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The Certification Commission for Healthcare Information Technology (CCHIT)

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The Certification Commission for Healthcare Information Technology (CCHIT) Mariann Yeager, MBA ... Healthcare Information and Management Systems Society (HIMSS) ... – PowerPoint PPT presentation

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Title: The Certification Commission for Healthcare Information Technology (CCHIT)


1
The Certification Commission for Healthcare
Information Technology (CCHIT)
  • Mariann Yeager, MBA
  • Co-Chair, CCHIT Security Reliability Workgroup
  • Vice President, TruArx, Inc.
  • 703-519-0817
  • Myeager_at_truarx.com

2
Discussion Points
  • Origin, Mission and Concept
  • Organization
  • Scope, Timeline and Deliverables
  • With updates regarding the ONCHIT-2 RFP
  • Work Group Process
  • Brief Overview of Phase I Comments
  • Introduction to the Phase IIWork Products
  • Q A

3
Origins of CCHITJuly 2004
4
Founding of CCHIT
  • Founded by three HIT organizations
  • American Health Information Management Assoc
    (AHIMA)
  • Healthcare Information and Management Systems
    Society (HIMSS)
  • National Alliance for Health Information
    Technology (Alliance)
  • Formed panel to nominate first Commissioners
  • First official meeting Sept 14, 2004
  • Unrestricted grants from
  • American Academy of Family Physicians (AAFP)
  • American College of Physicians (ACP)
  • Hospital Corporation of America
  • McKesson
  • Sutter Health
  • United Health Foundation
  • WellPoint Health Networks, Inc.
  • Grants supporting testing development
  • California HealthCare Foundation

5
Mission of CCHIT
To accelerate the adoptionof robust,
interoperable HIT throughout the US healthcare
system,by creating an efficient, credible,
sustainable mechanism for the certification of
HIT products.
6
Guiding Principles
  • Timeliness
  • Need decisive private-sector action now
  • Value
  • Deliver value for all key stakeholders and the
    larger healthcare community
  • Process must be efficient and not add net costs
  • Integrity
  • Operate in credible, objective, transparent
    manner
  • Certification must be objective, laboratory
    verified to the greatest extent practical

7
Standards and Certification Create Tipping
Points for New Technologies
The IBM-standard PC launched the personal
computing revolution
The Ethernet networking standardgave PCs
connectivity
The Wi-fi standard made it wireless
8
How Product CertificationCan Accelerate HIT
Adoption
  • Increase the confidence of providers to invest in
    and adopt HIT
  • Facilitate interoperability of HIT products
    within the emerging national health information
    network
  • Enhance the availability of HIT adoption
    incentives from public and private
    purchasers/payers

9
The HIT Adoption Deadlock
Cant offer incentives unless benefits and
interoperability of EHRs are assured
Payers/Purchasers
HITAdoption
Providers
HIT Vendors
Hesitant to buy HIT until costs and risks are
lower and/or incentives higher
Cant bring down costs until provider adoption
accelerates
10
Breaking the Deadlock
Beneficial effects andinteroperability
assured,unlocking incentives
Payers/Purchasers
HITAdoption
Providers
IT Vendors
Reduced risk andavailability of incentives
accelerates adoption
Growing marketattracts investment, lowers costs
11
Key Stakeholder Relationships
Information on market needs
HIT Customers(Medical Practices)
Increase confidence in investment
Information on current and future state of
products
HIT Vendors
Accelerate market roadmap of future expectations
CertificationCommission
Commitment to incentivesfor certified products
Payers with Incentivesfor IT Adoption
orIT-Enabled Quality
Assurance that certified products, properly
deployed, can deliver results
Standards against whichcompliance can be tested
HIT Standards Organizations
Feedback on current standardsdrive development
of new standards
12
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
  • Competition and innovation can thrive above the
    line
  • Voluntary process
  • Initial requirements must be market reality-based
  • A forward-looking requirements roadmap provides
    the best means to influence market direction

13
Certification Roadmap Concept
EHRProductAttributes
2 Years Ahead
1 Year Ahead
Current Year
Final 2005 Requirements Forecast 2006 Requirements Forecast 2007 Requirements
Final 2005 Requirements Forecast 2006 Requirements Forecast 2007 Requirements
Final 2005 Requirements Forecast 2006 Requirements Forecast 2007 Requirements
Functionality
Interoperability
Security Reliability
14
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

15
Stakeholder Balance and Diversityon the
Commission and Work Groups
Commission
Work Groups
  • Open Call for Participation
  • 275 applicants
  • Commissioners ranked by qualifications then
    adjusted for stakeholder balance
  • Co-Chairs
  • Two Co-Chairs
  • Must represent two different stakeholders
  • Members
  • 8 10 members
  • Qualified experts
  • Diversity of backgrounds
  • 2 4 from each key stakeholder group
  • Providers
  • Vendors
  • Purchasers/payers/coalitions
  • 2 4 total drawn from other stakeholders
  • Government (ex-officio, nonvoting)
  • Standards development organizations (e.g. HL7)
  • Others, e.g. healthcare consumer advocates, etc.

16
Scope, Deliverables,and Timeline
  • Initial scope
  • Certify EHR products for physician offices and
    other ambulatory care settings
  • Deliverables
  • Operational capability for certification
  • Roadmap forecasting future certification plans
    1-2 years ahead
  • Timeline
  • Pilot process 4th Quarter 2005

Prior to ONCHIT-2 RFP. See later slides for
adjustments to synchronize work with ONCHIT-2 RFP.
17
Timeline(With adjustments to synchronize with
ONCHIT RFP)
2005
2006
April
May
June
July
Aug
Sept
Oct
Nov
Dec
Jan
Feb
April 18 -- Publish Phase I interim work product
for comment
Phase I Public Comment Period April 18 May 18
Town Calls April 21-27
July 11 Publish Phase II interim work product
for comment
Phase II Public Comment Period July 11 Aug 11
Town Calls July 11 - 25
Sept -- Publish 2005 pilot test requirements
Previous plan
Pilot test of certification process
Begin certification
Sept -- Publish Use Cases for public comment
Dec -- Publish final criteria Use-Case based
test plan
Collaboration by HHScontractors onCommon Use
Cases
Adjustedplan
Pilot test
Begin certification
TODAY
18
Future Scope Requested in ONCHIT-2 RFP
  • Year 1 (Oct 05 Sep 06)
  • Develop and pilot test certification of EHR
    products for ambulatory care settings
  • Year 2 (Oct 06 Sep 07)
  • Develop and pilot test certification of EHR
    products for inpatient care settings
  • Year 3 (Oct 07 Sep 08)
  • Develop and pilot test certification of
    infrastructure or network components through
    which EHRs interoperate

19
Certification as Part of HHS/ONCHIT Strategy
American Health Information Community
National Coordinator and Project Officer(s)
NIST
StandardsHarmonizationContractor
ComplianceCertificationContractor
Privacy/SecuritySolutionsContractor
NHINPrototypeContractors
MultiplePublic and Private Sector Stakeholders
20
Work Group Process
Step I Gather Data
Step II Finalize Requirements
Certification Reqmts for 2005
Available StandardsFramework
Requirement X
Element X
Priority as seen by stakeholders
CertificationRoadmap 2006-2007
ElementDecisionProcess(see next slide)
2007
2006
Future X
Availability in the marketplace
Practicality of certification
Do not certify X
21
Element Decision Process
Availability
Availability Uncertain
Available in2006 or 2007
Widely Available
Certify in 2005 Consider for2006-07 roadmap Do not certify
Consider for2006-2007 roadmap Consider for2006-2007 roadmap Do not certify
Do not certify Do not certify Do not certify
Essential
Essential in the Future
Priority
Optional
22
Phase I Public CommentResponses by Category
23
Phase I Public CommentGeneral Responses for
Commission (does not include comments for WGs)
TOTAL 28
24
Phase II Work ProductsAvailable on CCHIT website
(Comment Period Closed)
www.cchit.org
Click here to access the Phase 2 documents
Click to view immediately on-line
Best for extensive work off-line
25
New Common Formatfor Criteria Spreadsheet
Criteria from Functionality, Interoperability,
and Security Reliability Work Groups now
harmonized in a common format
26
Functionality Work GroupCertification Criteria
Functions and Conformance Criteria fromHL7 EHR
TC DSTU (Subset)
Evidence on Priorities and Availability
Recommendations for 2005 Criteria and2006-2007
Roadmap
Line Used to reference comments
Note this is only a first draft of 2006 and
2007 Roadmap columns
27
Interoperability Work GroupCertification Criteria
Interoperability Categories and Criteriawith
References
Evidence on Priorities and Availability
Recommendations for 2005 Criteria and2006-2007
Roadmap
Line Used to reference comments
Note this is only a first draft of 2006 and
2007 Roadmap columns
28
Security Reliability Work GroupCertification
Criteria
Security and Reliability Categories and Criteria
with References
Evidence on Priorities and Availability
Recommendations for 2005 Criteria and2006-2007
Roadmap
Line Used to reference comments
Note this is only a first draft of 2006 and
2007 Roadmap columns
29
Certification Process andUse Case/Test Plan Work
Groups
  • To synchronize with ONCHIT-2 RFP, testing will be
    Use-Case based
  • Use Case/Test Plan WG drafted CCHITs
    Recommended Use Cases for public comment
    (closed Oct. 7th)
  • Common Use Cases will be developed through
    collaboration with other HHS contractors and all
    stakeholders
  • Updated certification process will also be
    circulated for comment in 60-90 days

30
Practical Implications
  • Understand

31
The Certification Commission for Healthcare
Information Technology (CCHIT)
  • Mariann Yeager, MBA
  • Co-Chair, CCHIT Security Reliability Workgroup
  • Vice President, TruArx, Inc.
  • 703-519-0817
  • Myeager_at_truarx.com
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