ehr onc final certification - Department of Health Care Services

for
Certification Low High
Page 197 of 228
Midpoint
Low High Mid-point
2008
Ambulatory
CCHIT-
Certified-
EHR 65 $0.50 $1.5 $1.0 $32.5 $97.5 $65.0
2007/2008
Inpatient
CCHIT-
Certified-
EHR 15 $0.75 $2.0 $1.38 $11.25 $30.0 $20.63
Total 80 $43.75 $127.50 $85.63
The second type of cost we estimate includes the costs that we expect for CCHIT-
certified ambulatory EHRs certified prior to 2008 (“out-of-date CCHIT-Certified-EHRs”)
and never previously CCHIT-certified-EHRs to be prepared to be tested and certified as
Complete EHRs rather than as EHR Modules. 14 We assume the EHR technology that
falls into this category may require more extensive changes than previously CCHIT-
certified-EHRs identified in Table 1. Again, we have estimated low and high preparation
cost ranges. We assume that there will be very little growth in the Complete EHR market
due to the market share 15 represented by the previously CCHIT-certified-EHRs included
in Table 1 and the upfront costs required to bring a Complete EHR to market. As a
result, we expect there to be 8 and 5 Complete EHRs (for use by eligible professionals
and eligible hospitals, respectively) prepared to be tested and certified to all of the
applicable certification criteria adopted by the Secretary. 16
14
CCHIT began testing and certifying inpatient EHRs in 2007 and we assume that all of those EHRs are
included in Table 1 which is why they are not included in this discussion.
15
http://www.cchit.org/about -- “...EHR products certified by mid-2009, representing over 75% of the
marketplace.”
16
This estimate is premised in part on the fact that IHS’s RPMS EHR was not included in Table 1 and that
it will be preparing the RPMS EHR as a Complete EHR to meet the applicable certification criteria adopted
by the Secretary for both ambulatory and inpatient settings.