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21st Century Cures Act: Improving Health IT and Patient Care

Discover how the 21st Century Cures Act improves healthcare IT, empowers caregivers with easier access to health records, and enhances care coordination and transparency.
Published on
November 25, 2024
Presented by Givers
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Do you remember how difficult it was to get your health information before electronic accounts? You would have to spend hours calling every healthcare provider to make sure your health information was updated. And who had time to find out a patient's background in an emergency? Now, we can do this in just a few clicks, saving lives.

In 2016, lawmakers tackled these problems with the 21st Century Cures Act. So, why does this game-changing law from the Department of Health and Human Services matter to you?

Key Takeaways

  • Improved access to health information: Patients and caregivers can now easily view and download electronic health records (EHI), including clinical notes and payment information, empowering them to manage care more effectively.
  • Enhanced health IT and data sharing: The Act mandates interoperability between health systems, addresses information blocking with steep penalties, and ensures secure data sharing to improve care coordination and transparency.
  • Support for medical innovation: With $6.3 billion in funding, the Act accelerates research and approval of new treatments for conditions like cancer, mental health, and opioid addiction, bringing therapies to patients faster.

What is the 21st Century Cures Act?

Before the 21st Century Cures Act, many parts of our nationwide health system were stuck in the past: clinical testing took forever, mental disorder services were hard to find, and sharing information between health care facilities was like trying to get two computers from different decades to talk to each other.

The 21st Century Cures Act became law in 2016 under President Obama, designed to improve health care by advancing medical research, streamlining drug and treatment approvals, and enhancing the use of health technology. It promotes the sharing of electronic health information, prevents practices that block data access, and supports research on issues like cancer and opioid addiction. The Act also allocates funding to the FDA and ensures health IT systems meet standards for better care coordination.

Related article: What is the Medicare Improvement for Patients and Providers Act? >>

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How the Act benefits patients and caregivers

The Act aims to make health care more efficient, transparent, and patient-focused.

Improves access to health information

  • Expands Electronic Health Information (EHI) access, allowing patients and their caregivers to see more of their medical and payment records.
  • Requires certified health IT systems to enable patients to download their health data in easy-to-use formats.
  • Promotes direct requests for EHI, reducing reliance on health care providers as middlemen.

Supports medical research and innovation

  • Allocates $6.3 billion in funding, mainly to the National Institutes of Health (NIH), for research into diseases like cancer and mental health.
  • Speeds up the approval process for drugs and medical devices, helping patients access treatments faster.
  • Encourages the use of real-world evidence and patient input in developing treatments.

Enhances health IT and data sharing

  • Focuses on interoperability, ensuring health IT systems can share information more seamlessly.
  • Addresses information blocking, with monetary penalties for organizations that interfere with access to or sharing of EHI.
  • Requires greater transparency in clinical notes, ensuring patients can view all details about their care.

Reduces burdens on clinicians

  • Simplifies the use of electronic health records (EHRs) to help doctors focus more on patients and less on administrative tasks.

Enforces accountability

Penalties for non-compliance

The Cures Act takes data access and sharing seriously. If hospitals, health IT developers, or other organizations block access to electronic health information (EHI) or fail to meet the Act's requirements, they can face steep penalties.

Developers or networks that engage in "information blocking" can be fined up to $1 million per violation. Providers who don't comply may also face disincentives, like losing access to federal programs or funding.

What this means for your doctor visits

The quicker exchange of health information supports patients in several ways. You might notice:

  • Your health care facility shares test results with you quickly
  • You usually see your doctor's notes after your visit
  • If you switch providers, your health information exchanges happen easily
  • You might have more options for participating in clinical testing for new treatments

With streamlined electronic health records (EHRs), your healthcare provider can spend more time focusing on you instead of paperwork.

Privacy and security concerns

Many caregivers worry about keeping their loved one's health information safe. The 21st Century Cures Act requires all health IT systems and health IT developers to follow strict data security and privacy standards. This means your loved one's electronic health information (EHI) is protected from unauthorized access. Developers must use strong encryption and other safeguards to keep data secure, and any violations of these standards can result in serious penalties.

Impact on rural hospitals

The 21st Century Cures Act significantly improves the ability of rural hospitals to deliver quality care, even in resource-limited areas.

One of the biggest challenges rural hospitals face is accessing necessary medical equipment. The Act simplifies how these hospitals apply for and obtain the tools they need. It also improves the sharing of health information by requiring electronic health records (EHRs) to meet interoperability standards.

Medicaid services also see significant improvements under the Act, with expanded options and increased flexibility that help rural providers better support patients relying on Medicaid, creating a more equitable healthcare system. At the same time, the Act strengthens data security, requiring health IT developers to implement strong protections for patient information, which is particularly important for rural hospitals with limited cybersecurity resources.

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Additional resources for caregivers

Here are some resources to help you navigate electronic health information (EHI) access and understand your rights:

Websites for EHI assistance

  • HealthIT.gov: Learn more about your rights under the Cures Act and how to access electronic health records.
  • Patient Access Center (ONC): Offers step-by-step guidance on requesting medical records and understanding what information should be available.
  • MedlinePlus (NIH): Provides tips on using patient portals and managing health information effectively.

Hotlines and support for EHI requests

  • Office of the National Coordinator for Health IT (ONC): For questions about EHI access or reporting issues with information blocking, call their help desk at 1-888-INFO-ONC.
  • HIPAA Complaint Hotline: If you encounter barriers to accessing records, contact the HHS Office for Civil Rights at 1-800-368-1019.

Tips for getting the most from these resources

  • Familiarize yourself with patient portals from your loved one's healthcare providers and hospitals.
  • Keep a list of contact numbers for health IT support teams if you need help accessing EHI.
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