CMS-9115-P Proposed Regulation – “Every American should be able, without special effort or advanced technology skills, to see, obtain, and use all electronically available information that is relevant to their health, care and choices – of plans, providers and specific treatment options”
The Interoperability and Patient Access final rule includes policies that impact a variety of stakeholders. Recognizing that hospitals, including psychiatric hospitals, and critical access hospitals, are on the front lines of the COVID-19 public health emergency, CMS is extending the implementation timeline for the admission, discharge, and transfer (ADT) notification Conditions of Participation (CoPs) by an additional six months. In the version of the rule displayed on March 9, 2020 on the CMS website, it stated these CoPs would be effective 6 months after the publication of the final rule in the Federal Register.
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Interoperability Timelines
Medicare Advantage (MA), Medicaid, and the Children’s Health Insurance Program (CHIP)
Interoperability Goals
Interoperability can be defined as the idea of achieving broad access to common information across an uncommon landscape, between disparate partners. Interoperability achieves the ability of different information technology systems and software applications to communicate, exchange data and use the information that has been exchanged. Data exchange schema and standards should permit data to be shared across clinician, lab, hospital, pharmacy and patient regardless of the application or application vendor.
Summary of Data Classes and Data Elements for the Mandate
HHS has also finalized content and vocabulary standards in the ONC’s 21st Century Cures Act final rule for payers and developers to use, including:
USCDI: The United States Core Data for Interoperability (USCDI) is a standardized set of health data classes and constituent data elements for nationwide, interoperable health information exchange. CMS has required that payers share the USCDI data they maintain with patients via the Patient Access API, and with other payers via the Payer-to-Payer Data Exchange.
iSteer’s Interoperability “End to End” Platform
iSteer’s interoperability solution is a fully managed, enterprise grade service for health-data in FHIR format and the solution can be deployed on any cloud or on-prem or hybrid. The FHIR API and data store allows healthcare organizations to connect securely and interact with any system that uses FHIR-based APIs.
iSteer takes on the development, operations, maintenance, updates and compliance requirements in a platform-as-a-service offering, enabling organizations to free up their operational and development resources.
Implementation Approach
iSteer takes on the development, operations, maintenance, updates and compliance requirements in a platform-as-a-service offering, enabling organizations to free up their operational and development resources.
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