The 21st Century Cures Act (Cures Act) directed the US Department of Health and Human Services to establish the Electronic Health Record (EHR) Reporting Program. The EHR Reporting Program was intended to reflect voluntary end users’ and developers’ reporting of comparative information on certified health information technology (IT). The voluntary user measures were published in an October 2020 report and were designed to provide publicly available, comparative information on certified health IT products to inform health IT users’ purchasing and implementation decisions

This report focuses on measures that developers of certified health IT will be required to report on as a condition and maintenance of certification under the ONC Health IT Certification Program. The developer measures aim to address information gaps in the health IT marketplace and provide insights on how certified health IT is being used. This initial set of measures focuses on interoperability, with an emphasis on patient access, public health information exchange, clinical care information exchange, and standards adoption and conformance. This report includes:

• A description of the steps taken to identify developer measures;
• A summary of Health Information Technology Advisory Committee (HITAC) and public feedback and measure updates that were made in response to the initial set of draft measures;
• A description of feasibility testing conducted with developers and measure updates made based on findings; and
• The revised developer reporting measures.

We also include recommendations based on the input we have received for ONC to consider as they move forward with implementing the program.