A blog about the latest updates, stories and ideas from the OneRecord team.

The OneRecord Blog

The latest updates, stories and ideas from the OneRecord team.

Important deadlines surrounding the Cures Act interoperability rules.

Interoperability and Patient Access - Final Rule (CMS-9115-F) Deadlines

Important dates on the Cures Act Timeline related to Patient Access are approaching. With information from a number of regulatory bodies, it is often challenging to keep all of the dates organized. 

The Cures Act may have been historic in multiple ways, but one of the most relevant for our discussion here was that both CMS and the ONC published their final rules on the same date AND that date was the first of a month - May 1st, 2020. This has rarely happened in healthcare regulation land. 

These two important facts make it slightly easier for those of us who had been following the legislation to remember and calculate dates. Many people were a bit excited about that. Well, maybe not many people, but the true healthIT geeks were really over the moon. 

But then the COVID-19 pandemic was declared and both agencies issued modifications to the timeline as a result of the pandemic. This time, we weren’t so fortunate when it came to keeping things in sync. 

The ONC and CMS took different approaches to the timeline adjustments.

The ONC issued an ‘Enforcement Discretion’ to their timelines. Many of the compliance dates were given a three-month enforcement discretion window. The ONC was clear to differentiate this from a timeline extension or timeline change. The expectation was clear that the original timeline was still the desired timeframe for compliance, but the enforcement discretion window could allow for a grace period if needed. 

CMS delayed the compliance on the regulation that required a Patient Access API and Provider Directory API by six months. CMS also delayed the compliance for the ADT Notifications by one year.

With multiple regulatory bodies, multiple regulated entities, multiple individual regulations, multiple compliance dates, and multiple timeline changes, the information becomes hard to manage. A comprehensive timeline seems to be the only way to keep track of the information.

At OneRecord, our specialty is making the complexity of healthcare easy for consumers. We put those skills to use here as well and created a unified timeline for the regulatory dates related to the Patient Access portion of the Cures Act. We hope you find this information helpful

Cures Act Timeline.pdf

Interoperability and Patient Access - Final Rule (CMS-9115-F): Getting the Dates Straight

Important deadlines surrounding the Cures Act interoperability rules finally made understandable. Get clarity on the patient access rules and how they impact you!

Interoperability and Patient Access - Final Rule Deadlines

Important deadlines surrounding the Cures Act interoperability rules finally made understandable.

See how Mom's can manage their family's healthcare effectively and easily.

5 Ways Moms Can Upgrade Their Family’s Healthcare

Do I need to go grocery shopping? When’s Aidan’s piano recital? Did we reschedule that pediatrician appointment? We understand, Mom. You have a lot to keep track of in order to keep your family, well, on track. 

One of the most important things is your family’s healthcare, but this can often fall to the wayside when you have so many other things going on. There are so many moving parts when it comes to healthcare, too: doctors’ appointments, immunizations, insurance. It can feel overwhelming to say the least. Here are 5 steps you can take to upgrade your family’s healthcare to make it simpler, more efficient, and more organized. 

Put Doctors’ Appointments on the Family Calendar

Even if your family calendar is packed to the brim already, doctors’ appointments should definitely be on there. You can use a Google calendar (or something similar) to synchronize schedules across all of your devices. A digital calendar can make it simple to add doctors’ appointments right when you schedule them. Or, you can maintain a whiteboard wall calendar. There are so many cute ideas on Pinterest where you can find inspiration, not to mention tips on color-coding. Keep this calendar up to date! Regular doctors’ appointments are crucial to keeping you and your family’s health in check now and preventing something serious down the road. 

Keep A List of Important Contacts in a Central Location

You know that list of emergency contacts that you stick on the fridge for babysitters? You need access to that list, too. It should have all of the family’s care providers on it. Emphasize the emergency contacts, of course, but all of your doctors should be listed. This is another opportunity for color-coding! Bonus points if your list of contacts is near the wall calendar, though keeping it on the fridge is still an option. 

This can certainly feel like a daunting task. A three-ring binder could be helpful here. You could divide the binder into different sections for each member of the family (have we mentioned how much we like color-coding?). Want to make this task even easier? Have OneRecord do it. OneRecord can consolidate all of your family’s medical records by putting all of your family’s information in folders that you can access on their website or through their mobile app. So not only are your health records organized, they are also portable. Your family’s health records are at your fingertips whenever you may need them. 

There is a lot of paperwork that goes into your family’s healthcare, and a big chunk of that paperwork is all related to insurance. From copays to premiums to miscellaneous insurance information from your employer, there’s a lot to keep track of. Fortunately, OneRecord can also manage these documents. With OneRecord, you can have all of the documents related to your family’s healthcare in one place. That’s great news because for some reason, insurance documents don’t seem like a lot of fun to color-code.

You can’t pour from an empty cup, Mom. It can be easy to lose track of your own health while you’re busy trying to keep everyone else healthy and happy. Maintaining your physical, mental, and emotional wellbeing ensures that you will be the best mom you can be. And it also sets a great example for the rest of your family. Maybe keeping up with your health looks like carving out 30 minutes per day to meditate or go for a walk. However you choose to take care of yourself, you are modeling healthy behavior for everyone else. Your kids get a lot of things from you that you might not even realize; make sure one of those things is healthy habits. 

This health history is a thorough timeline of all of your child’s vaccines. But why are these records important?

4 Reasons Why Your Child Needs an Immunization History

There are many occasions when parents are required to provide their child’s immunization history. This health history is a thorough timeline of all of your child’s vaccines. But why are these records important? And when do you need your child’s immunization history? In short, immunizations protect your child from diseases such as tetanus and polio. When you’re protecting your child, you’re also protecting their friends and your community from the spread of these diseases. Here are four reasons why it is important to have your child’s immunization history handy. 

Whether your child is the new kid in school or the new goalie on the soccer team, most likely, you will be asked to provide an immunization history. This, of course, is to protect your child and the other children at school or on the field. It would be a shame to end the soccer season early with an outbreak of chickenpox, so be sure to have those immunization records ready to submit before kickoff. 

Some diseases are more prevalent in certain parts of the world. Because of this, it is especially important to make sure your child’s immunization records are current before going to camp or traveling abroad. There will be lots of children from all over the place, bringing their own germs from their own hometowns, and your child is doing the same! To protect everyone in Bunk 3, keep your child’s immunization history nearby. 

If your child switches doctors, it is important to make sure you have their immunization history to give to their new healthcare provider. Usually, these records can be easily transferred between offices, but if you have them yourself, you can streamline the process and avoid any miscommunication or loss of information. If a doctor doesn’t have your child’s most recent immunization information, they may be required to give a vaccination again. Although receiving an additional vaccination isn’t harmful, it’s simply unnecessary. Getting shots can be unpleasant for children (and adults sometimes, too!), so keeping your child’s immunization history up-to-date and within reach can avoid redundant vaccines.

Every member of your family should have their health records accessible. It is simple to keep these records organized digitally with tools like OneRecord. Your child’s immunization history is a crucial part of their health story that they will need for their entire lives. The future of their health and their healthcare begins with you. Your child’s birth history and immunization records are often their first pieces of health information. By having these accessible and organized for them, you are setting up your child for a lifetime of autonomy over their healthcare. 

Carin launched the My Health Application website and OneRecord is featured.

OneRecord featured in The CARIN Alliance's “My Health Application” inaugural list

Chief Barketing Officer

Today, the CARIN Alliance, a non-partisan, multi-sector alliance focused on providing digital health information to consumers where, when, and how they want to achieve their goals, launched the My Health Application website. The website offers a vendor and platform agnostic location to help consumers select a health care application of their choice to aggregate their clinical, coverage, and payment information. 

We are pleased to announce the inaugural set of 11 consumer-facing applications on the My Health Application website (in alphabetical order):

Buzz Secure Medical Messenger by Skyscape 

My Family Health Record by CareEvolution 

My Health Application was created by the CARIN Alliance because they recognized the need for a centralized vendor and platform agnostic location for individuals to find applications that would allow them to access and utilize their health data. Individuals will find applications on the website who have attested to the CARIN code of conduct, an industry-leading set of privacy, security, and consent guidelines for consumer-facing applications to follow when handling health information. 

When users click on ‘Select an App’, they will find detailed screenshots and information for each application on the ‘Application Gallery’ page. In addition to the CARIN code of conduct, users will also find applications who are affiliated with other trusted sources such as the Centers for Medicare and Medicaid Services (CMS), the Veterans Health Administration, Carequality, CommonWell Health Alliance, 1up Health, and Apple Health. Applications who are affiliated with these trusted sources will help begin to establish trust over time. The consumer can easily link to the application’s privacy policy and terms of service so they can access information about how the application is accessing, using, and storing the consumer’s health information. Over time, the website may include an application’s third-party certifications once those services become more widely available in the market. 

The CARIN Alliance envisions a future where consumers can choose an application of their choice to retrieve both their complete health record and complete coverage information from any provider or health plan in the country based on their individual consent sharing preferences. My Health Application helps consumers accomplish that goal by offering a transparent way for them to view consumer-facing applications in a single location.

Want to see the full press release? Click here

When To Share Your Medical Records with Your Family

Your personal medical records are exactly that: they are “yours” and they are “personal.” They contain much of your most sensitive information, and it would make sense that they would remain private for your eyes and your eyes only. You’re never required to share your medical records with anyone outside of your healthcare provider. And according to the Health Insurance Portability and Accountability Act (better known as HIPAA), your healthcare providers aren’t allowed to share this information either. However, there are some instances when it can be helpful for your family members to have access to medical records and health history whether it’s for your health or for theirs. 

Your own health and your child’s health will be forever connected. Your health history is part of what becomes their health future. To ensure that they are receiving the best possible care, they need to know the full scope of their family’s health history. When your child grows up and is asked about conditions that run in their family, they should have your health records to turn to for that information. Is it hyperthyroidism or hypothyroidism that runs in our family? Information like that should be included in your health records, so your child knows exactly where to turn when they’re asked. 

No one wants to think about the worst-case scenario, but it is important to plan for it. Sharing your medical records with a spouse, a parent, or an adult child can ensure that you are receiving the proper care in case of an emergency. Even the most basic information such as your allergies or medications and dosages can play a huge role in your care. If family members are aware of this information beforehand, they can advocate for you at a time when you might not be able to advocate for yourself. According to HIPAA, there are some cases when doctors can consult with your family members to make a decision regarding your care. If your family already has a knowledge of your health history, they can make more informed decisions to guarantee that you’re getting the treatment that you need.

Aging brings so many gifts: life experience, deeper relationships, perspective. But it can also bring additional medications, procedures, doctors, specialists, and other health events. This can be a lot to keep track of! Compiling and organizing all of your personal health information can be simplified with tools like OneRecord, which will consolidate all of your records from all of your healthcare providers. OneRecord also makes it easy to share this information with trusted family members who play a role in your healthcare. Once all of this information is cataloged and easily accessible, you can get back to enjoying the aging process, because there are so many things to enjoy.

Learn what an EHR or Electronic Health Record really is.

What is an Electronic Health Record?

Think back to a time long ago. A time before cell phones. A time before the internet. A time when doctors kept their patients’ records in physical files on actual pieces of paper. Seems pretty old-fashioned, doesn’t it? Now almost everything is digital, including medical records. Electronic Health Records (EHR) have been a key part of the digital transformation of healthcare. Read on to find out what EHRs are, their benefits, and where you can find yours. 

An EHR contains a physical medical chart but it’s digitized. While the medical chart is its biggest component, it also has features such as electronic prescribing, orders tracking, flowsheets, interfaces to lab companies, immunization registries, and more. Needless to say, an EHR has a lot of elements, but the digital medical record is what we are focusing on here.

Doctors’ offices, hospitals, and other healthcare providers will use an EHR software to compile and store your medical information. During a doctor’s appointment, your doctor usually asks you questions, performs tests, or collects other types of data. With an EHR, instead of writing this information down, they’ll enter it into a computer or tablet. An EHR will contain a patient’s medical history so doctors can get the full picture of a patient’s health. This history can include past treatments, medications and dosages, allergies, family health history, lab results, and more. 

There are many benefits of EHRs for both patients and providers. Because the records are digital, it’s easy to share them with multiple providers. This way, if you switch doctors or go to a specialist, you can forward your medical records from one provider to another. Also, an EHR is much easier to update than a paper medical chart, so your information is always up-to-date. This ensures that your doctor and any future doctors are getting the most recent information about your health as well as a complete history of your health, so they can prescribe the best course of treatment. Because all of the records are electronic, doctors, nurses, and other healthcare providers don’t have to spend time digging through files to find your information, making appointments more efficient. Additionally, more than one provider can access your record at one time. In the days of paper medical charts, if your doctor had the chart in the exam room, the nurse wouldn’t be able to see it until your doctor was done. 

Where can I find my Electronic Health Records?

One way to access your medical record from your doctor’s EHR would be by contacting your doctor’s office directly. According to the Health Insurance Portability and Accountability Act (HIPAA), you have the right to all of your own medical records. This means that your doctor must provide the information if you request it. 

But what if you have multiple doctors? Or what if you want your child’s medical records? Fortunately, tools like OneRecord make this process considerably easier. OneRecord is connected to most doctors and health systems and can help you get your records almost instantly without ever leaving home. Once you digitally connect, OneRecord consolidates and organizes all of your information. With OneRecord, you have your entire medical history at your fingertips - on any device. 

Early Adopters: OneRecord signs the CARIN Code of Conduct

At OneRecord, our users are the center of everything. We understand their experiences personally. We treat them as equal participants on our mission to transform the healthcare system into a consumer-focused one. This includes being transparent about the relationship between their data and our platform. We don’t believe anyone should have to trade privacy for access to services. Our goal at OneRecord is simple. To build the best products for accessing and managing your health data, without compromising privacy and security. 

On December 1, 2019, as part of our ongoing effort to lead the way for best practices built on a foundation of privacy and security have signed the CARIN Code of Conduct. We are proud to be early adopters and look forward to our continued involvement in the CARIN Alliance and the CARIN Code of Conduct. 

The CARIN Alliance, a multi-sector group of more than sixty health care and other stakeholders managed by Leavitt Partners, has released the CARIN code of conduct for how entities not covered by the Health Insurance Portability Accountability Act (HIPAA), such as third-party applications, can voluntarily handle health care data on behalf of consumers. For the first time, health care organizations and other organizations can have an enforceable code of conduct for third-party applications not covered by HIPAA to self-attest to in order to access health care data on behalf of consumers.

Supportive of recent legislative statutes, such as the 21st Century Cures Act, and ongoing regulatory measures, application programming interfaces (APIs) are being implemented by health care organizations across the country to allow consumers to access their health information on a third-party application of their choice. When personally identifiable health information is shared with applications, that information is considered consumer data and falls outside of the industry's current privacy and security practices under HIPAA. The CARIN code of conduct addresses how health care data should be handled by consumer-facing applications under Section 5(a) of the Federal Trade Commission Act, which encourages industry to develop consensus for what is meant by "unfair or deceptive acts or practices.

The CARIN code of conduct is based on a central theme – third-party applications need to ensure consumers, or their authorized caregivers, provide informed, proactive consent for how their health care data is collected, used, and shared, giving consumers complete access and control over the use of their health care data by entities not covered by HIPAA.

Want to read the full press release about the CARIN Code of Conduct? Click Here