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RIS Systems as Ambulatory EHR CCHIT 2009/2010 Standards

RIS Systems as Ambulatory EHR CCHIT 2009/2010 Standards. July 2009 Tim Kulbago. Objectives. Who is CCHIT CCHIT Certification RIS as Ambulatory EMR Gap/Relevancy Topics Questions. Who is CCHIT?. C ertification C ommission for H ealthcare I nformation T echnology.

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RIS Systems as Ambulatory EHR CCHIT 2009/2010 Standards

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  1. RIS Systems asAmbulatory EHR CCHIT 2009/2010 Standards July 2009 Tim Kulbago Confidential

  2. Objectives • Who is CCHIT • CCHIT Certification • RIS as Ambulatory EMR • Gap/Relevancy Topics • Questions Confidential

  3. Who is CCHIT? • Certification • Commission for • Healthcare • Information • Technology • Private 501 (c)3 non-profit organization • Founded in 2004 • Recognized by Federal government as a certifying body • Board of Trustees (9 members) • Commissioners of CCHIT (12 members) Confidential

  4. Commissioners • Mark Leavitt, MD, PhD - Certification Commission Chairman • Abha Agrawal, MD, FACP, Director, Medical Informatics; Associate Medical Director, Kings County Hospital Center • Steve Arnold, MD, MS, MBA, CPE, President and Chief Medical Officer, CareData; CEO, Healthcare Global Advisors • Richard Benoit, Senior Program Manager, Intel; Director of Ecosystem Development, Dossia • Sarah T. Corley, MD, FACP, Chief Medical Officer, NextGen Healthcare Information Systems, Inc • John F. Derr, RPh, Senior VP and CIO, Golden Living • Linda Hogan, Professor and Assistant Dean, Department of Medicine, and Director, Medical Informatics Program, The Commonwealth Medical College • David R. Hunt, MD, Chief Medical Officer and Acting Director, Office of Health Information Technology Adoption, Office of the National Coordinator for Health IT, US Department of Health and Human Services (non-voting member) • Michael L. Kappel, Senior Vice-President, Government and Industry Relations, McKesson Technology Solutions • Joy G. Keeler, MBA, FHIMSS, Principal, Health Information Technology, The MITRE Corporation • Jennifer Laughlin, MBA, RHIA, Vice President and Chief Information Officer, UW Health Partners-Watertown Regional Medical Center • Christopher MacManus, Healthcare Information Technology Practice Leader, Tatum, LLC • David Merritt, Project Director, Center for Health Transformation, The Gingrich Group • Susan R. Miller, RN, FACMPE, Administrator, Family Practice Associates of Lexington Kentucky • James Morrow, MD, Vice President and Chief Information Officer, North Fulton Family Medicine • Rick Ratliff, Co-CEO, SureScripts-RxHub • David A. Ross, ScD, Director, Public Health Informatics Institute • Don Rucker, MD, Vice President and Chief Medical Officer, Siemens Medical Solutions • Michael Ubl, Director, IT Strategy and eHealth, Blue Cross and Blue Shield of Minnesota • Jon White, MD, Health IT Director, Agency for Healthcare Research and Quality, US Department of Health and Human Services (non-voting member) • Andrew Wiesenthal, MD, Associate Executive Director, Clinical Information Support, The Permanente Federation Confidential

  5. Advanced Clinical Decision Support Advanced Interoperability Advanced Quality Advanced Security Ambulatory Behavioral Health Cardiovascular Medicine Child Health Clinical Research Dermatology Electronic Prescribing Emergency Department Health Information Exchange Inpatient Interoperability Long Term and Post Acute Care Personal Health Record Privacy Security Workgroups Confidential

  6. Certification • Current Certifications for: • Ambulatory EHR • Inpatient EHR • Emergency Department EHR • Health Information Exchanges • Child Health • Cardiovascular Medicine • Enterprise EHRs, • 2009 criteria currently published • There is no way to be 2009 certified • CCHIT skipping to 2011 criteria • 2011 criteria not yet approved • No timeframes established • 201 Criteria • Applications for 2010 Certification Confidential

  7. Certification • EHR-C • Exceed Federal standards one solution • $30k-50k • Live-site Verification • EHR-M • Modular approach from combined vendors • Providers are still responsible for meeting all of the criteria by combining “certified solutions” • $300 “per provider”, not sure what that means • EHR-S • Site-level with non-certified solutions Confidential

  8. 2009/10 CCHIT Ambulatory EHR Criteria 74 Categories 400 requirements 294 for 2009 54 for 2010 52 on Roadmap 2011 CCHIT 2009/10 Confidential

  9. RIS/PACS Assessment • Of 400 Requirements • 275 address with RIS/PACS systems with: • Billing Functionality • Digital Document Management Solution • Mammography Tracking • Web Distribution to Referring Physicians • 125 remaining • 20 apply to Radiology Confidential

  10. Some options • “Take the M-Train” • Apply for EMR-M • Lobby your RIS/PACS provider to get “certified” for part of the standard • Put in skeleton systems to shore up the 25% gap. • “M-Train Detour” • Instead of the skeleton system, challenge the definition of “Meaningful Use” Confidential

  11. Some options • “Pass with a C” • Work with your RIS/PACS provider to get full EMR for Ambulatory Certified. • EMR-C option • “Wait and C” • If you are in a hospital department, you can just wait for your broader EMR effort Confidential

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