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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

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