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Comparison of ONC & LTPAC EHR Functional Criteria AND Testimony to HITPC C/A Workgroup (Summary & Detail Slides)

Comparison of ONC & LTPAC EHR Functional Criteria AND Testimony to HITPC C/A Workgroup (Summary & Detail Slides). January 10, 2014 (U pdated 1/17/2014 ) Jennie Harvell , HHS/ASPE Sue Mitchell, Independent Consultant. Table of Contents. Privacy and Security Slide 3

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Comparison of ONC & LTPAC EHR Functional Criteria AND Testimony to HITPC C/A Workgroup (Summary & Detail Slides)

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  1. Comparison of ONC & LTPAC EHR Functional CriteriaANDTestimony to HITPC C/A Workgroup(Summary & Detail Slides) January 10, 2014 (Updated 1/17/2014) Jennie Harvell, HHS/ASPE Sue Mitchell, Independent Consultant

  2. Table of Contents • Privacy and Security • Slide 3 • Summary Care Record at TOC/Referral • Slide 9 • Clinical Summary • Slide 16 • View, Download, Transmit • Slide 18 • Data Portability • Slide 20 • Patient Demographics • Slide 23 • Clinical Health Information • Slide 25 • Medication Related Criteria • Slide 29 • Incorporate Laboratory Tests & Values/Results • Slide 34 • Clinical Decision Support • Slide 36 • Advance Care Planning • Slide 40 • Clinical Quality Measures • Slide 44 • Public Health • Slide 49 • Patient-Specific Education Resources • Slide 53 • LTPAC Setting Specific EHR-S Requirements • Slide 55

  3. Comparison:ONC, HL7 Functional Profile and CCHIT LTPAC Criteria • Privacy & Security related criteria: • Authentication, Access Control & Authorization • Auditable Events & Tamper-Resistance • Audit Report(s) • Amendments • Automatic Log-Off • Emergency Access • End-User Device Encryption • Integrity • Optional – Accounting of Disclosures

  4. Privacy & SecurityComparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony

  5. Privacy & SecurityComparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony

  6. Privacy & SecurityComparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony

  7. Privacy & SecurityComparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony

  8. Privacy & SecurityComparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony

  9. Comparison:ONC, HL7 Functional Profile and CCHIT LTPAC Criteria • Summary Care Record at TOC/Referral • Receive, Display, and Incorporate TOC/Referral Summaries • Create and Transmit TOC/Referral Summaries

  10. Summary Care Record at TOC/Referral Comparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony

  11. Summary Care Record at TOC/Referral Comparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony

  12. Summary Care Record at TOC/Referral Comparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony

  13. Summary Care Record at TOC/Referral Comparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony

  14. Summary Care Record at TOC/Referral Comparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony

  15. Summary Care Record at TOC/Referral – LTC FP & CCHIT Requirements NOT in ONC 2014 Edition • ONC requirements for ToC/Summary Care Records do not require or reference the inclusion of some clinical content important to LTPAC providers and included in the LTC FP (see bold text): • DC.1.1.4, cc#3: The system SHALL provide the ability to produce a CCD that includes at least the following sections: Advance Directives, Problems, Alerts, and Medications • DC.1.1.4, cc#4: The system provide the ability to produce a CCD that includes the following sections: Functional Status, Immunizations, Medical Equipment and Plan of Care. • The LTC FP and CCHIT criteria include additional functionality related to receipt, display, incorporation, creation and transmission of summary documents and content that are not included in the ONC standards. These criteria are applicable to EHRs regardless of setting.

  16. Comparison:ONC, HL7 Functional Profile and CCHIT LTPAC Criteria • Clinical Summary (Ambulatory setting only)

  17. Clinical Summary Comparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony

  18. Comparison:ONC, HL7 Functional Profile and CCHIT LTPAC Criteria • View, download, and transmit to 3rd party

  19. View, Download, and Transmit to 3rd PartyComparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony

  20. Comparison:ONC, HL7 Functional Profile and CCHIT LTPAC Criteria • Data Portability

  21. Data PortabilityComparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony

  22. Data Portability – LTC FP & CCHIT Requirements NOT in ONC 2014 Edition • ONC requirements for Data Portability do not require or reference the inclusion of some clinical content important to LTPAC providers and included in the LTC FP (see bold text): • DC.1.1.4, cc#3: The system SHALL provide the ability to produce a CCD that includes at least the following sections: Advance Directives, Problems, Alerts, and Medications • DC.1.1.4, cc#4: The system provide the ability to produce a CCD that includes the following sections: Functional Status, Immunizations, Medical Equipment and Plan of Care. • The LTC FP and CCHIT criteria include additional functionality related to receipt, display, incorporation, creation and transmission of summary documents and content that are not included in the ONC standards. These criteria are applicable to EHRs regardless of setting.

  23. Comparison:ONC, HL7 Functional Profile and CCHIT LTPAC Criteria • Demographics

  24. Patient DemographicsComparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony

  25. Comparison:ONC, HL7 Functional Profile and CCHIT LTPAC Criteria • Clinical Health Information • Problem List • Medication List • Medication Allergy List • Clinical Information Reconciliation

  26. Clinical Health Information Comparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony

  27. Clinical Health Information Comparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony

  28. Clinical Health Information Comparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony

  29. Comparison:ONC, HL7 Functional Profile and CCHIT LTPAC Criteria • Medication related criteria: • CPOE • e-MAR • e-Rx • Drug-Formulary Check

  30. Medication Related Criteria Comparison of ONC and HL7 and CCHIT Criteria and HITPC C/A WG Testimony

  31. Medication Related CriteriaComparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony

  32. Medication Related CriteriaComparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony

  33. Medication Related CriteriaComparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony

  34. Comparison:ONC, HL7 Functional Profile and CCHIT LTPAC Criteria • Incorporate Laboratory Tests & Values/Results

  35. Incorporate Laboratory Tests & Values/Results Comparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony

  36. Comparison:ONC, HL7 Functional Profile and CCHIT LTPAC Criteria • Clinical Decision Support • Evidence-based decision support interventions. • Linked referential clinical decision support • Clinical decision support configuration • Automatically and electronically interact • Source attributes • Drug-drug, drug-allergy interaction checks

  37. Clinical Decision Support Comparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony

  38. Clinical Decision Support Comparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony

  39. Clinical Decision Support Comparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony

  40. Comparison:ONC, HL7 Functional Profile and CCHIT LTPAC Criteria • Advance Care Planning

  41. Advance Care PlanningComparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony

  42. Advance Care PlanningComparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony

  43. Advance Care Planning –LTC FP & CCHIT 2011 Requirements Not in ONC 2014 Edition • Indicate the type of advance directives completed (e.g., Living will, DNR) • Capture, present, maintain and make available for clinical decisions patient advance directives documents and “DNR” orders • Indicate when advanced directives were last reviewed • Indicate the name and relationship of the party completing the advance directive for the patient • See full listing in notes below

  44. Comparison:ONC, HL7 Functional Profile and CCHIT LTPAC Criteria • Clinical Quality Measures • Capture and Export • Import and Calculate • Electronic Submission

  45. Clinical Quality Measures Comparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony

  46. Clinical Quality Measures Comparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony

  47. Clinical Quality Measures Comparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony

  48. Clinical Quality Measures Comparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony

  49. Comparison:ONC, HL7 Functional Profile and CCHIT LTPAC Criteria • Public Health • Immunization information • Transmission to immunization registries. • Transmission to public health agencies – syndromicsurveillance • Transmission of reportable laboratory tests and values/results(Inpatient Only) • Optional—cancer case information (ambulatory setting only) • Optional—transmission to cancer registries (ambulatory setting only)

  50. Public Health Comparison of ONC and HL7 and CCHIT Criteria and HITPC C/AWG Testimony

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