Submitted by pwilson@ncpdp.org on
NCPDP Comments on USCDI draft v5
NCPDP supports the use of the type 2 NPI and recommends this to be added to the data elements.
Physical place of available services or resources.
Data Element |
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Facility Identifier
Description (*Please confirm or update this field for the new USCDI version*)
Sequence of characters representing a physical place of available services or resources. | ||||||||||||||||||||||||||||||||||||||||
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Submitted by pwilson@ncpdp.org on
NCPDP supports the use of the type 2 NPI and recommends this to be added to the data elements.
Submitted by yale-coredQMRoadmap on
CMS-CCSQ is pleased to see that Facility Identifier data element was added to USCDI v4. However, we recommend that the Facility Identifier data element be limited to capturing an individual facility instead of an organization or health system (with multiple facilities). We also recommend the NHSN OrgID be added to the Facility Identifier data element in addition to existing standards to capture individual facilities. This recommendation is a slight change from the CMS-CDC recommendation for draft USCDI v4 where NHSN OrgID was recommended under the Organization/Hospital Identifier. Additional discussion amongst CMS and CDC concluded that NHSN OrgID can more adequately capture an individual hospital or individual facility and that the CCN, which is currently in the Facility Identifier data element, is more appropriate as an organizational identifier.
Submitted by pwilson@ncpdp.org on
NCPDP supports the use of the Type 2 NPI and recommends this to be added to the data elements. NCPDP recommends adding the following NCPDP SCRIPT Standard v2017071, NCPDP Specialized Standard v2017071 and NCPDP Telecommunication Standard Version D.0 as “Applicable Standard(s)”.
Submitted by hantran on
Submitted by nedragarrett_CDC on
Shared priority for CDC, CMS, and ASPR (via all hazards work with CDC)
Submitted by Svellanky on
A facility, or 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 uses, exchange, and use cases: CCN, PTAN, NPI, and CLIA numbers are exchanged across the nation for CMS reporting to appropriately attribute outcomes and measure results. They are used extensively for electronic clinical quality measure (eCQM) reporting, linking data sources for quality measurement, and for post-acute care reporting and payment purposes. Facility identifiers are also used extensively for electronic case reporting (eCR) and electronic lab reporting (ELR) and are critical for public health agencies ability to monitor the spread of reportable conditions. Exchange of organization identifiers supports facility-specific quality, prior authorization activities, and other assessments that are limited without this information. Additionally, there is active work underway to create an IG for healthcare directories (HL7.FHIR.US.DIRECTORY-EXCHANGE\Home - FHIR v4.0.1) as part of the FAST Da Vinci accelerator initiative, which includes the critical organization and provider identifiers necessary to appropriately use and attribute exchanged data. Among other purposes, organization identifiers are also used to support public health use cases, including electronic case reporting and emergency response activities. For instance, during the early COVID-19 pandemic phase, there was insufficient data tracking across organizations, further complicated by the need to track emergency response resources across individual facilities. Exchange of facility/organization identifiers can mitigate such delays in emergency response activities.
Submitted by nedragarrett_CDC on
CSTE agrees with CDC's recommendation for this data element.
Submitted by nedragarrett_CDC on
We support the CMS comment ‘CMS-CCSQ Support for Facility/Organization Identifier: USCDIv3’ on 2022-03-22 that Facility/Organization Identifiers are critical component of EHR for providing high quality care to patients, reducing disparities, SDOH data analysis, promoting interoperability and data aggregation. HIPAA requires that health care providers have standard NPI that identify them on all standard transactions. We recommend adding the ‘Facility/Organization Identifiers’ to USCDI data classes. We suggest the following definition of this data class: ‘Facility/Organization Identifiers in EHRs are standardized codes, names and other attributes that provide a unique data pointer to a healthcare facility/organization where patient’s care has occurred.’
We found a similar concept description in the Level 2 under the ‘Facility Level Data’. Because a potential ambiguity of the ‘Facility Level Data’ term (i.e., it could mean aggregate level facility data rather than unique identifiers) we strongly suggest replacing it with proposed by CMS title ‘Facility/Organization Identifiers’. Based on the recent experience in management of the COVID-19 EHRs and ONC requirements on EHR aggregation and reporting data for situational awareness, we propose that the following data elements and associated vocabulary standards should be included into the Facility/Organization Identifiers data class:
Additional applicable standards and additional specifications:
This element is also shared priority for both CDC and CMS as outlined in the joint support letter
Submitted by nedragarrett_CDC on
Both CDC and CMS support inclusion of this element in v3. More details are provided in the joint letter sent to ONC.
Submitted by rdillaire on
CMS-CCSQ Recommends clarification for Facility Identifier
Recommendation: CMS CCSQ recommends further clarification to Facility Identifier’s description by including some examples, such as National Healthcare Safety Network (NHSN) Organization Identifier (OrgID).