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2012 is the year of technology for LTPAC

February 10, 2012
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I am writing this blog while waiting to catch a plane after attending 2 weeks of meetings. Here’s the short list: federal advisory Health IT Standards Committee; the NASL Winter Conference; and a CCHIT trustee conference call.

At the NASL HIT Committee meeting, I was talking with Jennie Harvell, senior policy analyst with the Assistant Secretary for Planning and Evaluation, about all the progress that has been made in having long-term and post-acute care (LTPAC) providers and HIT vendors recognized as an important partner in clinical technology. She commented—and I agreed—that everything is coming together for us, and we used the analogy that both the LTPAC clinical stars and the HIT stars are now in alignment.

The meetings I attended pointed out that this is really happening after a long fight. It’s a great step forward for LTPAC, but the ball is now in our court.

At the meeting of the Health IT Standards Committee, there was an outline of the objectives for the four quarters of 2012. In the second quarter, one of the objectives is to work on “Certification/adoption: Long-term and post-acute care.”

This gives all of us on the committee direction to start including LTPAC in the standards discussion and meaningful use electronic quality measures for the upcoming stages. I am sorry that meaningful use does not include LTPAC in the incentives, but we knew this was not possible with being left out of the legislation and with the nation’s deficit issues. However, including SNFs closes the transition of care between the eligible hospital and professional. As we move into quality issues we will need your help in setting standards and quality measurement criteria.

Going back to the NASL Winter Conference of the HIT Committee, I must mention who was in attendance. Along with Harvell there were three members of the Office of the National HIT Coordinator (ONC) and they gave vendors an update on federal initiatives related to HIT and LTPAC.

Also for the first time, the HIT and Therapy Committees met in a joint session. This again proves the harmonizing of the clinical and technical. Harvell and Liz Palena Hall of the ONC gave presentations to the joint meeting. Hall has helped advance LTPAC objectives highlighted in the Federal Health IT Strategic Plan 2011-2015.

As I stated, it is time that LTPAC providers and vendors step up and become involved in the transition of care processes. With the upcoming emphasis on reducing instances of 30-day re-hospitalizations of patients, SNFs will have to become involved in the electronic transitions of care. Hospitals will be asking nursing homes to document the care of their discharged patients. If we are not involved in the policies and standards to ensure they fit the needs of LTPAC, then there is a good chance we will be told what to do. The time is now, the stars are aligned and we are being asked to be involved.


John Derr

John Derr



John Derr, RPh, currently serves as Health Information Technology Strategy consultant to Golden...



Mr. Derr,

Thank you for starting this blog. I work in a hospital IT department as a Clinical Systems Analyst. We have a SNF facility as well and are located in rural NC. I am very interested in your work. We are in the process of making the case for an EHR tailored for SNF/MDS needs and have identified the Vendor (AHT) that we are most interested in - lots of systems requirements and workflow capture - MDS/LTC is it its own universe.

The S&I Framework is a useful portal for the work ahead. Thank you for raising awareness - I joined based on your blog content. Appreciate your mention and analysis of M.U. as applies to LTC/SNF. Sincerely - Joy Cagle, RN, MSN