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DSMO Next Steps
Once the DSMO determine revised implementation guides or code sets are needed for industry effectiveness, there are several other entities involved in naming a HIPAA standard.  They involve:
    The DSMO Steering Committee will provide annually to the National Committee on Vital and Health Statistics (NCVHS) a summary of the Change Requests that have been processed, with the DSMO recommendations.
    NCVHS reviews and provides recommendations to HHS
    - Initiates the HIPAA rule modifications according to the Federal Rulemaking process
      o Notice of Proposed Rule Making (NPRM) is created and published
      o There is a 60 (or possibly 30) Day Public Comment Period
      o HHS reviews the comments
      o HHS publishes a Final Rule which
      - includes a compliance date for changes to standards
- cannot be less than 180 days implementation timeline