telehealth and virtual care technologies to better care for our aging population, not just to live longer, but to live better, to support our caregivers and improve our healthcare system to benefit all stages of life,” said Ann Mond Johnson, CEO, the ATA. “We are pleased to join the C4TA to accelerate the adoption of telehealth to meet the needs of seniors and enable individuals to remain vital, engaged and independent through their later years, and create a better health system for everyone.”

C4TA was established in 2021 by West Health, the University of Virginia, and the Mid-Atlantic Telehealth Resource Center to gather experts from health systems, academic institutions, member organizations, and non-profit foundations focused on aging to develop and provide guidelines implementation tools for using telehealth with older adults.

“We are proud to welcome the American Telemedicine Association among the more than 35 national organizations joining our mission to enhance telehealth services for older adults,” says Dr. Zia Agha, Chief Medical Officer of West Health Institute. “Together, alongside experts in geriatrics, telehealth, and patient advocacy, collaborative members have established vital principles and guidelines to ensure equitable, accessible, and integrated remote care options. This collaboration underscores our shared commitment to improving the well-being of older adults across the nation.”

The ATA’s Healthy Aging Collaborative is a member forum focused on identifying and pursuing opportunities to make an impact on the daily life of our aging population through policy guidance and the use of technologies to ease the burden of communications, social isolation, and whole person care management. The ATA Healthy Aging Collaborative hosts quarterly webinars, providing insights and education for the broader community. The group recently published a report, Leveraging Telehealth to Support Caregivers and Those They Care For.

About the ATA

As the only organization completely focused on advancing telehealth, the American Telemedicine Association is committed to ensuring that everyone has access to safe, affordable, and appropriate care when and where they need it, enabling the system to do more good for more people. The ATA represents a broad and inclusive member network of leading healthcare delivery systems, academic institutions, technology solution providers and payers, as well as partner organizations and alliances, working to advance industry adoption of telehealth, promote responsible policy, advocate for government and market normalization, and provide education and resources to help integrate virtual care into emerging value-based delivery models.

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House Ways and Mean Unanimously Extends Telehealth Flexibilities

FOR IMMEDIATE RELEASE

ATA ACTION APPLAUDS HOUSE WAYS AND MEANS COMMITTEE FOR UNANIMOUSLY ADVANCING A TWO-YEAR EXTENSION OF MANY CRITICAL TELEHEALTH FLEXIBILITIES

WASHINGTON, DC, MAY 8, 2024 – ATA Action, an affiliated trade organization of the American Telemedicine Association (ATA), applauds the House Ways and Means Committee for their proactive approach in unanimously advancing a two-year telehealth extension. This extension will maintain many of the current Medicare telehealth flexibilities through the end of calendar year 2026, demonstrating the Committee’s commitment to telehealth.

“While we prefer Medicare telehealth flexibilities be made permanent, we understand the dynamics and applaud the Committee for a two-year extension of many of the critical flexibilities without arbitrary and unnecessary guardrails such as in-person requirements,” said Kyle Zebley, Senior Vice President, Public Policy, the ATA and Executive Director, ATA Action. “This is a clear sign that our bipartisan telehealth supporters are at work, determined not to leave the American people without access to safe, effective, quality healthcare where and when they need it. But this is not over yet. There will be additional markups and other committees need to weigh in, as we continue to push for telehealth permanency.”

Specifically, ATA Action is supportive of the bill extending the following telehealth provisions:

  • Geographic and originating-site waivers
  • Ability for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) to continue to furnish telehealth services
  • Expanded list of eligible Medicare providers, allowing Physical Therapists, Occupational Therapists, Speech Language Pathologies, and Audiologists to render telehealth services
  • Ability to offer audio-only services
  • Repeal of telemental health in-person requirement
  • Preservation of the Acute Hospital Care at Home Program through CY2029

“We hope this action by the Ways and Means Committee will push Congress to enact this legislation soon to provide certainty for patients and providers across the country and allow U.S. healthcare systems enough time to implement appropriate virtual tools, technologies, programs, and processes moving forward,” Zebley added. “We support additional telehealth priorities that have not yet been acted upon, including the remote prescribing of controlled substances, which were not included in the legislative proposal. We believe, if left omitted, this would lead to a tremendous gap in care.”

“ATA Action is available as a resource and looks forward to continuing to work with Congress to ensure that the appropriate telehealth policies are implemented in a timely manner without arbitrary and unnecessary barriers to care such as in-person, brick and mortar, or geographic requirements,” Zebley said.

About ATA Action

ATA Action recognizes that telehealth and virtual care have the potential to transform the healthcare delivery system by improving patient outcomes, enhancing the safety and effectiveness of care, addressing health disparities, and reducing costs. ATA Action is a registered 501c6 entity and an affiliated trade organization of the American Telemedicine Association (ATA).

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CONTACT:

Gina Cella
gcella@americantelemed.org
t: 781-799-3137

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