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OpenEMR Certification Stage III Meaningful Use

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(Acknowledgment Tracking)
(Acknowledgment Tracking)
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=Overview=
=Overview=
-
:Goal completion is by 3/1/2021
+
:Goal completion is by 5/1/2021
:Testing body is [https://www.ul.com/offerings/onc-health-it-testing-and-certification UL]
:Testing body is [https://www.ul.com/offerings/onc-health-it-testing-and-certification UL]
:Links:
:Links:
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|style="color:white; background-color:red;padding-left:3px;padding-right:3px;"|$5,000
|style="color:white; background-color:red;padding-left:3px;padding-right:3px;"|$5,000
|style="color:white; background-color:red;padding-left:3px;padding-right:3px;"|$7,500
|style="color:white; background-color:red;padding-left:3px;padding-right:3px;"|$7,500
-
|style="color:white; background-color:red;padding-left:3px;padding-right:3px;"|$7,898.50
+
|style="color:white; background-color:red;padding-left:3px;padding-right:3px;"|$10,000
-
|style="color:white; background-color:orange;padding-left:3px;padding-right:3px;"|$10,000
+
|style="color:white; background-color:red;padding-left:3px;padding-right:3px;"|$12,500
-
|style="color:white; background-color:orange;padding-left:3px;padding-right:3px;"|$12,500
+
|style="color:white; background-color:red;padding-left:3px;padding-right:3px;"|$14,898.50
|style="color:white; background-color:orange;padding-left:3px;padding-right:3px;"|$15,000
|style="color:white; background-color:orange;padding-left:3px;padding-right:3px;"|$15,000
|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;"|$20,000
-
|style="color:white; background-color:orange;padding-left:3px;padding-right:3px;"|$21,398.50
+
|style="color:white; background-color:orange;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:orange;padding-left:3px;padding-right:3px;"|$30,000
-
|style="color:white; background-color:green;padding-left:3px;padding-right:3px;"|$26,500
+
|style="color:white; background-color:orange;padding-left:3px;padding-right:3px;"|$30,398.50
-
|style="color:white; background-color:gray;padding-left:3px;padding-right:3px;"|$30,000
+
|style="color:white; background-color:green;padding-left:3px;padding-right:3px;"|$35,000
-
|style="color:white; background-color:gray;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:gray;padding-left:3px;padding-right:3px;"|$40,000
+
|style="color:white; background-color:green;padding-left:3px;padding-right:3px;"|$45,000
-
|style="color:white; background-color:gray;padding-left:3px;padding-right:3px;"|$45,000
+
|style="color:white; background-color:green;padding-left:3px;padding-right:3px;"|$50,500
-
|style="color:white; background-color:gray;padding-left:3px;padding-right:3px;"|$50,000
+
|style="color:white; background-color:gray;padding-left:3px;padding-right:3px;"|$55,000
|style="color:white; background-color:gray;padding-left:3px;padding-right:3px;"|$55,000
|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;"|$60,000
Line 51: Line 50:
:Legend Description:
:Legend Description:
:*<span style="color:white; background-color:gray">Not Funded</span> - Unfunded Goal.
:*<span style="color:white; background-color:gray">Not Funded</span> - Unfunded Goal.
-
:*<span style="color:white; background-color:green">Funds Available</span> - Funds available.
+
:*<span style="color:white; background-color:green">Funds Available</span> - Funds available (there is also a 9K emergency fund provided by a donor if needed, however, will only use this if absolutely required).
-
:*<span style="color:white; background-color:orange">Funds Earmarked</span> - Funds that have been earmarked (ie. contracted to spend for future work) (note not including an additional 10K that will be owed when have more funding).
+
:*<span style="color:white; background-color:orange">Funds Earmarked</span> - Funds that have been earmarked.
:*<span style="color:white; background-color:red">Expended Funds</span> - Funds that have been spent.
:*<span style="color:white; background-color:red">Expended Funds</span> - Funds that have been spent.
</div>
</div>
Line 69: Line 68:
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:green"|a1<sup>*</sup>
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:green"|a1<sup>*</sup>
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:green"|a2<sup>*</sup>
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:green"|a2<sup>*</sup>
-
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:red"|a5<sup>*</sup>
+
|style="border:2px solid darkgrey; padding:2px; color:black; background-color:yellow"|a5<sup>*</sup>
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:red"|a9<sup>*</sup>
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:red"|a9<sup>*</sup>
-
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:red"|a12<sup>*</sup>
+
|style="border:2px solid darkgrey; padding:2px; color:black; background-color:yellow"|a12<sup>*</sup>
-
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:red"|a14<sup>*</sup>
+
|style="border:2px solid darkgrey; padding:2px; color:black; background-color:yellow"|a14<sup>*</sup>
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:red"|b1
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:red"|b1
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:red"|b10
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:red"|b10
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|style="border:2px solid darkgrey; padding:2px; color:white; background-color:red"|g5
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:red"|g5
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:red"|g6
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:red"|g6
-
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:red"|g7<sup>*</sup>
+
|style="border:2px solid darkgrey; padding:2px; color:black; background-color:yellow"|g7<sup>*</sup>
-
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:red"|g8
+
|style="border:2px solid darkgrey; padding:2px; color:black; background-color:yellow"|g8
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:red"|g9
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:red"|g9
|style="border:2px solid darkgrey; padding:2px; color:black; background-color:yellow"|g10
|style="border:2px solid darkgrey; padding:2px; color:black; background-color:yellow"|g10
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::*Core items that are missing: b10, d12, d13, g10 (these are basically all the new items for Cures Update)
::*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
::*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
 +
<br>
 +
:'''Considering following optional criteria:'''
 +
::*b3 (Electronic Prescribing)
<br>
<br>
<div style="font-size:80%;border:1px solid;">
<div style="font-size:80%;border:1px solid;">
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:*'''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.
:*'''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''':
:*'''Building Blocks''':
 +
::*<span style="color:white; background-color:red">CQM</span> '''(Ken Chapple)'''
::*<span style="color:white; background-color:red">CCDA</span> '''(Jerry Padgett)'''
::*<span style="color:white; background-color:red">CCDA</span> '''(Jerry Padgett)'''
-
::*<span style="color:white; background-color:red">FHIR</span> '''(Jerry Padgett)''' '''(Vishnu Yarmaneni)''' '''(Brady Miller)'''
+
::*<span style="color:white; background-color:red">FHIR</span> '''(Jerry Padgett)''' '''(Vishnu Yarmaneni)''' '''(Stephen Nielson)''' '''(Brady Miller)'''
-
::*<span style="color:white; background-color:red">API</span> '''(Jerry Padgett)''' '''(Brady Miller)'''
+
::*<span style="color:white; background-color:red">API</span> '''(Jerry Padgett)''' '''(Stephen Nielson)''' '''(Brady Miller)'''
-
::*<span style="color:white; background-color:red">OAuth</span> '''(Jerry Padgett)'''
+
::*<span style="color:white; background-color:green">OAuth</span> '''(Jerry Padgett)''' '''(Stephen Nielson)''' '''(Brady Miller)'''
-
::*<span style="color:white; background-color:red">SMART</span> '''(Stephen Nielson)'''
+
::*<span style="color:white; background-color:green">SMART</span> '''(Stephen Nielson)'''
:*<span style="color:white; background-color:green">'''FINALIZED'''</span> 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.
:*<span style="color:white; background-color:green">'''FINALIZED'''</span> 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))==
==Clinical (170.315(a))==
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:'''a3.''' CPOE – diagnostic imaging ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-a3 forum] | [[CPOE-imaging (MU3)|wiki]]):
:'''a3.''' CPOE – diagnostic imaging ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-a3 forum] | [[CPOE-imaging (MU3)|wiki]]):
:'''a4.''' Drug-drug, drug-allergy interaction checks for CPOE ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-a4 forum] | [[Drug-drug, drug-allergy interaction checks (MU3)|wiki]]):
:'''a4.''' Drug-drug, drug-allergy interaction checks for CPOE ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-a4 forum] | [[Drug-drug, drug-allergy interaction checks (MU3)|wiki]]):
-
:'''a5.''' Demographics ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-a5 forum] | [[Demographics (MU3)|wiki]]): (estimated work to complete: low) ongoing work here: https://github.com/openemr/openemr/pull/3266
+
:'''a5.''' Demographics ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-a5 forum] | [[Demographics (MU3)|wiki]]): (estimated work to complete: low) ongoing work here: https://github.com/openemr/openemr/pull/3266 '''(Brady Miller)'''
:'''a6.''' Problem list ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-a6 forum] | [[Problem list (MU3)|wiki]]):
:'''a6.''' Problem list ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-a6 forum] | [[Problem list (MU3)|wiki]]):
:'''a7.''' Medication list ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-a7 forum] | [[Medication list (MU3)|wiki]]):
:'''a7.''' Medication list ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-a7 forum] | [[Medication list (MU3)|wiki]]):
Line 138: Line 141:
:'''a10.''' Drug-formulary and preferred drug list checks ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-a10 forum] | [[Drug-formulary checks (MU3)|wiki]]):
:'''a10.''' Drug-formulary and preferred drug list checks ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-a10 forum] | [[Drug-formulary checks (MU3)|wiki]]):
:'''a11.''' Smoking status ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-a11 forum] | [[Smoking status (MU3)|wiki]]):
:'''a11.''' Smoking status ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-a11 forum] | [[Smoking status (MU3)|wiki]]):
-
:'''a12.''' Family health history ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-a12 forum] | [[Family health history (MU3)|wiki]]): (estimated work to complete: low)  discussion here: https://community.open-emr.org/t/what-are-the-requirements-for-this-section/15249/6
+
:'''a12.''' Family health history ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-a12 forum] | [[Family health history (MU3)|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 ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-a13 forum] | [[Patient-specific education resources (MU3)|wiki]]):
:'''a13.''' Patient-specific education resources ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-a13 forum] | [[Patient-specific education resources (MU3)|wiki]]):
-
:'''a14.''' Implantable device list ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-a14 forum] | [[Implantable device list (MU3)|wiki]]): (estimated work to complete: moderate) plan discussed here: https://community.open-emr.org/t/implantable-device-list-2015-onc-mu3-a14/13418
+
:'''a14.''' Implantable device list ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-a14 forum] | [[Implantable device list (MU3)|wiki]]): (estimated work to complete: moderate) plan discussed here: https://community.open-emr.org/t/implantable-device-list-2015-onc-mu3-a14/13418 '''(Brady Miller)'''
:'''a15.''' Social, psychological, and behavioral data ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-a15 forum] | [[Social-psychological-behavioral data (MU3)|wiki]]):
:'''a15.''' Social, psychological, and behavioral data ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-a15 forum] | [[Social-psychological-behavioral data (MU3)|wiki]]):
Line 159: Line 162:
==Clinical Quality Measures (170.315(c))==
==Clinical Quality Measures (170.315(c))==
-
:'''c1.''' Clinical quality measures (CQMs) – record and export ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-c1 forum] | [[CQMs – record and export (MU3)|wiki]]): (estimated work to complete: high) '''(Ken Chapple)'''
+
:'''c1.''' Clinical quality measures (CQMs) – record and export ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-c1 forum] | [[CQMs – record and export (MU3)|wiki]]): <span style="color:white; background-color:red">CQM</span> (estimated work to complete: high) '''(Ken Chapple)'''
-
:'''c2.''' CQMs – import and calculate ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-c2 forum] | [[CQMs – import and calculate (MU3)|wiki]]): (estimated work to complete: high) '''(Ken Chapple)'''
+
:'''c2.''' CQMs – import and calculate ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-c2 forum] | [[CQMs – import and calculate (MU3)|wiki]]): <span style="color:white; background-color:red">CQM</span> (estimated work to complete: high) '''(Ken Chapple)'''
-
:'''c3.''' CQMs – report criterion ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-c3 forum] | [[CQMs – report (MU3)|wiki]]): (estimated work to complete: high) '''(Ken Chapple)'''
+
:'''c3.''' CQMs – report criterion ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-c3 forum] | [[CQMs – report (MU3)|wiki]]): <span style="color:white; background-color:red">CQM</span> (estimated work to complete: high) '''(Ken Chapple)'''
:'''c4.''' CQMs – filter ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-c4 forum] | [[CQMs – filter(MU3)|wiki]]):
:'''c4.''' CQMs – filter ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-c4 forum] | [[CQMs – filter(MU3)|wiki]]):
Line 200: Line 203:
:'''g5.''' Accessibility-centered design ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-g5 forum] | [[Accessibility-centered design (MU3))|wiki]]): (estimated work to complete: low/moderate)
:'''g5.''' Accessibility-centered design ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-g5 forum] | [[Accessibility-centered design (MU3))|wiki]]): (estimated work to complete: low/moderate)
:'''g6.''' Consolidated CDA creation performance ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-g6 forum] | [[Consolidated CDA creation performance (MU3))|wiki]]): ('''g6 is considered completed when b1 and b6 is completed''')
:'''g6.''' Consolidated CDA creation performance ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-g6 forum] | [[Consolidated CDA creation performance (MU3))|wiki]]): ('''g6 is considered completed when b1 and b6 is completed''')
-
:'''g7.''' Application access – patient selection ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-g7 forum] | [[Application access – patient selection (MU3))|wiki]]): <span style="color:white; background-color:red">API</span> <span style="color:white; background-color:red">FHIR</span> (estimated work to complete: low)
+
:'''g7.''' Application access – patient selection ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-g7 forum] | [[Application access – patient selection (MU3))|wiki]]): <span style="color:white; background-color:red">API</span> <span style="color:white; background-color:red">FHIR</span> (estimated work to complete: low) '''(Stephen Nielson)'''
-
:'''g8.''' Application access – data category request ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-g8 forum] | [[Application access – data category request (MU3))|wiki]]): <span style="color:white; background-color:red">API</span> <span style="color:white; background-color:red">FHIR</span> (estimated work to complete: moderate/high)
+
:'''g8.''' Application access – data category request ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-g8 forum] | [[Application access – data category request (MU3))|wiki]]): <span style="color:white; background-color:red">API</span> <span style="color:white; background-color:red">FHIR</span> (estimated work to complete: moderate/high) '''(Stephen Nielson)'''
:'''g9.''' Application access – all data request ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-g9 forum] | [[Application access – all data request (MU3))|wiki]]): <span style="color:white; background-color:red">API</span> <span style="color:white; background-color:red">CCDA</span> (estimated work to complete: moderate/high)
:'''g9.''' Application access – all data request ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-g9 forum] | [[Application access – all data request (MU3))|wiki]]): <span style="color:white; background-color:red">API</span> <span style="color:white; background-color:red">CCDA</span> (estimated work to complete: moderate/high)
-
:'''g10.''' Standardized API for patient and population services ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-g10 forum] | [[Standardized API for patient and population services (MU3))|wiki]]): <span style="color:white; background-color:red">OAuth</span> <span style="color:white; background-color:red">SMART</span> <span style="color:white; background-color:red">FHIR</span> (estimated work to complete: moderate/high) '''(Jerry Padgett, Stephen Nielson)'''
+
:'''g10.''' Standardized API for patient and population services ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-g10 forum] | [[Standardized API for patient and population services (MU3))|wiki]]): <span style="color:white; background-color:green">OAuth</span> <span style="color:white; background-color:green">SMART</span> <span style="color:white; background-color:red">FHIR</span> (estimated work to complete: moderate/high) '''(Jerry Padgett, Stephen Nielson)'''
:'''g11.''' Consent management for application programming interfaces ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-g11 forum] | [[Consent management for application programming interfaces (MU3))|wiki]]):
:'''g11.''' Consent management for application programming interfaces ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-g11 forum] | [[Consent management for application programming interfaces (MU3))|wiki]]):
Line 227: Line 230:
:Brady Miller - FHIR, API, OAuth, Auditable events and tamper-resistance, Audit report(s), Integrity, Encrypt authentication credentials certification criterion
:Brady Miller - FHIR, API, OAuth, Auditable events and tamper-resistance, Audit report(s), Integrity, Encrypt authentication credentials certification criterion
:Jerry Padgett - CCDA, FHIR, API, OAuth, Standardized API for patient and population services
:Jerry Padgett - CCDA, FHIR, API, OAuth, Standardized API for patient and population services
-
:Ken Chapple - Clinical quality measures (CQMs) – record and export, CQMs – import and calculate, CQMs – report criterion
+
:Ken Chapple - CQM, Clinical quality measures (CQMs) – record and export, CQMs – import and calculate, CQMs – report criterion
:Rachel Ellison - Implantable device list
:Rachel Ellison - Implantable device list
-
:Stephen Nielson - SMART, Standardized API for patient and population services
+
: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
:Thuyet Tran - Demographics
:Vishnu Yarmaneni - FHIR
:Vishnu Yarmaneni - FHIR

Revision as of 21:15, 27 February 2021

Contents

Overview

Goal completion is by 5/1/2021
Testing body is UL
Links:

Forums and Discussion


Funding Barometer

Required to Pay for Testing and Certification

$1000 $1500

Required to support development efforts and timely delivery

$2,500 $5,000 $7,500 $10,000 $12,500 $14,898.50 $15,000 $20,000 $25,000 $30,000 $30,398.50 $35,000 $40,000 $45,000 $50,500 $55,000 $60,000 $65,000 $70,000


Legend Description:
  • Not Funded - Unfunded Goal.
  • Funds Available - Funds available (there is also a 9K emergency fund provided by a donor if needed, however, will only use this if absolutely required).
  • Funds Earmarked - Funds that have been earmarked.
  • Expended Funds - Funds that have been spent.



Fund Drive for OpenEMR 2015 Certification

Please help OpenEMR obtain 2015 Edition CEHRT


DONATE HERE


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-declaratiion (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): (estimated work to complete: low) ongoing work here: https://github.com/openemr/openemr/pull/3266 (Brady Miller)
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): (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): (estimated work to complete: moderate) plan discussed here: https://community.open-emr.org/t/implantable-device-list-2015-onc-mu3-a14/13418 (Brady Miller)
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)
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 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)
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, Auditable events and tamper-resistance, Audit report(s), Integrity, Encrypt authentication credentials certification criterion
Jerry Padgett - CCDA, FHIR, API, OAuth, 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)