,i #aac? ,,congress #b;d ,session ,h4 ,r4 #ebad ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,july #bh1 #bjad ,mr4 ,olson introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce ,a ,,bill ,to require ! ,secret>y ( ,heal? & ,human ,s]vices to provide = recomm5dations = ! developm5t & use ( cl9ical data regi/ries = ! improvem5t ( pati5t c>e4 #a4 ,recomm5dations = developm5t & use ( cl9ical data regi/ries 7a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all make recomm5dations = ! developm5t & use1 :5 appropriate1 ( cl9ical data regi/ries t are integrat$ ) cl9ical practice guidel9es & be/ practices or /&>ds ( c>e1 includ+ regi/ries design$ to m9imize duplication & burd5 on ^? op]at+ or report+ to su* regi/ries1 = ! improvem5t ( pati5t c>e4 ,! ,secret>y %all make su* recomm5dations available to ! public by po/+ !m on a public ,website ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices4 7b7 ,specific recomm5dations ,su* recomm5dations1 ) respect to su* regi/ries1 %all include ! foll[+3 7#a7 ,recomm5dations = a set ( /&>ds t1 if adopt$ by su* regi/ries1 w\ld all[ = ! bidirectional1 int]op]able ex*ange ( in=mation betwe5 ! electronic heal? records ( ! report+ cl9icians & su* regi/ries4 7#b7 ,recomm5dations on h[ cl9ical regi/ries1 includ+ outcomes-bas$ regi/ries1 may be develop$ & !n us$ to evaluate v>i\s c>e models & me?ods1 includ+ improv$ cl9ical c>e coord9ation1 & ! impact ( su* models & me?ods on ! managem5t ( diseases z measur$ by appropriate c>e p>amet]s bas$ on cl9ical practice guidel9es & be/ practices 7su* z ,a#a;,c1 blood pressure1 & *ole/]ol levels 9 ! case ( diabetes74 7#c7 ,recomm5dations on h[ su* regi/ries %\ld be /ructur$ to facilitate ! record+ & report+ ( po/-m>ket data = ! purposes ( monitor+ safety & efficacy ( ,,fda-approv$ devices & drugs1 report+ relevant cl9ical data to satisfy atte/ation requirem5ts = cov]age ( prescrib$ devices & drugs1 & bett] def9+ appropriate cl9ical use 9 support ( evid5ce developm5t = ! ,m$ic>e program 7su* z improv+ pati5t access to safe & effective glucose monitor+ sy/ems & future glucose monitor+ te*nologies74 7#d7 ,recomm5dations on h[ data f su* regi/ries may be us$ to in=m physicians & o!r heal? c>e pr(essionals reg>d+ cl9ical practices = ! prev5tion ( diseases 7su* z diabetes & ! precursor conditions ( diabetes7 & appropriate me?ods = ! dissem9ation ( cl9ical practice support tools & o!r educational res\rces t may be d]iv$ f regi/ry data4 7#e7 ,recomm5dations = h[ regi/ries c be us$ to promote prev5tive heal? b5efits su* z scre5+s & ! ,m$ic>e annual wellness visits t may r$uce ! risk ( *ronic diseases 7su* z obesity1 o/eoporosis1 c>diovascul> disease1 canc]1 diabetes & _! complications74 7c7 ,consultation ) cl9ical exp]ts ,! ,secret>y %all consult ) national m$ical specialty societies & ) manufactur]s ( drugs & m$ical devices 9 ! developm5t ( su* recomm5dations z !y relate to ! diseases t !y 7or _! manufactur$ drugs or devices7 manage & treat 7su* z ) endocr9ologi/s ) respect to recomm5dations relat+ to diabetes & pre-diabetes conditions74