Difference between revisions of "OpenEMR Certification ONC HTI-1 Final Rule"
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=Overview= | =Overview= | ||
= | The ONC Certification deadline is '''December 31, 2025, and OpenEMR needs a community investment of $160,000''' to fund the development, testing, and fees that keeps OpenEMR certified for everyone. | ||
= | |||
== | Thousands of practices depend on certified OpenEMR. Meeting certification requirements ensures they stay:<br> | ||
''' | ✓ Compliant with federal standards <br> | ||
✓ Interoperable with other systems <br> | |||
✓ Free from vendor lock-in <br> | |||
✓ Able to innovate and grow <br> | |||
==== 2025 ONC Certification Standards ==== | |||
:'''AI and Decision Support Transparency:''' Implementing disclosure requirements for predictive algorithms and clinical decision support<br> | |||
:'''USCDI Version 3 Support:''' Expanding data elements to include enhanced patient demographics and social determinants of health<br> | |||
:'''Enhanced Interoperability:''' Improving FHIR APIs and bulk data access capabilities<br> | |||
:'''Real World Testing:''' Ongoing validation and performance reporting<br> | |||
:'''Information Blocking Compliance:''' Ensuring transparent data access policies<br> | |||
==== Why Certification Matters ==== | |||
For Practices<br> | |||
✓ Federal Compliance (MIPS, quality programs)<br> | |||
✓ Interoperability with hospitals, labs, pharmacies<br> | |||
✓ Patient trust and data security<br> | |||
✓ Ability to participate in value-based care<br><br> | |||
For the Community<br> | |||
✓ Freedom from vendor lock-in<br> | |||
✓ Control over practice data<br> | |||
✓ Predictable, transparent costs<br> | |||
✓ Community-driven innovation<br><br> | |||
For Healthcare<br> | |||
✓ Competition against proprietary monopolies<br> | |||
✓ Accessibility for underserved communities<br> | |||
✓ Innovation without corporate gatekeeping<br> | |||
✓ Open standards benefitting everyone<br> | |||
= Fund OpenEMR Certification = | |||
'''SUPPORT''' open healthcare <br> | |||
'''EMPOWER''' development<br> | |||
'''INNOVATE''' together<br><br> | |||
====[https://www.zeffy.com/en-US/donation-form/donate-to-onc--2026 CONTRIBUTE NOW]==== | |||
<br> | <br> | ||
=Funding and Sponsors= | |||
==Barometer== | |||
Meeting ONC requirements demands extensive work: implementing new technical standards, comprehensive testing and quality assurance, detailed documentation, certification submission fees, and ongoing Real World Testing. This investment funds more than 1,600 hours of specialized development work necessary for certification. All funds raised will support the dedicated developers contributing more than 1,600 hours to certification development, testing and documentation, plus certification fees. | |||
{|style="border:1px solid darkgray" | {|style="border:1px solid darkgray" | ||
|- | |- | ||
|style="color:white; background-color:green;padding-left:3px;padding-right:3px;"|$ | |style="color:white; background-color:green;padding-left:3px;padding-right:3px;"|$20,000 | ||
|style="color:white; background-color:green;padding-left:3px;padding-right:3px;"|$ | |style="color:white; background-color:green;padding-left:3px;padding-right:3px;"|$40,000 | ||
|style="color:white; background-color:gray;padding-left:3px;padding-right:3px;"|$ | |style="color:white; background-color:gray;padding-left:3px;padding-right:3px;"|$60,000 | ||
|style="color:white; background-color:gray;padding-left:3px;padding-right:3px;"|$80,000 | |||
|style="color:white; background-color:gray;padding-left:3px;padding-right:3px;"|$100,000 | |style="color:white; background-color:gray;padding-left:3px;padding-right:3px;"|$100,000 | ||
|style="color:white; background-color:gray;padding-left:3px;padding-right:3px;"|$ | |style="color:white; background-color:gray;padding-left:3px;padding-right:3px;"|$120,000 | ||
|style="color:white; background-color:gray;padding-left:3px;padding-right:3px;"|$ | |style="color:white; background-color:gray;padding-left:3px;padding-right:3px;"|$140,000 | ||
|style="color:white; background-color:gray;padding-left:3px;padding-right:3px;"|$ | |style="color:white; background-color:gray;padding-left:3px;padding-right:3px;"|$160,000 | ||
|} | |} | ||
{|style="border:1px solid darkgray" | {|style="border:1px solid darkgray" | ||
|- | |- | ||
|style="color:white; background-color:orange;padding-left:3px;padding-right:3px;"|$ | |style="color:white; background-color:orange;padding-left:3px;padding-right:3px;"|$20,000 | ||
|style="color:white; background-color:orange;padding-left:3px;padding-right:3px;"|$ | |style="color:white; background-color:orange;padding-left:3px;padding-right:3px;"|$40,000 | ||
|} | |} | ||
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</div> | </div> | ||
<br> | <br> | ||
==Major sponsors== | |||
Thank you to our major sponsors: | |||
:OpenHealthIT Ireland | |||
<br> | <br> | ||
== | =FAQ= | ||
:'''< | '''Q: What is ONC certification?'''<br> | ||
< | A: ONC (Office of the National Coordinator for Health IT) certification ensures healthcare IT systems meet federal standards for interoperability, security, and functionality. Certified systems can participate in quality programs, exchange data with other systems, and meet federal compliance requirements.<br><br> | ||
'''Q: Why does certification cost $160,000?''' <br> | |||
A: Meeting ONC requirements demands extensive work: implementing new technical standards, comprehensive testing and quality assurance, detailed documentation, certification submission fees, and ongoing Real World Testing. This investment funds more than 1,600 hours of specialized development work necessary for certification. All funds raised will support the dedicated developers contributing more than 1,600 hours to certification development, testing and documentation, plus certification fees.<br> <br> | |||
'''Q: What happens if OpenEMR doesn't achieve certification?''' <br> | |||
A: Practices using OpenEMR would lose the ability to participate in MIPS and other quality programs, exchange data with certified systems, and meet federal compliance requirements. Many practices would be forced to switch to expensive proprietary systems.<br><br> | |||
'''Q: How is this different from proprietary EMR costs? '''<br> | |||
A: Proprietary EMR companies charge individual practices $50,000-$500,000+ for upfront fees like setup and implementation, plus a variety of ongoing fees such as subscription, support, and compliance. OpenEMR doesn’t charge providers to use the software, and instead relies on voluntary support to fund compliance requirements. This demonstrates the cost efficiency of community-supported open source.<br><br> | |||
'''Q: When is the deadline? '''<br> | |||
A: December 31, 2025 is the ONC certification deadline. Development work began in 2024 and is ongoing throughout 2025 to meet this requirement.<br><br> | |||
'''Q: Are contributions tax-deductible? '''<br> | |||
A: Yes. The OpenEMR Foundation (EIN 83-0557835) is a 501(c)(3) nonprofit organization that exists to support the OpenEMR project.<br><br> | |||
'''Q: Can I contribute if I don't currently use OpenEMR? '''<br> | |||
A: Absolutely! Supporting open-source healthcare benefits the entire industry by maintaining competition, keeping costs reasonable, and proving that community-funded development works at scale.<br><br> | |||
'''Q: What if the campaign exceeds $160,000? '''<br> | |||
A: Additional funds would support stretch goals: enhanced testing, additional certification criteria, and building reserves for future certification cycles.<br> | |||
=Forums and Discussion= | |||
<br> | <br> | ||
Latest revision as of 21:22, 17 October 2025
Overview
The ONC Certification deadline is December 31, 2025, and OpenEMR needs a community investment of $160,000 to fund the development, testing, and fees that keeps OpenEMR certified for everyone.
Thousands of practices depend on certified OpenEMR. Meeting certification requirements ensures they stay:
✓ Compliant with federal standards
✓ Interoperable with other systems
✓ Free from vendor lock-in
✓ Able to innovate and grow
2025 ONC Certification Standards
- AI and Decision Support Transparency: Implementing disclosure requirements for predictive algorithms and clinical decision support
- USCDI Version 3 Support: Expanding data elements to include enhanced patient demographics and social determinants of health
- Enhanced Interoperability: Improving FHIR APIs and bulk data access capabilities
- Real World Testing: Ongoing validation and performance reporting
- Information Blocking Compliance: Ensuring transparent data access policies
Why Certification Matters
For Practices
✓ Federal Compliance (MIPS, quality programs)
✓ Interoperability with hospitals, labs, pharmacies
✓ Patient trust and data security
✓ Ability to participate in value-based care
For the Community
✓ Freedom from vendor lock-in
✓ Control over practice data
✓ Predictable, transparent costs
✓ Community-driven innovation
For Healthcare
✓ Competition against proprietary monopolies
✓ Accessibility for underserved communities
✓ Innovation without corporate gatekeeping
✓ Open standards benefitting everyone
Fund OpenEMR Certification
SUPPORT open healthcare
EMPOWER development
INNOVATE together
CONTRIBUTE NOW
Funding and Sponsors
Barometer
Meeting ONC requirements demands extensive work: implementing new technical standards, comprehensive testing and quality assurance, detailed documentation, certification submission fees, and ongoing Real World Testing. This investment funds more than 1,600 hours of specialized development work necessary for certification. All funds raised will support the dedicated developers contributing more than 1,600 hours to certification development, testing and documentation, plus certification fees.
| $20,000 | $40,000 | $60,000 | $80,000 | $100,000 | $120,000 | $140,000 | $160,000 |
| $20,000 | $40,000 |
- Legend Description:
- Funds Raised - Funds raised.
- Not Funded - Unfunded Goal.
- Expended Funds - Funds that have been spent.
- Funds Contracted Out - Funds that have been contracted out.
Major sponsors
Thank you to our major sponsors:
- OpenHealthIT Ireland
FAQ
Q: What is ONC certification?
A: ONC (Office of the National Coordinator for Health IT) certification ensures healthcare IT systems meet federal standards for interoperability, security, and functionality. Certified systems can participate in quality programs, exchange data with other systems, and meet federal compliance requirements.
Q: Why does certification cost $160,000?
A: Meeting ONC requirements demands extensive work: implementing new technical standards, comprehensive testing and quality assurance, detailed documentation, certification submission fees, and ongoing Real World Testing. This investment funds more than 1,600 hours of specialized development work necessary for certification. All funds raised will support the dedicated developers contributing more than 1,600 hours to certification development, testing and documentation, plus certification fees.
Q: What happens if OpenEMR doesn't achieve certification?
A: Practices using OpenEMR would lose the ability to participate in MIPS and other quality programs, exchange data with certified systems, and meet federal compliance requirements. Many practices would be forced to switch to expensive proprietary systems.
Q: How is this different from proprietary EMR costs?
A: Proprietary EMR companies charge individual practices $50,000-$500,000+ for upfront fees like setup and implementation, plus a variety of ongoing fees such as subscription, support, and compliance. OpenEMR doesn’t charge providers to use the software, and instead relies on voluntary support to fund compliance requirements. This demonstrates the cost efficiency of community-supported open source.
Q: When is the deadline?
A: December 31, 2025 is the ONC certification deadline. Development work began in 2024 and is ongoing throughout 2025 to meet this requirement.
Q: Are contributions tax-deductible?
A: Yes. The OpenEMR Foundation (EIN 83-0557835) is a 501(c)(3) nonprofit organization that exists to support the OpenEMR project.
Q: Can I contribute if I don't currently use OpenEMR?
A: Absolutely! Supporting open-source healthcare benefits the entire industry by maintaining competition, keeping costs reasonable, and proving that community-funded development works at scale.
Q: What if the campaign exceeds $160,000?
A: Additional funds would support stretch goals: enhanced testing, additional certification criteria, and building reserves for future certification cycles.
Forums and Discussion
