More Related Content More from Certification Commission More from Certification Commission (6) 1. Certification Commission
for Healthcare
Information Technology
Open Source Forum
A Dialog on Certification of
Open Source EHRs
Mark Leavitt, MD, PhD – Chair
Alisa Ray – Executive Director
Dennis Wilson – Information Technology Director
Hyatt Regency McCormick Conference Center, Chicago, IL
Room 10d
Monday, April 6, 2:00 pm – 3:00 pm CDT
Online participation: https://www1.gotomeeting.com/register/429901059
Dial in (877) 313-5342, ID # 91945091
3. Mission and Goals
Goals:
Mission:
• Reduce the risks of
Accelerate the adoption
investing in health IT
of robust, interoperable
health IT by creating • Facilitate interoperability
an efficient, credible of health IT
certification process.
• Unlock adoption incentives
and regulatory relief
• Protect the privacy of
health information
© 2009 | Slide 3 | April 6, 2009
4. History of CCHIT
Sept 2004 Founded by AHIMA, HIMSS, and NAHIT
June 2005 Eight more organizations contribute funding
Oct 2005 Awarded 3-year $7.5M HHS/ONC contract
May 2006 Ambulatory EHR certification launched
Oct 2006 Federal recognition as Certifying Body
Jan 2007 Becomes independent, nonprofit organization
Aug 2007 Inpatient EHR certification launched
08 programs launched (2 updated programs, 4 new
July 2008
programs)
Oct 2008 HIE certification launched
© 2009 | Slide 4 | April 6, 2009
5. A Mission-Focused,
Nonprofit 501(c)3 Organization
Board of Trustees Board of Commissioners
Executive Director
Alisa Ray
Administrative Marketing & Communications Certification Development Certification Program Certification Technology
Sue Reber, Director
Kathy Shea, Director Kari Taylor Atkins, Director Bambi Rose, Director Dennis Wilson, Director
John Morrissey
Merril Prager Shweta Trivedi Amit Trivedi Vince Van de Coevering
Rick Turoczy
Jen Degler Soloman Appavu Ben Uphoff
Diana Rios
Michelle Knighton
CO-CHAIRS STRATEGIC LEAD WORK GROUP WORK GROUP STRATEGIC LEAD CO-CHAIRS
Ambulatory EHR Cardiovascular
Steven Lane Kari Taylor Atkins Meredith Seidel Michael Mirro
Eric Rose Michael Paquin
Inpatient EHR Child Health
Rick Reeves Kari Taylor Atkins Bonnie Cassidy Bobbie Byrne
Kathy Scanlon Eugenia Marcus
Emergency Dept EHR Interoperability
Todd Rothenhaus Kari Taylor Atkins Amit Trivedi David Tao
Steven Stewart Alan Zuckerman
Network Privacy & Compliance
A. John Blair Virginia Riehl Bonnie Cassidy Donald Bechtel
Michael Kappel Cassi Brinbaum
PHR Security
Ted Eytan Jody Pettit Soloman Appavu Khalid Al-Maskari
Lory Wood Rick Brady
Behavioral Health
Memo Keswick Kari Taylor Atkins
Zebulon Taintor
22 staff facilitating the work of over 200 volunteers
© 2009 | Slide 5 | April 6, 2009
6. Openness and Transparency
• CCHIT Staff must disclose all conflicts of interest and may
not have a financial relationship with any vendor
• Volunteers must disclose all conflicts of interest
• Stakeholder balance on CCHIT boards and volunteer work
groups is required and actively monitored. Limits are
enforced on percentage from the vendor community, as
well as on the number of personnel from any one vendor
• Work groups must have two co-chairs from different
stakeholder groups
• Minutes of all Commission and work group meetings are
published on the web
• ‘Town Hall’ and ‘Town Call’ community outreach meetings
© 2009 | Slide 6 | April 6, 2009
7. Criteria are developed through a
community collaborative model
Inputs:
* Scope Guidance from Commission
Public Comment
* Roadmap (from previous year)
periods
* Future Directions (from previous year)
* Environmental Scan:
- Use Cases from AHIC
- Standards from HITSP, SDOs
- Market research
- More
Refine Criteria Proposed Launch
Develop Final Criteria
and Develop Final Criteria “09”
April Draft Criteria and Test Scripts
Draft Test Scripts and Test Scripts Certification
2008
(July 2009)
May
July Sept Mar
Dec
2009
2008 2008 2009
2008
Pilot Test
Multi-stakeholder consensus-based process
with multiple cycles of public input
© 2009 | Slide 7 | April 6, 2009
8. Inspection Process
• “Open book” model – all criteria and test scripts are
published in advance for all applicants to use in
preparation
• Strict conflict of interest policy for staff and jurors: no
financial relationship with any vendor is allowed
• Cost-efficient – uses web-conferencing and other virtual
presence tools to avoid travel expense
• Robust retesting and appeal processes
© 2009 | Slide 8 | April 6, 2009
9. Product Attributes and
Inspection Methods
Security and
Functionality Interoperability
Privacy
Self-attestation
(documentation
review)
Jury-observed
demonstration
Technical
testing
= Current methods
= Driving direction © 2009 | Slide 9 | April 6, 2009
10. Juror-Observed
Virtual Demonstration
CCHIT Proctor
Juror A
(Practicing
physician)
Web conferencing
Juror B
and concurrent
(Practicing
audio conferencing
Nurse
Inpatient Products)
Vendor personnel
follow Test Script to
demonstrate system Juror C
at the vendor facility
Jurors may not have a financial relationship with any vendor
© 2009 | Slide 10 | April 6, 2009
11. LAIKA Open Source
Interoperability Testing Tool
Manage Test Cases
View Results
View Test Data
© 2009 | Slide 11 | April 6, 2009
12. Vendor Mix (08 Certification)
Annual Revenue Practice Sizes Served
of Ambulatory EHR Vendors by Vendors Applying
> $100 million N/A
75%
7% 7%
< $1 million
25%
50%
$21-$100 million
9%
25%
$11-$20 million
13% $1-$10 million
37% 1 2-5 6-15 16-50 >50
Number of Physicians in Practice
© 2009 | Slide 12 | April 6, 2009
Revenue and Size data from application data of certified Ambulatory
EHR 08 vendors as of March 2009; N=77; response rate 100%
13. Ensuring the Flow of Innovation
• Continue to monitor vendor mix
– Small vs large, new vs established, alternative deployment
models, price points
• Ensure EHR certification is accessible to all
corners of the market
– Commercial
– Open-source
– Self-developed
– Modular
© 2009 | Slide 13 | April 6, 2009
14. Issues and Concerns of
Open Source Developers
• Certification fees
• Versioning requirements
• Add here...
© 2009 | Slide 14 | April 6, 2009
