Executive 0 rders EO 13410 technology systems, software applications, and networks in various set- tings, and exchange data such that clinical or operational purpose and meaning of the data are preserved and unaltered. (d) "Recognized interoperability standards" means interoperability stand- ards recognized by the Secretary of Health and Human Services (the "Sec- retary"), in accordance with guidance developed by the Secretary, as exist- ing on the date of the implementation, acquisition, or upgrade of health in- formation technology systems under subsections (1) or (2) of section 3(a) of this order. Sec. 3. Directives for Agencies. Agencies shall perform the following func- tions: (a) Health Information Technology. (1) For Federal Agencies. As each agency implements, acquires, or up- grades health information technology systems used for the direct ex- change of health information between agencies and with non-Federal en- tities, it shall utilize, where available, health information technology sys- tems and products that meet recognized interoperability standards. (2) For Contracting Purposes. Each agency shall require in contracts or agreements with health care providers, health plans, or health insurance issuers that as each provider, plan, or issuer implements, acquires, or up- grades health information technology systems, it shall utilize, where available, health information technology systems and products that meet recognized interoperability standards. (b) Transparency of Quality Measurements. (\177) In General. Each agency shall implement programs measuring the quality of services supplied by health care providers to the beneficiaries or enrollees of a Federal health care program. Such programs shall be based upon standards established by multi-stakeholder entities identified by the Secretary or by another agency subject to this order. Each agency shall develop its quality measurements in collaboration with similar ini- tiatives in the private and non-Federal public sectors. (2) Facilitation. An agency satisfies the requirements of this subsection if it participates in the aggregation of claims and other appropriate data for the purposes of quality measurement. Such aggregation shall be based upon standards established by multi-stakeholder entities identified by the Secretary or by another agency subject to this order. (c) Transparency of Pricing Information. Each agency shall make available (or provide for the availability) to the beneficiaries or enrollees of a Federal health care program (and, at the option of the agency, to the public) the prices that it, its health insurance issuers, or its health insurance plans pay for procedures to providers in the health care program with which the agency, issuer, or plan contracts. Each agency shall also, in collaboration with multi-stakeholder groups such as those described in subsection (b)(\177), participate in the development of information regarding the overall costs of services for common episodes of care and the treatment of common chronic diseases. (d) Promoting Quality and Efficiency of Care. Each agency shall develop and identify, for beneficiaries, enrollees, and providers, approaches that en- courage and facilitate the provision and receipt of high-quality and efficient 241
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