Issue link: https://beckershealthcare.uberflip.com/i/1341133
46 CIO / HEALTH IT ONC releases resources for interoperability rules: A timeline of key compliance dates By Jackie Drees T he HHS Office of the National Co- ordinator for Health IT on Jan. 4 re- leased resources and guidelines for requirements related to its upcoming information-blocking rules. In March 2020, HHS finalized two interop- erability rules issued by ONC and CMS to support the MyHealthEData Initiative and 21st Century Cures Act. ONC's final rule establishes new regulations to prevent information-blocking practices by provid- ers, health IT developers, health information exchanges and health information networks. e rule also aims to give patients more ac- cess to their health information via smart- phone apps of their choice. Here are key dates of compliance for the rules: April 5, 2021: Assurances condition of certi- fication; health IT developers are prohibited from interfering with a user's ability to access or use certified capabilities for any purpose within the tech's certification. April 5, 2021: Communications condition of certification; developers cannot prevent or restrict communications about certain performance aspects of health IT and related business practices. Developers can impose certain types of limited restrictions that cre- ate a balance between the need to promote open communication about health IT with the need to protect business interests of developers and others. April 5, 2021: Communications maintenance of certification; developers must amend their contracts/agreements that contravene the re- quirements of the Communications condition of certification put in place June 30, 2020. April 5, 2021: Application programming in- terfaces condition and maintenance of certi- fication; API developers with certified tech must be in compliance with the API condition of certification requirements. April 5, 2021: Information blocking condi- tion of certification; developers are prohibit- ed from information blocking. Dec. 15, 2021: Real world testing condition and maintenance of certification; developers must successfully test the real-world use of their interoperability tech in their appropri- ate market cases. Testing plans must be made publicly available through the Certified Health IT Products List. Jan. 1, 2022: Medicaid's Promoting Interop- erability Program sunsets, which leaves cer- tain support measures maintained by the program no longer included as part of the ONC Health IT Certification Program. April 1-30, 2022: Attestations maintenance of certification; the first of two yearly attesta- tions begins April 1 and will be accepted by ONC through April 30. Health IT developers must send their attestations in to show they have met certification requirements. Dec. 31, 2022: Standardized APIs for pa- tient and population services; developers must provide standardized access to sin- gle patient and multiple patient services via an API using the Fast Healthcare In- teroperability Resources Release 4.0.1 stan- dard and several additional standards and implementation specifications. Dec. 31, 2022: Privacy and security trans- parency attestations; developers must attest "yes" or "no" to the new encrypt authentica- tion credentials and multi-factor authentica- tion certification criteria. Dec. 31, 2022: Developers currently certified to the 2015 version of the certification crite- ria must have the following sections updated: clinical document architecture companion guide, electronic prescribing, support secu- rity tags, care plan attestation, privacy and security criteria and application access data category requests. March 15, 2023: Real world testing condi- tion and maintenance of certification; devel- opers must make their testing results from calendar year 2021 publicly available. Dec. 31, 2023: Electronic health informa- tion export; developers of certified health IT modules must electronically export all the EHI that can be stored at the time of its prod- uct certification. n AdventHealth halfway through $660M Epic install: 6 notes By Jackie Drees A ltamonte Springs, Fla.-based AdventHealth ex- pects its Epic EHR implementation, set to go live over the next two years, to cost about $660 million, according to President and CEO Terry Shaw. Six things to know: 1. Mr. Shaw discussed the multimillion-dollar project at the JP Morgan Healthcare Conference Jan. 12. 2. AdventHealth announced its move to Epic from its Cern- er system in February 2020. The health system will move its facilities, including hospitals, hospice and physician prac- tices, to a single Epic platform from their current Cerner, Athenahealth and Homecare Homebase EHR systems. 3. The implementation project comprises more than 1,200 AdventHealth care sites, including 37 hospitals and sever- al acute care, physician practice, ambulatory and urgent care facilities. 4. The project's estimated costs come in at $370 million in capital expenditures and $290 million in operating ex- penses, according to the report. 5. AdventHealth began preparing for the EHR install in the first and second quarters of 2020, before building and testing the new system in the second quarter of 2020. 6. The health system plans to wrap up its build and test phase by the third quarter of this year. It then will train staff and deploy the EHR through the fourth quarter of 2022. n