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The EMDI Program Guide is intended for healthcare providers and stakeholders who are interested in participating in the EMDI program. These organizations should have the capability to build the architecture and the supporting infrastructure necessary for interoperability. The primary intended audiences are healthcare providers, such as hospitals, physicians, Home Health Agency (HHA) services, Durable Medical Equipment, Prosthetic, Orthotic, & Supplies (DMEPOS), labs, comprehensive primary care networks such as Comprehensive Primary Care Plus (CPC+), and virtual physician networks. Other audiences include:
Document transfer vendors, such as Health Information Handlers (HIH), Heath Information Service providers (HISP), and clearinghouses.
Interface Vendors, such as Electronic Health Records (EHR) and document management system vendors.
Other payers, such as Medicaid State Agencies and commercial payers.
IT vendors involved in facilitating the physician’s digital signature on medical record documents.
Suppliers and ambulance providers
The goals for the EMDI program are to:
The goal of EMDI is to ‘Reduce Provider Burden’. EMDI program obtains this goal by harmonizing Health IT standards to achieve interoperability and establishing a secure communication between providers to share structured electronic medical documentation.
To achieve this goal, following objectives have been identified:
Process Perspective:
Improve medical document sharing
Automate manual processes
Improve provider workflow
Reduce claims re-submission
Financial Perspective:
Reduce time
Reduce cost
Reduce resources
Provider Perspective:
Improved provider-to-provider communication
Provider’s satisfaction
Growth Perspective:
Expansion of EMDI beyond pilot
Additional use cases for EMDI workflow
To achieve these goals, CMS will:
Develop and maintain the EMDI Program Guide containing the content specifications and transport specifications needed for EMDI pilots and implementations.
Identify and fill in the gaps in the current standards to achieve an increased level of interoperability among providers.
Encourage EMDI participants with others to conduct pilots.
Demonstrate the utility of standards by establishing pilot programs with existing health information handlers, health information service providers, document transfer vendors, interface vendors, healthcare organizations, and healthcare providers.
Facilitate the implementation of secure transport of interoperable electronic medical documentation and help overcome barriers faced by organizations during the pilot implementation.
Define and collect data for measures to determine the success of the pilot program.
Updated IG with FHIR related content as well refined the content. Made some corrections and formatting changes. Updated Single schema with few elements updated.
Update language in assumptions around EMDI requirements that may vary per organization existing system and infrastructure. Changes made in section 3.1.1 and 2.2.2
Section for Signatures has been added under Assumptions in Section 3.1.6 and under Pilot Implementation Overview in Section 4.3.
Section 5.4 Contributors has been added to recognize external contributors of IG
Section 5.5 Points of Contact has been moved at the end of Section 5 and has been updated with contacts for eClinical template workgroup. Also, Table 13 has been updated with current EMDI Project Manager and a new resource.