Bobbie Byrne, MD, FAAP

Certification Director, Certification Commission for Health Information Technology

CCHIT – HL7

© 2009 | Sept 25, 2009

Topics ARRA, Meaningful Use and Certification

Inspection Programs

New Certification Program Development Interactions between CCHIT and HL7

Q & A

© 2009 | Sept 25, 2009

ARRA, Meaningful Use,and Certification

© 2009 | Sept 25, 2009

CCHIT Program Launch CCHIT launching programs now

Understand there is uncertainty in the specifics/scope of ARRA requirements.

Domains: Inpatient, Emergency Department, Ambulatory, HIE Domains included a small number of additional criteria to meet the

objectives and measures outlined in the Meaningful Use Matrix Add-on for domains for Advanced Interoperability (XDS)

Add-ons for Ambulatory: Cardiology and Child Health Child Health criteria are the work product of the Child Health Work Group

last year with no additional criteria being required to meet Meaningful Use.

Why we launched 2011 certification now:

Providers and hospitals who wait until Fall 2010 to choose EHR technology will experience a high risk of failing to

achieve meaningful use in time for the 2011-2012 incentives.

© 2009 | Sept 25, 2009

Certification Program TimelineNote: dates are best estimates, but subject to change

September 24, 2009: publish Certification Criteria and Test Scripts for CCHIT Certified® 2011 and Preliminary ARRA 2011 programs

October 7, 2009: open applications for both programs

Spring 2010: after CMS Final Rule published Offer incremental testing to CCHIT Certified® and Preliminary ARRA

Certification clients, if needed to meet Final ARRA 2011 requirements Update criteria in all programs to meet Final ARRA 2011 requirements Begin offering Site certification pathway within the ARRA 2011 program

June 2010: launch additional CCHIT Certified® 2011 programs and optional add-ons (LTPAC, BH, Derm, others)

© 2009 | Sept 25, 2009

Program Concepts

Comprehensive Certification of EHR Systems for Functionality, Security, Privacy, and Interoperability

Meets or exceeds Federal standards

For providers wanting maximal assurance of integrated EHR capabilities as well as ARRA qualification

Domains: Ambulatory, Inpatient, ED, HIE, eRx now; LTPAC in 2010; others TBD

Add-ons and specialties: Child Health, Cardiovascular, Enterprise now; Behavioral Health, Derm, Clinical Research and others TBD in 2010

Modular certification of EHR Technology limited to Security, Privacy, and Interoperability

Meets Federal standards

For providers who prefer to combine technologies from multiple sources or self-develop an EHR to qualify for ARRA

Domains: Eligible Providers, Hospitals

Preliminary ARRA2011 Certification

© 2009 | Sept 25, 2009

Labeling Example

© 2009 | Sept 25, 2009

Labeling Example

© 2009 | Sept 25, 2009

Duration of Certifications

Both programs tied to ARRA incentive windows

CCHIT and ARRA 2011 Certifications anticipated to expire December 31, 2012

If HHS extends availability for ‘first adoption year’ incentives beyond that date, CCHIT will extend certifications at the same renewal rates, pro-rated if less than 12 months.

© 2009 | Sept 25, 2009

Certification Program Development

© 2009 | Sept 25, 2009

Child Health

Child Health was identified early on as an area where the EHRs would require more specific criteria.

Some child health requirements in Ambulatory, Inpatient and Emergency Department Specific add-on group for Child Health launched 2008 29 products are Child Health Certified out of a pool of 72 Ambulatory products

For Inpatient, Child Health Work Group will launch an add-on for the 2013 Program Year Begin with existing Inpatient criteria Review of industry documents and resources Planned release mid-2011.

Continue to encourage Child Health representation on all WG, including venues, privacy, security and interoperability

© 2009 | Sept 25, 2009

Interaction with HL-7

HL7 is a key source of criteria for all CCHIT Work Groups Child Health Work Group completed gap analysis between HL7 and

CCHIT.

Communication goes two ways on discussion topics where group members share back and forth.

© 2009 | Sept 25, 2009

Thank You!

For more information: www.cchit.org