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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CMS and ONC had worked together to define certain terms, such as numerator and<br />
denominator, for the calculation <strong>of</strong> percentages to demonstrate the successful attainment<br />
<strong>of</strong> the meaningful use objectives. The Medicare and Medicaid EHR Incentive Programs<br />
<strong>final</strong> rule confirmed that “the ability to calculate the measure is included in certified EHR<br />
technology.” To make explicit the <strong>Department</strong>’s operating assumption, to confirm some<br />
commenters’ original understanding, and to respond to other commenters’ points, we are<br />
adopting the following <strong>certification</strong> criterion regarding the automated calculation <strong>of</strong><br />
percentage-based meaningful use measures.<br />
Meaningful Use<br />
Stage 1<br />
Objective<br />
Meaningful Use<br />
Stage 1 Measure<br />
Page 181 <strong>of</strong> 228<br />
Certification Criterion<br />
N/A N/A Final Rule Text:<br />
§170.302(n)<br />
Automated measure calculation. For each meaningful use<br />
objective with a percentage-based measure, electronically<br />
record the numerator and denominator and generate a report<br />
including the numerator, denominator, and resulting<br />
percentage associated with each applicable meaningful use<br />
measure.<br />
Comments. The <strong>Department</strong> received several comments noting that Certified<br />
EHR Technology should be expressly required, as a condition <strong>of</strong> <strong>certification</strong>, to<br />
automatically calculate the meaningful use measures for which eligible pr<strong>of</strong>essionals and<br />
eligible hospitals would need to report percentages to CMS or States at the end <strong>of</strong> an<br />
EHR reporting period. Some commenters explicitly noted that ONC should require the<br />
automated calculation <strong>of</strong> certain measures as a condition <strong>of</strong> <strong>certification</strong>. Commenters<br />
pointed out that this was already a <strong>certification</strong> requirement for clinical quality measures<br />
and it would be inconsistent not to require automated calculation for the functionality<br />
measures as part <strong>of</strong> <strong>certification</strong>. Many commenters expressed c<strong>onc</strong>erns about the<br />
difficulties <strong>of</strong> capturing the denominators for the meaningful use measures that required