Public Health Data Interoperability

The Centers for Medicare & Medicaid Services (CMS) has revised public health reporting requirements for eligible clinicians participating in the 2023 Merit-Based Incentive Payment System (MIPS) Promoting Interoperability Performance Category and for eligible hospitals and critical access hospitals (CAHs) participating in the 2023 Medicare Promoting Interoperability Program. Eligible clinicians, hospitals, and CAHs may select an EHR reporting period of a minimum of any continuous 90-day period in the 2023 calendar year.

data interoperability
What are the goals of Healthcare Data Interoperability?

Effective interoperability of healthcare data ensures that electronic health information is shared appropriately between healthcare and public health partners in the right format, through the right channel at the right time.

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Find out how to implement Data Interoperability:

Specification Sheets
Two People in a Lab

The Medicare Promoting Interoperability Program specification sheets, for calendar year (CY) 2023 on the following reporting types, can be accessed through CMS’s Resource Library. These are for eligible hospitals and clinical access hospitals only.

  • Clinical Data Registry Reporting
  • Electronic Case Reporting
  • Electronic Reportable Laboratory Result Reporting
  • Immunization Registry Reporting
  • Public Health Registry Reporting
  • Syndromic Surveillance Reporting

The specification sheets for eligible clinicians participating in MIPS can be accessed through the Quality Payment Program Resource Library.

  • Clinical Data Registry Reporting
  • Electronic Case Reporting
  • Immunization Registry Reporting
  • Public Health Registry Reporting
  • Syndromic Surveillance Reporting
Rules and Agreements

For calendar year 2023, the electronic health record (EHR) reporting period is a minimum of any continuous 90-day period. For more information on the Medicare Promoting Interoperability Program, visit the Promoting Interoperability Jurisdictional Website.

2023 Medicare Promoting Interoperability Program made changes to the Public Health reporting requirements:

  • Final rule for eligible hospitals and critical access hospitals
    • Pages 49,334-49,342 for regulatory text
    • Tables on pages 49,343-49,345
  • Final rule for eligible clinicians
    • Pages 70,071-70,074 for regulatory text
    • Tables on pages 70,075-70,079

For more information, review the CMS Promoting Interoperability Program Update.

The Office of the National Coordinator for Health Information Technology developed and released the Trusted Exchange Framework and Common Agreement (TEFCA). This framework describes foundational principles for trust exchanges among health information networks nationally and agreement on infrastructure model and governing approach to share clinical information across networks.