# Presentation: 377682

## CCHIT Certification andQuality Measurementand Reporting

- Alisa Ray, Executive DirectorMark Leavitt, MD, PhD, ChairAHIC Quality Workgroup MeetingWashington, DCSept 22, 2006

**Notes:**
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## Topics

- Brief Background
- Current Status ofCriteria and Certification Program
- Focus on Criteria EnablingQuality Measurement and Reporting
- Q & A

## Background in Brief

**Mission: accelerate the adoption of robust, interoperable health IT**
- Reduce the risks of investing in HIT
- Facilitate interoperability of HIT products
- Enhance availability of adoption incentives and regulatory relief
- Ensure that the privacy of personal health information is protected

**Milestones:**
**June 2004: **National Coordinator’s Strategic Framework calls for certification
**Sept 2004:** AHIMA, HIMSS, and the Alliance partner to launch CCHIT
**June 2005:** AAFP, AAP, ACP and others add $325k funding support
**Sept 2005:** CCHIT awarded 3-year, $7.5M HHS development contract
**May 2006:** Ambulatory EHR Criteria released and approved by AHIC/HHS
**July 2006:**  First CCHIT Certifiedsm Ambulatory EHRs released

## Scope of Work Under HHS Contract

- Phase I (Oct 05 – Sep 06)
**Develop, pilot test, and assess certification of ****EHR products for ambulatory care settings**
- Phase II (Oct 06 – Sep 07)
**Develop, pilot test, and assess certification of ****EHR products for inpatient care settings**
**Update ambulatory EHR certification**
- Phase III (Oct 07 – Sep 08)
**Develop, pilot test, and assess certification of ****infrastructure or network components**** through which EHRs interoperate**
**Update ambulatory and inpatient EHR certification**
- Concurrent effort (April 06 – Sep 08)
**Transition to become a self-sustaining organization**

## Current Status ofCertification Program

| Certification Year | Certification Quarter | Application Window | Announcement |
| --- | --- | --- | --- |
| 2006Ambulatory EHRs | 1st | May 3-12, 2006 | 22 Certifications Announced |
|  | 2nd | Aug 1-14, 2006 | Nov 2006 |
|  | 3rd | Nov 1-14, 2006 | Feb 2007 |
|  | 4th | Feb 1-14, 2007 | May 2007 |
| 2007 Ambulatory and Inpatient EHRs | 1st | May 1-14, 2007 | Aug 2007 |

## Timeline of Criteria Development for 2007 - 2008

**Q4**

**Q1**

**Q2**

**Q3**

**Q4**

**Q1**

**Q2**

**Q3**

**Q4**

**Q1**

**Q2**

**Q3**

**2006**

**2005**

**2007**

**2008**

-   **Develop, publish proposed criteria**

**Pilot test and publish report**

**Develop, publish proposed inspection process**

**Develop, publish proposed criteria**

**Develop, publish proposed ins. proc.**

**Ambulatory EHR Domain (Update for 2006-07)**

**Inpatient EHR Domain (New for 2006-07)**

**Network Domain (Starts in 2007-08)**

**Pilot test & publish report**

**Final comments, begin certification**

**Final comments, begin certification**

-   **Update criteria, roadmap; publish**

**Pilot test as needed; publish report**

**Update inspection process; publish**

**Final comments, apply updated criteria **

**Preliminary****data-gathering**

-  We are here – launching Public Comment round 2

## Ambulatory Functionality Criteria Enabling Quality Reporting

-  P = previously required (2006)
- N = newly required for 2007

## Ambulatory Interoperability Criteria Enabling Quality Reporting

## Inpatient Functionality Criteria Enabling Quality Reporting

## Inpatient Interoperability Criteria Enabling Quality Reporting

## Summing Up

- CCHIT’s mission is to accelerate adoption of robust, interoperable health IT
- Quality measurement and pay-for-performance incentives are key elements essential to broader health IT strategy
- Ambulatory EHR certification is fully operational, with evidence of strong acceptance in the marketplace
- Updated ambulatory criteria and new inpatient criteria are under development now; will take effect May 2007
- General criteria for quality measurement have been included in our roadmaps, but specific standards guidance is needed soon for these to become firm requirements
- We look forward to a strong collaboration with the AHIC Quality Workgroup

## Thank You!Q & A

- Thank You!Q & A
- For more information:
**www.cchit.org**