Hospitals, The CHIE and the CMS Interoperability and Patient Access Rule

Hospitals should prepare now for the new Conditions of Participation

The New CMS Condition of Participation Requires Hospitals to Share E-Notifications

What does this new rule mean for hospitals?

On March 9, 2020, CMS announced new Admit, Discharge, and Transfer (ADT) Electronic Notifications Conditions of Participation¹ that left many questioning what the hospitals would be responsible for and what they would need to do in order to become compliant by the May 1, 2021 deadline. 

Here is a quick summary of the rule and a compliance checklist to help!

The new CMS Condition of Participation requires all hospitals, psychiatric hospitals, and critical access hospitals utilizing an electronic medical records system or other electronic administrative systems, (which is conformant with the content exchange standard HL7 v2.5.1) to make a reasonable effort to send real-time electronic notifications:

  • At the point of inpatient and observation admission, discharge, transfer and at emergency department presentation or discharge
  • To every patient’s established Primary Care Provider (PCP), established primary care practice group or entity, other practitioners/practice groups/entities identified by the patient as primarily responsible for his or her care, and applicable post-acute providers who need to receive notification for treatment, care coordination, or quality improvement purposes
  • Containing at a minimum: patient name, treating practitioner name, and sending institution name

CHIE Alerts: The Simplest, Most Comprehensive Solution to Guarantee Electronic Patient Event Notifications are Processed in a Secure and Compliant Manner

Built on UHIN’s trusted network, CHIE Alerts alleviates a hospital’s compliance IT and data-sharing burdens. CHIE Alerts seamlessly delivers ADT e-notifications to providers in a patient’s care continuum, as well as to other requesting community groups. The CHIE manages all the complexities involved with sending the alerts, from executing data sharing agreements with all e-notification recipients, to managing and executing the frequent, real-time changes to a diverse array of patient roster types to track patient/provider attribution. Learn more about our CHIE Alerts suite at

CHIE Alerts

Ready to get set up with CHIE Alerts? Contact our team today to Get Started.


¹  CMS Interoperability and Patient Access final rule. 17 Jul. 2020. Accessed 9 Dec. 2020.

Dr. Don Rucker – HIT 2020 Highlights

Dr. Don Rucker presented at the 2020 HIT Conference in his capacity as the National Coordinator for Health IT at the ONC. To view the video recording of the entire session, please click here.

Highlights from Dr. Rucker:

The pandemic has brought national awareness of the need for accessible, actionable health information. As the healthcare industry looks forward to possible solutions, the role of HIEs looks to be paramount on the road to interoperability. The ONC expects HIEs and data sharing agreements to grow with strong support and incentives from the federal level.

The ONC interoperability rule is an effort to achieve the goals of the CURES Act, which contains three major directives that affect the health IT sphere. They are as follows:

  • Prohibitions against information blocking
  • A requirement for application programming interfaces “without special effort”
  • Creation of a common framework for HIE information exchange (HIE to HIE)

To read more about the interoperability rule and information blocking, click here.

“We believe the ONC interoperability rule is a very pro-public initiative,” said Dr. Rucker when speaking of the project. Elements like the introduction of a data standard built for population analysis rather than individual queries is meant to help healthcare providers gain the flexibility and capability to get more actionable information on their patient population and improve the quality of care.

The Q&A portion of Dr. Rucker’s presentation included questions on the HIT Certification Program, the current timeline on the interoperability rule, telehealth data standardization, and more. To skip directly to the Q&A video recording, please click here.

ONC Announces Unified Specification for Address in Health Care – Project US@

The ONC Addresses Patient Addresses with New Specification

A new standard

The Office of the National Coordinator for Health Information Technology (ONC)  announced Tuesday that it will develop a unified specification for a key element in patient matching – patient address. The announcement came during ONC’s API Year in Review virtual event as a new initiative to standardize how patient addresses are represented in the healthcare ecosystem. The new initiative, called Project US@, will formally launch in early 2021 and brings together the ONC, Health Level 7 (HL7), the National Council for Prescription Drug Programs (NCPDP), and X12 (along with the other standards development organizations (SDOs) and members of the Health Standards Collaborative (HSC)). 

In a statement by the ONC, Deputy National Coordinator, Steve Posnack, said, “As mundane as address may seem it is often one of the key elements used for the purposes of patient matching and linking records.” He also stated, “The project’s goal is to issue a unified, cross-SDO, health care industry-wide specification for representing address within the year.”¹

Many in the healthcare industry have expressed the need for a unified standard around patient address, as the lack of specificity allowed implementers to decide on which format to use. “Without specific constraints to rely on, implementers use a variety of free and commercial third party tools, resources, and methods to help normalize address representations,” said Posnack. “But as we discussed in ONC’s Cures Act Final Rule it has its limits.”

What does this mean for SDOs and patient data stewards across the country?

As an SDO on the local and national level, UHIN is acutely aware of the need for standards to improve patient matching. UHIN’s new master patient index (MPI) has drastically improved patient matching accuracy for its clients, and the hope is that Project US@ will make patient matching even more accurate. 

“With the shift to value-based care it is more crucial that data from different standards be joined to form a holistic view of the patient/member,” said Cody Johansen, Director of HIE at UHIN. “By standardizing address information across multiple SDOs this will both increase the reliability of the data used for matching as well as improve the matching rate across different data types.”

UHIN’s MPI improving patient identity matching

In 2020 UHIN implemented a powerful new patient identity matching solution. The new MPI has resulted in 7.3 Million records cleaned and 965k duplicates resolved.² A new case study with NextGate is available here

A new Interoperability Platform to bridge standards

UHIN has a new interoperability platform in development called the Healthcare Platform. Our Healthcare Platform is being built for data-driven workflows, making healthcare analytics accessible and usable and acting as a bridge for all standards. To get updates on the Healthcare Platform visit


¹ Posnack, Steve. “Say “Hey!” to Project US@ – a Unified Specification for Address in Health Care.” 1 Dec. 2020,

² “CASE STUDY: UHIN Leverages Leading Patient Identification Platform to Drive Quality and Coordination of Care, Support COVID-19 Response.”

Top 3 Takeaways from HIT 2020

With the 2020 HIT Conference in the rearview mirror, we wanted to talk a look back at the highlights.

Our Top 3 Takeaways from HIT 2020:


The top sessions of the conference by session feedback and attendance were our 3 featured sessions, by Dr. Don Rucker, Dr. Gurpreet Dhaliwal, and Dr. Ajit Singh. Those who registered can see the full session recordings through the WHOVA app. Sessions are also available on our UHIN Stage YouTube page. Some sessions are available to those who weren’t able to attend the event! 


We nerded out on FHIR with several in-depth presentations related to the possibilities of FHIR in connecting our healthcare data for interoperability. Check out these three FHIR sessions: 

  1. Integrated FHIR Delivery –
  2. The Evolving Quality Measures Ecosystem –
  3. FHIR Panel with Cambia Grove Innovator Fellowship –


UHIN has a new interoperability platform in the works called the Healthcare Platform. More details coming in 2021, but you can be the first to get updates by subscribing. We’re looking for interested organizations to Build With Us, so visit our Healthcare Platform page for details: