OpenEMR Certification Stage III Meaningful Use

From OpenEMR Project Wiki

Overview

Analysis:
Forum:

Forums and Discussion

Related forum threads and discussion can be found here:


Completion Barometer

  • This barometer is tracking the progress of the 2015 ONC Ambulatory EHR Certification (ie. Stage 3 MU) project (certifying items to support MIPS). See below Certification Criteria section for criteria titles. Information used to decide which items to include in the barometer were:
  • Base EHR gap items are a1, a2 or a3, a7, a8, a11. Base EHR non-gap items are a5, a6, a9, a14, b1, b6, c1, g7, g8, g9, h1 or h2.
  • Bonus items need for MIPS are a12, e3, g1 or g2, c2, c3, (c4 is optional).
  • Dependency items also needed for Base are d1-d8, g3-g6 (g6 is considered completed when b1 is completed).
  • For CQM, can choose any 6 out of the possible 73.
  • Note this is based on the prior regulations (ie. did not include proposed changes).
a1* a2* a3* a5 a6 a7* a8* a9 a11* a12 a14 b1 b6 c1 c2 c3 d1* d2 d3 d4* d5* d6* d7* d8 e3 g1 g2 g3 g4 g5 g6 g7 g8 g9 h1 h2


  • Below is based on the analysis before proposed changes were adopted: drop a6, a7, a8, a10, a11, a13, b4, b5, e2; change b3 to b11, b6 to b10, b7 to b12, b8 to b13, g8 to g10; revise a12, b1, b2, b9, c3, e1, f1, f2, f5, g6, g9; new d12, d13, g11.
  • Below is based on the 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, a11. 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, a11, 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, a11, 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, a5, a9, a11, a12, a14, b1(cures version), b6, b10, c1, c2, c3, d1-d9, d12, d13, e3, g1 or g2, g3-g6(g6 is considered completed when b1 and b6 is completed), g7, g9(cures version), g10(cures), h1 or h2
a1* a2* a3* a5 a9 a12 a14 b1(revised) b6 b10(new) c1 c2 c3(revised) d1* d2(revised) d3(revised) d4* d5* d6* d7* d8 d12(new) d13(new) e3 g1 g2 g3 g4 g5 g6(revised) g7 g8 g9(revised) g10(new) h1 h2


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, but not yet in official codebase.
  • Certification Pass - Passed certification and in official codebase.
  • * - Gap Certification eligible (ie. already passed via prior 2014 ONC certification).


Funding Barometer

Not Funded Certification Test Funds Development Funds Expended Funds

Required to Pay for Testing and Certification

$1000 $5000 $10,000 $15,000

Required to support development efforts and timely delivery

$2,500 $5,000 $10,000 $12,500 $15,000 $20,000 $25,000 $30,000 $35,000 $40,000 $45,000 $50,000 $55,000 $60,000 $65,000 $70,000 $75,000


Legend Description:
  • Not Funded - Unfunded Goal.
  • Certification Test Cost - Funds available to pay for Certification Testing
  • Development - Funds available for development work



Fund Drive for OpenEMR 2015 Certification

Please help OpenEMR obtain 2015 Edition CEHRT


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Certification Criteria

See below Certification Criteria section for criteria titles.

a1*& a2*& a3*& a4* a5& a6&! a7*&! a8*&! a9& a10*! a11*&! a12 a13! a14& a15 b1& b2 b3! b4! b5! b6&! b7! b8! b9 b10! b11! b12! b13! c1& c2 c3! c4 d1* d2 d3 d4* d5* d6* d7* d8 d9 d10 d11* d12! d13! e1 e2! e3 f1 f2 f3* f4 f5 f6 f7 g2 g3 g4 g5 g6 g7& g8& g9& g10! g11! h1& h2&


Legend Description:
Definitions for terms used in the below Criteria wiki pages:
  • Owner - This is the "current" person/group(s) that are working on this criteria and can be found in parenthesis next to the item.

Clinical (170.315(a))

a1. Computerized provider order entry (CPOE) – medications (forum | wiki):
a2. CPOE – laboratory (forum | wiki):
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) (Thuyet)
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):
a13. Patient-specific education resources (forum | wiki):
a14. Implantable device list (forum | wiki): (estimated work to complete: moderate) (Rachel)
a15. Social, psychological, and behavioral data (forum | wiki):

Care Coordination (170.315(b))

b1. Transitions of care (forum | wiki):
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): (estimated work to complete: high) (Thuyet)
c2. CQMs – import and calculate (forum | wiki): (estimated work to complete: high) (Thuyet)
c3. CQMs – report criterion (forum | wiki):
c4. CQMs – filter (forum | wiki):

Privacy and Security (170.315(d))

d1. Authentication, access control, and authorization (forum | wiki):
d2. Auditable events and tamper-resistance (forum | wiki): (estimated work to complete: low/moderate; need to reassess since revised)
d3. Audit report(s) (forum | wiki): (estimated work to complete: low/moderate; need to reassess since revised)
d4. Amendments (forum | wiki):
d5. Automatic access time-out (forum | wiki):
d6. Emergency access (forum | wiki):
d7. End-user device encryption (forum | wiki):
d8. Integrity (forum | wiki): (estimated work to complete: low/moderate)
d9. Trusted connection (forum | wiki):
d10. Auditing actions on health information (forum | wiki):
d11. Accounting of disclosures (forum | wiki):
d12. Encrypt authentication credentials certification criterion (forum | wiki):
d13. Multi-factor authentication (MFA) criterion (forum | wiki):

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): (estimated work to complete: moderate/high)
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):
g7. Application access – patient selection (forum | wiki): (estimated work to complete: low)
g8. Application access – data category request (forum | wiki):
g9. Application access – all data request (forum | wiki):
g10. Standardized API for patient and population services (forum | wiki):
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): (estimated work to complete: low/moderate)


Estimates

  • 2/17/16 estimate by Visolve on the total software engineering time needed to complete all required MU3 certification criteria. The estimate was approximately 31 engineering months of effort.
  • Infogard (now UL) pricing for MU3 certification testing is $16,000