Hey everyone, figured I'd dust off the MACRA forum. Been a VERY long time since I posted a question, so thanks in advance.

I updated to 11.3 a few months back, but I got that popup a few weeks ago saying should upgrade to 11.4 to stay compliant with 21st Century CURES.

Our hospital PHO (using EPIC, and actively asking us to spend literally 10x more/month to switch to EPIC) has been hounding us to prove our current EHR is compliant with CURES act. I actually just submitted to them the CURES certification ID (as of 11/17/2022) for version 11.3. If I remember the pop-up, the 11.4 upgrade may allow for bi-directional communication with state registries for vaccination. And I believe the pop-up was advising doing by Oct.2.

I was planning on doing the update myself this weekend, but now I'm a little freaked out by ITFACTOR posts about bugs (see 11.4 Database tuner thread). I'm not typically an "early adopter" with these updates... I'm more like a 11.4.2 or 11.4.3 kinda guy. But I have to admit I think someone in the PHO would relish finding we were not compatible with CURES.

But in your opinions...

1) Do you think we need/should upgrade to 11.4 to stay CURES compatible?

2) Does anyone have any experience with 11.4, with regards to the bidirectional. Easy?

3) My understanding that part of 21st Century CURES involves patients having access to see their notes. Please correct me if I'm mistaken, but does anyone have experience with this (other than if a patient specifically requests and we send a "fax" to their portal?)

4) Any other CURES act need-to-knows, with regards to Amazing Charts, that I might be missing?

I'm not at office right now, so I can't remember the exact wording of that pop-up in the corner of main page encouraging the upgrade, but I'm sure everyone's seen it...

Thank you!