What is it?
The Promoting Interoperability (PI) program is one way the federal government encourages providers to use electronic health records (EHRs). But it’s not enough to simply use EHRs, providers must demonstrate they are using EHRs meaningfully to exchange information with other providers and grant access to electronic health information for patients. Hospitals must use certified EHR technology (CEHRT) to collect and report PI measures to CMS.
Established in 2011, the PI program was previously called the EHR Incentive Programs, or Meaningful Use (MU). The program initially offered financial incentives to increase EHR adoption among providers. CMS implemented penalties for providers who failed to meet program requirements starting 2015.
The program has evolved to encourage more advanced use of EHR functionalities over the years. CMS overhauled the MU program in 2019, renaming it the PI program and restructuring its requirements under a performance-based scoring methodology.
Medicare Eligible Hospitals (EHs) and Critical Access Hospitals (CAHs) participate in the PI program each year. These hospitals must use certified EHR technology (CEHRT) to collect and report PI measures to CMS. The program also included Medicare Eligible Professionals (EPs) in previous years. But starting 2017, CMS sunset the standalone Medicare EP program and incorporated PI requirements into the Merit-based Incentive Payment System (MIPS) track under the Quality Payment Program.