On November 4, 2020, the Office of the National Coordinator for Health Information Technology (ONC) published an Interim Final Rule with Comment Period (IFC) that delays compliance dates necessary to meet certain requirements related to information blocking initially finalized in the ONC Cures Act Final Rule (Final Rule) in March of 2020. The Final Rule implemented health IT provisions enacted under the 21st Century Cures Act (the Cures Act) to achieve ubiquitous interoperability among health IT systems and to improve patient’s ability to access their electronic health information (EHI). Among these provisions is a prohibition of information blocking. This article will define information blocking, provide and explain exceptions to such practice, detail the IFC’s deadline extensions, and highlight key compliance concerns and solutions regarding these reforms.
The term “Information Blocking” is broadly defined by the Cures Act as any practice that is likely to interfere with, prevent, or materially discourage access, exchange, or use of EHI when the entity knows (or should know) that it is likely to do so. The Cures Act specifies four types of “actors” that must comply with the information blocking rule:
- Healthcare Providers
- Health information technology companies that have a certified health IT system
- Health information networks (HINs)
- Health information exchanges (HIEs)