How many Tennessee organizations publish FHIR endpoints in the CMS National Provider Directory?

What it means

The directory exists; most Tennessee organizations are not in it with an endpoint yet

CMS describes the National Provider Directory as public infrastructure it is launching under its Health Technology Ecosystem, and its Interoperability Framework asks participating networks to publish "NPI level participants, relevant endpoints and other inter-connected networks in the CMS National Provider Directory." The directory already lists 2,074,486 organizations, 7,538,602 practitioners and 2,569,108 locations nationwide, including 169,449 practitioners and 50,557 locations in Tennessee.

Only 3.4% of Tennessee organizations list an endpoint, and the FHIR endpoints that do appear come mostly from ambulatory EHR vendors that publish on behalf of their clients; athenahealth alone accounts for 415 Tennessee organizations. For a health system, the question is whether your own FHIR base URL and Direct addresses are listed and correct, because this is where CMS expects apps and networks to look them up. For a vendor, an organization with no listed endpoint is a connection you will still have to find by hand.

Direct messaging

Where Tennessee Direct addresses are hosted

Direct addresses are secure email-style addresses used for referrals and transitions of care. 3,766 of the 4,093 endpoints these organizations list are marked complete in CMS's verification status; 327 are marked incomplete. Domains are counted once per organization; individual addresses are not shown.