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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whether the requirement for customization would be met if a system administrator were<br />
to set the selected severity level to reflect the collective decision <strong>of</strong> a practice or if alerts<br />
must be tailored on an EP-by-EP basis. A commenter requested clarification on what<br />
qualifies as a "response" to an alert. One commenter recommended that the rule clarify<br />
that “responded to by a user” means in a way which meaningfully addresses the alerts. A<br />
couple <strong>of</strong> commenters stated that centrally hosted services would have problems<br />
complying with the customization requirements because the hosting vendor takes<br />
responsibility for the administration, maintenance and updating <strong>of</strong> the clinical decision<br />
support rules including alerts for drug interactions alerts, including drug-drug, drug-<br />
allergy and drug-problem. These commenters were c<strong>onc</strong>erned that allowing each <strong>of</strong> their<br />
clients to create local drug-interaction rules would slow their ability to provide important<br />
updates to their client base, since this would require navigation <strong>of</strong> a complex hierarchy <strong>of</strong><br />
preferred local rules. These local rules would also introduce clinical risk if old local rules<br />
could create a conflict with a clinically appropriate global, updated rule.<br />
Response. Based on the significant number <strong>of</strong> comments presenting diverse<br />
interpretations <strong>of</strong> these provisions, we determined that this <strong>certification</strong> criterion needed<br />
further clarification and have revised it accordingly. Our intention related to the alert<br />
statistics capability had been to mirror the clinical decision support capability. With<br />
respect to customization, we sought to provide users <strong>of</strong> Certified EHR Technology with a<br />
way to adjust the severity level for which alerts are presented. In response to public<br />
comment, and to clarify what we believe Certified EHR Technology must include as a<br />
condition <strong>of</strong> <strong>certification</strong>, we have removed the “alert statistics” part <strong>of</strong> the <strong>certification</strong><br />
criterion altogether and revised the “customization” part <strong>of</strong> the <strong>certification</strong> criterion to<br />
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