ehr onc final certification - Department of Health Care Services

ehr onc final certification - Department of Health Care Services ehr onc final certification - Department of Health Care Services

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are unaware of any alternative voluntary consensus standard that accomplishes the same purpose. Comments. Several commenters recommended additional elements for the certification criterion for us to consider adding. One commenter recommended that we include more demographic data items to allow successful matching with prior admissions and further that we consider requiring the inclusion of social security number, birthplace, and years of education, if available. A couple commenters requested that we add occupation and industry status as well because they are already required for cancer registries. Another commenter suggested that we add family history to demographics that should be captured and reported. One commenter suggested that we also include a patient's functional status. Many commenters suggested that we encourage self-reporting of demographics and indicate whether information was self-reported. Finally, one commenter stated that EHRs are not appropriate source of legal documentation for births and deaths. Response. While we understand commenters’ intentions, we do not believe that it would be appropriate to expand this certification criterion beyond what is required to support meaningful use. Again, as we have previously stated, this does not preclude a Complete EHR or EHR Module developer from including the capability to record additional demographic information. Finally, consistent with the Medicare and Medicaid EHR Incentive Programs final rule, we have removed the capability to record insurance type from the certification criterion. §170.304(d) - Generate patient reminder list Meaningful Use Stage 1 Objective Meaningful Use Stage 1 Measure Page 136 of 228 Certification Criterion

Send reminders to patients per patient preference for preventive/ follow up care More than 20% of all unique patients 65 years or older or 5 years old or younger were sent an appropriate reminder during the EHR reporting period Interim Final Rule Text: Electronically generate, upon request, a patient reminder list for preventive or follow-up care according to patient preferences based on demographic data, specific conditions, and/or medication list. Final Rule Text: §170.304(d) Patient reminders. Enable a user to electronically generate a patient reminder list for preventive or follow-up care according to patient preferences based on, at a minimum, the data elements included in: (1) Problem list; (2) Medication list; (3) Medication allergy list; (4) Demographics; and (5) Laboratory test results. Comments. Several commenters stated that they support this certification criterion. Other commenters requested further definition of the term “specific conditions,” particularly whether this term refers to data as contained in the problem list. One commenter suggested that the criterion text be modified to read: “Electronically generate, upon request, a patient reminder list for preventive or follow-up care according to patient or physician preferences based on demographic data, specific conditions, and/or medication list.” Several commenters requested further definition of the term “patient preferences.” Clarification was requested about the meaning of the term, how these preferences would be recorded, how the preferences would be used, and whether the preferences should be automated. A question was raised by two commenters about how many choices should be allowed for the preferred reminder delivery method due to additional EHR system programming that may be needed to support the set of choices. One commenter was concerned about whether there would be a cost to physician practices to implement this requirement and whether the practices will have the capacity to accommodate this requirement. Another commenter suggested that this requirement be moved to meaningful use stage 2 to allow more time for EHRs to be enhanced. Page 137 of 228

are unaware <strong>of</strong> any alternative voluntary consensus standard that accomplishes the same<br />

purpose.<br />

Comments. Several commenters recommended additional elements for the<br />

<strong>certification</strong> criterion for us to consider adding. One commenter recommended that we<br />

include more demographic data items to allow successful matching with prior admissions<br />

and further that we consider requiring the inclusion <strong>of</strong> social security number, birthplace,<br />

and years <strong>of</strong> education, if available. A couple commenters requested that we add<br />

occupation and industry status as well because they are already required for cancer<br />

registries. Another commenter suggested that we add family history to demographics<br />

that should be captured and reported. One commenter suggested that we also include a<br />

patient's functional status. Many commenters suggested that we encourage self-reporting<br />

<strong>of</strong> demographics and indicate whether information was self-reported. Finally, one<br />

commenter stated that EHRs are not appropriate source <strong>of</strong> legal documentation for births<br />

and deaths.<br />

Response. While we understand commenters’ intentions, we do not believe that it<br />

would be appropriate to expand this <strong>certification</strong> criterion beyond what is required to<br />

support meaningful use. Again, as we have previously stated, this does not preclude a<br />

Complete EHR or EHR Module developer from including the capability to record<br />

additional demographic information. Finally, consistent with the Medicare and Medicaid<br />

EHR Incentive Programs <strong>final</strong> rule, we have removed the capability to record insurance<br />

type from the <strong>certification</strong> criterion.<br />

§170.304(d) - Generate patient reminder list<br />

Meaningful Use<br />

Stage 1<br />

Objective<br />

Meaningful Use<br />

Stage 1 Measure<br />

Page 136 <strong>of</strong> 228<br />

Certification Criterion

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