Submitted by yale-coredQMRoadmap on
CMS-CCSQ Support for Org./Hospital Identifier for USCDI v5
CMS-CCSQ recommends this data element be moved up to Level 2 from Level 0. We also recommend ONC move CCN from Facility Identifier into the Organization/Hospital Identifier data element, as the CCN identifies organizations and hospital systems, rather than individual facilities. The recommendation is also supported by the Interoperability Standards Work Group (ISWG) and Health Information Technology Advisory Committee (HITAC) recommendations on both the Draft USCDI v3 (April 13, 2022) and Draft USCDI v4 (April 12, 2023). An organizational/hospital 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. They can also support exchange of data between hospitals and post-acute care providers. CMS encourages ONC to consider the advancement of the Organization/Hospital Identifier data element 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 Identifier 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. This remains a joint CMS and Centers for Disease Control and Prevention (CDC) recommendation, with some recent discussions and slight updates from our previous recommendations to USCDI on how to provide a necessary distinction between larger organizations and individual facilities that is currently not being captured in the USCDI. We no longer recommend the NHSN OrgID be added to the Organization/Hospital Identifier data element, but rather the NHSN OrgID be utilized in the Facility Identifier data element, which we discuss in further detail under the Facility Identifier data element. CMS specifically prioritizes exchange of CMS Certification Number (CCN), Provider Transaction Number (PTAN), National Provider Identifier (NPI), and Clinical Laboratory Improvement Amendments (CLIA) number as organization identifiers. These identifiers 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. Among other purposes, organization identifiers are also used to support public health use cases, including electronic case reporting and emergency response activities.
Submitted by rdillaire on
CMS-CCSQ Recommends the advancement of Org/Hosp ID to Level 2
Recommendation: CMS CCSQ recommends the Organization/Hospital Identifier element be advanced to Level 2.
Rationale: An Organizational/Hospital 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. They can also support exchange of data between hospitals and post-acute care providers. CMS encourages ASTP to consider the advancement of the Organization/Hospital Identifier data element as a complementary data element to Facility Identifier as both are ultimately necessary to support efficient direction of quality improvement efforts and public health. It is important to understand the distinction between these two data elements. An Organization/Hospital Identifier is an ID that is associated with the organizational agency, the entity that operates the overall organization and its location(s). A Facility Identifier is an ID associated with a specific physical location that the organization operates where care is rendered.
Coupling the Facility with an Organization Identifier 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. This remains a joint CMS and CDC recommendation, with some recent discussions and slight updates from our previous recommendations to USCDI on how to provide a necessary distinction between larger organizations and individual facilities that is currently not being captured in the USCDI. We no longer recommend the NHSN OrgID be added to the Organization/Hospital Identifier data element, but rather the NHSN OrgID be included as a clarifying example in the Facility Identifier data element, which we recommend in a separate Facility Identifier data element comment. CMS specifically prioritizes exchange of CMS Certification Number (CCN), Provider Transaction Number (PTAN), National Provider Identifier (NPI), and Clinical Laboratory Improvement Amendments (CLIA) number as Organization/Hospital identifiers. These identifiers 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. Among other purposes, organization identifiers are also used to support public health use cases, including electronic case reporting and emergency response activities.