Earlier this week, CMS released their final rule on Interoperability and Patient Access.  One of the conditions of participation is for hospitals to implement ADT (Admit, Discharge, Transfer) messages/notifications to another facility or another community provider or practitioner (https://www.cms.gov/newsroom/fact-sheets/interoperability-and-patient-access-fact-sheet).  Implementing ADT to an HIE, like SacValley MedShare, will satisfy this requirement as well as remove the need