CCHIT: An Introduction

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CCHIT An Introduction Roadmap
Alisa Ray, Executive Director, CCHIT
Long Term Care HIT Summit American Health
Information Management Association Wednesday,
June 20, 2007 Chicago, IL
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Todays Talk

• A Look Back and Ahead
• Expanding the Vision of Certification
• How Certification Will Help You
• How to Participate
• Summing Up
• Resources and Q A

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A Look Back and Ahead
4
Four Ways Certification Can Accelerate HIT
Adoption

• Reduce the risks of provider investment in EHR
  products
• Facilitate interoperability of EHR products
  between care settings and across emerging health
  information networks
• Enhance availability of HIT adoption incentives
  and relief of regulatory barriers
• Ensure that EHR products and networks always
  protect the privacy of personal health information

5
Certification within the Broader Federal HIT
Strategy
American Health Information CommunityChaired by
HHS Secretary Mike Leavitt
Office of the National CoordinatorProject
Officers
Strategic Direction Breakthrough Use Cases
StandardsHarmonizationContractor
HarmonizedStandards
CCHITComplianceCertificationContractor
Certificationof EHRsand Networks
Accelerated adoption of robust, interoperable,
privacy-enhancing health IT
NetworkArchitecture
NHINPrototypeContractors
PrivacyPolicies
Privacy/SecuritySolutionsContractor
Governance and Consensus Process EngagingPublic
and Private Sector Stakeholders
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Mission and Milestones
Mission Our mission is to accelerate the
adoption of health information technology by
creating an efficient, credible and sustainable
product certification program.

• Milestones
• Sept 2004 CCHIT founded seed funding by AHIMA,
  HIMSS, Alliance
• Sept 2005 Awarded 3-year, 7.5M HHS development
  contract
• May 2006 Launched Ambulatory EHR certification
• July 2006 Announced 1st CCHIT Certifiedsm
  Ambulatory EHRs
• Oct 2006 Deemed a Recognized Certification Body
  by HHS
• Jan 2007 Became a fully independent nonprofit
  organization
• April 2007 Certified 40 of EHR companies in
  year 1

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Scope of Work

• 2006 Develop, pilot test, and launch
  certification of ambulatory (office-based) EHRs
• 2007 Develop, pilot test, and launch
  certification ofinpatient (hospital) EHRs
• 2008 Develop, pilot test, and launch
  certification ofnetworks through which EHRs
  interoperate
• Update certification criteria for each domain
  annually
• Expand certification to address additional
  specialties, care settings, and populations
• Transition to become an independent,
  self-sustaining organization by the end of the
  contract period

8
Looking Back 2006-2007

• 2007 Ambulatory EHR Criteria and Test Scripts
  complete program opened May 1
• 2007 Inpatient EHR Criteria and Test Scripts near
  finalization program opens August 1
• Broad marketplace acceptance
• Endorsement by provider organizations
• Certification built into regulatory relief, payer
  incentive and grant programs, network pilots,
  malpractice premium discounts, etc
• Approximately 90 products certified against 2006
  Ambulatory Criteria

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Looking Ahead 2007-2008

• More domains
• Adding Network domain while continuing to update
  Ambulatory and Inpatient domains
• More areas addressing
• Childrens health care
• Emergency department
• Cardiovascular medicine
• More to follow (see Expansion Roadmap)
• More external input to process
• Additional Use Cases
• Greater levels of interoperability
• More specific privacy and legal requirements

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Expanding the Visionof Certification
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Questions During Ambulatory Criteria Development

• Can a single set of criteria satisfy the EHR
  needs of various specialties?
• Can two sets of criteria, ambulatory and
  inpatient serve the full spectrum of care
  settings?
• Can a single set of criteria satisfy the needs of
  widely diverse patient populations?

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A Multidimensional Challenge
Professional Specialties and Subspecialties
Patient Populations
Care Settings
Small Office
Children
Med. Specialty A
Large Clinic
Adolescents
Med. Specialty B
Adults
Emergency Dept
Surg. Specialty C
Nurs. Specialty D
Hospital / Inpatient
Expectant Women
Elderly
Prof. Specialty E
Hospital / Outpat.
Extended Care
Chronic Disease
Specialty F
Etc...
Etc...
Etc...
Etc...
Home Health
Underserved
Specialty G
Etc...
Etc...
Etc
Etc...
Subspecialty G1
Etc...
Etc...
Etc...
Etc...
Subspecialty G2
Subspecialty G3
Etc...
Etc...
Etc...
Etc...
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An Objective Approach toSetting Expansion
Priorities

• Environmental Scan gathered data
• Benefit of expanding certification
• Readiness for certification
• Effort required to develop certification
• Assess potentials for success
• Potential for Success ( Benefit x Readiness ) /
  Effort
• Commission drafted an expansion roadmap, sought
  public comment and published final roadmap in
  March 2007
• http//www.cchit.org/work/focus/expansion.htm
• LTC scheduled to begin 2008
• First LTC program to be available in 2009

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Expansion Roadmap
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How Certification Will Help You

• An EHR is a major, long-term investment for your
  organization.
• Take advantage of the work CCHIT will do in LTC
  in evaluating EHR products then combine it with
  your own due diligence.
• Look for the seal be sure its CCHIT
  Certifiedsm
• Sign up for CCHIT eNews at www.cchit.org and stay
  up-to-date with CCHITs work.

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How to Participate

• Provide comment on work group development
  products
• Before LTC program EHR foundation and network
• Participate in Town Calls and other outreach
  events
• Volunteer as a work group or expert panel member
• Look for next call for LTC Expert Panel and
  others
• Apply as a Juror when LTC product testing begins
• Serve on the Commission call for senior
  executive candidates will open again this summer
  

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Summing Up

• An independent, nonprofit initiative to
  accelerate the adoption of robust, interoperable
  HIT
• Building a reputation for transparency,
  credibility, integrity
• Official government recognition as well as
  endorsement by a broad group of professional
  societies
• Ahead
• Launch inpatient EHR certification in August 2007
• Expand certification to specialties / settings /
  populations
• Develop certification for health information
  networks and launch in 2008

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For an example of certification development see
Journal of AHIMA, June 2007 Taking the Measure
of Inpatient EHRs For more
information www.cchit.org