Only 5% of healthcare CIOs believe their provider organizations are very prepared to comply with the new rules.
The CMS interoperability rule requires healthcare organizations to enable technologies to share data from major patient events such as admission, discharge and transfer (ADT), with community providers and post-acute care teams. This provision was added to the list of CoPs hospitals must meet to maintain their CMS certification and continue to receive CMS payments.
Organizations that implement the ThinkAndor® platform from Andor Health are 100% compliant with the CMS ADT notification rules.
Andor Health’s virtual health platform, ThinkAndor®, provides 100% full compliance with the CMS interoperability rule.
Because the rule states that all providers must be notified of ADT events, many hospitals struggle to satisfy the terms of the regulation. Including providers who participate in HIEs, because HIEs are unable to gather discharge and transfer data efficiently to send notifications, creating a significant risk for non-compliance.
CMS sets minimum requirements to provide safe and effective treatment. CoPs address many aspects of hospital operations by setting policies and procedures related to patient rights, clinical documentation, staffing, infection control and compliance with legislation.
State Survey Agencies and Accreditation Organizations use the CoPs to guide their audits during surveys. These surveys may be unannounced and deficiencies can lead to certification termination. This is a significant threat given that Medicare patients typically represent approximately 40% of a hospital’s payer-mix and Medicaid patients generally represent 20% of a typical payer-mix.