Level of specificity
The PACIO (Post-Acute Care Interoperability) Project, established February 2019, is a collaborative effort between industry, government, and other stakeholders, with the goal of establishing a framework for the development of FHIR implementation guides to facilitate health information exchange.
Related to ONC’s question on level of specificity, “Are the data classes and data elements listed in sufficient detail to result in adoption in electronic systems that would make data available for use in quality measures?”, the PACIO community notes that this question may not be relevant to PAC providers. Although PAC providers submit their data to CMS electronically, currently, PAC providers do not submit data directly from electronic systems (i.e., EHRs) to the CMS data collection system. PAC providers submit all the patient-level PAC assessment data elements, which are linked to HIT nomenclature (LOINC/SNOMED CT), either through a web-based interface or EHR vendor integration with the cloud-based CMS iQIES system, and CMS uses the data to calculate quality measures.