February 2019 HIT Newsletter

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Clinical Data Repository (CDR):

Electronic Health Records (EHR):

  • CMS EHR Help desk: 1-888-734-6433 option #1
  • CMS account security: 1-866-484-8049 option #3

Clinical Data Repository updates

HIT in the community

Web portal is now open for viewing data

The CDR web portal is available for viewing by all licensed processionals. This includes physical and behavioral health providers and their delegates.

Some things to remember:

  • All organizations viewing CDR data must be a HIPAA covered entity and have a signed Health Information Exchange participation agreement with OneHealthPort.
  • Only staff with a need to view individual client-level data may access the CDR. (As determined by their manager and configured by their internal IT access staff.) This is similar to how your organization grants electronic health records access.
  • Users can complete training in one hour or less. Organizations using the CDR will not incur training costs from OneHealthPort or HCA. Reference materials are available on OneHealthPort’s website.

The User Acceptance Testing domain is open and ready for testing for those who have not completed CDR onboarding. OneHealthPort will work with vendors to help remaining providers complete their onboarding activities.

“Small provider” exception

Organizations with less than four providers are exempt from submitting Continuity of Care documents (CCDs) to the CDR until July 1, 2019. In addition, all providers may view CDR data, regardless if they currently submit CCDs.

If your organization would like to begin using the CDR, please contact OneHealthPort. If you are using the CDR web portal and want to share feedback, please contact HIT at healthit@hca.wa.gov.

Electronic Health Records Incentive Program updates

Attestation portal is closed for updates

We have closed the attestation portal and extended our 2018 deadline due to recent CMS changes to the Final Rule. These limited changes won't be available until early Summer. 

Once these changes have been updated in the EHR attestation application, we will send a notification letting you know that the portal is open and you can come in and attest. 

Please visit the eCQI Resource Center for more details on specific measures that will be changing. 



New documentation required for EHR Incentive Program

We are now requiring a Security Risk Analysis Cover Sheet to be included with the SRA. Make sure the date span on the cover sheet matches the dates you attested with. Be sure to check White Paper #9 on our website for the most current documentation requirements. 

The future of the EHR Program

We have created a chart that outlines the remaining years of the EHR Incentive Program. This chart includes what stages, objectives, and CQMs are required for each year as well as important dates. 

CMS Proposed Rule

We will be reviewing the CMS Proposed Rule at our next Q&A Webinar.The commenting period starts March 4th and ends May 3rd for CMS so we would love to submit your feedback to them. You can find the proposed rule below. You may send comments to our inbox or hold on to them for discussion till our March 13th Q&A Webinar. 

CMS Advances Interoperability & Patient Access to Health Data through New Proposals

CMS will accept comments on the major provisions in this proposed rule and the RFIs (CMS-9115-P) until early April (exact date will be updated upon posting at the Federal Register); it can be downloaded from the Federal Register at: https://www.federalregister.gov/public-inspection.

Health Information Exchange and Care Coordination Across Payers
We are proposing to require Medicare Advantage (MA) organizations, state Medicaid and CHIP FFS programs, Medicaid managed care plans, CHIP managed care entities, and QHP issuers in FFEs to implement, test, and monitor an openly-published Health Level Seven (HL7®) Fast Healthcare Interoperability Resources (FHIR®)-based APIs to make patient claims and other health information available to patients through third-party applications and developers. We are proposing to require MA organizations, Medicaid managed care plans, CHIP managed care entities, and QHP issuers in the FFEs to support electronic exchange of data for transitions of care as patients move between these plan types. This data includes information about diagnoses, procedures, tests and providers seen and provides insights into a beneficiary’s health and healthcare utilization.

API Access to Published Provider Directory Data
We are proposing to require MA organizations, state Medicaid and CHIP FFS programs, Medicaid managed care plans, and CHIP managed care entities to make their provider networks available to enrollees and prospective enrollees through API technology.

Care Coordination Through Trusted Exchange Networks
We propose that payers in CMS programs be able to participate in a trusted exchange network which would allow them to join any health information network they choose and be able to participate in nationwide exchange of data. We propose requiring MA organizations (including MA-PD plans), Medicaid managed care plans, CHIP managed care entities, and QHP issuers in the FFEs to participate in trust networks to improve interoperability.

Improving the Dual Eligible Experience by Increasing Frequency of Federal-State Data Exchanges
CMS proposes an update on the frequency with which states are required to exchange certain Medicare/Medicaid data on dually eligible beneficiaries from a monthly exchange to a daily exchange to improve benefit coordination for the dual eligible population. The data exchanged include files of all eligible Medicaid beneficiaries by state, as well as “buy-in” data, or information about beneficiaries states are using Medicaid funds to “buy-in” Medicare services.

Public Reporting and Prevention of Information Blocking
We believe it would benefit patients and caregivers to know if individual clinicians, hospitals, and critical access hospitals (CAHs) have submitted a “no” response to any of the three attestation statements regarding the prevention of information blocking in the Promoting Interoperability Programs. Making this information publicly available may motivate clinicians, hospitals, and CAHs to refrain from information blocking.

Provider Digital Contact Information
CMS is proposing to publicly report the names and National Provider Identifiers (NPIs) of those providers who have not added digital contact information to their entries in the NPPES system beginning in the second half of 2020.

Revisions to the Conditions of Participation (CoPs) for Hospitals and Critical Access Hospitals
We propose requiring Medicare-participating hospitals, psychiatric hospitals, and CAHs to send electronic notifications when a patient is admitted, discharged or transferred.

Advancing Interoperability in Innovative Models
The Innovation Center is seeking public comment on promoting interoperability among model participants and other healthcare providers as part of the design and testing of innovative payment and service delivery models.
To view the proposed rule (CMS-9115-P), please visit: https://www.federalregister.gov/public-inspection 

Available Now: New Resources for the 2019 Program Year for the Promoting Interoperability Programs

The Centers for Medicare & Medicaid Services (CMS) is currently updating the Promoting Interoperability Programs website to include new resources for the 2019 program year. Below are resources that are now available online:

Now Available: Updated 2019 CMS QRDA I Schematron for HQR

The Centers for Medicare & Medicaid Services (CMS) has released an updated 2019 CMS Quality Reporting Document Architecture (QRDA) Category I Schematron for Hospital Quality Reporting (HQR). The updated Schematron provides technical instructions for reporting electronic clinical quality measures (eCQMs) for the calendar year 2019 reporting period for the:

  • Hospital Inpatient Quality Reporting (IQR) Program
  • Medicare and Medicaid Promoting Interoperability (PI) Programs for Eligible Hospitals and Critical Access Hospitals (CAHs)

EHR statistics


Paid for Year 1 = 87 ($63,568,957)
Paid for Year 2 = 81 ($36,102,305)
Paid for Year 3 = 77 ($29,081,024)
Paid for Year 4 = 65 ($21,818,230.85)


Paid for Year 1 = 6,938 ($146,795,030)
Paid for Year 2 = 3,508 ($29,667,851)
Paid for Year 3 = 2,453 ($20,796,673)
Paid for Year 4 = 1,755 ($14,866,506)
Paid for Year 5 = 1,198 ($10,160,336)
Paid for Year 6 = 569 ($4,807,890)

Grand total paid = $377,664,802.85