It's going to be a busy year - a really busy year. In 2022, many of the promises of the 21st Century Therapeutic Products Act for certified health informatics will come closer to you.
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The ONC is diligently monitoring the industry's progress toward certification for the Cures Update 2015 (Cures Update), which introduces new standards and features that will benefit our healthcare system in many ways. These include enhanced interoperability through secure, standards-based Application Programming Interfaces (APIs) and the United States Core Data for Interoperability version 1 (USCDI v1); improving patient safety with a new e-prescribing standard; and supporting other Department of Health and Human Services (HHS) programs such as B. CMS programs to promote interoperability.
According to ONC's final rules, Certified Health IT Developers, whose products are certified against the applicable criteria, must deliver these new features to their customers by December 31, 2022. And so far, that's what the industry is doing. After you have started, many certification actions will take place in the coming months:
Certification advancement for 2015 Cure Update Criteria available through December 31, 2022
This image shows the progress developers are making in implementing new health IT features
Data Source: Certified Health Computing Products List (CHPL). Percentages represent certified healthcare IT modules (i.e. currently active certified healthcare IT modules that need to be updated.
Developers are making steady progress with new privacy and security certification criteria. These require transparency attestations indicating whether a certified healthcare IT developer supports authentication data encryption and multi-factor authentication. Additionally, we are seeing a small but promising increase in the use of more granular security labels to limit the re-disclosure of sensitive information at the data entry level. Although these are voluntary attestations and updates, we view these trends as an industry response to opportunities to improve privacy and security through certification criteria, and we take it seriously.
According to ONC's final rules, Certified Health IT Developers, whose products are certified against the applicable criteria, must deliver these new features to their customers by December 31, 2022.
Standardized APIs and USCDI
There are several other key Cures Update certification criteria that will require significant progress over the course of the year to meet the December 31, 2022 deadline, including the new standardized FHIR API for Patient and Community Services. The standardized FHIR APIs will facilitate interoperability between certified healthcare IT developers and clinical institutions, serve as a foundation for innovation, and support the development of new and innovative software applications. An ecosystem of APIs, based on specific FHIR standards, will help healthcare providers, health insurers, public health agencies, accountable care organizations and other healthcare entities access data from patients and to use them in new ways to manage the health and care of their patients. And standards-based APIs will help patients more easily connect to different sources of their own health data, allowing them to consolidate their information into a single view or use different apps to understand their health.
Beyond the APIs, the Cures 2015 update requires certified healthcare IT developers whose products are certified against several different certification criteria to integrate USCDI v1 data elements into their healthcare IT. In the context of ONC certification, USCDI v1 represents the minimum set of data that healthcare IT certified to certain certification criteria needs to support data access and exchange.