Regulatory Landscape

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United States

ONC (Office of the National Coordinator for Health IT)

  • Coordinates national health IT efforts
  • Establishes standards through rulemaking
  • Administers EHR certification program
  • Promotes interoperability

ONC Certification Program:

  • 2015 Edition: Previous certification criteria
  • Cures Act Update: Current criteria including:
    • Standardized API (FHIR)
    • United States Core Data for Interoperability (USCDI)
    • Patient access requirements
    • Information blocking prohibition

CMS (Centers for Medicare & Medicaid Services)

  • Promoting Interoperability Programs (formerly Meaningful Use)
  • Quality Payment Program (QPP)
    • MIPS (Merit-based Incentive Payment System)
    • Advanced Alternative Payment Models (APMs)
  • Interoperability and Patient Access Final Rule

21st Century Cures Act

  • Information Blocking: Prohibits practices that interfere with access, exchange, or use of EHI
  • Patient Access: Requires patient access to EHI via API
  • Provider Directory: Requires provider directory via API
  • Payer-to-Payer: Requires data exchange between payers

FDA (Food and Drug Administration)

  • Regulates medical devices (including software)
  • Risk-based approach to medical software
  • Oversight of clinical decision support
  • Cybersecurity guidance

European Union

Medical Device Regulation (MDR 2017/745)

  • Replaced Medical Device Directive (MDD)
  • More stringent requirements
  • Software classification rules
  • Clinical evaluation requirements
  • Post-market surveillance

In Vitro Diagnostic Regulation (IVDR 2017/746)

  • Regulates diagnostic software
  • Risk-based classification
  • Performance evaluation
  • Quality management systems

CE Marking

  • Indicates conformity with EU regulations
  • Required to market medical devices in EU
  • Involves conformity assessment by Notified Body

GDPR (General Data Protection Regulation)

  • Applies to all personal data (including health)
  • See Privacy and Security Standards section for details

United Kingdom (Post-Brexit)

MHRA (Medicines and Healthcare products Regulatory Agency)

  • UK regulator for medical devices
  • UKCA marking (replacing CE for UK market)
  • Similar requirements to EU MDR

NHS Digital

  • Sets standards for NHS IT systems
  • DCB standards (Data Coordination Board)
  • Publishes implementation guides

Canada

Health Canada

  • Regulates medical devices
  • SaMD guidance similar to FDA
  • Class I-IV classification
  • Pre-market review requirements

Canada Health Infoway

  • Accelerates adoption of health IT
  • Develops standards-based solutions
  • Supports provinces and territories

Australia

TGA (Therapeutic Goods Administration)

  • Regulates medical devices
  • Risk-based classification
  • Conformity assessment procedures
  • Post-market monitoring

My Health Record

  • National digital health record system
  • FHIR-based
  • Opt-out model

International Harmonization

IMDRF (International Medical Device Regulators Forum)

  • Harmonizes medical device regulation
  • Develops SaMD guidance adopted globally
  • Working groups on various topics

Global Harmonization Task Force (GHTF)

  • Predecessor to IMDRF
  • Established foundation for harmonization

Quiz: Regulatory Landscape

Question 1 of 5

What does the 21st Century Cures Act's information blocking provision prohibit?