Difference between revisions of "OpenEMR Certification Stage III Meaningful Use"
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|style="color:white; background-color:green;padding-left:3px;padding-right:3px;"|$25,000 | |style="color:white; background-color:green;padding-left:3px;padding-right:3px;"|$25,000 | ||
|style="color:white; background-color:green;padding-left:3px;padding-right:3px;"|$30,000 | |style="color:white; background-color:green;padding-left:3px;padding-right:3px;"|$30,000 | ||
|style="color:white; background-color:green;padding-left:3px;padding-right:3px;"|$35, | |style="color:white; background-color:green;padding-left:3px;padding-right:3px;"|$35,000 | ||
|style="color:white; background-color:green;padding-left:3px;padding-right:3px;"|$40,000 | |style="color:white; background-color:green;padding-left:3px;padding-right:3px;"|$40,000 | ||
|style="color:white; background-color:green;padding-left:3px;padding-right:3px;"|$42,639.50 | |style="color:white; background-color:green;padding-left:3px;padding-right:3px;"|$42,639.50 | ||
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|style="color:white; background-color:red;padding-left:3px;padding-right:3px;"|$25,000 | |style="color:white; background-color:red;padding-left:3px;padding-right:3px;"|$25,000 | ||
|style="color:white; background-color:red;padding-left:3px;padding-right:3px;"|$30,000 | |style="color:white; background-color:red;padding-left:3px;padding-right:3px;"|$30,000 | ||
|style="color:white; background-color:red;padding-left:3px;padding-right:3px;"|$35, | |style="color:white; background-color:red;padding-left:3px;padding-right:3px;"|$35,000 | ||
|style="color:white; background-color:red;padding-left:3px;padding-right:3px;"|$40,000 | |style="color:white; background-color:red;padding-left:3px;padding-right:3px;"|$40,000 | ||
|style="color:white; background-color:red;padding-left:3px;padding-right:3px;"|$42,639.50 | |style="color:white; background-color:red;padding-left:3px;padding-right:3px;"|$42,639.50 |
Revision as of 20:03, 29 June 2021
Overview
- Goal completion is by 9/1/2021
- Testing body is UL
- Links:
- https://www.healthit.gov/topic/certification-ehrs/2015-edition
- https://qpp.cms.gov/mips/overview
- https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html
- https://www.healthit.gov/isa/sites/isa/files/2020-07/USCDI-Version-1-July-2020-Errata-Final.pdf
- https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html#us-core-data-for-interoperability-and-2015-edition-common-clinical-data-set
- https://www.healthit.gov/sites/default/files/topiclanding/2018-04/2015Ed_CCG_CCDS.pdf
- https://inferno.healthit.gov/inferno
- https://inferno.healthit.gov/inferno/f3X6ykpeyzv/test_sets/test_procedure/
Forums and Discussion
Funding Barometer
Required to Pay for Testing and Certification
$1000 | $1500 |
Required to support development efforts and timely delivery - $80,000
$5,000 | $10,000 | $15,000 | $20,000 | $25,000 | $30,000 | $35,000 | $40,000 | $42,639.50 | $45,000 | $50,500 | $55,000 | $59,500 | $60,398.50 | $64,500 | $65,000 | $70,000 | $75,000 | $80,000 |
$5,000 | $10,000 | $15,000 | $20,000 | $25,000 | $30,000 | $35,000 | $40,000 | $42,639.50 | $45,000 | $50,500 | $55,000 | $59,500 | $60,398.50 |
- Legend Description:
- Funds Raised - Funds raised (there is also a 9K emergency fund provided by a donor if needed, however, will only use this if absolutely required).
- Not Funded - Unfunded Goal.
- Expended Funds - Funds that have been spent.
- Funds Contracted Out - Funds that have been contracted out.
Fund Drive for OpenEMR 2015 Certification
- Please help OpenEMR obtain 2015 Edition CEHRT
Completion Barometer
- This barometer is tracking the progress of the 2015 ONC Ambulatory EHR Certification (ie. Stage 3 MU) project. See below Certification Criteria section for criteria titles and further details on progress tracking.
a1* | a2* | a5* | a9* | a12* | a14* | b1 | b10 | c1 | c2 | c3 | d1* | d2* | d3* | d4* | d5* | d6* | d7* | d8* | d9* | d12* | d13* | g2 | g3 | g4 | g5 | g6 | g7* | g8 | g9 | g10 | h1 |
- PENDING (comparison of items and barometer with partner group; ensure working towards Cures requirements)
- Core items that are missing: b10, d12, d13, g10 (these are basically all the new items for Cures Update)
- Additional items not part of core: a3, a4, a10, a13, a15, b2, b3, b6, b7, b8, b9, c4, d10, d11, e1, e2, e3, f1, f2, f3, f4, f5, f6, f7, g1, h2
- Considering following optional criteria:
- b3 (Electronic Prescribing)
- 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 and in official codebase.
- * - Self-declaration (this involves self-declaration rather than formal testing with the testing body).
Certification Criteria Reference and Tracking
- Owner(s) - This is the "current" person/group(s) that are working on the criteria (or building block) and can be found in parenthesis next to the item.
- Building Blocks:
- CQM (Ken Chapple)
- CCDA (Jerry Padgett)
- FHIR (Jerry Padgett) (Vishnu Yarmaneni) (Stephen Nielson) (Brady Miller)
- API (Jerry Padgett) (Stephen Nielson) (Brady Miller)
- OAuth (Jerry Padgett) (Stephen Nielson) (Brady Miller)
- SMART (Stephen Nielson)
- FINALIZED means items is finalized (has been checked thoroughly and has an associated wiki page detailing why it is ready) and is ready to self-declare or test.
Clinical (170.315(a))
- a1. Computerized provider order entry (CPOE) – medications (forum | wiki): FINALIZED
- a2. CPOE – laboratory (forum | wiki): FINALIZED
- a3. CPOE – diagnostic imaging (forum | wiki):
- a4. Drug-drug, drug-allergy interaction checks for CPOE (forum | wiki):
- a5. Demographics (forum | wiki): FINALIZED
- 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) (Brady Miller)
- a10. Drug-formulary and preferred drug list checks (forum | wiki):
- a11. Smoking status (forum | wiki):
- a12. Family health history (forum | wiki): (estimated work to complete: low) discussion here: https://community.open-emr.org/t/what-are-the-requirements-for-this-section/15249/6 (Sherwin Gaddis)
- a13. Patient-specific education resources (forum | wiki):
- a14. Implantable device list (forum | wiki): FINALIZED
- a15. Social, psychological, and behavioral data (forum | wiki):
Care Coordination (170.315(b))
- b1. Transitions of care (forum | wiki): CCDA (estimated work to complete: moderate) (Jerry Padgett)
- 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): CCDA or FHIR (estimated work to complete: moderate)
- 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): CQM (estimated work to complete: high) (Ken Chapple)
- c2. CQMs – import and calculate (forum | wiki): CQM (estimated work to complete: high) (Ken Chapple)
- c3. CQMs – report criterion (forum | wiki): CQM (estimated work to complete: high) (Ken Chapple)
- c4. CQMs – filter (forum | wiki):
Privacy and Security (170.315(d))
- d1. Authentication, access control, and authorization (forum | wiki): FINALIZED
- d2. Auditable events and tamper-resistance (forum | wiki): (estimated work to complete: low/moderate) FINALIZED
- d3. Audit report(s) (forum | wiki): FINALIZED
- d4. Amendments (forum | wiki): FINALIZED
- d5. Automatic access time-out (forum | wiki): FINALIZED
- d6. Emergency access (forum | wiki): FINALIZED
- d7. End-user device encryption (forum | wiki): FINALIZED
- d8. Integrity (forum | wiki): FINALIZED
- d9. Trusted connection (forum | wiki): FINALIZED
- d10. Auditing actions on health information (forum | wiki):
- d11. Accounting of disclosures (forum | wiki):
- d12. Encrypt authentication credentials certification criterion (forum | wiki): FINALIZED
- d13. Multi-factor authentication (MFA) criterion (forum | wiki): FINALIZED
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):
- 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): (g6 is considered completed when b1 and b6 is completed)
- g7. Application access – patient selection (forum | wiki): API FHIR (estimated work to complete: low) (Stephen Nielson)
- g8. Application access – data category request (forum | wiki): API FHIR (estimated work to complete: moderate/high) (Stephen Nielson)
- g9. Application access – all data request (forum | wiki): API CCDA (estimated work to complete: moderate/high) (Jerry Padgett)
- g10. Standardized API for patient and population services (forum | wiki): OAuth SMART FHIR (estimated work to complete: moderate/high) (Jerry Padgett, Stephen Nielson)
- 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):
Instance Specific Requirements Tracking
- This will track the settings that a instance needs to use to fulfill ONC 2015.
- Required global settings
- Administration->Globals->Security->Hash Algorithm for Authentication->SHA512 (ONC 2015)
- Administration->Globals->Security->Hash Algorithm for Token->SHA512 (ONC 2015)
- Administration->Globals->Logging->Enable Audit Log Encryption->On
- To ensure optimal security, users need to run their OpenEMR client web browser on a end-user device that encrypts entire drive(s) with AES based encryption algorithm.
- To ensure accurate time, server will need to set up a Network Time Protocol server that supports version 4 Network Time Protocol (NTP) as defined by RFC 5905..
- For users NOT NEEDING ONC 2015, then would consider setting following global setting to improve performance
- Administration->Globals->Security->Audit Logging SELECT Query->Off
- Administration->Globals->Security->Printing Log Option->No logging
Acknowledgment Tracking
- Brady Miller - FHIR, API, OAuth, Demographics, Clinical decision support, Implantable device list, Auditable events and tamper-resistance, Audit report(s), Integrity, Encrypt authentication credentials certification criterion
- Jerry Padgett - CCDA, FHIR, API, OAuth, Transitions of care, Application access – all data request, Standardized API for patient and population services
- Ken Chapple - CQM, Clinical quality measures (CQMs) – record and export, CQMs – import and calculate, CQMs – report criterion
- Rachel Ellison - Implantable device list
- Stephen Nielson - SMART, FHIR, API, OAuth, Application access – patient selection, Application access – data category request, Standardized API for patient and population services
- Thuyet Tran - Demographics
- Vishnu Yarmaneni - FHIR
- Yash Raj Bothra - FHIR
Notes
- Below is how we derived the items to include in the main barometer:
- Based on 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. 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, a12, a14, b1, b6, c1, c2, c3, e3, g1 or g2, g7, g8, g9, h1 or h2
- Cures specific items are: a1, a2 or a3, a5, a9, a14, b1(standard or cures(cures is mandatory after 5/2/22)), c1, g7, g8 or g10(g10 is mandatory after 5/2/22), g9(standard or cures(cures is mandatory after 5/2/22)), h1 or h2
- New distilled list including cures stuff that is mandatory after 5/22/22: a1, a2 or a3, a5, a9, a12, a14, b1(cures version), b6, c1, c2, c3, e3, g1 or g2, g7, g9(cures version), g10(cures), h1 or h2
- Dependency items also needed are b10, d1-d9, d12, d13, g3-g6(g6 is considered completed when b1 and b6 is completed)
- Final listing (above 2 lists combined): a1, a2 or a3(will do a2), a5, a9, a12, a14, b1(cures version), b6, b10, c1, c2, c3, d1-d9, d12, d13, e3, g1 or g2(will do g2), g3-g6(g6 is considered completed when b1 and b6 is completed), g7, g9(cures version), g10(cures), h1 or h2(will do h1)
- Final adjustment after discussion with testing body: e3 not needed, g8 is needed, no more gap certification eligibility
- The real Final listing (above 2 lists integrated): a1, a2 or a3(will do a2), a5, a9, a12, a14, b1(cures version), b6, b10, c1, c2, c3, d1-d9, d12, d13, g1 or g2(will do g2), g3-g6(g6 is considered completed when b1 and b6 is completed), g7, g8, g9(cures version), g10(cures), h1 or h2(will do h1)