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Software Certification for Electronic Health Records: The Certification Commission for Healthcare Information Technology (CCHIT)

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The Certification Commission for Healthcare Information Technology (CCHIT) James J. Cimino, M.D. ... For the Health Information Management Systems Society ... – PowerPoint PPT presentation

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Title: Software Certification for Electronic Health Records: The Certification Commission for Healthcare Information Technology (CCHIT)


1
Software Certification forElectronic Health
RecordsThe Certification Commission for
Healthcare Information Technology (CCHIT)
  • James J. Cimino, M.D.
  • Columbia University, New York
  • For the Health Information Management Systems
    Society (HIMSS)

2
CCHIT Topics
  • Motivation for Certification
  • Origins of CCHIT
  • Overview of CCHIT work plan
  • Workgroups
  • Scenarios
  • Future

3
The HIT Adoption Deadlock
Cant offer incentives unless benefits and
interoperability of EHRs are assured
HITAdoption
Hesitant to buy HIT until costs and risks are
lower and/or incentives higher
Cant bring down costs until provider adoption
accelerates
4
Breaking the Deadlock
Beneficial effects andinteroperability
assured,unlocking incentives
HITAdoption
Reduced risk andavailability of incentives
accelerates adoption
Growing marketattracts investment, lowers costs
5
Brief History of CCHIT
  • July 2004 Certification of HIT products a key
    action in US Health and Hospitals Service (HHS)
    Strategic Framework
  • Sept 2004 AHIMA, HIMSS, and the Alliance fund
    and launch CCHIT
  • June 2005 Eight more nonprofit organizations add
    325k funding support
  • July 2005 HHS announces Health IT Strategy RFP
    ONCHIT-2 released
  • Sept, 30 2005 ONCHIT-2 contract award to be
    announced

6
Mission of CCHIT
  • To accelerate the adoption of HIT by creating a
    mechanism for the certification that is
  • - efficient
  • - credible
  • - sustainable
  • To reduce the risk of HIT investment by providers
  • To ensure interoperability with local and
    national health information infrastructures
  • To enhance the use of incentives from public and
    private payers

7
Motivation
  • Healthcare payers offer financial incentives for
    HIT
  • But must be robust enough to deliver benefits
  • Uncertainties faced by HIT buyers product
    suitability, quality, interoperability, data
    portability all difficult to judge
  • Certification can act as a catalyst
  • Certification must deliver value for all
    stakeholders
  • Certification process must be efficient (no net
    cost)
  • Certification muse operate in credible,
    objective, transparent manner

8
Key Points to Clarify
  • Product Certification is different from
  • Organizational Accreditation
  • Professional Certification
  • Certification is binary, i.e. pass/fail
  • Not a subjective, comparative rating system
  • Voluntary process

9
CCHIT Organization
CCHIT Commissioners
Business Operations Committee
Program Management Team
Work Group Functionality
Work Group Inter-operability
Work GroupSecurity Reliability
Work GroupCertification Process
Work Group Use Case and Test Plan
  • Advisory Councils and Liaisons
  • Vendor Associations
  • Provider Organizations
  • Payer/Purchaser Organizations
  • Standards Development Organizations
  • Others

10
Description of Project Phases
  • Phase I Data Gathering
  • Phase I Public Comment period
  • Phase II Draft requirements
  • Phase II Public Comment period
  • Finalize requirements and begin pilot test
  • Publish final requirements and roadmap
  • Launch product certification

11
Use Cases
  • Ensure that strategic initiatives deliver
    real-world improvements in the quality, safety,
    and efficiency
  • Synchronize the work of the multiple HHS Health
    IT Contractors toward common goals
  • Define end results expected from the
    interoperability of health IT systems
  • For CCHIT provide a framework for thorough,
    credible, yet realistic and cost-effective
    certification testing

12
Functionality Work Group Spreadsheet
MORE
13
Use Cases Interoperability Workgroup
  • Receive Results
  • Refer or transfer clinical care of patient
  • Send electronic prescriptions
  • Query and receive formulary benefits
  • Report patient immunizations
  • Enable patient and user identity correlation
  • Quality improvement reporting
  • Revenue cycle related transactions

14
Test Scenario Example Routine Well-Child Visit
to Primary Care Physician
  • Summary This Clinical Test Scenario involves a
    routine well-child visit to his Primary Care
    Physician for immunization, examination and
    prescription renewal. History of possible TB
    exposure is identified and PPD given. Positive
    response to PPD results in additional treatment.
    In addition, a Security Test Scenario, presented
    at the end of this document, uses data from this
    scenario. Key features of this Scenario are
  • Well Child visit with immunizations
  • Preventive Health
  • Anticipatory Guidance
  • Lab Reporting
  • Communicable Disease
  • a) Treatment
  • b) Reporting (needs to be added to case)

15
Certification Process
  • Step 1 Application process
  • Step 2 Vendor and product data collection
  • Step 3 Testing process
  • Step 4 Dissemination of certification results
  • Step 5 Recertification and revocation of
    certification

16
CCHIT Future
  • Year 1 (Oct 05 Sep 06)
  • Certification of Ambulatory EHR products
  • Year 2 (Oct 06 Sep 07)
  • Certification of inpatient EHR products
  • Year 3 (Oct 07 Sep 08)
  • Certification of infrastructure components
    through which EHRs interoperate

17
For more information on CCHIT
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