ONC Releases RFI on Establishing Metrics to Assess Interoperability

On April 7, 2016 the Office of the National Coordinator for Health IT (ONC) released a Request for Information (RFI) Regarding Assessing Interoperability for MACRA. Comments are due on June 3, 2016. CMS uses the RFI process to help inform the development of proposed regulations.


In section 106(b)(1) of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), Congress declared widespread exchange of health information through interoperable certified health record (EHR) technology by December 31, 2018 a national objective. Additionally, MACRA requires that by July 1, 2016 metrics are established to determine if and to what extent this objective has been met. Then by December 31, 2019 the Secretary of Health and Human Services is required to submit a report to Congress that identifies barriers to this objective and recommends actions that the Federal Government can take to achieve it.


As an initial step in this this process through this RFI, the ONC is seeking comments on:

  • Scope of measurement – Key components of interoperability that should be measured and the population that should be the focus of measurement.
  • Available and potential data sources and metrics– Input on current measures and data sources and feedback on additional national data sources which may be available.


More information on national interoperability efforts are available on the ONC website.