It’s going to be a busy 12 months – a very busy 12 months. In 2022, a lot of the promise of the 21st Century Cures Act involves licensed well being IT close to you.
ONC dutifully displays business progress in direction of certification to the 2015 Version Cures Replace (Cures Replace), which introduces new requirements and functionalities that may profit our well being care system in a wide range of methods. This consists of improved interoperability by means of safe, standards-based software programming interfaces (APIs) and the US Core Information for Interoperability Model 1 (USCDI v1); enhanced affected person security with a brand new e-prescribing normal; and help for different Division of Well being and Human Companies (HHS) applications, resembling CMS’s Selling Interoperability Packages.
ONC’s closing guidelines, well being IT whose merchandise are licensed to the relevant standards are required to supply these new functionalities to their clients by December 31, 2022. And so far, whereas the business has gotten a begin, a whole lot of certification motion will occur within the coming months:
Progress of Certification to the 2015 Version Cures Replace Standards to be Obtainable by December 31, 2022
Builders are making regular progress with the brand new privateness and safety certification standards. These require transparency attestations indicating whether or not an authorized well being IT developer helps encrypting authentication credentials and multi-factor authentication. Moreover, we see a small, however promising uptick in using extra granular safety tags to limit redisclosure of delicate data on the information entry degree. Whereas these are attestations and voluntary updates, we view these traits as business responding to and taking significantly the alternatives to enhance privateness and safety by means of certification standards.
Beneath ONC’s closing guidelines, well being IT builders of licensed well being IT (licensed well being IT builders) whose merchandise are licensed to the relevant standards are required to supply these new functionalities to their clients by December 31, 2022.
Standardized APIs and USCDI
There are a number of different vital Cures Replace certification standards the place appreciable progress might want to happen all year long to satisfy the December 31, 2022 deadline, together with the brand new standardized FHIR API for affected person and inhabitants providers. Standardized FHIR APIs will facilitate interoperability throughout licensed well being IT builders and scientific settings, serving as a basis for innovation and supporting the event of latest and revolutionary software program purposes. An ecosystem of APIs, underpinned by particular FHIR requirements, will assist be certain that well being care suppliers, well being insurers, public well being businesses, accountable care organizations, and different well being care entities can entry and use affected person information in new methods to handle their sufferers’ well being and care. And standards-based APIs will assist sufferers extra simply hook up with totally different sources of their very own well being information, enabling them to mixture their data right into a singular view or use totally different apps to know their well being.
Past APIs, the 2015 Version Cures Replace requires licensed well being IT builders whose merchandise are licensed to a number of totally different certification standards to include USCDI v1 information parts into their well being IT. Within the context of ONC certification, USCDI v1 represents the minimal set of information that well being IT licensed to sure certification standards is required to help for information entry and change. Well being IT beforehand licensed to a number of totally different certification standards must be up to date to adapt with USCDI v1 by December 31, 2022. Furthermore, as a upkeep of certification requirement (45 CFR 170.404(b)(2)(ii)), licensed well being IT builders should present these USCDI v1 up to date capabilities to their clients by December 31, 2022, so we count on testing and certification to ramp up and happen within the coming months for a lot of well being IT builders.
Once more, it’s vital to notice the ONC Cures Act Closing Rule and the extension of compliance dates and timeframes require licensed well being IT builders to improve sure facets of their licensed well being IT and supply their upgraded licensed well being IT to their clients by December 31, 2022.
We’re thrilled to see a number of coverage initiatives come to fruition in 2022 and are optimistic that this 12 months can be an vital milestone in our interoperability journey.
For extra data and assets on the advantages of the 2015 Version Cures Replace, try a not too long ago revealed Cures Replace truth sheet [PDF – 405 KB]. We encourage all stakeholders to familiarize themselves with the small print offered on this truth sheet, and we welcome questions by means of the ONC Well being IT Suggestions and Inquiry Portal.