{"id":22211,"date":"2022-10-13T14:17:27","date_gmt":"2022-10-13T18:17:27","guid":{"rendered":"https:\/\/healthit-gov.go-vip.net\/buzz-blog\/?p=22211"},"modified":"2026-01-17T21:36:09","modified_gmt":"2026-01-17T21:36:09","slug":"interoperability-in-action-cms-rule-builds-on-onc-initiatives-to-simplify-health-information-exchange","status":"publish","type":"post","link":"https:\/\/healthit.gov\/blog\/health-information-exchange-2\/interoperability-in-action-cms-rule-builds-on-onc-initiatives-to-simplify-health-information-exchange\/","title":{"rendered":"Interoperability in Action: CMS Rule Builds on ONC Initiatives to Simplify Health Information Exchange"},"content":{"rendered":"\n<p><span data-contrast=\"auto\">On August 1, 2022, the Centers for Medicare &amp; Medicaid Services (CMS) <\/span><a href=\"https:\/\/www.cms.gov\/newsroom\/press-releases\/new-cms-rule-increases-payments-acute-care-hospitals-and-advances-health-equity-maternal-health\"><span data-contrast=\"none\">announced final changes to its payment program for acute care hospitals in 2023<\/span><\/a><span data-contrast=\"auto\">. The FY 2023 Inpatient Prospective Payment System (IPPS) final rule also included policies for the 2023 Medicare Promoting Interoperability Program, which rewards eligible hospitals and critical access hospitals (CAHs) for the meaningful use of certified electronic health record (EHR) technology, and for the Inpatient Quality Reporting Program, which requires hospitals to report data in key areas.&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><wp-block data-block=\"core\/more\"><\/wp-block><\/p>\n\n\n\n<p><span data-contrast=\"auto\">Important new elements of these programs can help advance nationwide health information exchange, reduce administrative burden for providers, and incentivize effective use of health IT in 2023 and beyond, including policies to:&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span data-contrast=\"auto\">Incentivize exchange of information under the Trusted Exchange Framework and Common Agreement<sup>SM<\/sup> (TEFCA<sup>SM<\/sup>);<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n\n\n\n<li><span data-contrast=\"auto\">Expand electronic reporting of information to public health agencies; and<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n\n\n\n<li><span data-contrast=\"auto\">Capture information on social determinants of health to inform referrals for social care needs.<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<\/ul>\n\n\n\n<p><span data-contrast=\"auto\">In this two-part blog series, ONC will unpack these provisions and highlight the potential they hold to advance interoperability by driving hospital and CAH use of important health IT capabilities connected to ONC programs. This first blog looks at IPPS measures related to the use of networks that facilitate health information exchange.&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-promoting-health-information-exchange-nbsp\"><b><span data-contrast=\"auto\">Promoting Health Information Exchange<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/h2>\n\n\n\n<p><span data-contrast=\"auto\">As part of the 2023 IPPS final rule, CMS finalized a new measure under the health information exchange (HIE) objective of the Promoting Interoperability Program that creates a powerful incentive for hospitals to lead the way in advancing truly robust information exchange at a national scale.&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<p><span data-contrast=\"auto\">Eligible hospitals and CAHs that participate in the Promoting Interoperability Program in 2023 will have the opportunity to report on a new \u201cEnabling Exchange under TEFCA\u201d measure. This measure will reward hospitals that use certified EHR technology to enable \u201csecure, bi-directional exchange of information\u201d using TEFCA.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/p>\n\n\n\n<p><span data-contrast=\"auto\">Building on the 21<\/span><span data-contrast=\"auto\">st<\/span><span data-contrast=\"auto\"> Century Cures Act, TEFCA is an initiative <\/span><a href=\"https:\/\/healthit.gov\/interoperability\/trusted-exchange-framework-and-common-agreement-tefca\/\"><span data-contrast=\"none\">co-led by ONC<\/span><\/a><span data-contrast=\"auto\"> that aims to establish a universal floor for interoperability across the country. The Common Agreement, <\/span><a href=\"https:\/\/healthit.gov\/buzz-blog\/interoperability\/321tefca-is-go-for-launch\"><span data-contrast=\"none\">released by ONC in January 2022<\/span><\/a><span data-contrast=\"auto\">, establishes the infrastructure model and governing approach for users in different health information networks (HINs) to securely share basic clinical information with each other\u2014all under commonly agreed-to expectations and rules, and regardless of which network they happen to be in. The Trusted Exchange Framework describes a common set of non-binding, foundational principles for trust policies and practices that can help facilitate exchange among HINs.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/p>\n\n\n\n<p><span data-contrast=\"auto\">Eligible hospitals and CAHs that attest to exchanging information under TEFCA can receive full credit for the Health Information Exchange objective under the Promoting Interoperability Program. While the original measures under the HIE objective required providers to report on their performance, TEFCA participants can simply attest that they are engaged in bi-directional participation via TEFCA, simplifying reporting requirements to participate in the program. Under the new measure, those who participate in a network supported under TEFCA will automatically meet the Promoting Interoperability Program\u2019s standard for robust health information exchange.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/p>\n\n\n\n<p><span data-contrast=\"auto\">By linking the Promoting Interoperability Program to participation in exchange facilitated by TEFCA, CMS is supporting the advantages that networks with greater capacity and connections can provide when it comes to care coordination. Moreover, ONC believes this new incentive in the Promoting Interoperability Program can help to drive early participation in TEFCA, creating a wave of momentum toward nationwide health information exchange.&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-expanding-ipps-role-in-public-health-and-health-equity-reporting-nbsp\"><b><span data-contrast=\"auto\">Expanding IPPS\u2019 Role in Public Health and Health Equity Reporting<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/h2>\n\n\n\n<p><span data-contrast=\"auto\">In Part 2 of this blog series, we will highlight additional provisions in the IPPS final rule that leverage health networks and health data sharing for better reporting on public health, as well as new quality measures driving health equity through widespread capture of social determinants of health (SDOH) information.&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<p>This is the first post in a <a href=\"https:\/\/healthit.gov\/buzz-blog\/category\/blog-series-cms-ipps-rule\">blog series<\/a> about how the CMS IPPS Rule is building on ONC initiatives.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>On August 1, 2022, the Centers for Medicare &amp; Medicaid Services (CMS) announced final changes [&hellip;]<\/p>\n","protected":false},"author":619,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_selected_menu":"","_show_breadcrumbs":"true","_blog_show_featured_image":false,"footnotes":""},"categories":[24,27,56],"archived-category":[679],"featured":[],"topics":[408,418,414,419],"class_list":["post-22211","post","type-post","status-publish","format-standard","hentry","category-health-information-exchange-2","category-health-it","category-tefca","archived-category-blog-series-cms-ipps-rule","topics-care-continuum","topics-interoperability","topics-public-health","topics-tefca"],"acf":{"blog_authors":[{"blog_author_profiles":"198560"},{"blog_author_profiles":"193019"}],"hp_news_hide":false},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.3 (Yoast SEO v24.8.1) - 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