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HCAI previews PNP changes: SNF notifications, HL7 machine-readable standards, and limits on person-matching
Summary
HCAI staff said planned policy-and-procedure (PNP) amendments will focus on event-notification rules (transitioning ADT to broader event notifications and HL7 messaging), will not require human-readable notices because of participant burden, and will prohibit use of sex/gender attributes for person-matching while allowing clinical exchange where standards require it.
Rym Cothran and Jacob Parkinson outlined forthcoming policy-and-procedure (PNP) amendments intended to align the Data Exchange Framework with statutory changes and stakeholder feedback.
Rym Cothran said stakeholders supported requiring skilled nursing facilities (SNFs) that have the technical capability to send admissions and discharges to participate in event notifications, but that many SNFs lack electronic health records and that a January 1, 2027 date for broad SNF participation may be too soon for some facilities. "There was a strong…
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