The EHR Incentive Program is Now "Promoting Interoperability"—

Are You Able to Share Digital Records Anywhere You Need To?

In July 2018, CMS published its Final Rule about 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 has renamed the programs to the Promoting Interoperability (PI) Programs.

We invite you to download "A Practical Guide to Promoting Interoperability" today!  

Here are 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 has been reduced from 16 to just 5.

  • 80% of the points 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).

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

  • When a doctor orders follow-up care, the referral or transition of care must be made digitally and include a copy of the patient 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