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
This certification criterion is now exactly the same as the certification criterion applicable to Complete EHRs and EHR Modules designed for an ambulatory setting. As a result, our responses and subsequent changes to the certification criterion above are also applicable to this certification criterion. While this certification criterion is now the same as the certification criterion for Complete EHRs and EHR Modules designed for an ambulatory setting, we have not combined and moved the clinical decision support certification criteria to the general certification criteria section because the focus of the meaningful use objective is different and specific to eligible hospitals. We also believe that it is useful to keep these certification criteria separate because we anticipate that these certification criteria could in the future include different requirements, specific to the settings for which Complete EHRs and EHR Modules are developed. Comments. Some commenters requested that we clarify the meaning of high priority hospital condition. Response. We have removed this term, consistent with the other revisions we made to this certification criterion. §170.306(d) - Electronic copy of health information Meaningful Use Stage 1 Objective Provide patients with an electronic copy of their health information (including diagnostic test results, problem list, medication lists, medication allergies, discharge summary, procedures), upon request Meaningful Use Stage 1 Measure More than 50% of all patients of the EP or the inpatient or emergency departments of the eligible hospital or CAH (POS 21 or 23) who request an electronic copy of their health information are provided it within 3 business days Page 164 of 228 Certification Criterion Interim Final Rule Text: Enable a user to create an electronic copy of a patient’s clinical information, including, at a minimum, diagnostic test results, problem list, medication list, medication allergy list, immunizations, procedures, and discharge summary in: (1) Human readable format; and (2) On electronic media or through some other electronic means in accordance with: (i) One of the standards specified in §170.205(a)(1); (ii) The standard specified in §170.205(a)(2)(i)(A), or, at a minimum, the version of the standard specified in §170.205(a)(2)(i)(B); (iii) One of the standards specified in §170.205(a)(2)(ii); (iv) At a minimum, the version of the standard specified in
§170.205(a)(2)(iii); and (v) The standard specified in §170.205(a)(2)(iv). Final Rule Text: §170.306(d) (1) Enable a user to create an electronic copy of a patient’s clinical information, including, at a minimum, diagnostic test results, problem list, medication list, medication allergy list, and procedures: (i) In human readable format; and (ii) On electronic media or through some other electronic means in accordance with: (A) The standard (and applicable implementation specifications) specified in §170.205(a)(1) or §170.205(a)(2); and (B) For the following data elements the applicable standard must be used: (1) Problems. The standard specified in §170.207(a)(1) or, at a minimum, the version of the standard specified in §170.207(a)(2); (2) Procedures. The standard specified in §170.207(b)(1) or §170.207(b)(2); (3) Laboratory test results. At a minimum, the version of the standard specified in §170.207(c); and (4) Medications. The standard specified in §170.207(d). (2) Enable a user to create an electronic copy of a patient’s discharge summary in human readable format and on electronic media or through some other electronic means. Comment. A commenter expressed concern that requiring organizations to provide anything on electronic media was dangerous and counterproductive to the HITECH Act’s HIPAA Privacy and Security Rule changes. This commenter also stated that thumb drives and CD/DVD burners are not available to staff. The commenter recommended that we remove this certification criterion and adopt a patient portal requirement in the next round of rulemaking. Response. While we understand that in certain locations (e.g., areas that are readily accessible to patients) health care professionals do not normally have access to use certain ancillary features at their workstations, we disagree that requiring organizations to provide patients with an electronic copy present problems related to HITECH modifications to the HIPAA privacy and security requirements. We do not Page 165 of 228
- Page 113 and 114: SHA-1 and other secure hash algorit
- Page 115 and 116: misinterpreted our example and stat
- Page 117 and 118: Other commenters also expressed con
- Page 119 and 120: eferenced in FIPS 140-2 Annex A, wh
- Page 121 and 122: of the most secure encryption algor
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- Page 125 and 126: Use CPOE for medication orders dire
- Page 127 and 128: equire EHRs to build custom interfa
- Page 129 and 130: esult, we do not believe that this
- Page 131 and 132: was needed before RxNorm could be a
- Page 133 and 134: • MDDB - Medi-Span Master Drug Da
- Page 135 and 136: Response. We do not believe that it
- Page 137 and 138: Send reminders to patients per pati
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- Page 141 and 142: what would qualify as a "response."
- Page 143 and 144: Comment. A commenter recommended th
- Page 145 and 146: in accordance with one of the adopt
- Page 147 and 148: Comments. Many commenters suggested
- Page 149 and 150: flexibility in this certification c
- Page 151 and 152: productive, confusing, time-consumi
- Page 153 and 154: include in this initial set. Accord
- Page 155 and 156: to the HITSP C32 implementation spe
- Page 157 and 158: Response. Again, we do not believe
- Page 159 and 160: e achieved without these and recomm
- Page 161 and 162: electronically record, store, retri
- Page 163: EHRs and EHR Modules designed for a
- Page 167 and 168: Response. We disagree, as doing so
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- Page 171 and 172: However, we do not preclude Complet
- Page 173 and 174: ability of CCD and CCR to support t
- Page 175 and 176: ability to receive these reports. M
- Page 177 and 178: commenters acknowledged and express
- Page 179 and 180: a meaningful use objective they wou
- Page 181 and 182: CMS and ONC had worked together to
- Page 183 and 184: The eligible professional or eligib
- Page 185 and 186: EHR technology with the needs of us
- Page 187 and 188: The RFA requires agencies to analyz
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- Page 191 and 192: commenter provided), our assumption
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- Page 199 and 200: Finally, the third type of cost we
- Page 201 and 202: 2012 15% $10.10 $30.80 $20.45 3-Yea
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- Page 209 and 210: The Secretary adopts the following
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- Page 213 and 214: (e) Regenstrief Institute, Inc., LO
§170.205(a)(2)(iii); and<br />
(v) The standard specified in §170.205(a)(2)(iv).<br />
Final Rule Text:<br />
§170.306(d)<br />
(1) Enable a user to create an electronic copy <strong>of</strong> a patient’s<br />
clinical information, including, at a minimum, diagnostic test<br />
results, problem list, medication list, medication allergy list,<br />
and procedures:<br />
(i) In human readable format; and<br />
(ii) On electronic media or through some other electronic<br />
means in accordance with:<br />
(A) The standard (and applicable implementation<br />
specifications) specified in §170.205(a)(1) or §170.205(a)(2);<br />
and<br />
(B) For the following data elements the applicable standard<br />
must be used:<br />
(1) Problems. The standard specified in §170.207(a)(1) or, at a<br />
minimum, the version <strong>of</strong> the standard specified in<br />
§170.207(a)(2);<br />
(2) Procedures. The standard specified in §170.207(b)(1) or<br />
§170.207(b)(2);<br />
(3) Laboratory test results. At a minimum, the version <strong>of</strong> the<br />
standard specified in §170.207(c); and<br />
(4) Medications. The standard specified in §170.207(d).<br />
(2) Enable a user to create an electronic copy <strong>of</strong> a patient’s<br />
discharge summary in human readable format and on<br />
electronic media or through some other electronic means.<br />
Comment. A commenter expressed c<strong>onc</strong>ern that requiring organizations to<br />
provide anything on electronic media was dangerous and counterproductive to the<br />
HITECH Act’s HIPAA Privacy and Security Rule changes. This commenter also stated<br />
that thumb drives and CD/DVD burners are not available to staff. The commenter<br />
recommended that we remove this <strong>certification</strong> criterion and adopt a patient portal<br />
requirement in the next round <strong>of</strong> rulemaking.<br />
Response. While we understand that in certain locations (e.g., areas that are<br />
readily accessible to patients) health care pr<strong>of</strong>essionals do not normally have access to<br />
use certain ancillary features at their workstations, we disagree that requiring<br />
organizations to provide patients with an electronic copy present problems related to<br />
HITECH modifications to the HIPAA privacy and security requirements. We do not<br />
Page 165 <strong>of</strong> 228
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