Difference between revisions of "OpenEMR Certification"

From OpenEMR Project Wiki
 
(78 intermediate revisions by the same user not shown)
Line 11: Line 11:
==Project Tracking, Testing and QA for ONC Certification==
==Project Tracking, Testing and QA for ONC Certification==


'''ICSA LABS Cert Testing #2''' --[[User:Tmccormi|Tony - www.mi-squared.com]] 17:43, 20 July 2011 (UTC)
When: Thursday, July 28, 2011 8:30 PM to Friday, July 29, 2011 12:30 AM (GMT-05:00) Eastern Time (US & Canada).
Where: +1 (866) 765-0950/WebEx
We will be doing a complete ambulatory inspection of OpenEMR's OpenEMR 4.  We will plan on having a 4 hour session with a couple 10-15 minute breaks. 
Here is the list of procedures we will be testing and the order we will be testing them in, along with a couple randomly selected modules from the previous modular test.
Eligible Provider (Ambulatory)
    * 170.302 (n) Automate measure calculation
    * 170.304 (j) Calculate and Submit Clinical Quality Measures*
    * 170.302 (k) Submission to immunization registries*
    * 170.304 (i) Exchange Clinical Information and Patient Summary Record (combine with 170.304.f)*
    * 170.304 (f) Electronic copy of health information (combine with 170.304.i)*
    * 170.304 (h) Clinical Summaries*
    * 170.304 (b) Electronic prescribing*
    * 170.302 (b) Drug formulary checks
    * 170.302 (j) Medication reconciliation
    * 170.302 (a) Drug/Drug and Drug/Allergy Interactions
    * 170.304 (d) Patient Reminders
    * 170.304 (e) Clinical decision support
    * 170.302 (m) Patient specific education resources
    * 170.304 (g) Timely Access
    * 170.304 (a) Computerized provider order entry
    * 170.302 (h) Incorporate lab results
Security  (has to be retested each time we do a pass)
    * 170.302 (o) Access control (combine with 170.302.t)
    * 170.302 (t) Authentication (combine with 170.302.o)
    * 170.302 (p) Emergency access
    * 170.302 (q) Automatic log-off
    * 170.302 (s) Integrity
    * 170.302 (u) General encryption
    * 170.302 (v) Encryption when exchanging electronic health information
    * 170.302 (r) Audit log
    * 170.302 (w) Accounting of disclosures (optional)
=== Testing Notes ===
* [[OpenEMR QA against NIST]] - '''QA using NIST Test scripts''' - Barometer and Results notes
* [[OpenEMR QA against NIST]] - '''QA using NIST Test scripts''' - Barometer and Results notes
* [[ARRA ONC MU Project Issues List]] - Issues list for the tracking spread sheet
* [[ARRA ONC MU Project Issues List]] - Issues list for the tracking spread sheet
Line 31: Line 73:
|style="color:white; background-color:green"|Completed
|style="color:white; background-color:green"|Completed
|}
|}
Completed = already approved or ready to be approved as a module with ICSA Labs


Status By MU ID
Status By MU ID
Line 37: Line 81:
|style="color:white; background-color:green"|1
|style="color:white; background-color:green"|1
|style="color:white; background-color:green"|2
|style="color:white; background-color:green"|2
|style="color:white; background-color:orange"|3
|style="color:white; background-color:green"|3
|style="color:white; background-color:green"|4
|style="color:white; background-color:green"|4
|style="color:white; background-color:orange"|5
|style="color:white; background-color:green"|5
|style="color:white; background-color:green"|6
|style="color:white; background-color:green"|6
|style="color:white; background-color:green"|7
|style="color:white; background-color:green"|7
Line 47: Line 91:
|style="color:white; background-color:green"|11
|style="color:white; background-color:green"|11
|style="color:white; background-color:green"|12
|style="color:white; background-color:green"|12
|style="color:white; background-color:orange"|13
|style="color:white; background-color:green"|13
|style="color:white; background-color:green"|14
|style="color:white; background-color:green"|14
|style="color:white; background-color:green"|15
|style="color:white; background-color:green"|15
|style="color:green; background-color:white"|16
|style="color:green; background-color:white"|16
|style="color:green; background-color:white"|17
|style="color:green; background-color:white"|17
|style="color:white; background-color:orange"|18
|style="color:white; background-color:green"|18
|style="color:white; background-color:orange"|19
|style="color:white; background-color:green"|19
|style="color:white; background-color:orange"|20
|style="color:white; background-color:green"|20
|style="color:white; background-color:orange|21
|style="color:white; background-color:green"|21
|style="color:white; background-color:green"|22
|style="color:white; background-color:green"|22
|style="color:white; background-color:orange"|23
|style="color:white; background-color:green"|23
|style="color:white; background-color:blue"|24
|style="color:white; background-color:green"|24
|style="color:white; background-color:green"|25
|style="color:white; background-color:green"|25
|style="color:white; background-color:blue"|26
|style="color:white; background-color:green"|26
|style="color:white; background-color:blue"|27
|style="color:white; background-color:green"|27
|}
|}


Status and Summary - Updated: --[[User:Tmccormi|Tony - www.mi-squared.com]] 02:40, 26 April 2011 (UTC)
== Certified as a modular EHR as of 3/17/2011 ==
We are really a lot closer to being ready than the barometer can show in this situation (ie: volunteer).
 
See: [[OpenEMR_Downloads#Stable_Production_Releases_.284.0.0.29]]
:* This meets and has passed MU certification with ICSA as of 3/14/2011. The entire branch represents the OFFICIAL content that passes 17 meaningful modules. This branch represents OpenEMR as a Modular Certified EMR. Modules are as follows: 170.302 (c,d,e,f,g,i,l,o,p,q,r,s,t,u,v,w) and 170.304(c)
 
Thanks to all of you and special thanks to the team at [http://www.icsalabs.com ISCA] labs for their support!
 
'''We are certified as a modular EHR as of 3/17/2011'''
[[ONC Certification Official Letter and Rules]]
[[ONC Certification Official Letter and Rules]]
[[File:Cert-search.png]]  
[[File:Cert-search.png]]  
:* Site is: http://onc-chpl.force.com/ehrcert/EHRProductDetail?id=a0X30000003jFmdEAE&retURL=%2Fehrcert%2FEHRProductSearch&setting=Ambulatory
:* Site is: http://onc-chpl.force.com/ehrcert/EHRProductDetail?id=a0X30000003jFmdEAE&retURL=%2Fehrcert%2FEHRProductSearch&setting=Ambulatory
:* Tiny URL is: http://tinyurl.com/4sgaw8a
:* Tiny URL is: http://tinyurl.com/4sgaw8a
See: [[OpenEMR_Downloads#Stable_Production_Releases_.284.0.0.29]] for the current certified version
Thanks to all of you and special thanks to the team at [http://www.icsalabs.com ISCA] labs for their support!


'''NOTE re-branding Rules''':  [[ONC FAQ on rebranding certified EHRs]]
'''NOTE re-branding Rules''':  [[ONC FAQ on rebranding certified EHRs]]
Line 85: Line 124:


== Summary of Projects that cross multiple MU ==
== Summary of Projects that cross multiple MU ==
'''Status and Summary --[[User:Tmccormi|Tony - www.mi-squared.com]] 01:56, 12 July 2011 (UTC)
=== E-Prescribing ===
=== E-Prescribing ===
* Phyaura (<40)
* Phyaura (<40)
** Targeting the Relay Health modules by end of May
** Targeting the Relay Health modules by end of May
* MMF
** Update: May be a few days late.
** No new updates
* MI2/ZHH collaboration - NewCrop - (172 hrs)  
* NewCrop - (172 hrs)
** Go-live testing happened 7/5/2011, passed with NewCrop, waiting on Sure Scripts to scheduled next phase which is a formality. --[[User:Tmccormi|Tony - www.mi-squared.com]] 01:56, 12 July 2011 (UTC)
** Project starting ...
* National-eRX
** A link to Allscripts work (Modular Certification)
** No viable way certify with this a part of the ALL EHR certification.
*** http://eprescribe.allscripts.com/Login.aspx?ReturnUrl=%2fdefault.aspx
* DrFirst
** National-eRX 
** Implementation complete, "DrCloud" version of OpenEMR will get certified separately with, Dr First e-RX. --[[User:Tmccormi|Tony - www.mi-squared.com]] 02:23, 12 July 2011 (UTC)
*** Community progress on this. May be the fastest route (<10hrs)


=== CCD/CCR ===
=== CCR/CCD ===
* CCR code submitted for review, some final code
* All NIST Testing passes for CCR/CCD
** code committed to base - '''ready for cert testing''' --[[User:Tmccormi|Tony - www.mi-squared.com]] 01:55, 3 May 2011 (UTC)
** Rxnorm codes included in CCR when feed from NewCrop eRx --[[User:Tmccormi|Tony - www.mi-squared.com]] 15:07, 19 July 2011 (UTC)
** Need Save As and Print for feeding 18, 19 and 21.
 
*: Validator CCR: http://vicareplus.com:8080/CCRValidator/
=== Timely Access (Portal) ===
* Need to make sure CCD and CCR can be downloaded and viewed from the 'Document tree' (mime type issue)
* Testing passes with ZHH --[[User:Tmccormi|Tony - www.mi-squared.com]] 02:28, 28 June 2011 (UTC)  
** Waiting on code review
* Testing passes with internal (Cassilup) Portal --[[User:Tmccormi|Tony - www.mi-squared.com]] 01:56, 12 July 2011 (UTC)


=== Clinical Quality Measures (CQM) Reporting ===
=== Clinical Quality Measures (CQM) Reporting ===
* CQM development progressing, MI2 and Ensoftek took this over from Brady --[[User:Tmccormi|Tony - www.mi-squared.com]] 02:22, 19 April 2011 (UTC)
* CQM development progressing, MI2 and Ensoftek took this over from Brady --[[User:Tmccormi|Tony - www.mi-squared.com]] 02:22, 19 April 2011 (UTC)
:* Brady provided a template report format to use a as basis
:* All known CQM issues addressed by Ken Chapple of Mi2 --[[User:Tmccormi|Tony - www.mi-squared.com]] 23:50, 18 July 2011 (UTC)
:* 3 Reports completed (of 9) --[[User:Tmccormi|Tony - www.mi-squared.com]] 02:35, 27 April 2011 (UTC)
 
Time Spent: appx 50 hrs
Estimate remaining Hr: 50 hrs


=== Automated Measure Calculation ===
=== Automated Measure Calculation ===
'' Need Owner '' --[[User:Tmccormi|Tony - www.mi-squared.com]] 01:56, 3 May 2011 (UTC)
* AMC passed all NIST
=== Immunization Registries ===
* Need to ask ICSA "How do you measure the Numerator/Denominator for incorporate Lab test?"
* Ensoftex and MI2 own this --[[User:Tmccormi|Tony - www.mi-squared.com]] 01:59, 3 May 2011 (UTC)
:* ISCA says we need only count automatic, can provide manual overide if desired
** Basic DB design updates done, CVX Codes ready
** Needs changes to immunizations.php (3 hrs) (TONY)
** Needs base report written (6 hrs) (RAM)
** Needs XML (HL7) output format (10hrs) (RAM)


=== Patient Educational Resources ===
=== ISSUES ===
* Brady Miller accepted this --[[User:Tmccormi|Tony - www.mi-squared.com]] 17:02, 3 May 2011 (UTC)
* May need to be member of HL7, may want to throw this at Todd Crabtree
* CODE is awaiting review --[[User:Bradymiller|Bradymiller]] 08:38, 4 May 2011 (UTC)
* Visolve/ISCA are working on schedule for full certification, next week July 25+ --[[User:Tmccormi|Tony - www.mi-squared.com]] 15:09, 19 July 2011 (UTC)
'''Proposal By: drbowen'''
:I had in mind a drop down combo box that allows the physician to enter the search
:term and match it with the most common web resources as listed above.  The combo
:box should list at least the name of the resource such as:
::Mayo Clinic
::eMedicine
::WebMD


*: ICSA confirms that providing reference to material on known PE sites is adequate --[[User:Tmccormi|Tony - www.mi-squared.com]] 17:51, 28 February 2011 (UTC)
== Lab Results (NIST) ==
* MI2 (jeremy) provided 3 test results in the format we transmit from our lab exchange to the openemr client to Visolve --[[User:Tmccormi|Tony - www.mi-squared.com]] 02:01, 7 June 2011 (UTC)


== Core Requirements from the Provider Side ==
== Core Requirements from the Provider Side ==
Line 138: Line 167:
'''Bold''' are the ones we have passed modular certification
'''Bold''' are the ones we have passed modular certification
# CPOE '''ready for cert test'''
# CPOE '''ready for cert test'''
# Drug-drug and Drug- Allergy checking
# Drug-drug and Drug- Allergy checking - ''NewCrop complete/needs merge with codebase''
# E-prescribe
# E-prescribe - ''NewCrop complete/needs merge with codebase''
# '''Demographics'''
# '''Demographics'''
# '''Up-to-date Problem Lists'''
# '''Up-to-date Problem Lists'''
Line 147: Line 176:
# '''Record Smoking status for age > 13'''
# '''Record Smoking status for age > 13'''
# Implement one Clinical Decision Rule - '''complete and ready for cert testing'''
# Implement one Clinical Decision Rule - '''complete and ready for cert testing'''
# Report ambulatory Clinical Quality Measures
# Report ambulatory Clinical Quality Measures - '''complete and ready for cert testing'''
# Electronic copy of PHI - ''could use print to PDF form reports''
# Electronic copy of PHI - '''complete and ready for cert testing'''
# Provide clinical Summaries - ''could use print to PDF form reports''
# Provide clinical Summaries - '''complete and ready for cert testing'''
# Exchange Clinical PHI  
# Exchange Clinical PHI - '''complete and ready for cert testing'''
# '''Protect PHI'''
# '''Protect PHI'''
# Automated Measure Calculation
# Automated Measure Calculation - '''complete and ready for cert testing'''


Five of the following 10 optional requirements:
Five of the following 10 optional requirements:


# Laboratory test results
# Laboratory test results - '''complete and ready for cert testing'''
# '''Patient Lists'''
# '''Patient Lists'''
# Patient Reminders - '''complete and ready for cert testing'''
# Patient Reminders - '''complete and ready for cert testing'''
# Electronic Access PHI
# Electronic Access PHI - '''complete and ready for cert testing'''
# Medication Reconciliation - '''ready for cert test'''
# Medication Reconciliation - '''ready for cert test'''
# Summary Care Record
# Summary Care Record -'''complete and ready for cert testing'''
# Immunization Registries
# Immunization Registries - '''ready for cert test'''
# '''Electronic Syndromic Surveillance'''
# '''Electronic Syndromic Surveillance'''
# Patient Specific Education Resources - ''will pass with just documentation''
# Patient Specific Education Resources - '''ready for cert test'''
# Implement Drug Formulary Checks
# Implement Drug Formulary Checks - ''NewCrop complete/needs merge with codebase''


* [[How to get paid for ONC Certified Use]]
* [[How to get paid for ONC Certified Use]]
Line 171: Line 200:
== Meaningful Use Requirement Details ==
== Meaningful Use Requirement Details ==
:1. [[Foundations: Security and Privacy]] - '''Done'''
:1. [[Foundations: Security and Privacy]] - '''Done'''
:2. [[Computer Physician Order Entry]] - ''visolve has committed code to meet NIST''
:2. [[Computer Physician Order Entry]] - '''ready for cert testing'''
::* Combination of eRx, Lab Results and Transactions Systems meets the requirement.
:3. [[Drug Decision Support]]
:3. [[Drug Decision Support]]
::* Resource needed for Lexicomp testing and completion - ''need to review the original test''
::* Phyaura's option: no external dependencies, some cost involved
::** Common interface under development that would be usable for other e-prescribing
:4. [[Problem List]]  '''Done'''
:4. [[Problem List]]  '''Done'''
:5. [[Electronic Prescribing]]--[[User:Tmccormi|Tony - www.mi-squared.com]] 03:00, 14 December 2010 (UTC)
:5. [[Electronic Prescribing]]
::* Phyaura's option: no external dependencies, some cost involved as above
::** Common interface under development that would be usable for other e-prescribing
::** Merged Prescription Table with Medications Lists may cause the need for some tweaks or changes to the UI around the Meds List
::** Connie will look into creating a dummy loopback server for testing e-Rx
::** Code has been posted for review on github by Connie --[[User:Tmccormi|Tony - www.mi-squared.com]] 20:21, 27 December 2010 (UTC)
:6. [[Medication List]] -  '''Done'''
:6. [[Medication List]] -  '''Done'''
:7. [[Medication Allergy List]] -  '''Done'''
:7. [[Medication Allergy List]] -  '''Done'''
Line 191: Line 211:
:11. [[Lab Test Results]] - '''Done'''
:11. [[Lab Test Results]] - '''Done'''
:12. [[Patient Lists]] - '''Done'''
:12. [[Patient Lists]] - '''Done'''
:13. [[CMS Quality Reporting]]
:13. [[CMS Quality Reporting]] '''ready for cert testing'''
::* Dependent on Clinical Decision Rules, primary coding done
:14. [[Patient Reminders]] - '''Done'''
:14. [[Patient Reminders]] - '''Done'''
:15. [[Clinical Decision Rules]] - '''Done'''
:15. [[Clinical Decision Rules]] - '''ready for cert testing'''
:16. [[Insurance Eligibility]] - '''Not Needed for Cert'''  '''Done'''
:16. [[Insurance Eligibility]] - '''Not Needed for Cert'''  '''Done'''
:17. [[Electronic Claims Submission]] - '''Not Needed for Cert'''  '''Done'''
:17. [[Electronic Claims Submission]] - '''Not Needed for Cert'''  '''Done'''
:18. [[Patient Electronic Copy of Health Information]]
:18. [[Patient Electronic Copy of Health Information]] '''ready for cert testing'''
::* Dependent on ability to produce on CCR/CCD format (Garden)
:19. [[Patient Electronic Access to Health Information]] '''ready for cert testing'''
::* Show XML done, but need save as XNML w/ Embedded Style and Save as HTML (Or PDF) - (ZHH)
::* ZHH contributed a API for a hosted portal, ready in a few days '''ready for cert testing'''
:19. [[Patient Electronic Access to Health Information]]
::* Interface to Microsoft Health Vault demonstrated vi Garden's HIE
::* Interface to Microsoft Health Vault demonstrated vi Garden's HIE
:20 [[Patient Clinical Summaries]]
::* Integrated Portal - has been thru several code review loops and is starting to look good. --[[User:Tmccormi|Tony - www.mi-squared.com]] 01:56, 7 June 2011 (UTC)
::* Dependent on ability to produce on CCR/CCD format (Garden)
:20 [[Patient Clinical Summaries]] - '''ready for cert testing'''
:21. [[Exchange Clinical Information]]
::* Dependent on ability to produce on CCR '''Done'''
::* Dependent on ability to produce on CCR/CCD format (Garden)
:21. [[Exchange Clinical Information]] '''ready for cert testing'''
::* Dependent on ability to produce on CCR '''Done'''
:22. [[Medication Reconciliation]]  '''Done'''
:22. [[Medication Reconciliation]]  '''Done'''
:23. [[Summary Care Record for Transition of Care/Referral]]
:23. [[Summary Care Record for Transition of Care/Referral]] '''ready for cert testing'''
::* Dependent on CCR for data exchange
:24. [[Immunization Registries]] '''ready for cert testing'''
:24. [[Immunization Registries]]
::* Dependent on Minor Data Changes (add CVX code to table)
::* Dependent on HL7 output required
:25. [[Electronic Syndromic Surveillance]] - (aka Public Surveillance) '''Done'''
:25. [[Electronic Syndromic Surveillance]] - (aka Public Surveillance) '''Done'''
:26. [[Patient Specific Education resources]]
:26. [[Patient Specific Education resources]] - '''ready for cert testing'''
::* Can reference known sites with kind of database, will add browser search tool
:27. [[CMS Quality Reporting | Automatic Measure Calculation]] '''ready for cert testing'''
:27. [[CMS Quality Reporting | Automatic Measure Calculation]]
::* part of CQM def, but needs owner


==CQM/PQRI and Patient Data Mappings==
==CQM/PQRI and Patient Data Mappings==
Line 226: Line 240:
# [[Advance Directives]] - Completed and included in 4.x release
# [[Advance Directives]] - Completed and included in 4.x release
# Progress Note - Already part of OpenEMR
# Progress Note - Already part of OpenEMR
==OSCON Presentation by Tony and Sam==
Dr Sam Bowen and Tony McCormick were speakers at the O'Rielly Open Source Convention in Portland.  I have attached the presentation. 
Slide Show PDF + notes, Taking OpenEMR, a GPL EMR to ARRA Meaningful Use Certification and beyond Presentation:
* [[File:OpenEMR-MUCert.pdf]]
It was recorded for video and is available on YouTube:  Watch it at 240p resolution or it freezes up after about 16 minutes ,,,,
* http://www.youtube.com/watch?v=zxd-ZJuiCEk
Blog Posts:
* Day One: http://radar.oreilly.com/2010/07/day-one-of-the-health-care-it.html
* Day Two: http://radar.oreilly.com/2010/07/vista-scenarios-and-other-cont.html
* Wrap Up: http://radar.oreilly.com/2010/07/wrap-up-of-the-health-care-it.html


==Links==
==Links==

Revision as of 09:12, 26 July 2011

Meaningful Use Certification

Incentive payments under Medicare will be slower in coming. Physicians who have registered in that program must then report to CMS that they have met meaningful-use requirements over a 90-day period. Because registration begins January 3, the earliest they can attest to this is in April. The first EHR incentive checks under Medicare are expected to go out in May. The last day for physicians to begin a 90-day reporting period in 2011 is October 3.

NIST Testing Requirements

Project Tracking, Testing and QA for ONC Certification

ICSA LABS Cert Testing #2 --Tony - www.mi-squared.com 17:43, 20 July 2011 (UTC) When: Thursday, July 28, 2011 8:30 PM to Friday, July 29, 2011 12:30 AM (GMT-05:00) Eastern Time (US & Canada). Where: +1 (866) 765-0950/WebEx

We will be doing a complete ambulatory inspection of OpenEMR's OpenEMR 4. We will plan on having a 4 hour session with a couple 10-15 minute breaks.

Here is the list of procedures we will be testing and the order we will be testing them in, along with a couple randomly selected modules from the previous modular test.

Eligible Provider (Ambulatory)

   * 170.302 (n) Automate measure calculation
   * 170.304 (j) Calculate and Submit Clinical Quality Measures*
   * 170.302 (k) Submission to immunization registries*
   * 170.304 (i) Exchange Clinical Information and Patient Summary Record (combine with 170.304.f)*
   * 170.304 (f) Electronic copy of health information (combine with 170.304.i)*
   * 170.304 (h) Clinical Summaries*
   * 170.304 (b) Electronic prescribing*
   * 170.302 (b) Drug formulary checks
   * 170.302 (j) Medication reconciliation
   * 170.302 (a) Drug/Drug and Drug/Allergy Interactions
   * 170.304 (d) Patient Reminders
   * 170.304 (e) Clinical decision support
   * 170.302 (m) Patient specific education resources
   * 170.304 (g) Timely Access
   * 170.304 (a) Computerized provider order entry
   * 170.302 (h) Incorporate lab results


Security (has to be retested each time we do a pass)

   * 170.302 (o) Access control (combine with 170.302.t)
   * 170.302 (t) Authentication (combine with 170.302.o)
   * 170.302 (p) Emergency access
   * 170.302 (q) Automatic log-off
   * 170.302 (s) Integrity
   * 170.302 (u) General encryption
   * 170.302 (v) Encryption when exchanging electronic health information
   * 170.302 (r) Audit log
   * 170.302 (w) Accounting of disclosures (optional)


Testing Notes

Archive Data

File:ARRA ONC MU Project-Master-20100927.pdf - --Tony - www.mi-squared.com 03:02, 28 September 2010 (UTC), this file is the last one to be tracked externally. All tracking is done here on the wiki pages now.
CCHIT_MU_2011_Project - Past meeting notes, target dates and SPRINT logs are located here as well as some team decisions about design choices.

Completion Barometer

Meaningful Use

Color Key: Not Started In Progress Coded Completed

Completed = already approved or ready to be approved as a module with ICSA Labs

Status By MU ID

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27

Certified as a modular EHR as of 3/17/2011

ONC Certification Official Letter and Rules Cert-search.png

See: OpenEMR_Downloads#Stable_Production_Releases_.284.0.0.29 for the current certified version Thanks to all of you and special thanks to the team at ISCA labs for their support!

NOTE re-branding Rules: ONC FAQ on rebranding certified EHRs

Details, Dependencies and Links to the Individual Items

Contributors are encouraged to update this page with information as they know it.

Summary of Projects that cross multiple MU

Status and Summary --Tony - www.mi-squared.com 01:56, 12 July 2011 (UTC)

E-Prescribing

  • Phyaura (<40)
    • Targeting the Relay Health modules by end of May
    • Update: May be a few days late.
  • MI2/ZHH collaboration - NewCrop - (172 hrs)
    • Go-live testing happened 7/5/2011, passed with NewCrop, waiting on Sure Scripts to scheduled next phase which is a formality. --Tony - www.mi-squared.com 01:56, 12 July 2011 (UTC)
  • National-eRX
    • No viable way certify with this a part of the ALL EHR certification.
  • DrFirst
    • Implementation complete, "DrCloud" version of OpenEMR will get certified separately with, Dr First e-RX. --Tony - www.mi-squared.com 02:23, 12 July 2011 (UTC)

CCR/CCD

  • All NIST Testing passes for CCR/CCD

Timely Access (Portal)

Clinical Quality Measures (CQM) Reporting

  • CQM development progressing, MI2 and Ensoftek took this over from Brady --Tony - www.mi-squared.com 02:22, 19 April 2011 (UTC)

Automated Measure Calculation

  • AMC passed all NIST
  • Need to ask ICSA "How do you measure the Numerator/Denominator for incorporate Lab test?"
  • ISCA says we need only count automatic, can provide manual overide if desired

ISSUES

  • May need to be member of HL7, may want to throw this at Todd Crabtree
  • Visolve/ISCA are working on schedule for full certification, next week July 25+ --Tony - www.mi-squared.com 15:09, 19 July 2011 (UTC)

Lab Results (NIST)

  • MI2 (jeremy) provided 3 test results in the format we transmit from our lab exchange to the openemr client to Visolve --Tony - www.mi-squared.com 02:01, 7 June 2011 (UTC)

Core Requirements from the Provider Side

The required core measures are: Bold are the ones we have passed modular certification

  1. CPOE ready for cert test
  2. Drug-drug and Drug- Allergy checking - NewCrop complete/needs merge with codebase
  3. E-prescribe - NewCrop complete/needs merge with codebase
  4. Demographics
  5. Up-to-date Problem Lists
  6. Medication List
  7. Allergy List
  8. Vital Signs
  9. Record Smoking status for age > 13
  10. Implement one Clinical Decision Rule - complete and ready for cert testing
  11. Report ambulatory Clinical Quality Measures - complete and ready for cert testing
  12. Electronic copy of PHI - complete and ready for cert testing
  13. Provide clinical Summaries - complete and ready for cert testing
  14. Exchange Clinical PHI - complete and ready for cert testing
  15. Protect PHI
  16. Automated Measure Calculation - complete and ready for cert testing

Five of the following 10 optional requirements:

  1. Laboratory test results - complete and ready for cert testing
  2. Patient Lists
  3. Patient Reminders - complete and ready for cert testing
  4. Electronic Access PHI - complete and ready for cert testing
  5. Medication Reconciliation - ready for cert test
  6. Summary Care Record -complete and ready for cert testing
  7. Immunization Registries - ready for cert test
  8. Electronic Syndromic Surveillance
  9. Patient Specific Education Resources - ready for cert test
  10. Implement Drug Formulary Checks - NewCrop complete/needs merge with codebase

Meaningful Use Requirement Details

1. Foundations: Security and Privacy - Done
2. Computer Physician Order Entry - ready for cert testing
3. Drug Decision Support
4. Problem List Done
5. Electronic Prescribing
6. Medication List - Done
7. Medication Allergy List - Done
8. Demographics - Done
9. Vital Signs - Done
10. Smoking Status - Done
11. Lab Test Results - Done
12. Patient Lists - Done
13. CMS Quality Reporting ready for cert testing
14. Patient Reminders - Done
15. Clinical Decision Rules - ready for cert testing
16. Insurance Eligibility - Not Needed for Cert Done
17. Electronic Claims Submission - Not Needed for Cert Done
18. Patient Electronic Copy of Health Information ready for cert testing
19. Patient Electronic Access to Health Information ready for cert testing
  • ZHH contributed a API for a hosted portal, ready in a few days ready for cert testing
  • Interface to Microsoft Health Vault demonstrated vi Garden's HIE
  • Integrated Portal - has been thru several code review loops and is starting to look good. --Tony - www.mi-squared.com 01:56, 7 June 2011 (UTC)
20 Patient Clinical Summaries - ready for cert testing
  • Dependent on ability to produce on CCR Done
21. Exchange Clinical Information ready for cert testing
  • Dependent on ability to produce on CCR Done
22. Medication Reconciliation Done
23. Summary Care Record for Transition of Care/Referral ready for cert testing
24. Immunization Registries ready for cert testing
25. Electronic Syndromic Surveillance - (aka Public Surveillance) Done
26. Patient Specific Education resources - ready for cert testing
27. Automatic Measure Calculation ready for cert testing

CQM/PQRI and Patient Data Mappings

Mapping_OpenEMR_Data_for_CCD/CCR_and_CQM - This page has a table for each of 17 basic CCD/CCR data structures that need to be extracted from OpenEMR. It also has the discrete data elements (selection lists) required for much of MU Certification.

Dropped MU Items

As of 12/30/2009, the following MUs are no longer required:

  1. Advance Directives - Completed and included in 4.x release
  2. Progress Note - Already part of OpenEMR

Links

How to Register / Attest for Certified EHR use

How do I obtain a CMS EHR Certification ID?

The unique ONC EHR Certification ID issued by the certifying body is associated with the CMS EHR Certification ID but distinct from it. The ONC EHR Certification ID is one of the “inputs” into the calculation and creation of the CMS EHR Certification ID. However, it is ultimately the CMS EHR Certification ID number which providers will use for the incentive payments.

The ONC Certified Health Product Listing functionality was updated December 24, 2010 and it now has the addition of a shopping cart to create CMS EHR Certification ID number. Users can obtain the CMS EHR Certification ID number by following these steps:

1. Go the ONC CHPL website: http://onc-chpl.force.com/ehrcert
2. Following the instructions on the site, search for the certified EHR products. There are many ways to search, but one option is to search by the ONC EHR Certification ID assigned to the vendor.
3. When the EHR product(s) is found, select the link on its row called “Add to Cart”. There is a shopping cart icon next to it.
4. When all EHR products used by the provider have been added to the cart, select the “View Cart” link at the top right which also has a shopping cart icon next to it.
5. Now in the Certification Cart section, verify the products in the cart are correct. Then, select the “Get CMS EHR Certification ID” button in the top right corner to request a CMS EHR Certification ID. However, the button will not be activated until the items in your cart meet 100% of the required criteria. If your EHR product(s) do not meet 100% of the Meaningful Use incentives, then a CMS EHR Certification ID number can not be issued.
6. Finally, you will see the CMS EHR Certification ID. It is typically a 15 digit string made up alphanumeric characters.

Bradford-Scott Summary

By 2011:

   * use computerized physician order entry for all orders including medications;
   * incorporate lab tests and results into EHRs and share results electronically with public health agencies;
   * generate lists of patients by specific condition to use for quality improvement;
   * provide clinical summaries for patients after each encounter;
   * exchange key clinical information among health professionals.

By 2013:

   * generate and transmit prescriptions electronically;
   * manage chronic conditions using patient lists and decision support tools;
   * use bar coding for medication administration;
   * offer secure patient-physician messaging capability;
   * record patient preferences in EHR.

By 2015:

   * achieve minimal levels of performance on quality, safety and efficiency;
   * give patients access to self-management tools;
   * access comprehensive patient data from all available sources;
   * conduct automated real-time surveillance on occurrences such as adverse events, disease outbreaks and bioterrorism;
   * incorporate clinical dashboards into EHR.

HHS Definition Summary

  • Feb 12, 2010

The Secretary adopts the following certification criteria for Complete EHRs or EHR Modules designed to be used in an ambulatory setting. Complete EHRs or EHR Modules must include the capability to perform the following functions electronically and in accordance with all applicable standards and implementation specifications adopted in this part:

Sec. 170.304 Specific certification criteria for Complete EHRs or EHR Modules designed for an ambulatory setting.

The Secretary adopts the following certification criteria for Complete EHRs or EHR Modules designed to be used in an ambulatory setting. Complete EHRs or EHR Modules must include the capability to perform the following functions electronically and in accordance with all applicable standards and implementation specifications adopted in this part:

    (a) Computerized provider order entry. Enable a user to 
electronically record, store, retrieve, and manage, at a minimum, the 
following order types:
    (1) Medications;
    (2) Laboratory;
    (3) Radiology/imaging; and
    (4) Provider referrals.
    (b) Electronically exchange prescription information. Enable a user 
to electronically transmit medication orders (prescriptions) for 
patients in accordance with the standards specified in Sec.  
170.205(c).
    (c) Record demographics. Enable a user to electronically record, 
modify, and retrieve patient demographic data including preferred 
language, insurance type, gender, race, ethnicity, and date of birth.
    (d) Generate patient reminder list. Electronically generate, upon 
request, a patient reminder list for preventive or follow-up care 
according to patient preferences based on demographic data, specific 
conditions, and/or medication list.
    (e) Clinical decision support.
    (1) Implement rules. Implement automated, electronic clinical 
decision support rules (in addition to drug-drug and drug-allergy 
contraindication checking) according to specialty or clinical 
priorities that use demographic data, specific patient diagnoses, 
conditions, diagnostic test results and/or patient medication list.
    (2) Alerts. Automatically and electronically generate and indicate 
in real-time, alerts and care suggestions based upon clinical decision 
support rules and evidence grade.
    (3) Alert statistics. Automatically and electronically track, 
record, and generate reports on the number of alerts responded to by a 
user.
    (f) Electronic copy of health information. Enable a user to create 
an electronic copy of a patient's clinical information, including, at a 
minimum, diagnostic test results, problem list, medication list, 
medication allergy list, immunizations, and procedures in:
    (1) Human readable format; and
    (2) On electronic media or through some other electronic means in 
accordance with:
    (i) One of the standards specified in Sec.  170.205(a)(1);
    (ii) The standard specified in Sec.  170.205(a)(2)(i)(A), or, at a 
minimum, the version of the standard specified in Sec.  
170.205(a)(2)(i)(B);
    (iii) One of the standards specified in Sec.  170.205(a)(2)(ii);
    (iv) At a minimum, the version of the standard specified in Sec.  
170.205(a)(2)(iii); and
    (v) The standard specified in Sec.  170.205(a)(2)(iv).
    (g) Timely access. Enable a user to provide patients with online 
access to their clinical information, including, at a minimum, lab test 
results, problem list, medication list, medication allergy list, 
immunizations, and procedures.
    (h) Clinical summaries.
    (1) Provision. Enable a user to provide clinical summaries to 
patients for each office visit that include, at a minimum, diagnostic 
test results, problem list, medication list, medication allergy list, 
immunizations and procedures.
    (2) Provided electronically. If the clinical summary is provided 
electronically it must be:
    (i) Provided in human readable format; and
    (ii) On electronic media or through some other electronic means in 
accordance with:
    (A) One of the standards specified in Sec.  170.205(a)(1);
    (B) The standard specified in Sec.  170.205(a)(2)(i)(A), or, at a 
minimum, the version of the standard specified in Sec.  
170.205(a)(2)(i)(B);
    (C) One of the standards specified in Sec.  170.205(a)(2)(ii);
    (D) At a minimum, the version of the standard specified in Sec.  
170.205(a)(2)(iii); and
    (E) The standard specified in Sec.  170.205(a)(2)(iv).

[[Page 2047]]

    (i) Exchange clinical information and patient summary record.
    (1) Electronically receive and display. Electronically receive a 
patient's summary record, from other providers and organizations 
including, at a minimum, diagnostic tests results, problem list, 
medication list, medication allergy list, immunizations, and procedures 
in accordance with Sec.  170.205(a) and upon receipt of a patient 
summary record formatted in an alternate standard specified in Sec.  
170.205(a)(1), display it in human readable format.
    (2) Electronically transmit. Enable a user to electronically 
transmit a patient summary record to other providers and organizations 
including, at a minimum, diagnostic test results, problem list, 
medication list, medication allergy list, immunizations, and procedures 
in accordance with:
    (i) One of the standards specified in Sec.  170.205(a)(1);
    (ii) The standard specified in Sec.  170.205(a)(2)(i)(A), or, at a 
minimum, the version of the standard specified in Sec.  
170.205(a)(2)(i)(B);
    (iii) One of the standards specified in Sec.  170.205(a)(2)(ii);
    (iv) At a minimum, the version of the standard specified in Sec.  
170.205(a)(2)(iii); and
    (v) The standard specified in Sec.  170.205(a)(2)(iv).

ONC Meaningful Use - Final Rules for 2011

Health and Human Services - Standards & Certification

ONC Initiatives

NIST Test Scripts

14 organizations have applied to become ONC-ATCB so CCHIT will definitely not be the only one.

Archived Pages