Signatures 19450 total

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1. 19401
   Name: Natalie Grote on Mar 16, 2012

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2. 19402
   Name: Samantha King on Mar 17, 2012

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3. 19403
   Name: Andrew Sperling on Mar 17, 2012

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4. 19404
   Name: Haiyan Fu on Mar 19, 2012

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5. 19405
   Name: Sol Reyna on Mar 20, 2012

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6. 19406
   Name: Richard Longnecker on Mar 29, 2012

   Comments: Please support the NIH!

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7. 19407
   Name: Megan McNerney on Apr 1, 2012

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8. 19408
   Name: Teresa Nicolson on Apr 5, 2012

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9. 19409
   Name: Jenny Clark on Apr 11, 2012

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10. 19410
    Name: Ellen Weiss on Apr 23, 2012

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11. 19411
    Name: Lisabeth Ann Hanscom on Apr 24, 2012

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12. 19412
    Name: Anonymous on May 1, 2012

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13. 19413
    Name: Ashley Gard on May 3, 2012

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14. 19414
    Name: Marian Jarrad on Jun 25, 2012

    Comments: This funding cut is devastating in light of the job cuts it involves.

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15. 19415
    Name: Erkan Buyuk on Jul 12, 2012

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16. 19416
    Name: Anonymous on Jul 27, 2012

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17. 19417
    Name: Katherine Dalton on Aug 25, 2012

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18. 19418
    Name: Robert Allen on Sep 16, 2012

    Comments: Connect EMR to Physician Practices under CMS Medicare Services for Meaningful Use Requirement FYI.... This initiative positions Healthcare providers and affiliated physicians who use the RACE EHR to achieve the "meaningful use" requirements of the federal HITECH Act, qualifying them for significant time-stamped financial incentives. To that end, RACE has committed to bring its solutions live at hospitals in a "big bang" or all-at-once implementation by January 2014 using the RACE "speed to value" accelerated implementation approach." Through this further investment in building a world-class information technology infrastructure, we not only expect to qualify for significant federal payments under HITECH but also to ensure that the patients and the community we serve will receive the ultimate benefit of improved healthcare for their lifetime,Robert Allen, CEO of RACE estimation of the Addressable Market for 2012-2016 Situational Analysis HITECH Act In February of 2009, President Obama signed the Economic Stimulus Bill, also known as the American Recovery and Reinvestment Act, into law. The Act includes the Health Information Technology for Economic and Clinical Health Act (HITECH Act), a piece of legislation aimed at incentivizing doctors and medical practices to implement electronic medical records. The HITECH Act offers $35 billion in incentives to doctors who successfully implement EHR by 2016, at a net cost of $20 billion to the government. Doctors who implement EHR will be eligible for $44,000 to $64,000 in stimulus funds, providing that they are effectively using the software to improve health care efficiency.i After the incentive period has passed, doctors who have not implemented EHR will face disincentives through reduced Medicare and Medicaid reimbursements.ii The HITECH Act creates a very strong incentive for doctors to adopt EHR products in the coming years. The Committee on Ways and Means estimates that 90 percent of doctors and 70 percent of hospitals will be using EHR software within the next decade. The demand will create huge market growth in the EHR product space, providing an incredible opportunity for a company like Allscripts to increase its sales and profits. The meaningful use stipulation states that in order to receive stimulus funds, a doctor implementing an EHR system must show that he or she is effectively using the technology to improve health care and efficiency. ______________________________________________________________________________________________________ EHR adoption rate trends – next 7 years Practice Size (Average number estimate) Total Number of Physicians Small (1.5 physicians) 244,500 Small-Medium (5 physicians) 135,000 Medium (12 physicians) 96,000 Large (30 physicians) 60,000 Total 535,500 ______________________________________________________________________________________________________________ RE: HI TECH Act Prepared by the Majority Staff of the Committees on Energy and Commerce, Ways and Means, and Science and Technology. Title IV - Health Information Technology for Economic and Clinical Health Act Health information technology helps save lives and lower costs. This bill accomplishes four major goals that advance the use of health information technology (Health IT), such as electronic health records by:  Requiring the government to take a leadership role to develop standards that allow for the nationwide electronic exchange and use of health information to improve quality and coordination of care.  Investing $20 billion in health information technology infrastructure and Medicare and Medicaid incentives to encourage doctors and hospitals to use HIT to electronically exchange patients’ health information.  Saving the government $10 billion, and generating additional savings throughout the health sector, through improvements in quality of care and care coordination, and reductions in medical errors and duplicative care.  Strengthening Federal privacy and security law to protect identifiable health information from misuse as the health care sector increases use of Health IT. As a result of this legislation, the Congressional Budget Office estimates that approximately 90 percent of doctors and 70 percent of hospitals will be using comprehensive electronic health records within the next decade. Federal Leadership for the Nationwide Exchange of Health Information The legislation codifies the Office of the National Coordinator for Health Information Technology (ONCHIT) within the Department of Health and Human Services. This office is responsible for creating a nationwide health information technology infrastructure aimed at improving health care quality and care coordination. The legislation establishes a transparent and open process for the development of standards that will allow for the nationwide electronic exchange of information between doctors, hospitals, patients, health plans, the government and others by the end of 2009. It establishes a voluntary certification process for health information technology products. The National Institute of Standards and Technology will provide for the testing of such products to determine if they meet the national standards that allow for the secure electronic exchange and use of health information. After standards are adopted in 2009, the National Coordinator shall make available at a nominal fee an electronic health record, unless the Secretary determines that the needs and demands of providers are being substantially and adequately met by the marketplace. Nothing in the legislation requires that entities adopt or use the technology made available through this provision. Funding for Infrastructure and Adoption of Health Information Technology This legislation provides immediate funding for health information technology infrastructure, training, dissemination of best practices, tele-medicine, inclusion of health information technology in clinical education, and State grants to promote health information technology. In addition, the legislation provides significant financial incentives through the Medicare and Medicaid programs to encourage doctors and hospitals to adopt and use certified electronic health records. Physicians will be eligible for 18 $40,000 to $65,000 for showing that they are meaningfully using health information technology, such as through the reporting of quality measures. Hospitals will be eligible for several million dollars in the Medicaid and Medicare programs to similarly use health information technology. Federally qualified health centers, rural health clinics, children’s hospitals and others will be eligible for funding through the Medicaid program. Incentive payments for both physicians and hospitals continue for several years, but are phased out over time. Eventually, Medicare payments are reduced for physicians and hospitals that do not use a certified electronic health records that allow them to electronically communicate with others. The legislation also provides additional funds to States for low-interest loans to help providers finance health information technology and grants to regional health information exchanges to unite local providers. Grants are also offered for the development and adoption of electronic health records for providers other than physicians and hospitals. Privacy and Security of Personal Health Information This health information technology legislation improves and expands current Federal privacy and security protections for health information. As health care providers move to exchanging large amounts of health information electronically, it is important to ensure that such information remains private and secure. The bill accomplishes this by:  Establishing a Federal breach notification requirement for health information that is not encrypted or otherwise made indecipherable. It requires that an individual be notified if there is an unauthorized disclosure or use of their health information.  Ensuring that new entities that were not contemplated when the Federal privacy rules were written, as well as those entities that do work on behalf of providers and insurers, are subject to the same privacy and security rules as providers and health insurers.  Providing transparency to patients by allowing them to request an audit trail showing all disclosures of their health information made through an electronic record.  Shutting down the secondary market that has emerged around the sale and mining of patient health information by prohibiting the sale of an individual’s health information without their authorization  Requiring that providers attain authorization from a patient in order to use their health information for marketing and fundraising activities.  Strengthening enforcement of Federal privacy and security laws by increasing penalties for violations and providing greater resources for enforcement and oversight activities. FYI..... HITECH Act In February of 2009, President Obama signed the Economic Stimulus Bill, also known as the American Recovery and Reinvestment Act, into law. The Act includes the Health Information Technology for Economic and Clinical Health Act (HITECH Act), a piece of legislation aimed at incentivizing doctors and medical practices to implement electronic medical records. The HITECH Act offers $35 billion in incentives to doctors who successfully implement EHR by 2016, at a net cost of $20 billion to the government. Doctors who implement EHR will be eligible for $44,000 to $64,000 in stimulus funds, providing that they are effectively using the software to improve health care efficiency.i After the incentive period has passed, doctors who have not implemented EHR will face disincentives through reduced Medicare and Medicaid reimbursements.ii The HITECH Act creates a very strong incentive for doctors to adopt EHR products in the coming years. The Committee on Ways and Means estimates that 90 percent of doctors and 70 percent of hospitals will be using EHR software within the next decade. The demand will create huge market growth in the EHR product space, providing an incredible opportunity for a company like Allscripts to increase its sales and profits. The meaningful use stipulation states that in order to receive stimulus funds, a doctor implementing an EHR system must show that he or she is effectively using the technology to improve health care and efficiency. Northeast Ohio is home to more than 9,000 physicians. The projection of $200 billion in savings through 2016 could be exceeded by an overlooked cost-saving contributor – the industry wide acceptance of secure digital records and information exchange to create an electronic health record (EHR) environment.41 million seniors and 61 million boomers in the United States As of the end of August, $6.9 billion in meaningful use incentive payments had been distributed to more than 143,000 physicians and hospitals, according to CMS estimates, Government Health IT reports. Under the 2009 federal economic stimulus package, health care providers who demonstrate meaningful use of certified electronic health records can qualify for Medicaid and Medicare incentive payments. CMS officials released the estimates on Thursday during a Health IT Policy Committee meeting. Final CMS data will be available online later this month. Incentive Payment Details Robert Anthony -- a specialist in CMS' Office of eHealth Standards and Services -- said that the agency distributed about $500 million in incentive payments during the month of August, including: $325 million to Medicare providers; and $175 million to Medicaid providers. As of July, about 18% of eligible professionals were meaningful users of EHRs and 55% of eligible hospitals had received a meaningful use payment, Anthony said (Mosquera,Government Health IT, 9/6). According to CMS' July report, 3,884 hospitals and 267,221 physicians and other eligible professionals were enrolled in the meaningful use incentive program. Of those, about 93% of the eligible hospitals and 48% of the eligible professionals had received incentive payments (Conn, Modern Healthcare, 9/6)

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19. 19419
    Name: Robert Allen on Sep 16, 2012

    Comments: Connect EMR to Physician Practices under CMS Medicare Services for Meaningful Use Requirement FYI.... This initiative positions Healthcare providers and affiliated physicians who use the RACE EHR to achieve the "meaningful use" requirements of the federal HITECH Act, qualifying them for significant time-stamped financial incentives. To that end, RACE has committed to bring its solutions live at hospitals in a "big bang" or all-at-once implementation by January 2014 using the RACE "speed to value" accelerated implementation approach." Through this further investment in building a world-class information technology infrastructure, we not only expect to qualify for significant federal payments under HITECH but also to ensure that the patients and the community we serve will receive the ultimate benefit of improved healthcare for their lifetime,Robert Allen, CEO of RACE estimation of the Addressable Market for 2012-2016 Situational Analysis HITECH Act In February of 2009, President Obama signed the Economic Stimulus Bill, also known as the American Recovery and Reinvestment Act, into law. The Act includes the Health Information Technology for Economic and Clinical Health Act (HITECH Act), a piece of legislation aimed at incentivizing doctors and medical practices to implement electronic medical records. The HITECH Act offers $35 billion in incentives to doctors who successfully implement EHR by 2016, at a net cost of $20 billion to the government. Doctors who implement EHR will be eligible for $44,000 to $64,000 in stimulus funds, providing that they are effectively using the software to improve health care efficiency.i After the incentive period has passed, doctors who have not implemented EHR will face disincentives through reduced Medicare and Medicaid reimbursements.ii The HITECH Act creates a very strong incentive for doctors to adopt EHR products in the coming years. The Committee on Ways and Means estimates that 90 percent of doctors and 70 percent of hospitals will be using EHR software within the next decade. The demand will create huge market growth in the EHR product space, providing an incredible opportunity for a company like Allscripts to increase its sales and profits. The meaningful use stipulation states that in order to receive stimulus funds, a doctor implementing an EHR system must show that he or she is effectively using the technology to improve health care and efficiency. ______________________________________________________________________________________________________ EHR adoption rate trends – next 7 years Practice Size (Average number estimate) Total Number of Physicians Small (1.5 physicians) 244,500 Small-Medium (5 physicians) 135,000 Medium (12 physicians) 96,000 Large (30 physicians) 60,000 Total 535,500 ______________________________________________________________________________________________________________ RE: HI TECH Act Prepared by the Majority Staff of the Committees on Energy and Commerce, Ways and Means, and Science and Technology. Title IV - Health Information Technology for Economic and Clinical Health Act Health information technology helps save lives and lower costs. This bill accomplishes four major goals that advance the use of health information technology (Health IT), such as electronic health records by:  Requiring the government to take a leadership role to develop standards that allow for the nationwide electronic exchange and use of health information to improve quality and coordination of care.  Investing $20 billion in health information technology infrastructure and Medicare and Medicaid incentives to encourage doctors and hospitals to use HIT to electronically exchange patients’ health information.  Saving the government $10 billion, and generating additional savings throughout the health sector, through improvements in quality of care and care coordination, and reductions in medical errors and duplicative care.  Strengthening Federal privacy and security law to protect identifiable health information from misuse as the health care sector increases use of Health IT. As a result of this legislation, the Congressional Budget Office estimates that approximately 90 percent of doctors and 70 percent of hospitals will be using comprehensive electronic health records within the next decade. Federal Leadership for the Nationwide Exchange of Health Information The legislation codifies the Office of the National Coordinator for Health Information Technology (ONCHIT) within the Department of Health and Human Services. This office is responsible for creating a nationwide health information technology infrastructure aimed at improving health care quality and care coordination. The legislation establishes a transparent and open process for the development of standards that will allow for the nationwide electronic exchange of information between doctors, hospitals, patients, health plans, the government and others by the end of 2009. It establishes a voluntary certification process for health information technology products. The National Institute of Standards and Technology will provide for the testing of such products to determine if they meet the national standards that allow for the secure electronic exchange and use of health information. After standards are adopted in 2009, the National Coordinator shall make available at a nominal fee an electronic health record, unless the Secretary determines that the needs and demands of providers are being substantially and adequately met by the marketplace. Nothing in the legislation requires that entities adopt or use the technology made available through this provision. Funding for Infrastructure and Adoption of Health Information Technology This legislation provides immediate funding for health information technology infrastructure, training, dissemination of best practices, tele-medicine, inclusion of health information technology in clinical education, and State grants to promote health information technology. In addition, the legislation provides significant financial incentives through the Medicare and Medicaid programs to encourage doctors and hospitals to adopt and use certified electronic health records. Physicians will be eligible for 18 $40,000 to $65,000 for showing that they are meaningfully using health information technology, such as through the reporting of quality measures. Hospitals will be eligible for several million dollars in the Medicaid and Medicare programs to similarly use health information technology. Federally qualified health centers, rural health clinics, children’s hospitals and others will be eligible for funding through the Medicaid program. Incentive payments for both physicians and hospitals continue for several years, but are phased out over time. Eventually, Medicare payments are reduced for physicians and hospitals that do not use a certified electronic health records that allow them to electronically communicate with others. The legislation also provides additional funds to States for low-interest loans to help providers finance health information technology and grants to regional health information exchanges to unite local providers. Grants are also offered for the development and adoption of electronic health records for providers other than physicians and hospitals. Privacy and Security of Personal Health Information This health information technology legislation improves and expands current Federal privacy and security protections for health information. As health care providers move to exchanging large amounts of health information electronically, it is important to ensure that such information remains private and secure. The bill accomplishes this by:  Establishing a Federal breach notification requirement for health information that is not encrypted or otherwise made indecipherable. It requires that an individual be notified if there is an unauthorized disclosure or use of their health information.  Ensuring that new entities that were not contemplated when the Federal privacy rules were written, as well as those entities that do work on behalf of providers and insurers, are subject to the same privacy and security rules as providers and health insurers.  Providing transparency to patients by allowing them to request an audit trail showing all disclosures of their health information made through an electronic record.  Shutting down the secondary market that has emerged around the sale and mining of patient health information by prohibiting the sale of an individual’s health information without their authorization  Requiring that providers attain authorization from a patient in order to use their health information for marketing and fundraising activities.  Strengthening enforcement of Federal privacy and security laws by increasing penalties for violations and providing greater resources for enforcement and oversight activities. FYI..... HITECH Act In February of 2009, President Obama signed the Economic Stimulus Bill, also known as the American Recovery and Reinvestment Act, into law. The Act includes the Health Information Technology for Economic and Clinical Health Act (HITECH Act), a piece of legislation aimed at incentivizing doctors and medical practices to implement electronic medical records. The HITECH Act offers $35 billion in incentives to doctors who successfully implement EHR by 2016, at a net cost of $20 billion to the government. Doctors who implement EHR will be eligible for $44,000 to $64,000 in stimulus funds, providing that they are effectively using the software to improve health care efficiency.i After the incentive period has passed, doctors who have not implemented EHR will face disincentives through reduced Medicare and Medicaid reimbursements.ii The HITECH Act creates a very strong incentive for doctors to adopt EHR products in the coming years. The Committee on Ways and Means estimates that 90 percent of doctors and 70 percent of hospitals will be using EHR software within the next decade. The demand will create huge market growth in the EHR product space, providing an incredible opportunity for a company like Allscripts to increase its sales and profits. The meaningful use stipulation states that in order to receive stimulus funds, a doctor implementing an EHR system must show that he or she is effectively using the technology to improve health care and efficiency. Northeast Ohio is home to more than 9,000 physicians. The projection of $200 billion in savings through 2016 could be exceeded by an overlooked cost-saving contributor – the industry wide acceptance of secure digital records and information exchange to create an electronic health record (EHR) environment.41 million seniors and 61 million boomers in the United States As of the end of August, $6.9 billion in meaningful use incentive payments had been distributed to more than 143,000 physicians and hospitals, according to CMS estimates, Government Health IT reports. Under the 2009 federal economic stimulus package, health care providers who demonstrate meaningful use of certified electronic health records can qualify for Medicaid and Medicare incentive payments. CMS officials released the estimates on Thursday during a Health IT Policy Committee meeting. Final CMS data will be available online later this month. Incentive Payment Details Robert Anthony -- a specialist in CMS' Office of eHealth Standards and Services -- said that the agency distributed about $500 million in incentive payments during the month of August, including: $325 million to Medicare providers; and $175 million to Medicaid providers. As of July, about 18% of eligible professionals were meaningful users of EHRs and 55% of eligible hospitals had received a meaningful use payment, Anthony said (Mosquera,Government Health IT, 9/6). According to CMS' July report, 3,884 hospitals and 267,221 physicians and other eligible professionals were enrolled in the meaningful use incentive program. Of those, about 93% of the eligible hospitals and 48% of the eligible professionals had received incentive payments (Conn, Modern Healthcare, 9/6)

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20. 19420
    Name: John Conarpe on Oct 1, 2012

    Comments: I HAVE VHL, AND BEEN WITH THE NIH PROTOCOL SINCE 1999. WITH THEIR HELP AND KNOWLEDGE I'M HERE TODAY. IF THEIR FUNDING GETS CUT, THE GOVERNMENT OF THE USA MIGHT AS WELL CLOSE IT'S DOORS, BECAUSE IT WOULD SHOW THE WORLD WE DON'T CARE ANY MORE!

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21. 19421
    Name: Elizabeth Miles on Oct 5, 2012

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22. 19422
    Name: Linda Hoetger on Oct 9, 2012

    Comments: Please do not cut funding for Prostate Cancer Research, testing, education. I am the wife/caregiver of a Survivor on October 12, 2009. And also a mother of 4 young sons that now have a higher chance of dealing with the stress of prostate cancer. Someday we will have our voices hear about this horriable disease that effects both of us! It is a couples DISEASE! We did not ask to join this club called Prostate Cancer!!! We are important also!!!

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23. 19423
    Name: Victoria Barber on Oct 12, 2012

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24. 19424
    Name: Rebecca Santiago, RN, BSN on Nov 4, 2012

    Comments: Public Health Nurse for The Curtis D. Robinson Men's Health Institute, which provides prostate cancer screening, education and nurse navigator assistance for newly diagnosed prostate cancer patients.

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25. 19425
    Name: Matthieu Guibert on Nov 8, 2012

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26. 19426
    Name: Katherine Dalton on Nov 12, 2012

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27. 19427
    Name: John Dalton on Nov 12, 2012

    Comments: I am 55 father of 3,did not know my father he was a pilot,gave his life for this country at the age of 32 leaving a wife and 8 children behind,I have a rare desise called primary hyperoxoluria type one the only known cure is liver and kidney transplant. I am in stage 4 kidney failure I have kidney cronic kidney stones,I am lying here in pain wondering what the future holds for me, complete renal failure but when? Blindness because of crystals forming in my eyes but when?I have worked hard all my life paid my taxes looked forward to retirement.now I am in a battle with my own body one that is very one sided but I won't give up,their are people out who depend on me,I wake every morning and feel like I have already put in a 12 hour day,and I hear that this country wants to cut spending to find cures for people like me, I am only one in a sea of sick people,I would like to trade places with the person that thought of this spending cut,and the people that intend on voting on it for just one hour, let him her feel my pain and uncertainty.I under stand the reason but not the reasoning ? Do away with the weak,sick,and indifferent? There are many tyrants throughout history that this country defended against, for those same thoughts. I am ashamed and sickened that anyone is thinking about a spending cut for medical research,your should be looking for ways to increase spending. So cast your vote but think of the diseased and sick,put yourself in their shoes look through their eyes, then think of a way you can help these people not hurt them,(unless that is your intent). John E. Dalton Post script, most people are age 0 to 4 when diagnosed and start suffering the effects of this disease. Please forward this to president Obama

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28. 19428
    Name: Haley Decker on Nov 15, 2012

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29. 19429
    Name: Evan on Nov 29, 2012

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30. 19430
    Name: Alfred Kilzi on Nov 30, 2012

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31. 19431
    Name: Patrick Denker on Jan 8, 2013

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32. 19432
    Name: Teresa on Jan 10, 2013

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33. 19433
    Name: Kyle Biesecker on Jan 14, 2013

    Comments: Medical research saves lives, provides jobs, and studies have shown that publicly funded research often generates high rates of return. Please find other places to cut the budget that do not involve shooting ourselves in the feet.

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34. 19434
    Name: Emily Leathley on Jan 14, 2013

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35. 19435
    Name: Marc Pisansky on Jan 14, 2013

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36. 19436
    Name: Kristopher Standish on Jan 14, 2013

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37. 19437
    Name: Laura Raffield on Jan 15, 2013

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38. 19438
    Name: Emily Hutton on Jan 21, 2013

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39. 19439
    Name: Anonymous on Feb 19, 2013

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40. 19440
    Name: Stephen E Kacir on Feb 26, 2013

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41. 19441
    Name: Nathaniel Wiest on Feb 27, 2013

    Comments: Science is one of the building blocks for a better tomorrow. Don't cut our future.

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42. 19442
    Name: Ben Hall on Feb 28, 2013

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43. 19443
    Name: Andrey Finegersh on Mar 1, 2013

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44. 19444
    Name: Ben Hall on Mar 4, 2013

    Comments: Please do NOT cut life-saving funding for the National Institutes of Health (NIH).

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45. 19445
    Name: James Donohue on Mar 10, 2013

    Comments: How incredibly shortsighted and stupendously embarrassing is it that the US is on the verge of cutting funding for medical research. Don't do it!

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46. 19446
    Name: Sureshbabu Angara on Mar 15, 2013

    Comments: Infrastructure - like supporting science and engineering research sectors will definitely enhance long term benefits and healthy future for our nation. Please increase funding to science and healthcare sectors. Best, Suresh.

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47. 19447
    Name: Babita Bisht on Mar 16, 2013

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48. 19448
    Name: David Entenberg on Mar 29, 2013

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49. 19449
    Name: Jerriane Lockhart on May 8, 2013

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50. 19450
    Name: Abigail Gwinn on May 10, 2013

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