The Office of the National Coordinator for Health Information Technology (ONC) recently released proposed 2015 certification criteria for public comment. Under the proposed rule, hospitals would have the option to qualify for Meaningful Use Stage 3 EHR incentive program with electronic reporting of antibiotic use and resistance data to the CDC's National Healthcare Safety Network (NHSN). This proposed rule aligns with the National Action Plan released by the White House in March 2015.
The national action plan calls for specific actions and milestones for the healthcare industry to adopt best practices for antimicrobial stewardship programs, communication of antibiotic utilization and resistance information to the Center for Disease Control (CDC), and a national surveillance and benchmarking strategy.
Proposed certification criteria requirements:
"§ 170.315(f)(6) (Transmission to public health agencies—antimicrobial use and resistance reporting)2015 Edition certification criterion for transmission of antimicrobial use and resistance data to public health agencies that would require a Health IT Module to be able to electronically create antimicrobial use and resistance reporting information for electronic transmission in accordance with specific sections of the HL7 Implementation Guide for CDA ® Release 2—Level 3: Healthcare Associated Infection Reports, Release 1, U.S. Realm (August 2013).
Collection and analysis of data on antimicrobial use and antimicrobial resistance are important components of antimicrobial stewardship programs throughout the nation and efforts by health care organizations and public health agencies aimed at detecting, preventing, and responding to resistant pathogens.
The HL7 Implementation Guide for CDA ® Release 2—Level 3: Healthcare Associated Infection Reports, Release 1—US Realm—August 2013 (“HAI IG”) is an ANSI-approved standard for electronic reporting of antimicrobial use and antimicrobial resistance data to the CDC's National Healthcare Safety Network (NHSN), the largest health care-associated infection (HAI) reporting system in the United States with over 9,000 health care facilities participating."
According to the CDC, over two million Americans contract antibiotic-resistant infections annually leading to 23,000 deaths. In March 2015, the CDC requested $283 million from the House Committee on Appropriations to address the growing concerns with antibiotic use. The proposed certification criteria would advance the national action plan that calls for collecting and benchmarking antibiotic use and resistance patterns across the United States.
Public comments for the proposed rules are due by May 29th, 2015.