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  • September 19 2013

    Are you attending CHC13 next month? Be sure to ask our Regulatory Compliance specialists about Meaningful Use Stage 2 and what you can do to prepare for attestation.

    We thought it a good time to provide an update on our progress with our 2014 certifications for Meaningful Use as we near the start of the Hospital reporting periods for federal fiscal year 2014. We've completed our Hospital certifications for 2014 for what we laid out in our plans as of the start of the year. We're in the midst of preparing to go through finishing our Eligible Provider (EP) certification activity in 4Q 2013.

    Our Modular Approach

    For 2014 certification, Cerner took a modular approach. In 2011, the significant lesson learned for Cerner was that we needed to provide appropriate modular certifications so as not to create issues for clients dealing with the policies of ONC and CMS for Stage 1 that required they "possess" license to certified EHR Technology (CEHRT) for all objectives, and that if they used a Complete EHR certification listing, they had to license all the products that were component parts of it. We initially certified as a Complete EHR for both Hospital and EPs, but quickly ran into the need to unbundle those certifications into modular certifications that better supported how many clients actually licensed and used our solutions.

    In developing the 2014 program, the Office of the National Coordinator (ONC) did implement one key change to the “possession” requirement. ONC no longer requires possession of CEHRT for menu set objectives that a Hospital or EP does not plan to include in their Meaningful Use attestation for reporting periods starting in 2014. However, to make use of any given certified product listing, you must still have possession of all of the capabilities included within scope of the certification.

    So for 2014, we had three key objectives in mind for our certification approach:

    • Enable client choice as menu set items where there is optionality under the possession policy for use starting in 2014
    • Enable client choice even as to core set items where separate pairing of Cerner and third party or even self-developed CEHRT is possible and reasonable to expect
    • Maintain as a mainline bundle the criteria that comprise the base EHR concept as ONC and CMS define it or that relate to core set items for clinical and interoperability related criteria where one should expect the capabilities to be fundamental and elemental to the functioning of a clinical EHR system

    Our Certifications for Hospital for the 2014 Certification Criteria Edition

    In the end, we sought 12 modular certifications in all for the Hospital program. We followed the convention we established in 2011 to certify PowerChart and FirstNet separately to allow for them to be used by clients individually to cover the Places of Service (POS) in scope of the Hospital incentive. The scope of the modular certifications reflects the principles noted above. You will see a parenthetical reference after the labeled product names for those based on PowerChart or FirstNet. We did that given the advice of CCHIT to enable them to be distinguished as to their scope and purpose so they could be told apart from each other. The certifications are labeled as follows:

    • PowerChart (Clinical) - The bulk of all the clinical criteria, security criteria and interoperability criteria that comprise most of the base EHR concept and additional core set criteria - this certification is intended to support  the use of PowerChart in the inpatient setting
    • FirstNet (Clinical) - The same thing as previous but this certification is intended to support the use of FirstNet in the ED setting
    • P2 Sentinel - For the audit reporting criteria
    • HealthSentry - For the lab result reporting and syndromic reporting criteria for public health reporting
    • Cerner Patient Portal and PowerChart - For View/Download/Transmit involving PowerChart as the main source EHR to the portal
    • Cerner Patient Portal and FirstNet - For View/Download/Transmit involving FirstNet as the main source EHR to the portal (or to extend coverage to both inpatient and ED visit data being made available to the portal)
    • PowerChart (Image Results) - To support the menu set objective for Image Results for the Inpatient setting
    • FirstNet (Image Results) - To support the menu set objective for Image Results for the ED setting
    • PowerChart (eRX) - To support the menu set objective for eRX for the Inpatient setting
    • FirstNet (eRX) - To support the menu set objective for eRX for the ED setting
    • PowerChart (CQM) - To support the MU prerequisite requirement and base EHR requirement for clinical quality measure reporting
    • PathNet - to support both inbound and outbound structured lab result posting where the LIS is the basis for those two objectives (based on use of General Lab and Micro)

    Information as to the specific criteria supported by each of these certifications, and links to the specific original certifications as they appear on the Certified Product List (CHPL) on the ONC web site are available in a posting to the Stimulus Collaboration uCern group. You must be a uCern Connect member to view this information.

    As we complete our EP certifications later this fall, we'll provide a similar update once they are in place and listed on the ONC CHPL.

    John Travis is a senior director and solution strategist for Compliance at Cerner. He oversees solution management for responding to the regulatory requirements of Medicare payment rules, CMS quality measurement programs, HIPAA Security and Privacy, ARRA HITECH Meaningful Use incentive programs, Joint Commission accreditation, certification with the Certification Commission on Healthcare Information Technology (CCHIT) and other federal rule making. Travis provides analysis, consulting and knowledge transfer to Cerner associates and clients on federal laws, regulations and industry wide accrediting requirements, and the role of software in enabling compliance by our clients. He has been with Cerner since 1986. Travis has a Bachelor’s degree in Business Administration from Kansas State University, and a Master’s Degree in Administration with a Health Services concentration from Central Michigan University. Travis is a licensed CPA in the State of Missouri, and he is a Fellow with the Healthcare Financial Management Association (HFMA), and Past President of the Heart of America Chapter of HFMA.

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