NeoMed 4 - ONC Health IT (2015) – Costs and Limitations Disclosures

DeveloperNeoDeck Holdings Corp.
Product Name & VersionNeoMed 4
Date CertifiedTBD
Certification IDTBD
Certification Criteria

§ 170.315(a)(1,2,3,4,5,6,7,8,9,10,11,12,13,14)

§ 170.315(b)(1,2,3,4,5,6)

§ 170.315(c)(1,2,3,4)

§ 170.315(d)(1,2,3,4,5,6,8,9)

§ 170.315(e)(1,2,3)

§ 170.315(f)(2)

§ 170.315(g)(2,3,4,5,6,7,8,9)

§ 170.315(h)(1)

CQMs
  • CMS69v4
  • CMS122v4
  • CMS127v4
  • CMS130v4
  • CMS131v4
  • CMS134v4
  • CMS138v4
  • CMS147v5
  • CMS155v4
  • CMS156v4
  • CMS163v4
  • CMS165v4
  • CMS166v5
Additional Software
  • Surescripts
  • DataMotion
  • CQM Solutions v4.0
  • First Databank 
Costs or Fees
  • One time implementation fee
  • Monthly software and service fee
Additional Costs
  • Additional services not related to EHR or certification capabilities might incur in additional fees
Additional Limitations
  • No Additional limitations associated with implementation
Technical or Practical Limitations
  • NeoMed requires a desktop computer, laptop, mobile device, or smart phone and a reliable internet connection. 
Contractual Limitations
  • A contract is required to use the software and services, but there are no limitations tied to the contract.
Third Party
  • The are no requirements to engage with third parties to use NeoMed.

Costs and Limitations of Certified Health IT

Capability

Description of Capability

Costs or Fees

Contractual Limitations

Technical or Practical Limitations



Types of costs or fees that a user may be required to pay to purchase, license, implement, maintain, upgrade, use, or otherwise enable and support the use of the implementation or use of the capability -OR- in connection with the data generated in the course using the capabilityLimitations of a contractual nature (including developer policies and other business practices) that a user may encounter in the implementation or use of the capability -OR- in the connection with the data generated in the course of using the capabilityLimitations of a technical or practical nature that a user may encounter that could prevent or impair the successful implementation, configuration, maintenance, support or use of the capability -OR- prevent or limit the use, exchange or portability of any data generated in the course of using the capability


See Costs or Fees above

170.315(a)(1)Computerized provider order entry (CPOE) medicationsThis functionality enables users to place medication orders electronically.NoneSee Technical or Practical Limitations above
170.315(a)(2)CPOE laboratoryThis functionality enables users to place laboratory orders electronically.NoneSee Technical or Practical Limitations above
170.315(a)(3)CPOE diagnostic imagingThis functionality enables users to place diagnostic imaging orders electronically.NoneSee Technical or Practical Limitations above
170.315(a)(4)Drug-drug, drug-allergy interaction checks for CPOEThis functionality enables users to be alerted for potential drug interaction alerts before they complete medication orders in the patient's chart. NeoMed uses the GoldStandard Medication database to obtain this information.NoneSee Technical or Practical Limitations above
170.315(a)(5)DemographicsEnables NeoMed to capture demographic data as part of the registration process. NoneSee Technical or Practical Limitations above
170.315(a)(6)Problem listThis functionality enables a user to electronically record, change, and access a patient’s active problem list over multiple encounters, following ICD-9, ICD10, and SNOMED standards.NoneSee Technical or Practical Limitations above
170.315(a)(7)Medication listThis functionality enables a user to electronically record, change, and access a patient’s active medication list as well as medication history over multiple encounters, following RxNorm, CVX, and NDC standards.NoneSee Technical or Practical Limitations above
170.315(a)(8)Medication allergy listThis functionality enables a user to electronically record, change, and access a patient’s active medication-allergy list as well as medication-allergy history over multiple encounters, following RxNorm standards.NoneSee Technical or Practical Limitations above
170.315(a)(9)Clinical decision supportEnable real time alerts at the point of care based on patient specific information.NoneSee Technical or Practical Limitations above
170.315(a)(10)Drug-formulary and preferred drug list checksThis functionality enables a CEHRT user to perform Drug Formulary checks during medication prescriptions.

This functionality is included in Neomed and utilizes the Surescripts eligibility files to determine formulary coverage.
NoneSee Technical or Practical Limitations above
170.315(a)(11)Smoking statusThis functionality enables the user to electronically record, change and access a patient smoking history.NoneSee technical or Practical Limitations above
170.315(a)(12)Family health historyThis functionality enables the user to electronically record, change and access a patient family health history.NoneSee Technical or Practical Limitations above
170.315(a)(13)Patient-specific education resourcesEnables identification of real-time patient-specific education resources based on information on the patient's record, such as their age, problem list, medication list, laboratory values/results based on the InfoButton standard.NoneSee Technical or Practical Limitations above
170.315(a)(14)Implantable device listThis functionality enables capture of patient implantable device data as history in their chart. The certified EHR interacts with FDA Webaccess GUDID to incorporate the device ID and Unique device Identifiers for the implantable device.NoneSee Technical or Practical Limitations above
170.315(b)(1)Transitions of CareSee Costs or Fees aboveNoneSee Technical or Practical Limitations above
170.315(b)(2)Clinical information reconciliation and incorporationThis functionality enables a user to electronically reconcile problems, medication allergies, medications, and immunizations listed in an incoming transition of care/referral summary C-CDA format to against the patient's medication list, problem list, medication-allergy list, and immunization list in the NeoMed.NoneSee Technical or Practical Limitations above
170.315(b)(3)Electronic PrescribingComplete with drug-drug interaction checks, allergy checking and plan-specific formularies, this functionality enables a user to prescribe and route prescriptions directly from the exam room to the patient’s preferred pharmacy for faster fulfillment. The solution uses RxNorm and NCPD standards, and the SureScripts infrastructure for prescription transmission to the pharmacy.NoneSee Technical or Practical Limitations above
170.315(b)(4)CCDS Summary Record - CreateEnables the user to create C-CDA documents to a fileNoneSee Technical or Practical Limitations above
170.315(b)(5)CCDS Summary Record - ReceiveEnables the user to receive and incorporate a C-CDA fileNoneSee Technical or Practical Limitations above
170.315(b)(6)Data ExportThis functionality enables a user to electronically create a set of export summaries for all patients in C-CDA format that represents the most current clinical information about each patient. It includes clinical data defined in the Common Clinical Data Set, the reason for referral, and the referring or transitioning provider’s name and office contact information.NoneSee Technical or Practical Limitations above
170.315(c)(1)Clinical quality measures (CQMs) record and exportThis functionality enables a user to electronically capture and export all the data necessary to calculate each of the NeoMed-supported Clinical Quality Measures (CQM), including the codification of CQM exceptions and exclusion.NoneSee Technical or Practical Limitations above
170.315(c)(2)CQMs import and calculateThis functionality enables a user to electronically capture and export all the data necessary to calculate each of the NeoMed-supported Clinical Quality Measures (CQM), including the codification of CQM exceptions and exclusion.NoneSee Technical or Practical Limitations above
170.315(c)(3)CQMs reportThis functionality enables a user to electronically create a data file for transmission of Clinical Quality Measures (CQM) data according to the Quality Reporting Document Architecture standard.NoneSee Technical or Practical Limitations above
170.315(c)(4)

CQM - Filter

This functionality enables a user to filter a data file for transmission of Clinical Quality Measures (CQM) data according to the Quality Reporting Document Architecture standard.NoneSee Technical or Practical Limitations above
170.315(d)(1)Authentication, access control, authorizationEnables the system administrator to control user access to all the areas of the NeoMed EHR.NoneSee Technical or Practical Limitations above
170.315(d)(2)Auditable events and tamper-resistancePrevents and detects modifications to the system's audit log.NoneSee Technical or Practical Limitations above
170.315(d)(3)Audit report(s)Provides detailed reports of all activity that has occurred in the system by all users.NoneSee Technical or Practical Limitations above
170.315(d)(4)AmendmentsEnable users to ammend existing records while preserving previous data and recording all changes in the audit log.NoneSee Technical or Practical Limitations above
170.315(d)(5)Automatic access time-outCauses NeoMed to log out after a set period of time if there is no activity by the user.NoneSee Technical or Practical Limitations above
170.315(d)(6)Emergency accessEnable administrative users to permit emergency access to patient health information for users who are not otherwise authorizedNoneSee Technical or Practical Limitations above
170.315(d)(8)IntegrityEnsures that data has not been changed in transit while users are connected to the system.NoneSee Technical or Practical Limitations above
170.315(d)(9)Trusted connectionEnsures that all communications to the system are encrypted while in transit.NoneSee Technical or Practical Limitations above
170.315(f)(2)Transmission to public health agencies – syndromic surveillanceThis functionally enables the EHR to electronically create syndrome-based public health surveillance information for electronic transmission in accordance to the HL7PHIN Messaging standard for Syndromic Surveillance.NoneSee Technical or Practical Limitations above
170.315(g)(2)Automated measure calculationEnable functionality that supports interoperabilityNoneSee Technical or Practical Limitations above
170.315(g)(3)Safety-enhanced designEnables user-centered design (UCD) during development.NoneSee Technical or Practical Limitations above
170.315(g)(4)Quality management systemEnables quality identification and management in development, testing, implementation, and maintenance.NoneSee Technical or Practical Limitations above
170.315(g)(5)

Accessibility-centered design

Functionality required to meet accessibility design standards.

NoneSee Technical or Practical Limitations above

170.315(g)(6)

Consolidated CDA creation performance

Enables capability to present data using Clinical Data Set definition

NoneSee Technical or Practical Limitations above

170.315(g)(7)

Application access — patient selection

Enable implementation of Fast Healthcare Interoperability Resources (FHIR) specification and responses for information to identify patient data requests

NoneSee Technical or Practical Limitations above

170.315(g)(8)

Application access — data category request

Enable implementation of Fast Healthcare Interoperability Resources (FHIR) specification and responses to Common Clinical Data Set requests

NoneSee Technical or Practical Limitations above

170.315(g)(9)

Application access — all data request

Enables functionality related to the registration of third party applications and registration as a pre-condition for accessing APIs

NoneSee Technical or Practical Limitations above