Medicare Promoting Interoperability Program

Overview

The goal of data interoperability is to improve electronic reporting to public health and ultimately improve patient care. CMS requires eligible hospitals, CAHs, and clinicians to adopt, implement, and upgrade various applications of certified EHR technologies. Benefits include:

• Interoperable data exchange between state, tribal, local, and territorial public health departments and clinical care providers
• Standardized data elements for data exchange
• Improved efficiency across the healthcare and public health system

Public Health Registry and Clinical Data Registry Reporting Objective in the Promoting Interoperability Programs include the following measures:

• Electronic Case Reporting
• Electronic Reportable Laboratory Test Reporting (for hospitals only)
• Immunization Registry Reporting
• Syndromic Surveillance Reporting
• Public Health Registries Reporting*
• Clinical Data Registries Reporting

*includes a) Cancer reporting by eligible professionals and clinicians only to state cancer registries

b) Reporting data by eligible professionals, clinicians, hospitals, and CAHs to CDC/NCHS on Health Care Surveys

c) Reporting data by eligible hospitals and CAHs to CDC/NHSN programs on antibiotic use and antibiotic resistance

Additional Information:

• Eligible clinicians will be required to report on two measures (Immunization Registry Reporting and Electronic Case Reporting).
• Eligible hospitals and CAHs will be required to report on four measures (Syndromic Surveillance Reporting, Immunization Registry Reporting, Electronic Case Reporting, and Electronic Reportable Laboratory Result Reporting) or claim applicable exclusions.
• The 2015 edition of Certified Electronic Health Record Technology (CEHRT) will be required.

Specification Sheets

The Medicare Promoting Interoperability Program specification sheets, for calendar year (CY) 2024 on the following reporting types, can be accessed through CMS's Resource Library. These are for eligible hospitals and clinical access hospitals only.

• Antimicrobial Use and Antimicrobial Resistance
• 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 2025, the electronic health record (EHR) reporting period is a minimum of any continuous 180-day period. For more information on the Medicare Promoting Interoperability Program, visit the Promoting Interoperability Jurisdictional Website.

2025 Medicare Promoting Interoperability Program made changes to the Public Health reporting requirements:

• Final rule for eligible hospitals and critical access hospitals
  • Pages 69,600 - 69,627 for regulatory text
    
• Final rule for eligible clinicians
  • Pages 98,344 - 98,345 for regulatory text
    

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.