Submitted by Svellanky on 2022-09-29
CMS-CCSQ Support for Organization Identifier for USCDI v4An organizational identifier is critical for providing context for granular patient data and supports tracking data back to organizations—this type of contextual data element ensures usability of interoperable clinical data. Facility identifiers are used for billing, support data aggregation across sources, as well as attribution. They can also support exchange of data between hospitals and post-acute care providers. All of these activities are necessary for providing high quality care to patients, reducing healthcare inequities and disparities, and promoting interoperability and communication – all ONC stated priorities for the USCDI. Facility identifiers were also previously identified as a joint CMS-Centers for Disease Control and Prevention (CDC) priority as a critical element for public health reporting, surveillance and emergency response – an ONC stated priority for USCDI v4. For example, CDC and CMS rely on facility identifiers to measure the incidence of healthcare associated infections and other patient safety events in facilities, and to direct technical assistance and quality improvement support to underperforming facilities. Furthermore, the ISWG recommended this element for final USCDI v3, and received HITAC support, noting the need for an identifier combined with an assigning authority. Maturity: This element is classified as Level 2 by ONC and continues to have strong standardization and be in wide use.
- Current standards:
- Health Level Seven International (HL7) Fast Healthcare Interoperability Resources (FHIR) US Core Implementation Guide (IG) STU3-STU5 based on FHIR R4, Organization Profile must support an identifier (https://www.hl7.org/fhir/us/core/StructureDefinition-us-core-organization.html)
- Organization Profile is included in the HL7 FHIR US Core Capability Statement: https://www.hl7.org/fhir/us/core/CapabilityStatement-us-core-server.html; data included in this profile must be able to be exchanged, including the Organization Identifier
Submitted by yale-coredQMRoadmap on 2023-04-17
Cntd. CMS-CCSQ Support for Organization Identifier for USCDI v4CMS encourages ONC to consider the advancement of the Organization Identifier, like the NHSN OrgID, as a complementary data element to Facility Identifier as both are ultimately necessary to support efficient direction of quality improvement efforts and public health. Coupling the facility with an Organization ID that is unique to a specific location provides additional information that the providers, payers, and public health need to optimally track and respond to identifiable care quality, patient safety, and health outcomes issues. We are recommending reclassifying this data element to Level 2 for addition to future versions of USCDI. CMS may also additionally recommend moving the CCN from the currently proposed Facility Information data class to the Organization data class if the Organization/Hospital Identifier data element is supported in version 5.