Difference between revisions of "OpenEMR Certification Stage III Meaningful Use"
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=Overview= | =Overview= | ||
:Goal completion is by | :Goal completion is by 6/1/2021 | ||
: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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:*https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html | :*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://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= | =Forums and Discussion= | ||
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'''Required to Pay for Testing and Certification''' | '''Required to Pay for Testing and Certification''' | ||
{|style="border:1px solid darkgray | {|style="border:1px solid darkgray" | ||
|- | |- | ||
|style="color:white; background-color:green"|$1000 | |style="color:white; background-color:green;padding-left:3px;padding-right:3px"|$1000 | ||
|style="color:white; background-color:green"|$1500 | |style="color:white; background-color:green;padding-left:3px;padding-right:3px"|$1500 | ||
|} | |} | ||
'''Required to support development efforts and timely delivery''' | '''Required to support development efforts and timely delivery - $80,000''' | ||
{|style="border:1px solid darkgray;" | {|style="border:1px solid darkgray" | ||
|- | |||
|style="color:white; background-color:green;padding-left:3px;padding-right:3px;"|$5,000 | |||
|style="color:white; background-color:green;padding-left:3px;padding-right:3px;"|$10,000 | |||
|style="color:white; background-color:green;padding-left:3px;padding-right:3px;"|$15,000 | |||
|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;"|$25,000 | |||
|style="color:white; background-color:green;padding-left:3px;padding-right:3px;"|$28,139.50 | |||
|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;"|$35,000 | |||
|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;"|$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;"|$55,000 | |||
|style="color:white; background-color:gray;padding-left:3px;padding-right:3px;"|$55,398.50 | |||
|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;"|$65,000 | |||
|style="color:white; background-color:gray;padding-left:3px;padding-right:3px;"|$70,000 | |||
|style="color:white; background-color:gray;padding-left:3px;padding-right:3px;"|$75,000 | |||
|style="color:white; background-color:gray;padding-left:3px;padding-right:3px;"|$80,000 | |||
|} | |||
{|style="border:1px solid darkgray" | |||
|- | |- | ||
|style="color:white; background-color: | |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;"|$10,000 | |||
|style="color:white; background-color: | |style="color:white; background-color:red;padding-left:3px;padding-right:3px;"|$15,000 | ||
|style="color:white; background-color: | |style="color:white; background-color:red;padding-left:3px;padding-right:3px;"|$20,000 | ||
|style="color:white; background-color:red;padding-left:3px;padding-right:3px;"|$25,000 | |||
|style="color:white; background-color: | |style="color:white; background-color:red;padding-left:3px;padding-right:3px;"|$28,139.50 | ||
|style="color:white; background-color: | |style="color:white; background-color:orange;padding-left:3px;padding-right:3px;"|$30,000 | ||
|style="color:white; background-color: | |style="color:white; background-color:orange;padding-left:3px;padding-right:3px;"|$35,000 | ||
|style="color:white; background-color: | |style="color:white; background-color:orange;padding-left:3px;padding-right:3px;"|$40,000 | ||
|style="color:white; background-color: | |style="color:white; background-color:orange;padding-left:3px;padding-right:3px;"|$45,000 | ||
|style="color:white; background-color: | |style="color:white; background-color:orange;padding-left:3px;padding-right:3px;"|$50,500 | ||
|style="color:white; background-color: | |style="color:white; background-color:orange;padding-left:3px;padding-right:3px;"|$55,000 | ||
|style="color:white; background-color: | |style="color:white; background-color:orange;padding-left:3px;padding-right:3px;"|$55,398.50 | ||
|style="color:white; background-color: | |||
|style="color:white; background-color: | |||
|} | |} | ||
<br> | <br> | ||
<div style="font-size:80%;border:1px solid;"> | <div style="font-size:80%;border:1px solid;"> | ||
:Legend Description: | :Legend Description: | ||
:*<span style="color:white; background-color:green">Funds Raised</span> - Funds raised (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:gray">Not Funded</span> - Unfunded Goal. | :*<span style="color:white; background-color:gray">Not Funded</span> - Unfunded Goal. | ||
:*<span style="color:white; background-color: | :*<span style="color:white; background-color:red">Expended Funds</span> - Funds that have been spent. | ||
:*<span style="color:white; background-color:orange"> | :*<span style="color:white; background-color:orange">Funds Contracted Out</span> - Funds that have been contracted out; '''yes, we owe more than we have! :)''' | ||
</div> | </div> | ||
<br> | <br> | ||
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|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: | |style="border:2px solid darkgrey; padding:2px; color:white; background-color:green"|a5<sup>*</sup> | ||
|style="border:2px solid darkgrey; padding:2px; color:black; background-color:yellow"|a9<sup>*</sup> | |style="border:2px solid darkgrey; padding:2px; color:black; background-color:yellow"|a9<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:black; background-color:yellow"|a12<sup>*</sup> | ||
|style="border:2px solid darkgrey; padding:2px; color: | |style="border:2px solid darkgrey; padding:2px; color:white; background-color:green"|a14<sup>*</sup> | ||
|style="border:2px solid darkgrey; padding:2px; color: | |style="border:2px solid darkgrey; padding:2px; color:black; background-color:yellow"|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 | ||
|style="border:2px solid darkgrey; padding:2px; color:black; background-color:yellow"|c1 | |style="border:2px solid darkgrey; padding:2px; color:black; background-color:yellow"|c1 | ||
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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: | |style="border:2px solid darkgrey; padding:2px; color:black; background-color:yellow"|g7<sup>*</sup> | ||
|style="border:2px solid darkgrey; padding:2px; color: | |style="border:2px solid darkgrey; padding:2px; color:black; background-color:yellow"|g8 | ||
|style="border:2px solid darkgrey; padding:2px; color: | |style="border:2px solid darkgrey; padding:2px; color:black; background-color:yellow"|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 | ||
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:red"|h1 | |style="border:2px solid darkgrey; padding:2px; color:white; background-color:red"|h1 | ||
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:'''PENDING (comparison of items and barometer with partner group; ensure working towards Cures requirements)''' | :'''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) | ::*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, 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;"> | ||
Line 118: | Line 141: | ||
:*'''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)''' | ::*<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)''' | ::*<span style="color:white; background-color:red">API</span> '''(Jerry Padgett)''' '''(Stephen Nielson)''' '''(Brady Miller)''' | ||
::*<span style="color:white; background-color: | ::*<span style="color:white; background-color:green">OAuth</span> '''(Jerry Padgett)''' '''(Stephen Nielson)''' '''(Brady Miller)''' | ||
::*<span style="color:white; background-color: | ::*<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]]): | :'''a5.''' Demographics ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-a5 forum] | [[Demographics (MU3)|wiki]]): <span style="color:white; background-color:green">'''FINALIZED'''</span> | ||
:'''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]]): | ||
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:'''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) | :'''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]]): | :'''a14.''' Implantable device list ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-a14 forum] | [[Implantable device list (MU3)|wiki]]): <span style="color:white; background-color:green">'''FINALIZED'''</span> | ||
:'''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]]): | ||
==Care Coordination (170.315(b))== | ==Care Coordination (170.315(b))== | ||
:'''b1.''' Transitions of care ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-b1 forum] | [[Transitions of care (MU3)|wiki]]): <span style="color:white; background-color:red">CCDA</span> (estimated work to complete: moderate) | :'''b1.''' Transitions of care ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-b1 forum] | [[Transitions of care (MU3)|wiki]]): <span style="color:white; background-color:red">CCDA</span> (estimated work to complete: moderate) '''(Jerry Padgett)''' | ||
:'''b2.''' Clinical information reconciliation and incorporation ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-b2 forum] | [[Clinical information reconciliation and incorporation (MU3)|wiki]]): | :'''b2.''' Clinical information reconciliation and incorporation ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-b2 forum] | [[Clinical information reconciliation and incorporation (MU3)|wiki]]): | ||
:'''b3.''' Electronic prescribing ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-b3 forum] | [[Electronic prescribing (MU3)|wiki]]): | :'''b3.''' Electronic prescribing ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-b3 forum] | [[Electronic prescribing (MU3)|wiki]]): | ||
:'''b4.''' Common Clinical Data Set summary record – create ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-b4 forum] | [[Common Clinical Data Set summary record – create (MU3)|wiki]]): | :'''b4.''' Common Clinical Data Set summary record – create ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-b4 forum] | [[Common Clinical Data Set summary record – create (MU3)|wiki]]): | ||
:'''b5.''' Common Clinical Data Set summary record – receive ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-b5 forum] | [[Common Clinical Data Set summary record – receive (MU3)|wiki]]): | :'''b5.''' Common Clinical Data Set summary record – receive ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-b5 forum] | [[Common Clinical Data Set summary record – receive (MU3)|wiki]]): | ||
:'''b6.''' Data export ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-b6 forum] | [[Data export (MU3)|wiki]]): | :'''b6.''' Data export ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-b6 forum] | [[Data export (MU3)|wiki]]): | ||
:'''b7.''' Data segmentation for privacy – send ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-b7 forum] | [[Data segmentation for privacy – send (MU3)|wiki]]): | :'''b7.''' Data segmentation for privacy – send ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-b7 forum] | [[Data segmentation for privacy – send (MU3)|wiki]]): | ||
:'''b8.''' Data segmentation for privacy – receive ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-b8 forum] | [[Data segmentation for privacy – receive (MU3)|wiki]]): | :'''b8.''' Data segmentation for privacy – receive ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-b8 forum] | [[Data segmentation for privacy – receive (MU3)|wiki]]): | ||
:'''b9.''' Care plan ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-b9 forum] | [[Care plan (MU3)|wiki]]): | :'''b9.''' Care plan ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-b9 forum] | [[Care plan (MU3)|wiki]]): | ||
:'''b10.''' Electronic health information (EHI) export ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-b10 forum] | [[Care plan (MU3)|wiki]]): <span style="color:white; background-color:red">CCDA</span> <span style="color:white; background-color:red">FHIR</span> (estimated work to complete: moderate) | :'''b10.''' Electronic health information (EHI) export ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-b10 forum] | [[Care plan (MU3)|wiki]]): <span style="color:white; background-color:red">CCDA</span> '''or''' <span style="color:white; background-color:red">FHIR</span> (estimated work to complete: moderate) | ||
:'''b11.''' Electronic prescribing ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-b11 forum] | [[Care plan (MU3)|wiki]]): | :'''b11.''' Electronic prescribing ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-b11 forum] | [[Care plan (MU3)|wiki]]): | ||
:'''b12.''' Data segmentation for privacy – send ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-b12 forum] | [[Care plan (MU3)|wiki]]): | :'''b12.''' Data segmentation for privacy – send ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-b12 forum] | [[Care plan (MU3)|wiki]]): | ||
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==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 198: | Line 222: | ||
:'''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) '''(Jerry Padgett)''' | ||
:'''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: | :'''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]]): | ||
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:*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 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.. | :*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 | |||
<br> | <br> | ||
==Acknowledgment Tracking== | ==Acknowledgment Tracking== | ||
:Brady Miller - FHIR, Auditable events and tamper-resistance, Audit report(s), Integrity, Encrypt authentication credentials certification criterion | :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, Standardized API for patient and population services | :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 | :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 | :Thuyet Tran - Demographics | ||
:Vishnu Yarmaneni - FHIR | :Vishnu Yarmaneni - FHIR |
Revision as of 07:18, 18 April 2021
Overview
- Goal completion is by 6/1/2021
- 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 | $28,139.50 | $30,000 | $35,000 | $40,000 | $45,000 | $50,500 | $55,000 | $55,398.50 | $60,000 | $65,000 | $70,000 | $75,000 | $80,000 |
$5,000 | $10,000 | $15,000 | $20,000 | $25,000 | $28,139.50 | $30,000 | $35,000 | $40,000 | $45,000 | $50,500 | $55,000 | $55,398.50 |
- 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; yes, we owe more than we have! :)
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-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): 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)