The Promoting Interoperability (PI) Program originally was known as the Meaningful Use program and began in 2009. The program was initiated to get hospitals up and running with their Electronic Health Record (EHR) systems. Hospitals could receive incentive money for successfully proving (attesting) that they were using their EHR in a meaningful way. In 2018, the program got a name change and an overhaul. Now, there is no incentive money to earn, but there is a penalty if you don’t complete your requirements.