Certification Project Archive

NIST Testing Requirements

• 170.302 (a-n) General requirements --> Applies to both ambulatory and inpatient EHRs
• 170.302 (o-v) Security requirements --> Done/Certified --Tony - www.mi-squared.com 21:22, 15 March 2011 (UTC)
• 170.302 (w) Security requirement --> Done/Certified --Tony - www.mi-squared.com 21:22, 15 March 2011 (UTC)
• 170.304 (a-j) Ambulatory requirements

Project Tracking, Testing and QA for ONC Certification

OpenEMR passed FULL EHR Certification on Thursday Aug 18th. see: http://onc-chpl.force.com/ehrcert/EHRProductDetail?id=a0X30000003mNwTEAU

Testing 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
• Notes from 3/21 Meeting
• Notes from 3/28 Meeting
• Notes from 4/11 Meeting

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

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

ONC Certification Official Letter and Rules

Thanks to all of you and special thanks to the team at ISCA labs for their support!

Information on how eligible provider can register: https://www.cms.gov/EHRIncentivePrograms/20_RegistrationandAttestation.asp

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
  • Rxnorm codes included in CCR when feed from NewCrop eRx --Tony - www.mi-squared.com 15:07, 19 July 2011 (UTC)

Timely Access (Portal)

• Testing passes with ZHH --Tony - www.mi-squared.com 02:28, 28 June 2011 (UTC)
  • Waiting on code review
• Testing passes with internal (Cassilup) Portal --Tony - www.mi-squared.com 01:56, 12 July 2011 (UTC)

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)

• All known CQM issues addressed by Ken Chapple of Mi2 --Tony - www.mi-squared.com 23:50, 18 July 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

• How to get paid for ONC Certified Use

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.