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January 10, 2014 Jennie Harvell , HHS/ASPE Sue Mitchell, Independent Consultant

Comparison of ONC & LTPAC EHR Functional Criteria AND Testimony to HITPC C/A Workgroup (Summary & Detail Slides). January 10, 2014 Jennie Harvell , HHS/ASPE Sue Mitchell, Independent Consultant. Table of Contents. Privacy and Security Slide 3 Summary Care Record at TOC/Referral

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January 10, 2014 Jennie Harvell , HHS/ASPE Sue Mitchell, Independent Consultant

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  1. Comparison of ONC & LTPAC EHR Functional CriteriaANDTestimony to HITPC C/A Workgroup(Summary & Detail Slides) January 10, 2014 Jennie Harvell, HHS/ASPE Sue Mitchell, Independent Consultant

  2. Table of Contents • Privacy and Security • Slide 3 • Summary Care Record at TOC/Referral • Slide 18 • Clinical Summary • Slide 28 • View, Download, Transmit • Slide 32 • Data Portability • Slide 40 • Patient Demographics • Slide 44 • Clinical Health Information • Slide 47 • Medication Related Criteria • Slide 55 • Incorporate Laboratory Tests & Values/Results • Slide 64 • Clinical Decision Support • Slide 68 • Advance Care Planning • Slide 79 • Clinical Quality Measures • Slide 84 • Public Health • Slide 92 • Patient-Specific Education Resources • Slide 100 • LTPAC Setting Specific EHR-S Requirements • Slide 103

  3. Comparison:ONC, HL7 Functional Profile and CCHIT LTPAC Criteria • Privacy & Security related criteria: • Authentication, Access Control & Authorization • Auditable Events & Tamper-Resistance • Audit Report(s) • Amendments • Automatic Log-Off • Emergency Access • End-User Device Encryption • Integrity • Optional – Accounting of Disclosures

  4. Privacy & SecurityComparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony

  5. Privacy & SecurityComparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony

  6. Privacy & SecurityComparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony

  7. Privacy & SecurityComparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony

  8. Privacy & SecurityComparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony

  9. Privacy & Security – ONC Requirements Found in LTC FP & CCHIT 2011

  10. Privacy & Security – ONC Requirements Found in LTC FP & CCHIT 2011

  11. Privacy & Security – ONC Requirements Found in LTC FP & CCHIT 2011

  12. Privacy & Security – ONC Requirements Found in LTC FP & CCHIT 2011

  13. Privacy & Security – ONC Requirements Found in LTC FP & CCHIT 2011

  14. Privacy & Security – ONC Requirements Found in LTC FP & CCHIT 2011

  15. Privacy & Security – ONC Requirements Found in LTC FP & CCHIT 2011

  16. Privacy & Security – ONC Requirements Found in LTC FP & CCHIT 2011

  17. Privacy & Security – ONC Requirements Found in LTC FP & CCHIT 2011

  18. Comparison:ONC, HL7 Functional Profile and CCHIT LTPAC Criteria • Summary Care Record at TOC/Referral • Receive, Display, and Incorporate TOC/Referral Summaries • Create and Transmit TOC/Referral Summaries

  19. Summary Care Record at TOC/Referral Comparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony

  20. Summary Care Record at TOC/Referral Comparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony

  21. Summary Care Record at TOC/Referral Comparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony

  22. Summary Care Record at TOC/Referral Comparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony

  23. Summary Care Record at TOC/Referral Comparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony

  24. Summary Care Record at TOC/Referral – ONC Requirements Found in LTC FP & CCHIT 2011 LTPAC

  25. Summary Care Record at TOC/Referral – ONC Requirements Found in LTC FP & CCHIT 2011 LTPAC

  26. Summary Care Record at TOC/Referral – ONC Requirements Found in LTC FP & CCHIT 2011 LTPAC

  27. Summary Care Record at TOC/Referral – LTC FP & CCHIT Requirements NOT in ONC 2014 Edition • ONC requirements for ToC/Summary Care Records do not require or reference the inclusion of some clinical content important to LTPAC providers and included in the LTC FP (see bold text): • DC.1.1.4, cc#3: The system SHALL provide the ability to produce a CCD that includes at least the following sections: Advance Directives, Problems, Alerts, and Medications • DC.1.1.4, cc#4: The system provide the ability to produce a CCD that includes the following sections: Functional Status, Immunizations, Medical Equipment and Plan of Care. • The LTC FP and CCHIT criteria include additional functionality related to receipt, display, incorporation, creation and transmission of summary documents and content that are not included in the ONC standards. These criteria are applicable to EHRs regardless of setting.

  28. Comparison:ONC, HL7 Functional Profile and CCHIT LTPAC Criteria • Clinical Summary (Ambulatory setting only)

  29. Clinical Summary Comparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony

  30. Clinical Summary — Ambulatory setting only ONC Requirements Found in LTC FP & CCHIT 2011

  31. Clinical Summary — Ambulatory setting only ONC Requirements Found in LTC FP & CCHIT 2011

  32. Comparison:ONC, HL7 Functional Profile and CCHIT LTPAC Criteria • View, download, and transmit to 3rd party

  33. View, Download, and Transmit to 3rd PartyComparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony

  34. View, Download & Transmit to 3rd Party – ONC Requirements Found in LTC FP & CCHIT 2011

  35. View, Download & Transmit to 3rd Party – ONC Requirements Found in LTC FP & CCHIT 2011

  36. View, Download & Transmit to 3rd Party – ONC Requirements Found in LTC FP & CCHIT 2011

  37. View, Download & Transmit to 3rd Party – ONC Requirements Found in LTC FP & CCHIT 2011

  38. View, Download & Transmit to 3rd Party – ONC Requirements Found in LTC FP & CCHIT 2011

  39. View, Download & Transmit to 3rd Party – ONC Requirements Found in LTC FP & CCHIT 2011

  40. Comparison:ONC, HL7 Functional Profile and CCHIT LTPAC Criteria • Data Portability

  41. Data PortabilityComparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony

  42. Data Portability – ONC Requirements Found in LTC FP & CCHIT 2011 LTPAC

  43. Data Portability – LTC FP & CCHIT Requirements NOT in ONC 2014 Edition • ONC requirements for Data Portability do not require or reference the inclusion of some clinical content important to LTPAC providers and included in the LTC FP (see bold text): • DC.1.1.4, cc#3: The system SHALL provide the ability to produce a CCD that includes at least the following sections: Advance Directives, Problems, Alerts, and Medications • DC.1.1.4, cc#4: The system provide the ability to produce a CCD that includes the following sections: Functional Status, Immunizations, Medical Equipment and Plan of Care. • The LTC FP and CCHIT criteria include additional functionality related to receipt, display, incorporation, creation and transmission of summary documents and content that are not included in the ONC standards. These criteria are applicable to EHRs regardless of setting.

  44. Comparison:ONC, HL7 Functional Profile and CCHIT LTPAC Criteria • Demographics

  45. Patient DemographicsComparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony

  46. Patient Demographics – ONC Requirements Found in LTC FP & CCHIT 2011

  47. Comparison:ONC, HL7 Functional Profile and CCHIT LTPAC Criteria • Clinical Health Information • Problem List • Medication List • Medication Allergy List • Clinical Information Reconciliation

  48. Clinical Health Information Comparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony

  49. Clinical Health Information Comparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony

  50. Clinical Health Information Comparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony

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