The EHR Incentive Program is Becoming "Promoting Interoperability"—

Are You Ready for 2019?

In April 2018, CMS published proposed changes to the Hospital EHR Incentive Programs with an increased focus on measures that require the electronic exchange of health information. To better reflect this focus, CMS is renaming the programs to the Promoting Interoperability (PI) Programs.

We read the 1,866 pages so you don't have to!  Download "A Practical Guide to Promoting Interoperability" here.

To give you some of the highlights:

  • Beginning with the 2019 reporting period all eligible Hospitals and Critical Access Hospitals (CAHs) will be required to use an EHR that meets the 2015 CEHRT standard.
  • The number of Meaningful Use measures will be reduced from 16 to just 5.
  • 80% of the measurement points will focus on electronic referral loops (which include transitions in care) and patient access to electronic records
  • Medicare income could be reduced by ~2% if the new targets are not met (1% for CAHs).
  • CMS will actively pursue hospitals that "block" access to patient records with additional enforcement actions.

Electronic referral loops focus on the digital exchange of a patient's medical record during referrals or other transitions in care. What is an electronic referral loop?

  • If a doctor orders follow-up care, that outbound referral or transition in care must be made digitally and include a copy of the patient’s record (a C-CDA)
  • If a digital referral is received by a hospital, it must upload and reconcile specific sections with the related patient data in the EHR.
  • NOTE: A referral sent from an EHR using a Fax gateway is not considered to be digital

The time to prepare to meet these measures is upon us!  Healthcelerate has published "A Practical Guide to Promoting Interoperability", so download your free copy here to learn more.


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