Updated questions for the 2019 Review and Comment Period
As with the previous iterations of the Interoperability Standards Advisory (ISA), posing questions has served as a valuable way to prompt continued dialogue with stakeholders for continuous improvement of the ISA. In addition to the questions and requests for feedback below, stakeholders are encouraged to review content within the sections and specific Interoperability Needs to provide feedback, or submit requests for new Interoperability Needs, as necessary.
Historical questions and requests for stakeholder feedback have been moved for viewing history, but comments on and responses to these questions remain on this page, or may be included in comment letters received posted as comments elsewhere on the ISA.
- 19-1: In what ways has the ISA been useful for you/your organization as a resource? ONC seeks to better understand how the ISA is being used, by whom, and the type of support it may be providing for implementers and policy-makers.
- 19-2: Are there additional features or functionality ONC could make to the ISA website that would enhance the user experience?
- 19-3: The adoption level, along with other informative characteristics about standards/implementation specifications, was introduced to the ISA in August, 2015, and currently represents ONC’s “best guess” at current adoption based on a number of factors. Is the adoption level characteristic as it stands valuable information for stakeholders, or should it be retired or replaced with other information?
- 19-4. The specialty care/settings pages were added in 2019, and represent a collection of related Interoperability Needs that pertain to a particular setting or type of specialty care (i.e., pediatrics, treatment for opioid use disorder). Are there additional specialty care/settings specific collections that would be beneficial for inclusion?
Comment
Submitted by jc@securityrs.com on 2019-09-17
electronic Long-Term Services and Supports
Please consider adding the eLTSS FHIR IG as an emerging standard. It includes the 56 data elements that were developed during the TEFT program and documented in the HL7 eLTSS Informative DocumentSubmitted by mmaddocks on 2019-09-20
Allscripts 2019 ISA Comments
Please see attached comments in response to the 2019 ISA questions and updates.Submitted by jkegerize on 2019-09-20
ACLA Comments on Proposed Rule regarding, 2020 ONC Interoperabil
ACLA Comments on Proposed Rule regarding, 2020 ONC Interoperability Standards Advisory (ISA) [Draft for Comment]Submitted by HIMSS on 2019-09-23
HIMSS Response to ONC 2019 ISA
The Healthcare Information and Management Systems Society (HIMSS) is pleased to submit these comments for consideration by ONC to update the Interoperability Standards Advisory (ISA). These comments are one set in a series that HIMSS has provided on the content in the web-based version of the ISA. For more information on previous comments, please visit the HIMSS website. Please find comments in the attachment outlining our responses to the ONC Requests for Feedback and additional recommendations for expansion.Submitted by jporras on 2019-09-23
CAQH CORE Comments to ONC ISA 2020 Reference Edition
Dear Dr. Rucker, Thank you for the opportunity to provide input to the Interoperability Standards Advisory (ISA). CAQH CORE appreciates that the ISA includes a description of standards, implementation specifications, operating rules and other utilities that support interoperability in the exchange of healthcare information. The CAQH Committee on Operating Rules for Information Exchange (CORE), is a non-profit, national multi-stakeholder collaborative that drives the creation and adoption of healthcare operating rules that support standards, accelerate interoperability and align administrative and clinical activities among providers, payers and consumers. CAQH CORE participating organizations represent more than 75 percent of insured Americans, including health plans, providers, electronic health record (EHR) and other vendors/clearinghouses, state and federal government entities, associations and standards development organizations. CAQH CORE is designated by the Secretary of the Department of Health and Human Services (HHS) as the Operating Rule Authoring Entity for HIPAA-mandated administrative transactions. Operating rules are developed by CAQH CORE participants via a multi-stakeholder, consensus-based process. CAQH comments on the ISA are set forth below based on our history of working with stakeholders across the healthcare industry to reduce administrative burdens in areas such as eligibility and benefit verification, prior authorization, attachments or exchange of medical documentation, claims submission and payment, and value-based payment. The comments in this letter are presented in two parts and are intended to enhance the quality of information in the ISA and improve usability:- Part I includes specific comments on existing content in Section IV of the ISA.
- Part II responds to the Request for Stakeholder Feedback pertaining to question 19-3.
Submitted by beth.connor on 2019-09-23
CMS DEL HITWG Comments on Proposed 2019 ISA
The CMS Data Element Library (DEL) Health Information Technology Workgroup (HITWG) is pleased to offer feedback on the proposed 2019 ISA.Submitted by michael.ellsworth on 2019-09-23
WA DOH 2019 ISA Comments
Please see attached comments in response to the 2019 ISA questions and updates.Submitted by ScottStuewe on 2019-09-24
DirectTrust Proposed Updates to the 2019 ISA
Dr. Rucker – DirectTrust is pleased to offer our suggestions for updating the ONC Interoperability Standards Advisory (ISA). Attached below are changes our diverse membership believes reflect the current status of the Direct Standard™ and of its emerging, and in some cases, widespread use in use-cases not previously documented in this important resource. Our updates also update readers on our emergence as an ANSI Accredited Standards Development Organization and our new role as the ongoing steward of the Direct Standard. The attached document shows changes proposed to the web version of the ISA in the grid format with new material in red. Both updates to existing pages as well as new pages are represented. Bullets to be included in the Limitations, Dependencies, and Preconditions for Consideration are provided in columns to the right of the grid for each page. The ISA continues to be a valuable resource for the market to understand how standards are being used and to track progress in maturity and adoption. Please let us know if there are additional clarifications needed. We value our ongoing collaboration with your team. Scott Stuewe President and CEOSubmitted by lisaspellman on 2019-09-24
Submitted by Eni Aligbe on 2019-07-24
EHRs should not charge transaction fees for APIs
EHR vendors should not be allowed to charge any transaction fees as it relates to API calls as this stifles innovation. For example, Epic EMR's transaction fees take 15% of any vendor on AppOrchard's total revenue. If ONC wants health care to evolve out of it's "brick and mortar" presence in order to achieve the quadruple aim then all API calls as it relates to patients' data needs to be free. Thank you.