Difference between revisions of "OpenEMR Certification Stage III Meaningful Use"

From OpenEMR Project Wiki
(44 intermediate revisions by 2 users not shown)
Line 1: Line 1:
=Overview=
=Overview=
:Goal completion is by 11/1/2021
:Goal completion is by 12/1/2021
:Testing body is [https://www.ul.com/offerings/onc-health-it-testing-and-certification UL]
:Testing body is not yet decided.
:Links:
:Links:
:*https://www.healthit.gov/topic/certification-ehrs/2015-edition
:*https://www.healthit.gov/topic/certification-ehrs/2015-edition
Line 17: Line 17:
<br>
<br>


=Funding Barometer=
=Funding and Sponsors=
'''Required to Pay for Testing and Certification - $14,000'''
 
==Barometer==
'''Required to Pay for Testing and Certification - $14,000 (this is an estimate; still getting quotes)'''


{|style="border:1px solid darkgray"
{|style="border:1px solid darkgray"
Line 28: Line 30:
{|style="border:1px solid darkgray"
{|style="border:1px solid darkgray"
|-
|-
|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;"|$0
|style="color:white; background-color:red;padding-left:3px;padding-right:3px;"|$10,000
|style="color:white; background-color:red;padding-left:3px;padding-right:3px;"|$14,000
|}
|}
<br>
<br>
'''Required to support development efforts and timely delivery - $90,000'''
'''Required to support development efforts and timely delivery - $85,000'''
{|style="border:1px solid darkgray"
{|style="border:1px solid darkgray"
|-
|-
Line 45: Line 45:
|style="color:white; background-color:green;padding-left:3px;padding-right:3px;"|$67,209.50
|style="color:white; background-color:green;padding-left:3px;padding-right:3px;"|$67,209.50
|style="color:white; background-color:green;padding-left:3px;padding-right:3px;"|$70,000
|style="color:white; background-color:green;padding-left:3px;padding-right:3px;"|$70,000
|style="color:white; background-color:green;padding-left:3px;padding-right:3px;"|$80,000
|style="color:white; background-color:green;padding-left:3px;padding-right:3px;"|$77,600
|style="color:white; background-color:green;padding-left:3px;padding-right:3px;"|$86,600
|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;"|$90,000
|style="color:white; background-color:gray;padding-left:3px;padding-right:3px;"|$85,000
|}
|}
{|style="border:1px solid darkgray"
{|style="border:1px solid darkgray"
Line 75: Line 75:
<center style="font-size:150%">'''[https://www.open-emr.org/donate DONATE HERE]'''</center>
<center style="font-size:150%">'''[https://www.open-emr.org/donate DONATE HERE]'''</center>
<br>
<br>
==Major sponsors==


=Completion Barometer=
=Completion Barometer=
:*This barometer is tracking the progress of the 2015 ONC Ambulatory EHR Certification (ie. Stage 3 MU) project. See below [[OpenEMR_Certification_Stage_III_Meaningful_Use#Certification_Criteria|Certification Criteria]] section for criteria titles and further details on progress tracking.
:*This barometer is tracking the progress of the 2015 ONC Ambulatory EHR Certification (ie. Stage 3 MU) project. See below [[OpenEMR_Certification_Stage_III_Meaningful_Use#Certification_Criteria|Certification Criteria]] section for criteria titles and further details on progress tracking.
:*The below items were chosen as the minimum to support ONC 2015 certification with CEHRT (ie. MIPS, although note MIPS is dependent on organization such as CMS) and CURES.
{|style="border:1px solid darkgray;"
{|style="border:1px solid darkgray;"
|-
|-
Line 87: Line 89:
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:green"|a14<sup>*</sup><sup>F</sup>
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:green"|a14<sup>*</sup><sup>F</sup>
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:green"|b1
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:green"|b1
|style="border:2px solid darkgrey; padding:2px; color:black; background-color:yellow"|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
|style="border:2px solid darkgrey; padding:2px; color:black; background-color:yellow"|c2
|style="border:2px solid darkgrey; padding:2px; color:black; background-color:yellow"|c2
Line 102: Line 103:
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:green"|d12<sup>*</sup><sup>F</sup>
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:green"|d12<sup>*</sup><sup>F</sup>
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:green"|d13<sup>*</sup><sup>F</sup>
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:green"|d13<sup>*</sup><sup>F</sup>
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:red"|e3<sup>*</sup>
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:red"|g2
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:red"|g2
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:red"|g3
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:red"|g3
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:red"|g4
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:red"|g4
|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:black; background-color:yellow"|g6
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:red"|g6
|style="border:2px solid darkgrey; padding:2px; color:black; background-color:yellow"|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:black; background-color:yellow"|g8
|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"|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
Line 163: Line 164:
:'''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:green">CCDA</span> '''or''' <span style="color:white; background-color:green">FHIR</span> (detailed analysis after test CCDA, FHIR, and API) '''(Brady Miller)'''
:'''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]]):
:'''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]]):
Line 192: Line 193:
:'''e1.''' View, download, and transmit to 3rd party ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-e1 forum] | [[View, download, and transmit to 3rd party (MU3))|wiki]]):
:'''e1.''' View, download, and transmit to 3rd party ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-e1 forum] | [[View, download, and transmit to 3rd party (MU3))|wiki]]):
:'''e2.''' Secure messaging ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-e2 forum] | [[Secure messaging (MU3))|wiki]]):
:'''e2.''' Secure messaging ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-e2 forum] | [[Secure messaging (MU3))|wiki]]):
:'''e3.''' Patient health information capture ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-e3 forum] | [[Patient health information capture (MU3))|wiki]]): (estimated work to complete: low)
:'''e3.''' Patient health information capture ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-e3 forum] | [[Patient health information capture (MU3))|wiki]]): (estimated work to complete: very low; just need to analyze to ensure already supported)


==Public Health (170.315(f))==
==Public Health (170.315(f))==
Line 209: Line 210:
:'''g4.''' Quality management system ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-g4 forum] | [[Quality management system (MU3))|wiki]]): (estimated work to complete: low/moderate)
:'''g4.''' Quality management system ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-g4 forum] | [[Quality management system (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)
:'''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; need to re-analyze this to ensure this is still true''') '''(Brady Miller)'''
:'''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]]): <span style="color:white; background-color:green">CCDA</span> (estimated work to complete: low/moderate)
:'''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:green">API</span> <span style="color:white; background-color:green">FHIR</span> (API documentation pending) '''(Brady Miller)'''
:'''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:green">API</span> <span style="color:white; background-color:green">FHIR</span> (API documentation pending) '''(Brady Miller)'''
:'''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:green">API</span> <span style="color:white; background-color:green">FHIR</span> (API documentation pending) '''(Brady Miller)'''
:'''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]]):
:'''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:green">API</span> <span style="color:white; background-color:green">CCDA</span> (detailed analysis after test CCDA, FHIR, and API) '''(Brady Miller)'''
:'''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:green">API</span> <span style="color:white; background-color:green">CCDA</span> (detailed analysis after test CCDA, FHIR, and API) '''(Brady Miller)'''
:'''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:green">FHIR</span> (API documentation pending) '''(Brady Miller)'''
:'''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:green">FHIR</span> (API documentation pending) '''(Brady Miller)'''
Line 235: Line 236:


==Acknowledgment Tracking==
==Acknowledgment Tracking==
:*Brady Miller - CCDA, FHIR, API, OAuth, Demographics, Clinical decision support, Implantable device list, Auditable events and tamper-resistance, Audit report(s), Integrity, Encrypt authentication credentials certification criterion
:*Brady Miller<sup>*</sup> - CCDA, 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, CQM, Clinical quality measures (CQMs) – record and export, CQMs – import and calculate, CQMs – report criterion, Transitions of care, Application access – all data request, Standardized API for patient and population services
:*Jerry Padgett<sup>*</sup> - CCDA, FHIR, API, OAuth, CQM, Clinical quality measures (CQMs) – record and export, CQMs – import and calculate, CQMs – report criterion, 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
:*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
:*Stephen Nielson - SMART, FHIR, API, OAuth, Application access – patient selection, Application access – data category request, Standardized API for patient and population services
:*Stephen Waite<sup>*</sup>
:*Thuyet Tran - Demographics
:*Thuyet Tran - Demographics
:*Vishnu Yarmaneni - FHIR
:*Vishnu Yarmaneni - FHIR
:*Yash Raj Bothra - FHIR
:*Yash Raj Bothra - FHIR
:<div style="font-size:80%"><sup>*</sup>MU3 Project Managers</div>
<br>
<br>


Line 262: Line 266:
:::*Final adjustment after discussion with testing body: e3 not needed, g8 is needed, no more gap certification eligibility
:::*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)'''
:::*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)'''
::* Since doing CURES.
:::* Complete b10, so can drop b6.
:::* Complete g10, so can drop g8.
::* Research if following items are not part of BASE (ie. are they required for CEHRT and MIPS and CURES): a12, b10, c2, c3, g2
=== Redo analysis from scratch (to ensure on right path) ===
:::* Base EHR definition for 2015 Edition Cures Update (https://www.healthit.gov/topic/certification-ehrs/2015-edition-test-method/2015-edition-cures-update-base-electronic-health-record-definition)
::::* a1, a2 or a3, a5, a9, a14, b1, c1, g7, g9, g10, h1 or h2
::::* Dependencies for above items:
:::::* d1, d2, d3, d4, d5, d6, d7, d8, d9, d12, d13, g3, g4, g5, g6
:::* Note above items are determined by ONC for Base EHR. Also need to ensure get CEHRT status which is determined by CMS and appears more confusing to sort out (analysis ongoing): https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Certification
:::* Additional items required for CEHRT (ongoing analysis):
::::* Per https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-495/subpart-A/section-495.4 need:
:::::* a12, e3, c2, c3, (g1 or g2)
:::* Items that can drop:
::::* b10
:::* Items that need to add:
::::* e3

Revision as of 17:49, 19 October 2021

Overview

Goal completion is by 12/1/2021
Testing body is not yet decided.
Links:

Forums and Discussion


Funding and Sponsors

Barometer

Required to Pay for Testing and Certification - $14,000 (this is an estimate; still getting quotes)

$5,000 $10,000 $14,000
$0


Required to support development efforts and timely delivery - $85,000

$10,000 $20,000 $30,000 $40,000 $50,000 $60,000 $62,209.50 $67,209.50 $70,000 $77,600 $80,000 $85,000
$10,000 $20,000 $30,000 $40,000 $50,000 $60,000 $62,209.50 $67,209.50


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.



Fund Drive for OpenEMR 2015 Certification

Please help OpenEMR obtain 2015 Edition CEHRT


DONATE HERE


Major sponsors

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.
  • The below items were chosen as the minimum to support ONC 2015 certification with CEHRT (ie. MIPS, although note MIPS is dependent on organization such as CMS) and CURES.
a1*F a2*F a5*F a9* a12* a14*F b1 c1 c2 c3 d1*F d2*F d3*F d4*F d5*F d6*F d7*F d8*F d9*F d12*F d13*F e3* g2 g3 g4 g5 g6 g7* g9 g10 h1


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. ( F means is Finalized (has been checked thoroughly and has an associated wiki page detailing why it is ready) and officially ready ready to self-declare or test.)
  • 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 (Jerry Padgett)
  • CCDA
  • FHIR
  • API
  • OAuth
  • SMART
  • 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 (Brady Miller)
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
b2. Clinical information reconciliation and incorporation (forum | wiki):
b3. Electronic prescribing (forum | wiki):
b4. Common Clinical Data Set summary record – create (forum | wiki):
b5. Common Clinical Data Set summary record – receive (forum | wiki):
b6. Data export (forum | wiki):
b7. Data segmentation for privacy – send (forum | wiki):
b8. Data segmentation for privacy – receive (forum | wiki):
b9. Care plan (forum | wiki):
b10. Electronic health information (EHI) export (forum | wiki):
b11. Electronic prescribing (forum | wiki):
b12. Data segmentation for privacy – send (forum | wiki):
b13. Data segmentation for privacy – receive (forum | wiki):

Clinical Quality Measures (170.315(c))

c1. Clinical quality measures (CQMs) – record and export (forum | wiki): CQM (estimated work to complete: high) (Jerry Padgett)
c2. CQMs – import and calculate (forum | wiki): CQM (estimated work to complete: high) (Jerry Padgett)
c3. CQMs – report criterion (forum | wiki): CQM (estimated work to complete: high) (Jerry Padgett)
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: very low; just need to analyze to ensure already supported)

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): CCDA (estimated work to complete: low/moderate)
g7. Application access – patient selection (forum | wiki): API FHIR (API documentation pending) (Brady Miller)
g8. Application access – data category request (forum | wiki):
g9. Application access – all data request (forum | wiki): API CCDA (detailed analysis after test CCDA, FHIR, and API) (Brady Miller)
g10. Standardized API for patient and population services (forum | wiki): OAuth SMART FHIR (API documentation pending) (Brady Miller)
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* - CCDA, 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, CQM, Clinical quality measures (CQMs) – record and export, CQMs – import and calculate, CQMs – report criterion, 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
  • Stephen Waite*
  • Thuyet Tran - Demographics
  • Vishnu Yarmaneni - FHIR
  • Yash Raj Bothra - FHIR
*MU3 Project Managers


Testing Servers

MU3 Testing Servers


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)
  • Since doing CURES.
  • Complete b10, so can drop b6.
  • Complete g10, so can drop g8.
  • Research if following items are not part of BASE (ie. are they required for CEHRT and MIPS and CURES): a12, b10, c2, c3, g2

Redo analysis from scratch (to ensure on right path)

  • a1, a2 or a3, a5, a9, a14, b1, c1, g7, g9, g10, h1 or h2
  • Dependencies for above items:
  • d1, d2, d3, d4, d5, d6, d7, d8, d9, d12, d13, g3, g4, g5, g6
  • a12, e3, c2, c3, (g1 or g2)
  • Items that can drop:
  • b10
  • Items that need to add:
  • e3