Promoting Interoperability (PI) Programs
Previously known as Meaningful Use EHR Incentive Programs
The Centers for Medicare & Medicaid Services (CMS) established the Promoting Interoperability Programs in 2011 to
encourage eligible professionals (EPs), eligible hospitals (EHs) and critical access
hospitals (CAHs) to adopt, implement, upgrade and successfully demonstrate meaningful use of certified electronic health record technology (CEHRT). The Medicare and Medicaid PI Programs were designed to measure the use of CEHRT in three stages:
STAGE 1
Established requirements for the electronic capture of clinical data.
STAGE 2
Expanded upon the Stage 1 criteria with a focus on advancing clinical processes and ensuring that the meaningful use of EHRs supported the aims and priorities of the National Quality Strategy. Stage 2 criteria encourages use of CEHRT for continuous quality improvement at the point of care and the exchange of information in the most structured format possible.
In October 2015, CMS released the “Medicare and Medicaid Programs Electronic Health Record Incentive Program - Stage 3 and Modifications to Meaningful Use,” which modified Stage 2 requirements to streamline reporting requirements on measures that had become redundant, duplicative, or topped out.
STAGE 3
Established in 2017 as a result of the 2015 final rule. Stage 3 focuses on using CEHRT to improve health outcomes.
Who is Eligible for EHR Incentive Dollars?
Eligible Providers (EP)
- There are five categories of providers eligible for incentive payments: physicians, dentists, certified nurse midwives, nurse practitioners, and physician assistants. These providers must have 30 percent of their patient encounters billed to the Oregon Health Plan (OHP).
- EPs from Federally Qualified Health Centers (FQHC) and rural health centers have a less stringent definition, which is that 30 percent of their patients must be low income individuals.
- All providers must have an active National Provider Identifier (NPI) number.
Eligible Hospitals (EH)
- There are two categories of hospitals eligible for incentive payments: Acute Care Hospitals (including Critical Access Hospitals and Cancer Hospitals), and Children's Hospitals.
- Acute Care Hospitals must have at least 10 percent Medicaid patient volume.
- Children's Hospitals are not subject to any Medicaid patient volume requirements.
For more information about eligibility and 2018 program requirements, visit the CMS PI website.
How Can I Participate?
The Oregon Public Health Division is excited that you are interested in participating. The data you provide help us achieve our vision of a healthy Oregon.
PLEASE NOTE: You must first register and apply for Oregon's Medicaid EHR Incentive Program through the Oregon Office of Health IT before you register intent with the Public Health Division.
Measures that can be met under the public health objectives in Oregon
To meet any measure, EPs and EHs must be actively engaged in the onboarding process, which can be demonstrated by:
- Registration of intent
- Message testing and validation - OR - ongoing submission of production messages
| |
Modified Stage 2 & Stage 3 |
Standards |
Exclusion |
|---|
Immunization Registry
- ALERT Immunization Information System (IIS)
|
Register intent, be actively engaged in the onboarding process, or achieve ongoing submission. |
ALERT IIS HL7 v2.5.1
- CVX (Data content)
|
Providers that do not administer immunizations are excluded from this measure. |
Syndromic Surveillance
- Oregon ESSENCE
|
Register intent, be actively engaged in the onboarding process, or achieve ongoing submission |
HL7 v2.5.1
ADT Message types A01, A03, A04 and A08
PHIN Vocabulary Standards |
Oregon is only accepting syndromic surveillance data from EPs working in Urgent Care settings. |
| |
Modified Stage 2 & Stage 3 |
Standards |
|---|
Immunization Registry
- ALERT Immunization Information System (IIS)
|
Register intent, be actively engaged in the onboarding process, or achieve ongoing submission |
ALERT IIS HL7 v2.5.1
CVX (Data content) |
Syndromic Surveillance
- Oregon ESSENCE
|
Register intent, be actively engaged in the onboarding process, or achieve ongoing submission |
HL7 v2.5.1
ADT Message types A01, A03, A04 and A08
PHIN Vocabulary Standards |
Electronic Lab Reporting
- Electronic Lab Reporting (ELR)
|
Register intent, be actively engaged in the onboarding process, or achieve ongoing submission |
HL7 v2.5.1
ORU^R01 messages
LOINC (Data content)
SNOMED (Data content) |
Eligible Providers - Specialized Registries
| |
Modified Stage 2 & Stage 3 |
Standards |
Exclusion |
|---|
- Oregon State Cancer Registry (OSCaR)
|
As of May 1, 2017 the Oregon Public Health Division is no longer accepting cancer reports. (Download the furlough letter here.) |
--NA--
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Providers that
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- Blood Lead Reporting (ELR)
|
Register intent, be actively engaged in the onboarding process, or achieve ongoing submission |
HL7 v2.5.1
ORU^R01 messages
LOINC (Data content)
SNOMED (Data content) |
Providers that do not test in-house for blood lead levels are excluded from this measure. |
- Communicable Disease Reporting (ELR)
|
Register intent, be actively engaged in the onboarding process, or achieve ongoing submission. |
HL7 v2.5.1
ORU^R01 messages
LOINC (Data content)
SNOMED (Data content) |
Providers that do not test in-house for reportable communicable conditions are excluded from this measure. |
- Prescription Drug Monitoring Program (PDMP)
|
Register intent, have an active account with PDMP, perform at least one query during the reporting period |
-- N/A -- |
Providers that do not prescribe are excluded from this measure. |
|---|
| Electronic Case Reporting (eCR) |
Register intent, be actively engaged in the onboarding process, or achieve ongoing submission. |
HL7 CDA® R2 Implementation Guide: Public Health Case Report, Release 2 - US Realm - the Electronic Initial Case Report (eICR) |
--N/A-- |