What are the PGHD-related criteria in the health IT rules and programs?

To encourage innovation related to PGHD capture and use, new criteria have been included in ONC’s 2015 Edition Health Information Technology Certification Rule and in CMS’s Quality Payment Program.

2015 Edition Health Information Technology Certification Rule

The Patient Health Information Capture Criterion, §170.315(e)(3), states that a certified Electronic Health Record (EHR) product must “enable a user to:  1) Identify, record, and access information directly and electronically shared by a patient (or authorized representative). 2) Reference and link to patient health information documents.”

The intent of this provision is to establish at least one means for accepting patient health information directly and electronically from patients in the most flexible manner possible. There is no standard required for this certification criterion and the criterion does not seek to define the types of health information that could be accepted as ONC believes the range of standards and data types should be as broad as possible. ONC encourages health IT developers to develop innovative and efficient ways to meet this criterion while simultaneously supporting providers accepting health information from patients.

Quality Payment Program

One of the 15 choices of measures for the Advancing Care Information score of the Merit-based Incentive Payment System (MIPS) states:

“Patient-generated health data or data from a non-clinical setting is incorporated into the certified EHR technology for at least one unique patient seen by the MIPS eligible clinician during the performance period.”

This measure supports the objective of increased coordination of care through patient engagement.