CCHIT and Drummond Group Press Releases on EHR Certification Testing

Aug 30, 2010 Press Releases from Drummond Group and CCHIT in Full
CCHIT announced September  20, 2010 Town Hall meeting and will start accepting applications for certification immediately after the meeting. Drummond Group promised more details and pricing by August 31, 2010. See ONC announcement.

Certification Commission Among First To Be Approved As ONC-ATCB
CCHIT is Authorized by HHS as Testing and Certification Body for Electronic Health Records
CCHIT Press Release
CHICAGO – August 30, 2010 – Certification Commission for Health Information Technology (CCHIT®) announced today that it has been recognized by the Office of the National Coordinator for Health Information Technology (ONC), U.S. Department of Health and Human Services (HHS) as an Authorized Testing and Certification Body (ONC-ATCB) under the initial certification program created to certify that electronic health records (EHRs) are capable of meeting the criteria to support meaningful use and qualify  eligible providers and hospitals for funding under the American Recovery and Reinvestment Act (ARRA). 

“We are gratified to be among the first organizations authorized to certify EHRs by ONC,” said Karen M. Bell, M.D., M.M.S., chair of CCHIT.  “As the originator of EHR certification, CCHIT has tested and certified hundreds of EHRs. Our experience has enabled us to promptly adapt our processes to accommodate the certification and standards adopted by HHS to support the meaningful use of EHRs by healthcare providers.”

CCHIT is authorized to offer HHS certification for complete EHRs that meet all of the Stage 1, 2011/2012 HHS/ONC criteria, as well as certification for modular EHR products that meet one or more – but not all – of the criteria.

CCHIT plans to launch its authorized HHS certification program on September 20 at 1:00 PM Eastern time with a Town Call Web-cast describing its application and testing process. CCHIT will take new health IT developer applications immediately after at http://cchit.org/ and the first group of HHS certified complete EHRs and EHR modules will be announced within weeks of that launch. More information about the Town Call will be available at http://www.cchit.org/towncalls. The call will be recorded for later viewing.

In addition to HHS certification, CCHIT will continue to offer its CCHIT Certified® program for Ambulatory and Inpatient EHR products that exceed the HHS/ONC criteria and are designed for hospitals and physician practices that are looking for assurance of more robust, integrated EHR products to support the unique needs of its clinicians and patients.   Many of these products will also be HHS certified. 

CCHIT also offers CCHIT Certified® programs for EHRs used in Cardiovascular Medicine, Child Health, Emergency Departments, Behavioral Health, Dermatology and Long-Term and Post-Acute Care. In addition, a certification program for EHRs used in Clinical Research will be available in fall 2010, and programs in Women’s Health and Oncology are in development for launch in spring 2011.

About CCHIT
The Certification Commission for Health Information Technology (CCHIT®) is an independent, 501(c)3 nonprofit organization with the public mission of accelerating the adoption of robust, interoperable health information technology.  The Commission has been certifying electronic health record technology since 2006 and is recognized by the Office of the National Coordinator for Health Information Technology (ONC), U.S. Department of Health and Human Services (HHS) as an Authorized Testing and Certification Body (ONC-ATCB).  More information on CCHIT, CCHIT Certified® products and HHS certified electronic health record technology is available at http://cchit.org/ and http://ehrdecisions.com/

“CCHIT®” and “CCHIT Certified®” are registered trademarks of the Certification Commission for Health Information Technology.
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Drummond Group Approved by HHS to Certify EHR
Drummond Group Press Release
August 30, 2010, Austin Texas. Drummond Group Inc., the trusted software testing lab, is one of the first to be approved by the Health and Human Services, Office of the National Coordinator for Health IT (ONC) to be an ONC-Authorized Testing and Certification Body (ONC-ATCB) to certify Complete EHRs and all EHR Modules for both ambulatory and inpatient settings. Eligible professionals (EPs), eligible hospitals and critical access hospitals (CAHs) participating in Medicare and Medicaid programs to collect incentive payments through meaningful use of electronic health record (EHR) technology must use EHR technology certified by an ONC-ATCB.

“Drummond Group has been working diligently for many months to meet the stringent criteria set forth by ONC to become certified as an ONC-ATCB, and we are very pleased that ONC has recognized our efforts and our competency to be an approved testing and certification body,” says Rik Drummond, CEO Drummond Group Inc. “We are pleased to offer over ten years of software testing and certification experience in other industries to Healthcare. After executing several pilots on existing EHR products and working with industry consultants, our organization is more than prepared to test and certify healthcare products.”

“The ONC accreditation is an acknowledgement that Drummond Group is fully qualified to meet the needs of EHR meaningful use stage one testing and certification. We highly commend the work of ONC and their accreditation process which tested the details of our testing and certification process and our industry knowledge. Having started new tests with other industries, we found this approval process to be the most demanding and the most thorough we have encountered. With our approval as an ONC-ATCB, EHR vendors and implementers can have full confidence in our testing and certification services, and we look forward to beginning testing with the many EHR software companies that have contacted us.”

To learn more about Drummond Group’s EHR testing and certification program including test registration and related pricing, please visit: http://www.drummondgroup.com/

[More information including pricing and registration instructions will be available by August 31, 2010.]

For more information on ONC’s ATCB program, please visit: http://healthit.hhs.gov/

About Drummond Group Inc.

Drummond Group Inc. (DGI) is the trusted interoperability test lab which works with standards groups, software/firmware vendors and industry groups to drive adoption of standards by offering global interoperability, conformance testing and certification. DGI facilitates these testing services under association-branded certification programs and its own Drummond Certified(R) program. Founded in 1999, DGI also represents best-of-breed in strategic interoperability consulting recognizing the challenges of interoperability for industry over the product life cycle.

  • DGI provides interoperability certification for M2M or business-to-business (B2B) standards which are used for the Fortune 500 financial information flow, representing billions of dollars per year. Cyber security of data transfer is critically tested.
  • DGI manages the KANTARA INITIATIVE Global Interoperability Test Program for Identity information exchange for the US government and the other global leaders in identity.
  • DGI facilitates software audits of the Controlled Substance Ordering System (CSOS) software managed in compliance with the DEA regulations.
  • Drummond Certified(R) software and firmware is required in RFP’s around the globe to ensure seamless, secure, interoperable products which make implementation easy, thereby significantly reducing costs.
  • DGI was recently awarded two Department of Energy stimulus funded Smart Grid demonstration projects. DGI’s role in both projects relates to the interoperability and certification of Smart Grid technology.

For more information, visit http://www.drummondgroup.com/.
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Initial EHR Certification Bodies Named: CCHIT and Drummond Group

CCHIT and Drummond Group Named as First 
ONC-Authorized Testing and Certification Bodies (ONC-ATCBs)
Key step in national initiative toward adoption of electronic health records
Excerpted from HHS Press Release emailed 8/30/2010  More from ONC site in Next Section
The Certification Commission for Health Information Technology (CCHIT), Chicago, Ill. and the Drummond Group Inc. (DGI), Austin, Texas, were named today by the Office of the National Coordinator for Health Information Technology (ONC) as the first technology review bodies that have been authorized to test and certify electronic health record (EHR) systems for compliance with the standards and certification criteria that were issued by the U.S. Department of Health and Human Services earlier this year.

Announcement of these ONC-Authorized Testing and Certification Bodies
(ONC-ATCBs) means that EHR vendors can now begin to have their products certified as meeting criteria to support meaningful use, a key step in the national initiative to encourage adoption and effective use of EHRs by America’s health care providers.

“Less than two months following the issuance of final meaningful use rules, we have approved our initial ONC-ATCB certifiers.  EHR vendors can begin immediately to get their products certified.” said David Blumenthal, M.D., national coordinator for Health Information Technology.  This is a crucial step because it ensures that certified EHR products will be available to support the achievement of the required meaningful use objectives, that these products will be aligned with one another on key standards, and that doctors and hospitals can invest with confidence in these certified systems.”

Applications for additional ONC-ATCBs are also under review. 

Certification of EHRs is part of a broad initiative undertaken by Congress and President Obama under the Health Information Technology for Economic and Clinical Health (HITECH) Act, which was part of the American Recovery and Reinvestment Act (ARRA) of 2009.  HITECH created new incentive payment programs to help health providers as they transition from paper-based medical records to EHRs.  Incentive payments totaling as much as $27 billion may be made under the program.

Individual physicians and other eligible professionals can receive up to $44,000 through Medicare and almost $64,000 through Medicaid.  Hospitals can receive millions.

To qualify for the incentive payments, providers must not only adopt, but also demonstrate meaningful use of, certified EHR systems.  The law envisions that defined meaningful use requirements will help ensure that the patient and provider benefits of EHRs are realized.  Initial meaningful use criteria were defined in a final rule issued by the Centers for Medicare & Medicaid Services (CMS) on July 28.

In addition to the CMS rule, ONC also issued standards and certification criteria for EHRs on July 28, aimed at ensuring that EHR systems will support the specific tasks required under meaningful use.  Also, through regulations issued on June 24, ONC created a system by which technology review organizations could also qualify as ONC- ATCBs that will certify EHR products as meeting the requirements necessary for meaningful use. 

With the initial two ONC-ATCBs now named, EHR vendors can apply to them for certification of their products.  By purchasing certified products, providers will have assurance that the products will support achievement of the meaningful use objectives.

“Multiple steps are underway to carry out the intent of Congress in supporting rapid and effective adoption of EHRs throughout our health care system,” Dr. Blumenthal said.  “The naming of initial ONC-ATCBs is one important step.  Actual certification of multiple vendors’ systems by the ONC-ATCBs is an important next step.  CMS is also working to create an online system for providers to register and attest for the EHR incentive programs. The first incentive payments are targeted to be made in May 2011.  Meanwhile, ONC is also carrying out new programs of technical assistance and training, especially for smaller hospitals and physician practices.”

Dr. Blumenthal said the Health IT initiative “is on an aggressive schedule to meet the urgent targets set by Congress and the President toward realizing the quality and safety improvements that we can achieve through health information technology.”

To learn more about the ONC-ATCBs named today visit http://www.cchit.org  and http://www.drummondgroup.com/.  

For more information about the ONC certification programs visit http://healthit.hhs.gov/certification.

For more information about other HHS Recovery Act Health Information Technology funding and programs, visit

http://www.hhs.gov/recovery/programs/index.html#Health.    

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ONC-Authorized Testing and Certification Bodies
Excerpted from ONC site on 8/30/2010

The following organizations have been selected as ONC-Authorized Testing and Certification Bodies (ATCBs):

Certification by an ATCB will signify to eligible professionals, hospitals, and critical access hospitals that an EHR technology has the capabilities necessary to support their efforts to meet the goals and objectives of meaningful use.

Learn more about ONC-ATCBs:

ONC Site Map Updated in Conjunction with New Health IT Unified Theme

“Connecting America for Better Health” – ONC for HIT
Web Site Map for Office of the National Coordinator for Health IT
On August 27, 2010, the Office of National Coordinator (ONC) for Health IT announced a new “unified identity for Health IT”  which includes a “new theme and visual identity” for the ONC Web site and ONC and can be seen at the top of ONC Web pages.

The site map below for  ONC’s Web site is pulled primarily from the left navigation bar on the ONC site with some additional links to key areas. [Please send any corrections or comments to e-Healthcare Marketing. This is an update to a previous site map posted on February 16, 2010 on e-Healthcare Marketing, including new workgroups.]

While the visible structure of the Web site remains mainly the same, the home page and much of the underlying architecture appears to have been updated to simplify access to users, highlight new and important content, and simplify the addition of new information anticipated to come soon, such as announcements of the  Authorized Testing and Certification Bodies (ATCB) and Certified EHRs and EHR Modules.

The new theme and identity ”really captures the spirit of these combined efforts to boost national adoption of electronic health records and ensure success. The insignia will also help people easily identify and connect with official HITECH information, resources, programs, and partners,” wrote Communucations Director Peter Garrett on the Health IT Buzz blog on August 27, 2010. Now to the site map.

DERIVED SITE MAP FOR  http://healthit.hhs.gov

FEATURED AREAS
          Meaningful Use
          Certification Program
          Privacy and Security
          HITECH Programs
          On the Frontlines of Health Information Technology
               NEJM Articles: Dr. Blumenthal
                                             Dr. Benjamin
          Federal Advisory Committees

Top Banner Links
          Get email updates from ONC
          Follow ONC on Twitter

HITECH & FUNDING Opportunities
          Contract Opportunities
          Learn about HITECH
          HIT Extension Program — Regional Extension Centers Program
          Beacon Community Program

HITECH PROGRAMS
     State Health Information Exchange Cooperative Agreement Program
     Health Information Technology Extension Program
     Strategic Health IT Advanced Research Projects (SHARP) Program
     Community College Consortia to Educate HIT Professionals Program
     Curriculum Development Centers Program
     Program of Assistance for University-Based Training
     Competency Examination Program
     Beacon Community Program

FEDERAL ADVISORY COMMITTEES
                  (Meeting Calendar At-A-Glance)

HEALTH IT POLICY COMMITTEE
HIT Policy Committee Meetings
          Meeting Webcast & Participation
         
Upcoming Meetings
         
Past Meetings
HIT Policy Committee Recommendations
HIT Policy Committee Workgroups
          Meaningful Use
          Certification/Adoption
          Information Exchange
          Nationwide Health Information Network (NHIN)
          Strategic Planning
          Privacy & Security Policy
          Enrollment
          Privacy & Security Tiger Team
          Governance
          Quality Measures

HEALTH IT STANDARDS COMMITTEE
Health IT Standards Committee Meetings
          Meeting Webcast & Participation
         
Upcoming Meetings
         
Past Meetings
HIT Standards Committee Recommendations
HIT Standards Committee Workgroups
          Clinical Operations
          Clinical Quality
          Privacy & Security
          Implementation
          Vocabulary Task Force
          

REGULATIONS & GUIDANCE     
           Meaningful Use
           Privacy and Security
           Standards and Certification
            
ONC INITIATIVES
          State-Level Health Initiatives 
          Nationwide Health Information Network
          Federal Health Architecture
          Adoption
          Clinical Decision Support & the CDS Collaboratory
         
          Events
                 FACA Meeting Calendar
          Fact Sheets
          Reports
          Federal Health IT Programs
          Technical Expert Workshops
          Acronyms
          Glossary

OUTREACH, EVENTS, & RESOURCES
         News Releases (2007 – Present)
         Events
         FACA Meeting Calendar
         Fact Sheets
         Reports 
         Federal Health IT Programs
         Technical Expert Workshops
         Acronyms 
         Glossary

ABOUT ONC
          Coordinator’s Corner: Updates from Dr. Blumenthal
          Organization               
          Budget & Performance
          Contact ONC and Job Openings
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For a review of the new look and feel of the ONC site, see an earlier post on e-Healthcare Marketing.

NIST Publishes Approved Testing Procedures for Electronic Health Records

NIST Publishes Approved Testing Procedures for Electronic Health Records
NIST Press Release for Immediate Release: August 17, 2010
“In efforts to help the nation’s health care industry make the transition to the digital age in an effective and meaningful fashion, the National Institute of Standards and Technology (NIST) has published a set of approved procedures for testing information technology systems that work with electronic health records  (EHRs).  Released in draft form earlier this year (see “NIST, Partners Develop Testing Infrastructure for Health IT Systems,” NIST Tech Beat for March 16, 2010, at http://www.nist.gov/itl/hit_031610.cfm), the approved and finalized testing procedures are now available for use.

“Under a certification program established by the U.S. Department of Health and Human Services Office of the National Coordinator (HHS/ONC), testing organizations authorized by HHS/ONC can use the tools to evaluate EHR software and systems that vendors would like to sell to doctor’s offices, hospitals and other health care providers.  Starting next year, the federal government will provide extra Medicare and Medicaid payments to health care providers that implement EHR systems certified to meet ONC requirements that conform to technical standards and are put to “meaningful use,” performing specifically defined functions.

“These ONC-approved test procedures help ensure that electronic health records function properly and work interchangeably across systems developed by different vendors.  The set of 45 approved test procedures evaluate components of electronic health records such as their encryption, how they plot and display growth charts, and how they control access so that only authorized users can access their information.

“The development of these tools was mandated by the American Recovery and Reinvestment Act (ARRA) in order to support a health IT infrastructure.”

“Notice of the approved test procedures appears in the August 9, 2010, Federal Register. For more information, see http://healthcare.nist.gov/use_testing/finalized_requirements.html  and http://healthit.hhs.gov/certification ”

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NIST: Health IT Standards and Testing
SEE LIST OF PDFs OF TESTING REQUIREMENTS ON PAGE ON NIST SITE

List and text below excerpted from NIST site on 8/18/2010.

Approved Test Procedures
“The Approved (Pending) Test Procedures were formally approved on August 2, 2010 for the Office of the National Coordinator for Health Information Technology (ONC) Temporary Certification Program. Notice of the approval appears in the August 9, 2010 Federal Register. The set of Test Procedures marked ‘Approved (Pending)’ have been reissued as ‘Approved’. The approval process did not result in changes to the test procedures. However technical corrections, based on feedback, are being made. Changes to a test procedure are indicated through its change log.

“The Final Rule and related information is found at http://healthit.hhs.gov.

“Questions about the applicability of the initial set of standards, implementation specifications, and certification criteria should be directed to ONC at ONC.Certification@hhs.gov. Questions about the test procedures should be directed to NIST at hit-tst-fdbk@nist.gov. Note that NIST will automatically forward to ONC at the address above any questions regarding the applicability of the standards, implementation specifications, and certification criteria. Questions about functions and activities of the ATCBs should be directed to ONC at ONC.Certification@hhs.gov

“The following contains the approved test procedures for evaluating conformance of complete EHRs and/or EHR Modules to the initial set of standards, implementation specifications, and certification criteria defined in the Health Information Technology: Initial Set of Standards, Implementation Specifications, and Certification Criteria published on July 13, 2010.”

Criteria # Certification Criteria Test Method Date Published
§170.302 (a) Drug-drug, drug-allergy interaction checks PDF Icon 08/13/2010
§170.302 (b) Drug formulary checks PDF Icon 08/13/2010
§170.302 (c) Maintain up-to-date problem list PDF Icon 08/13/2010
§170.302 (d) Maintain active medication list PDF Icon 08/13/2010
§170.302 (e) Maintain active medication allergy list PDF Icon 08/13/2010
§170.302 (f)(1) Vital signs PDF Icon 08/13/2010
§170.302 (f)(2) Body mass index PDF Icon 08/13/2010
§170.302 (f)(3) Plot and display growth charts PDF Icon 08/13/2010
§170.302 (g) Smoking status PDF Icon 08/13/2010
§170.302 (h) Incorporate lab results PDF Icon 08/13/2010
§170.302 (i) Generate patient lists PDF Icon 08/13/2010
§170.302 (j) Medication reconciliation PDF Icon 08/13/2010
§170.302 (k) Submission to immunization registries PDF Icon 08/13/2010
§170.302 (l) Public health surveillance PDF Icon 08/13/2010
§170.302 (m) Patient specific education resources PDF Icon 08/13/2010
§170.302 (n) Automate measure calculation PDF Icon 08/13/2010
§170.302 (o) Access control PDF Icon 08/13/2010
§170.302 (p) Emergency access PDF Icon 08/13/2010
§170.302 (q) Automatic log-off PDF Icon 08/13/2010
§170.302 (r) Audit log PDF Icon 08/13/2010
§170.302 (s) Integrity PDF Icon 08/13/2010
§170.302 (t) Authentication PDF Icon 08/13/2010
§170.302 (u) General encryption PDF Icon 08/13/2010
§170.302 (v) Encryption when exchanging electronic health information PDF Icon 08/13/2010
§170.302 (w) Accounting of disclosures (optional) PDF Icon 08/13/2010
§170.304 (a) Computerized provider order entry PDF Icon 08/13/2010
§170.304 (b) Electronic prescribing PDF Icon 08/13/2010
§170.304 (c) Record demographics PDF Icon 08/13/2010
§170.304 (d) Patient reminders PDF Icon 08/13/2010
§170.304 (e) Clinical decision support PDF Icon 08/13/2010
§170.304 (f) Electronic copy of health information PDF Icon 08/13/2010
§170.304 (g) Timely access PDF Icon 08/13/2010
§170.304 (h) Clinical summaries PDF Icon 08/13/2010
§170.304 (i) Exchange clinical information and patient summary record PDF Icon 08/13/2010
§170.304 (j) Calculate and submit clinical quality measures PDF Icon 08/13/2010
§170.306 (a) Computerized provider order entry PDF Icon 08/13/2010
§170.306 (b) Record demographics PDF Icon 08/13/2010
§170.306 (c) Clinical decision support PDF Icon 08/13/2010
§170.306 (d)(1) Electronic copy of health information PDF Icon 08/13/2010
§170.306 (d)(2) Electronic copy of health informationNote: For discharge summary PDF Icon 08/13/2010
§170.306 (e) Electronic copy of discharge information PDF Icon 08/13/2010
§170.306 (f) Exchange clinical information and patient summary record PDF Icon 08/13/2010
§170.306 (g) Reportable lab results PDF Icon 08/13/2010
§170.306 (h) Advanced directives PDF Icon 08/13/2010
§170.306 (i) Calculate and submit clinical quality measures PDF Icon 08/13/2010

ONC Info Calls: EHR Temp Certification–Aug 18, 25

Office of the National Coordinator
Holds Informational Calls on Temporary Certification Program

Excerpted from email received August 12, 2010
The Office of the National Coordinator for Health Information Technology (ONC) within the U.S. Department of Health and Human Services is hosting a series of informational calls the purpose of which is to provide an overview of, and answer questions related to, the temporary certification program for electronic health record (EHR) technology.  

Participants will hear an overview of the program and be able to ask questions.

Two calls are scheduled for August 2010. Added Powerpoint slides for August 18 and 25, 2010 call below.

1.      Wednesday, August 18, 2010, 1:00 – 2:00 p.m. EDT

Call-in Information:

Phone Number: 888-324-9617

Participant Passcode: 4584230

Meeting Materials August 18, 2010:
ONC Certification Program Educational Session [PPT – 284 KB]

Meeting Materials August 25, 2010:
ONC Certification Program Educational Session [PPT - 284 KB]

2.      Wednesday, August 25, 2010, 1:00 – 2:00 p.m. EDT
Call-in Information:

Phone Number: 888-324-9617

Participant Passcode: 4584230

Recordings and transcripts for each call will be made available on the ONC web site.

For more information about the temporary certification program and the final rule, please visit http://healthit.hhs.gov/certification.

Federal Register Pubs Final Rules on EHRs: CMS, ONC, July 28, 2010

FINAL RULES Published in Print PDF Versions and Navigable HTML
Two days after the 75-year anniversary of the Federal Register Act, the Federal Register published final rules for CMS and ONC.
Medicare and Medicaid Programs; Electronic Health Record Incentive Program
A  Rule by the Centers for Medicare & Medicaid Services on 07/28/2010
PDF OF FINAL PRINTED RULE    275 Pages
HTML VERSION WITH NAVIGABLE TABLE OF CONTENTS
SHORT URL: http://federalregister.gov/a/2010-17207
SUMMARY  This final rule implements the provisions of the American Recovery and Reinvestment Act of 2009 (ARRA) (Pub. L. 111-5) that provide incentive payments to eligible professionals (EPs), eligible hospitals and critical access hospitals (CAHs) participating in Medicare and Medicaid programs that adopt and successfully demonstrate meaningful use of certified electronic health record (EHR) technology. This final rule specifies—the initial criteria EPs, eligible hospitals, and CAHs must meet in order to qualify for an incentive payment; calculation of the incentive payment amounts; payment adjustments under Medicare for covered professional services and inpatient hospital services provided by EPs, eligible hospitals and CAHs failing to demonstrate meaningful use of certified EHR technology; and other program participation requirements. Also, the Office of the National Coordinator for Health Information Technology (ONC) will be issuing a closely related final rule that specifies the Secretary’s adoption of an initial set of standards, implementation, specifications, and certification criteria for electronic health records. ONC has also issued a separate final rule on the establishment of certification programs for health information technology.

Health Information Technology: Initial Set of Standards, Implementation Specifications, and Certification Criteria for Electronic Health Record Technology
A Rule by the Health and Human Services Department on 07/28/2010
PDF OF FINAL PRINTED RULE     65 pages
HTML VERSION WITH NAVIGABLE TABLE OF CONTENTS
SHORT URL:  http://federalregister.gov/a/2010-17210
SUMMARY
The Department of Health and Human Services (HHS) is issuing this final rule to complete the adoption of an initial set of standards, implementation specifications, and certification criteria, and to more closely align such standards, implementation specifications, and certification criteria with final meaningful use Stage 1 objectives and measures. Adopted certification criteria establish the required capabilities and specify the related standards and implementation specifications that certified electronic health record (EHR) technology will need to include to, at a minimum, support the achievement of meaningful use Stage 1 by eligible professionals, eligible hospitals, and/or critical access hospitals (hereafter, references to “eligible hospitals” in this final rule shall mean “eligible hospitals and/or critical access hospitals”) under the Medicare and Medicaid EHR Incentive Programs. Complete EHRs and EHR Modules will be tested and certified according to adopted certification criteria to ensure that they have properly implemented adopted standards and implementation specifications and otherwise comply with the adopted certification criteria.

CMS/ONC Release First Training Session Slides on EHR Incentive Programs, Meaningful Use, Certification

Final Rules Overview by CMS and ONC: Two Slide Sets
Training #1: CMS EHR Incentive Programs and Meaningful Use
Training #2: ONC Temp Certification Process and Certification Standards Final Rule
New Fact Sheets
On July 22, 2010, Centers for Medicare and Medicaid Services (CMS) sponsored its first educational event with the Office of the National Coordinator for Health IT on the EHR incentive program and the requirements for meaningful use. 

The session offered its audience to “Learn about the Medicare and Medicaid EHR incentive programs, certification standards, temporary certification process and the requirements for meaningful use in this public conference call. Also hear about local resources regarding EHR adoption.” 

Mary Stevens of CMIO, reported on the Webinar in an article published July 25, 2010, which quoted David Blumenthal, National Coordinator for Health IT, saying ““We’re beginning a revolution the way information is collected, managed, used and purposed for patients in the U.S. healthcare system.”

Training Slide Sets
July 22, 2010 Training CMS EHR Incentive Programs and Meaningful Use Final Rule Slides [PDF, 298KB]  

July 22, 2010 Training ONC Temp Certification Process and Certification Standards Final Rule Slides [PDF, 126KB] 

An audio recording for this educational session will be available in August 2010 according to CMS. Additional educational events are planned for August 2010 as well. 

Fact Sheets AND FAQs Released by CMS on July 16, 2010. 
Fact Sheet: Medicare EHR Incentive Program Final Rule Overview (July 16, 2010) 

Fact Sheet: Medicaid EHR Incentive Program Final Rule Overview (July 16, 2010) 

Fact Sheet: Meaningful Use Final Rule Overview (July 16, 2010) 

Health IT Frequently Asked Questions  

Fact Sheet: Electronic Health Records At-a-Glance (July 13, 2010)

Fact Sheet: Final Regulations Define Meaningful Use Standards for EHR Incentive Programs (July 13, 2010)

Final Rules–Analysis Roundup Starting w/AHIMA, Halamka, HIMSS

Latest analysis and some catch-up from last week

Journal of AHIMA
Kevin Heubusch posted a chart on July 19, 2010 “Tracking Changes in the Menaingful Use Rule,” showing Stage 1 Objectives for Eligible Professionals, Eligible Hospitals and Critical Access Hospitals (CAH), Stage 1 Measures, and Changes from proposed rule.

John Halamka’s Life as a Healthcare CIO
John Halamka  posted “A Meaningful Use and Standards Rule FAQ” on July 19, 2010, providing his personal interpretation of answers to five questions he’s received since the final rules have been announced.

HIMSS
Health Information Management Systems Society (HIMSS) provides several updates on its “Members Only” resource page, “Meaningful Use, Certification Criteria and Standards, and HHS Certification Process,’ between July 13 and July 19, 2010. The latest update, ”Medicare & Medicaid EHR Incentive Programs – What’s Different Between the NPRM and the Final Rule?” reviews the major differences in a five-page document. 

iHealthBeat
Kate Ackerman, iHealthBeat Senior Editor, wrote “Long-Awaited Final Rule on ‘Meaningful Use’ Strikes Compromise” on July 15, 2010 with brief analysis and reactions from experts.

O’Reilly Radar
Brian Ahier posted “Analysis: A defining moment for ‘meaningful use’: How new rules will affect patients, providers, and electronic health records” on July 15, 2010.

Chilmark Research
John Moore provided his viewpoint in “Meaningful Use Perspectve & Resources,” posted on July 15, 2010.

July 20 House Hearing on Meaningful Use and EHR Adoption

Chairman Stark Holds Hearing on Efforts to Promote the Adoption and Meaningful Use of Health Information Technology
Videos of  Hearing Witnesses (and related PDFs of opening statements) and Statement of Health Subcommittee Chair Pete Stark (D-CA)David Blumenthal M.D., National Coordinator for Health IT
                    Video                                 Testimony (pdf)
–Tony Trenkle, Director, Ofc of e-Health Standards and Services, CMS
                    Video                                 Testimony (pdf)

Panel Two
–Christine Bechtel, VP, National Partnership for Women and Families
                    Video plus Link to PDF
–Phyllis Teater, CIO, Ohio State University Medical Center, Columbus, Ohio
                     Video plus Link to PDF
–Eugene Heslin M.D., Saugerties, New York
                    Video plus Link to PDF
–Charles W. Jarvis, Vice Chair, HIMSS Electronic Health Record Association (EHRA)
                    Video plus Link to PDF
–Jonathan P. Hare, Chairman,  Resilient Network Systems, Inc., San Francisco, CA
                    Video plus Link to PDF

Opening Statement of Chairman Pete Stark (D-CA)
Committee on Ways and Means
Subcommittee on Health
Hearing on Efforts to Promote the Adoption and Meaningful Use of Health Information Technology

July 20, 2010
Last year, as part of the American Recovery and Reinvestment Act, Congress passed landmark legislation originated in our Committee and designed to spur the implementation and use of health information technology.  Widespread adoption of Health IT is central to fully realizing the benefits of delivery system reforms, comparative effectiveness research, and improving the quality and value of medical care.

“Today’s hearing is intended to review the steps taken by the Department of Health and Human Services to implement the law.  Specifically, the Department issued a final rule last week defining ‘meaningful use’ of Health IT.  This definition is very important as the Medicare and Medicaid incentive payments – and eventually payment cuts for those who do not adopt or use Health IT – are linked to the meaningful use criteria.

“When HHS issued their preliminary regulations, many providers reacted negatively, complaining that the standards put forth for meaningful use were so high that providers would not be able to meet them using existing technology.  The whole purpose of the HITECH Act is to push providers to do more with health IT and do it faster, but it is also important to take a balanced approach so that in our zeal to get to our destination, we don’t leave providers on the sidelines.  

“In my opinion, HHS took a responsible position in the final rule.  The standards are aggressive, but set realistic goals.  I know some of my colleagues on the other side of the aisle think HHS modified the regulation too much.  To all of us, I suggest we listen to the testimony of our government panel and our stakeholders panel with open minds and use this hearing to learn more about why HHS changed the final rule as they did and to understand all the promise that can come out of these advances in health IT adoption.

“Again, widespread adoption and meaningful use of Health IT is of paramount importance if we are to move our health system forward to improve quality and outcomes and slow the rate of cost growth.  I look forward to hearing from our distinguished panel of experts and thank them in advance for being willing to make their voices heard on this important topic.”

Excerpted from original July 13, 2010 Release from House Ways and Means site.
“House Ways and Means Health Subcommittee Chairman Pete Stark (D-CA) announced today that the Subcommittee on Health will hold a hearing on promoting the adoption and meaningful use of health information technology. The hearing will take place at 1:00 p.m. on Tuesday, July 20, 2010, in the main committee hearing room, 1100 Longworth House Office Building.”

“In view of the limited time available to hear witnesses, oral testimony at this hearing will be from invited witnesses only. However, any individual or organization not scheduled for an oral appearance may submit a written statement for consideration by the Committee and for inclusion in the printed record of the hearing.”

BACKGROUND
“The American Recovery and Reinvestment Act of 2009 (ARRA) (P.L. 111-5), signed into law on February 17, 2009, included the Health Information Technology for Economic and Clinical Health (HITECH) Act. The HITECH Act promotes adoption of health information technology (health IT) among hospitals, doctors, and healthcare providers. Health IT makes use of electronic health records (EHR) and other technologies to facilitate the ordering of tests or medications, aid in clinical decision making, and allow for secure data sharing among providers.

“The HITECH Act includes several components that take important steps to increase adoption and use of health IT. First, it codifies the Office of the National Coordinator for Health Information Technology (ONCHIT) within the Department of Health and Human Services (HHS) and charges that office with developing and implementing a nationwide plan to guide the adoption of health IT. The legislation also authorizes $2 billion to fund programs designed to stimulate the spread of health IT, including grants to help set up regional health information exchanges and train health IT workforce. HITECH also established a program that will provide incentive payments through Medicare and Medicaid to doctors and hospitals who demonstrate “meaningful use” of a certified EHR system.

“Last month, ONCHIT announced the process for certifying whether a given EHR product meets the standards needed to achieve meaningful use. On July 13, the Centers for Medicare and Medicaid Services (CMS) finalized the rules for the Medicare and Medicaid incentive program that will reward hospitals and doctors who are meaningfully using a certified product. The hearing will provide an opportunity for the Administration to update the Subcommittee on implementation of the HITECH Act, and give stakeholders a chance to share their views on the Administration’s efforts to date.

“In announcing the hearing Chairman Stark said, “This will be our first opportunity to get an update on the roll out of incentives aimed at increasing adoption and use of health information technology. Widespread adoption of health IT has enormous potential to improve health quality, reduce adverse outcomes and facilitate communication with patients, while reducing overall health care costs. We are eager to hear from the Administration and stakeholders about how the program is progressing.” ”

FOCUS OF THE HEARING:
“The hearing will focus on efforts to promote the adoption of health information technology, specifically through Medicare incentives designed to encourage the meaningful use of electronic health records.”

CMS & ONC Host Training on Final Rules: Thur, July 22

ONC Certification and Medicare and Medicaid EHR Incentive Programs:
Final Rules — How will they impact you?

Emailed by ONC on 7/19/2010

The Centers for Medicare & Medicaid Services (CMS) together with The Office of the National Coordinator for Health Information Technology (ONC) invite you to join us for an Audio Training on the Final Rules for ONC Certification and Medicare and Medicaid EHR Incentive Programs.

Learn about:

• The Benefit of HIT
• Summary of the final rules
          o ONC temporary certification process
          o ONC initial set of standards and implementation specifications
          o Medicare and Medicaid EHR Incentives Programs including the initial definition of meaningful Use
• Where to find additional resources

Hear first hand from ONC and CMS Experts!

Date: Thursday, July 22, 2010
Time: 2:00-3:30 pm EST

Call in information
Dial:
1-877-251-0301

Conference ID pass code:
87841621

Materials will be made available prior to the training on CMS EHR Benefits site, click here, and look for “Downloads” toward the bottom of the page.

Be sure to visit CMS’ web section on the Medicare & Medicaid EHR Incentive Programs at: http://www.cms.gov/EHRIncentivePrograms/