HITECH Subtitle A - Promotion of Health Information Technology. OFFICE OF THE NATIONAL COORDINATOR FOR HEALTH IT (ONC, established statutorily by Sec. 17901): independent within HHS + responsible for HIT policy + standards + interoperability + Information Blocking + EHR Certification + Trusted Exchange Framework + Common Agreement (TEFCA); leadership by National Coordinator (typically MD or RN + tech background). HIT POLICY COMMITTEE (Sec. 17902, replaced 2017 by Health IT Advisory Committee) + HIT STANDARDS COMMITTEE (Sec. 17903): advise + recommend on policy + standards + criteria; multi-stakeholder including providers + payers + tech industry + patient advocates. ONC HIT CERTIFICATION PROGRAM (Sec. 17905-17907): voluntary EHR + Health IT module certification against ONC criteria including security + interoperability + usability + reporting; current criteria 2015 Edition Cures Update; ONC-Authorized Certification Bodies (ACBs) such as Drummond Group + CAP-CGI + ICSA Labs perform certification testing. HIT WORKFORCE DEVELOPMENT (Sec. 17909-17914): community college consortia + university programs + curriculum development + competency exams + workforce training + targeted underserved areas. MEANINGFUL USE (MU) / PROMOTING INTEROPERABILITY (PI): CMS payment incentive + later penalty program for hospitals + eligible providers using certified EHRs; (a) Stage 1 (2011-2013) - data capture + sharing; (b) Stage 2 (2014-2016) - advanced clinical processes; (c) Stage 3 (2017+) - improved outcomes + interoperability + value-based care; (d) renamed PROMOTING INTEROPERABILITY 2018 + integrated into MIPS (Merit-based Incentive Payment System) under MACRA; (e) post-Cures Act 2020 Final Rule + USCDI + Open APIs + FHIR R4 + Information Blocking exceptions. HEALTH INFORMATION EXCHANGE (HIE) STANDARDS: ONC + state HIE grant programs + Trusted Exchange Framework + Common Agreement (TEFCA, 2022); Qualified Health Information Networks (QHINs) including Health Gorilla + eHealth Exchange + Epic Care Everywhere + others operationalising interoperable exchange. ONC EHR REPORTING PROGRAM: developer + product reporting on user experience + interoperability + Information Blocking compliance.
The graph holds this control, the 0 it maps to, and the evidence behind each claim, over MCP and REST.