124 STAT. 793 PUBLIC LAW 111–148—MAR. 23, 2010 technology (as defined in section 1848(o)(4)) designed to improve patient safety and reduce adverse events and health care com- plications resulting from medication errors. ‘‘(2) USE OF GRANT FUNDS.—Funds provided under grants under this subsection may be used for any of the following: ‘‘(A) Purchasing, leasing, and installing computer soft- ware and hardware, including handheld computer tech- nologies. ‘‘(B) Making improvements to existing computer soft- ware and hardware. ‘‘(C) Making upgrades and other improvements to existing computer software and hardware to enable e-pre- scribing. ‘‘(D) Providing education and training to eligible long- term care facility staff on the use of such technology to implement the electronic transmission of prescription and patient information. ‘‘(3) APPLICATION.— ‘‘(A) IN GENERAL.—To be eligible to receive a grant under this subsection, a long-term care facility shall submit an application to the Secretary at such time, in such manner, and containing such information as the Secretary may require (which may include evidence of consultation with the State in which the long-term care facility is located with respect to carrying out activities funded under the grant). ‘‘(B) AUTHORITY TO LIMIT NUMBER OF APPLICANTS.— Nothing in this subsection shall be construed as prohibiting the Secretary from limiting the number of applicants for a grant under this subsection. ‘‘(4) PARTICIPATION IN STATE HEALTH EXCHANGES.—A long- term care facility that receives a grant under this subsection shall, where available, participate in activities conducted by a State or a qualified State-designated entity (as defined in section 3013(f) of the Public Health Service Act) under a grant under section 3013 of the Public Health Service Act to coordi- nate care and for other purposes determined appropriate by the Secretary. ‘‘(5) ACCOUNTABILITY MEASURES.—The Secretary shall develop accountability measures to ensure that the activities conducted using funds made available under this subsection help improve patient safety and reduce adverse events and health care complications resulting from medication errors. ‘‘(c) ADOPTION OF STANDARDS FOR TRANSACTIONS INVOLVING CLINICAL DATA BY LONG-TERM CARE FACILITIES.— ‘‘(1) STANDARDS AND COMPATIBILITY.—The Secretary shall adopt electronic standards for the exchange of clinical data by long-term care facilities, including, where available, stand- ards for messaging and nomenclature. Standards adopted by the Secretary under the preceding sentence shall be compatible with standards established under part C of title XI, standards established under subsections (b)(2)(B)(i) and (e)(4) of section 1860D–4, standards adopted under section 3004 of the Public Health Service Act, and general health information technology standards. ‘‘(2) ELECTRONIC SUBMISSION OF DATA TO THE SECRETARY.—
