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Certification Commissionfor HealthcareInformation Technology
Town Call:Updating the Expansion Roadmap -How to Participate in the ProcessMark Leavitt, MD, PhD – Chair, CCHITAlisa Ray, Executive DirectorSue Reber, Marketing and Outreach Director
Dec 1, 20084:00 pm ET / 1:00 pm PT – duration approximately 1 hourParticipant Dial-In Number: (866) 612-6319Conference ID Number: 611877
© 2008 | Slide 2 | Dec 1, 2008
Agenda
•Brief Background of CCHIT
•Expanding and Refining Health IT Certification
•Expansion Roadmap Process and Schedule
•How to Participate
•Q & A – live responses to your questionssubmitted online before and during the call atehrdecisions.com
Certification Commissionfor HealthcareInformation Technology
Brief Background
© 2008 | Slide 4 | Dec 1, 2008
Mission and Goals
Accelerate the adoptionof robust, interoperablehealth IT by creatingan efficient, crediblecertification process.
• Reduce the risks ofinvesting in health IT
• Facilitate interoperabilityof health IT
• Unlock adoption incentivesand regulatory relief
• Protect the privacy ofhealth information
Goals:Mission:
CCHIT is an independent, nonprofit 501(c)3 organization
© 2008 | Slide 5 | Dec 1, 2008
Certification Programs
To be launched July 09Stand-alone ePrescribingTo be launched July 09PHR
Enterprise Launched August 08Amb+Inpt+ED
Launched August 08Emergency Dept
Launched Oct 08HIE
Launched August 07Updated August 08
Inpatient EHR
Launched July 08Cardiovascular MedicineAmbulatoryLaunched July 08Child HealthAmbulatory
Launched May 06Updated May 07Updated July 08
Ambulatory EHR
History/StatusCertification Options(Add-on to Base Domain)
Base Domain
© 2008 | Slide 6 | Dec 1, 2008
Certification Programs
To be launched July 09Stand-alone ePrescribingTo be launched July 09PHR
Enterprise Launched August 08Amb+Inpt+ED
Launched August 08Emergency Dept
Launched Oct 08HIE
Launched August 07Updated August 08
Inpatient EHR
Launched July 08Cardiovascular MedicineAmbulatoryLaunched July 08Child HealthAmbulatory
Launched May 06Updated May 07Updated July 08
Ambulatory EHR
History/StatusCertification Options(Add-on to Base Domain)
Base DomainIn original HHS contract Expansion to other domains was at the
request of stakeholders from those areas
© 2008 | Slide 7 | Dec 1, 2008
Inputs:* Scope Guidance from Commission* Roadmap (from previous year)* Future Directions (from previous year)* Environmental Scan: - Use Cases from AHIC - Standards from HITSP, SDOs - Market research - More
Development Process
DevelopDraft Criteria
Refine Criteriaand DevelopDraft Test Scripts
ProposedFinal Criteriaand Test Scripts
Final Criteriaand Test Scripts
Public Commentperiods
Pilot Test
Launch“09”
Certification(July 2009)
Plans for expansion to a new domain must be in placeat least 18 months before certification launch date
Sept2008
Dec2008
Mar2009
May2009
July2008
April2008
© 2008 | Slide 8 | Dec 1, 2008
Volunteer Workgroup Organization
InpatientEHR
Workgroup(IP)
AmbulatoryEHR
Workgroup(Amb)
Emerg DeptEHR
Workgroup(ED)
CardiovascularMedicine
Workgroup(CV)
Stand-aloneePrescribing
(eRx)
Child HealthWorkgroup
(CH)
Network/HIE
Workgroup(Net)
SecurityWorkgroup
(Sec)
Inter-operabilityWorkgroup
(IO)
Privacy &ComplianceWorkgroup
(PC)
PHRWorkgroup
(PHR)
Long TermCare
(Workgroupnot yetformed)
Develop BaseCriteria for a
Domain
ContributeCriteria for
SpecificAttributes
DevelopCriteria for
OptionalAdditional
Certifications
BehavioralHealth
Workgroup(BH)
Developing “09” Criteria(Planned for launch in July 2009)
Developing “10” Criteria(Planned for launch in July 2010)
Over 200 volunteers currently serving
Certification Commissionfor HealthcareInformation Technology
Expanding and RefiningHealth IT Certification
© 2008 | Slide 10 | Dec 1, 2008
Why “Expand and Refine”Certification?
© 2008 | Slide 11 | Dec 1, 2008
Health Care is Complex
Med. Specialty A
Med. Specialty B
Surg. Specialty C
Nurs. Specialty D
Prof. Specialty E
ProfessionalSpecialties andSubspecialties
Specialty F
Specialty G
Etc...
CareSettings
Subspecialty G1
Subspecialty G2
Susspecialty G3
Small Office
Large Clinic
Hospital / Inpatient
Hospital / Outpat.
Extended Care
Home Health
Etc...
Populations
Children
Adolescents
Elderly
Chronic Disease
Underserved
Etc
Adults
Expectant Women
Emergency Dept
© 2008 | Slide 12 | Dec 1, 2008
Levels of Technology Readinessand Capabilities May Differ Widely
Med. Specialty A
Med. Specialty B
Surg. Specialty C
Nurs. Specialty D
Prof. Specialty E
ProfessionalSpecialties andSubspecialties
Specialty F
Specialty G
Etc...
CareSettings
Subspecialty G1
Subspecialty G2
Susspecialty G3
Etc...
Small Office
Large Clinic
Hospital / Inpatient
Hospital / Outpat.
Extended Care
Home Health
Etc...
Populations
Children
Adolescents
Elderly
Chronic Disease
Underserved
Etc
Adults
Expectant Women
Emergency Dept
Basic?Intermediate?
Advanced?
© 2008 | Slide 13 | Dec 1, 2008
CCHIT’s First Steps in Certification:
ProfessionalSpecialties andSubspecialties
CareSettings
Small Office
Large Clinic
Hospital / Inpatient
Hospital / Outpat.
Extended Care
Home Health
Etc...
PatientPopulations
Children
Adolescents
Elderly
Chronic Disease
Underserved
Etc
Adult Men
Adult Women
Emergency Dept
2006
2007
•Two broadly defined care settings: ambulatory and inpatient•No differentiation by specialty or population•No differentiation of basic vs advanced capabilities
Med. Specialty A
Med. Specialty B
Surg. Specialty C
Nurs. Specialty D
Prof. Specialty E
Specialty F
Specialty G
Etc...
Subspecialty G1
Subspecialty G2
Susspecialty G3
Etc...
© 2008 | Slide 14 | Dec 1, 2008
Med. Specialty A
Med. Specialty B
Surg. Specialty C
Nurs. Specialty D
Prof. Specialty E
Specialty F
Specialty G
Etc...
Subspecialty G1
Subspecialty G2
Susspecialty G3
Etc...
Expansion Roadmap
ProfessionalSpecialties andSubspecialties
Small Office
Large Clinic
Hospital / Inpatient
Hospital / Outpat.
Extended Care
Home Health
Etc...
Children
Adolescents
Elderly
Chronic Disease
Underserved
Etc
Adult Men
Adult Women
Emergency Dept
A schedule for adding new certification programs moreprecisely tailored to various specialties, settings, populations,and levels of technology readiness/capabilities
CareSettings
PatientPopulations
Add Setting T: ‘10
Add Setting U: ‘12
Population W: ‘11Add Specialty R: ‘09
Add Subspecialty X: ‘11
Population V: ‘10
Add AdvancedCapability S: ‘10
Certification Commissionfor HealthcareInformation Technology
Expansion RoadmapProcess and Schedule
© 2008 | Slide 16 | Dec 1, 2008
Process and Schedule
• Environmental scan– Dec 1 – Town Call inviting interested organizations to submit
environmental scan forms advocating expansion/refinement– Forms accepted via email Dec 1 – 31, 2008
• Review submissions and success potentials; develop andapprove draft expansion roadmap
– Commission meeting of Jan 13, 2009
• Public Comment on draft expansion roadmap– Jan 15 – Feb 5, 2009
• Finalization of updated expansion roadmap– Commission meeting of Feb 17, 2009
© 2008 | Slide 17 | Dec 1, 2008
Opportunities
• We continually receive inquiries regarding expansionof certification to other practice areas
– Now is your opportunity to make a formal request,supported with evidence
• Already committed for launch in ‘10:– Behavioral Health– Long Term Care– Additional area(s) still possible
• 2011 and beyond is still ‘wide open’
© 2008 | Slide 18 | Dec 1, 2008
Prioritization is Based on aValue Equation
• Environmental Scan – gather data on three key parameters foreach expansion area:
– Benefit of expanding certification
– Readiness for certification
– Cost to develop certification
• Assess potential for success:
– Potential for Success = ( Benefit x Readiness ) / Cost• Commission and Trustees will review environmental scan data
and success potentials before setting priorities for expansion
© 2008 | Slide 19 | Dec 1, 2008
Fiscal Realities
• Developing the first set of Ambulatory EHR criteria took 2years, ~$3M in funds, and thousands of volunteer hours
• Levels of continued Federal funding are uncertain
• CCHIT must focus its expansion efforts by deployingresources where they can deliver the most value
• CCHIT will take into account potential sources ofdevelopment support as well as self-sustainability of theresulting certification program
© 2008 | Slide 20 | Dec 1, 2008
Relative Costs of CertificationDevelopment
• Commission will favor expansion opportunities that canleverage our existing base of knowledge
• Before launching development of highly resource-intensiveexpansions, funding sources must be identified
Existing Domain (e.g., Ambulatory EHR)
Optional Add-On(e.g. Cardiology)
New Domain(e.g. Long Term Care)
New Specialty(e.g. Behavioral
Health)
Low Medium HighDevelopment resourcesrequired:
Many criteriaand test steps
reusable
Completereview orredesignneeded
Certification Commissionfor HealthcareInformation Technology
How to Participate
© 2008 | Slide 22 | Dec 1, 2008
How to Participate• Review the Town Call material
– Presentation and audio podcast available atwww.cchit.org/expansion
• Download the Environmental Scan form– Also available at www.cchit.org/expansion
• In preparing your submission, collaborate with otherstakeholders in your domain if possible
• Submit the form as an email attachment [email protected] between Dec 1 – Dec 31, 2008– Additional supporting materials may be attached or submitted
as web links• Watch for publication of the draft expansion roadmap Jan 15,
2009 and submit any further comments
Thank you!
Q & A SessionSubmit questions onlineat any time before orduring the Town Callat ehrdecisions.com
For more information:www.cchit.org