Difference between revisions of "OpenEMR Certification Stage III Meaningful Use"
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:::*EXTRAPOLATED EHR gap items are a1, '''a2 or a3''', a11. EHR non-gap items are a5, a9, a14, b1, b6, c1, g7, g8, g9, '''h1 or h2'''. | :::*EXTRAPOLATED EHR gap items are a1, '''a2 or a3''', a11. EHR non-gap items are a5, a9, a14, b1, b6, c1, g7, g8, g9, '''h1 or h2'''. | ||
:::*EXTRAPOLATED Bonus items need for MIPS are a12, e3, '''g1 or g2''', c2, c3, (c4 is optional). | :::*EXTRAPOLATED Bonus items need for MIPS are a12, e3, '''g1 or g2''', c2, c3, (c4 is optional). | ||
:::*Above 2 lists distill to a1, '''a2 or a3''', a5, a9, a11, a12, a14, b1, b6, c1, c2, c3, e3, '''g1 or g2''', g7, g8, g9, '''h1 or h2''' | |||
:::*IN PROCESS OF CONFIRMING: Dependency items also needed are d1-d8, g3-g6 (g6 is considered completed when b1 is completed). | :::*IN PROCESS OF CONFIRMING: Dependency items also needed are d1-d8, g3-g6 (g6 is considered completed when b1 is completed). | ||
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Revision as of 21:56, 12 September 2020
Overview
- Analysis:
- https://www.healthit.gov/policy-researchers-implementers/2015-edition-final-rule
- https://www.healthit.gov/policy-researchers-implementers/2015-edition-test-method
- https://www.healthit.gov/playbook/certified-health-it/#section-2-1
- https://www.healthit.gov/sites/default/files/playbook/pdf/2015-edition-base-ehr-definition.pdf
- https://www.healthit.gov/sites/default/files/page/2019-03/ONCCuresNPRMProposedChanges.pdf
- https://qpp.cms.gov/mips/overview
- Forum:
Forums and Discussion
- Related forum threads and discussion can be found here:
Completion Barometer
- This barometer is tracking the progress of the 2015 ONC Ambulatory EHR Certification (ie. Stage 3 MU) project (certifying items to support MIPS). See below Certification Criteria section for criteria titles. Information used to decide which items to include in the barometer were:
- Base EHR gap items are a1, a2 or a3, a7, a8, a11. Base EHR non-gap items are a5, a6, a9, a14, b1, b6, c1, g7, g8, g9, h1 or h2.
- Bonus items need for MIPS are a12, e3, g1 or g2, c2, c3, (c4 is optional).
- Dependency items also needed for Base are d1-d8, g3-g6 (g6 is considered completed when b1 is completed).
- For CQM, can choose any 6 out of the possible 73.
- Note this is based on the prior regulations (ie. did not include proposed changes).
a1* | a2* | a3* | a5 | a6 | a7* | a8* | a9 | a11* | a12 | a14 | b1 | b6 | c1 | c2 | c3 | d1* | d2 | d3 | d4* | d5* | d6* | d7* | d8 | e3 | g1 | g2 | g3 | g4 | g5 | g6 | g7 | g8 | g9 | h1 | h2 |
- Below is based on the analysis before proposed changes were adopted: drop a6, a7, a8, a10, a11, a13, b4, b5, e2; change b3 to b11, b6 to b10, b7 to b12, b8 to b13, g8 to g10; revise a12, b1, b2, b9, c3, e1, f1, f2, f5, g6, g9; new d12, d13, g11.
- Below is based on the analysis incorporating finalized proposed changes and Cures: drop a6, a7, a8, a11, b4, b5; revise b1, b2, b3, b7, b8, b9, c3, d2, d3, d10, e1, f5, g6, g9; new b10, d12, d13, g10.(note goal is to only list the required items)
- Note the following OR items: a2 or a3, g1 or g2, h1 or h2
- EXTRAPOLATED EHR gap items are a1, a2 or a3, a11. EHR non-gap items are a5, a9, a14, b1, b6, c1, g7, g8, g9, h1 or h2.
- EXTRAPOLATED Bonus items need for MIPS are a12, e3, g1 or g2, c2, c3, (c4 is optional).
- Above 2 lists distill to a1, a2 or a3, a5, a9, a11, a12, a14, b1, b6, c1, c2, c3, e3, g1 or g2, g7, g8, g9, h1 or h2
- IN PROCESS OF CONFIRMING: Dependency items also needed are d1-d8, g3-g6 (g6 is considered completed when b1 is completed).
a1* | a2* | a3* | a5 | a9 | a12 | a14 | b1(revised) | b6 | b10(new) | c1 | c2 | c3(revised) | d1* | d2(revised) | d3(revised) | d4* | d5* | d6* | d7* | d8 | d12(new) | d13(new) | e3 | g1 | g2 | g3 | g4 | g5 | g6(revised) | g7 | g8 | g9(revised) | g10(new) | h1 | h2 |
- Legend Description:
- Not Yet Analyzed - Has not been analyzed yet.
- Not Ready - Not ready for certification testing and waiting for somebody to work on this.
- Not Ready (actively working on) - Not ready for certification testing, but are actively working on this.
- Ready - Ready for certification testing.
- Failed Test - Issues found during certification testing.
- Certification Pass - Passed certification, but not yet in official codebase.
- Certification Pass - Passed certification and in official codebase.
- * - Gap Certification eligible (ie. already passed via prior 2014 ONC certification).
Funding Barometer
Not Funded | Certification Test Funds | Development Funds | Expended Funds |
Required to Pay for Testing and Certification
$1000 | $5000 | $10,000 | $15,000 |
Required to support development efforts and timely delivery
$2,500 | $5,000 | $10,000 | $12,500 | $15,000 | $20,000 | $25,000 | $30,000 | $35,000 | $40,000 | $45,000 | $50,000 | $55,000 | $60,000 | $65,000 | $70,000 | $75,000 |
- Legend Description:
- Not Funded - Unfunded Goal.
- Certification Test Cost - Funds available to pay for Certification Testing
- Development - Funds available for development work
Fund Drive for OpenEMR 2015 Certification
- Please help OpenEMR obtain 2015 Edition CEHRT
Certification Criteria
See below Certification Criteria section for criteria titles.
a1*& | a2*& | a3*& | a4* | a5& | a6&! | a7*&! | a8*&! | a9& | a10*! | a11*&! | a12 | a13! | a14& | a15 | b1& | b2 | b3! | b4! | b5! | b6&! | b7! | b8! | b9 | b10! | b11! | b12! | b13! | c1& | c2 | c3! | c4 | d1* | d2 | d3 | d4* | d5* | d6* | d7* | d8 | d9 | d10 | d11* | d12! | d13! | e1 | e2! | e3 | f1 | f2 | f3* | f4 | f5 | f6 | f7 | g2 | g3 | g4 | g5 | g6 | g7& | g8& | g9& | g10! | g11! | h1& | h2& |
- Legend Description:
- * - Gap Certification eligible (ie. already passed via prior 2014 ONC certification).
- & - Base EHR Definition (2015 Edition Base EHR Definition) (Regarding a2/a3, just need a2 or a3)(reference: https://www.healthit.gov/sites/default/files/playbook/pdf/2015-edition-base-ehr-definition.pdf )
- ! - 21st Century Cures Act removed, updated, revised, new criteria (refer: https://www.healthit.gov/sites/default/files/page/2019-03/ONCCuresNPRMProposedChanges.pdf)
- Definitions for terms used in the below Criteria wiki pages:
- Owner - This is the "current" person/group(s) that are working on this criteria and can be found in parenthesis next to the item.
Clinical (170.315(a))
- a1. Computerized provider order entry (CPOE) – medications (forum | wiki):
- a2. CPOE – laboratory (forum | wiki):
- a3. CPOE – diagnostic imaging (forum | wiki):
- a4. Drug-drug, drug-allergy interaction checks for CPOE (forum | wiki):
- a5. Demographics (forum | wiki): (estimated work to complete: low) (Thuyet)
- a6. Problem list (forum | wiki):
- a7. Medication list (forum | wiki):
- a8. Medication allergy list (forum | wiki):
- a9. Clinical decision support (forum | wiki): (estimated work to complete: low)
- a10. Drug-formulary and preferred drug list checks (forum | wiki):
- a11. Smoking status (forum | wiki):
- a12. Family health history (forum | wiki):
- a13. Patient-specific education resources (forum | wiki):
- a14. Implantable device list (forum | wiki): (estimated work to complete: moderate) (Rachel)
- a15. Social, psychological, and behavioral data (forum | wiki):
Care Coordination (170.315(b))
- b1. Transitions of care (forum | wiki):
- b2. Clinical information reconciliation and incorporation (forum | wiki):
- b3. Electronic prescribing (forum | wiki):
- b4. Common Clinical Data Set summary record – create (forum | wiki):
- b5. Common Clinical Data Set summary record – receive (forum | wiki):
- b6. Data export (forum | wiki):
- b7. Data segmentation for privacy – send (forum | wiki):
- b8. Data segmentation for privacy – receive (forum | wiki):
- b9. Care plan (forum | wiki):
- b10. Electronic health information (EHI) export (forum | wiki):
- b11. Electronic prescribing (forum | wiki):
- b12. Data segmentation for privacy – send (forum | wiki):
- b13. Data segmentation for privacy – receive (forum | wiki):
Clinical Quality Measures (170.315(c))
- c1. Clinical quality measures (CQMs) – record and export (forum | wiki): (estimated work to complete: high) (Thuyet)
- c2. CQMs – import and calculate (forum | wiki): (estimated work to complete: high) (Thuyet)
- c3. CQMs – report criterion (forum | wiki):
- c4. CQMs – filter (forum | wiki):
Privacy and Security (170.315(d))
- d1. Authentication, access control, and authorization (forum | wiki):
- d2. Auditable events and tamper-resistance (forum | wiki): (estimated work to complete: low/moderate; need to reassess since revised)
- d3. Audit report(s) (forum | wiki): (estimated work to complete: low/moderate; need to reassess since revised)
- d4. Amendments (forum | wiki):
- d5. Automatic access time-out (forum | wiki):
- d6. Emergency access (forum | wiki):
- d7. End-user device encryption (forum | wiki):
- d8. Integrity (forum | wiki): (estimated work to complete: low/moderate)
- d9. Trusted connection (forum | wiki):
- d10. Auditing actions on health information (forum | wiki):
- d11. Accounting of disclosures (forum | wiki):
- d12. Encrypt authentication credentials certification criterion (forum | wiki):
- d13. Multi-factor authentication (MFA) criterion (forum | wiki):
Patient Engagement (170.315(e))
- e1. View, download, and transmit to 3rd party (forum | wiki):
- e2. Secure messaging (forum | wiki):
- e3. Patient health information capture (forum | wiki): (estimated work to complete: low)
Public Health (170.315(f))
- f1. Transmission to immunization registries (forum | wiki):
- f2. Transmission to public health agencies – syndromic surveillance (forum | wiki):
- f3. Transmission to public health agencies – reportable laboratory tests and value/results (forum | wiki):
- f4. Transmission to cancer registries (forum | wiki):
- f5. Transmission to public health agencies – electronic case reporting (forum | wiki):
- f6. Transmission to public health agencies – antimicrobial use and resistance reporting (forum | wiki):
- f7. Transmission to public health agencies – health care surveys (forum | wiki):
Utilization (170.315(g))
- g1. Automated numerator recording (forum | wiki): (estimated work to complete: moderate/high)
- g2. Automated measure calculation (forum | wiki): (estimated work to complete: moderate/high)
- g3. Safety-enhanced design (forum | wiki): (estimated work to complete: moderate/high)
- g4. Quality management system (forum | wiki): (estimated work to complete: low/moderate)
- g5. Accessibility-centered design (forum | wiki): (estimated work to complete: low/moderate)
- g6. Consolidated CDA creation performance (forum | wiki):
- g7. Application access – patient selection (forum | wiki): (estimated work to complete: low)
- g8. Application access – data category request (forum | wiki):
- g9. Application access – all data request (forum | wiki):
- g10. Standardized API for patient and population services (forum | wiki):
- g11. Consent management for application programming interfaces (forum | wiki):
Transport methods and other protocols (170.315(h))
- h1. Direct Project (forum | wiki): (estimated work to complete: low/moderate)
- h2. Direct Project, Edge Protocol, and XDR/XDM (forum | wiki): (estimated work to complete: low/moderate)
Estimates
- 2/17/16 estimate by Visolve on the total software engineering time needed to complete all required MU3 certification criteria. The estimate was approximately 31 engineering months of effort.
- Infogard (now UL) pricing for MU3 certification testing is $16,000