NeoMed 4 - ONC Health IT (2015) – Costs and Limitations Disclosures
Developer | NeoDeck Holdings Corp. |
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Product Name & Version | NeoMed 4 |
Date Certified | TBD |
Certification ID | TBD |
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 |
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Additional Software |
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Costs or Fees |
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Additional Costs |
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Additional Limitations |
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Technical or Practical Limitations |
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Contractual Limitations |
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Third Party |
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Costs and Limitations of Certified Health IT
Capability | Description of Capability | Costs or Fees | Contractual Limitations | Technical or Practical Limitations |
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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 capability | Limitations 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 capability | Limitations 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) medications | This functionality enables users to place medication orders electronically. | None | See Technical or Practical Limitations above |
170.315(a)(2) | CPOE laboratory | This functionality enables users to place laboratory orders electronically. | None | See Technical or Practical Limitations above |
170.315(a)(3) | CPOE diagnostic imaging | This functionality enables users to place diagnostic imaging orders electronically. | None | See Technical or Practical Limitations above |
170.315(a)(4) | Drug-drug, drug-allergy interaction checks for CPOE | This 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. | None | See Technical or Practical Limitations above |
170.315(a)(5) | Demographics | Enables NeoMed to capture demographic data as part of the registration process. | None | See Technical or Practical Limitations above |
170.315(a)(6) | Problem list | This 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. | None | See Technical or Practical Limitations above |
170.315(a)(7) | Medication list | This 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. | None | See Technical or Practical Limitations above |
170.315(a)(8) | Medication allergy list | This 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. | None | See Technical or Practical Limitations above |
170.315(a)(9) | Clinical decision support | Enable real time alerts at the point of care based on patient specific information. | None | See Technical or Practical Limitations above |
170.315(a)(10) | Drug-formulary and preferred drug list checks | This 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. | None | See Technical or Practical Limitations above |
170.315(a)(11) | Smoking status | This functionality enables the user to electronically record, change and access a patient smoking history. | None | See technical or Practical Limitations above |
170.315(a)(12) | Family health history | This functionality enables the user to electronically record, change and access a patient family health history. | None | See Technical or Practical Limitations above |
170.315(a)(13) | Patient-specific education resources | Enables 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. | None | See Technical or Practical Limitations above |
170.315(a)(14) | Implantable device list | This 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. | None | See Technical or Practical Limitations above |
170.315(b)(1) | Transitions of Care | See Costs or Fees above | None | See Technical or Practical Limitations above |
170.315(b)(2) | Clinical information reconciliation and incorporation | This 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. | None | See Technical or Practical Limitations above |
170.315(b)(3) | Electronic Prescribing | Complete 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. | None | See Technical or Practical Limitations above |
170.315(b)(4) | CCDS Summary Record - Create | Enables the user to create C-CDA documents to a file | None | See Technical or Practical Limitations above |
170.315(b)(5) | CCDS Summary Record - Receive | Enables the user to receive and incorporate a C-CDA file | None | See Technical or Practical Limitations above |
170.315(b)(6) | Data Export | This 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. | None | See Technical or Practical Limitations above |
170.315(c)(1) | Clinical quality measures (CQMs) record and export | This 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. | None | See Technical or Practical Limitations above |
170.315(c)(2) | CQMs import and calculate | This 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. | None | See Technical or Practical Limitations above |
170.315(c)(3) | CQMs report | This 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. | None | See 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. | None | See Technical or Practical Limitations above |
170.315(d)(1) | Authentication, access control, authorization | Enables the system administrator to control user access to all the areas of the NeoMed EHR. | None | See Technical or Practical Limitations above |
170.315(d)(2) | Auditable events and tamper-resistance | Prevents and detects modifications to the system's audit log. | None | See 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. | None | See Technical or Practical Limitations above |
170.315(d)(4) | Amendments | Enable users to ammend existing records while preserving previous data and recording all changes in the audit log. | None | See Technical or Practical Limitations above |
170.315(d)(5) | Automatic access time-out | Causes NeoMed to log out after a set period of time if there is no activity by the user. | None | See Technical or Practical Limitations above |
170.315(d)(6) | Emergency access | Enable administrative users to permit emergency access to patient health information for users who are not otherwise authorized | None | See Technical or Practical Limitations above |
170.315(d)(8) | Integrity | Ensures that data has not been changed in transit while users are connected to the system. | None | See Technical or Practical Limitations above |
170.315(d)(9) | Trusted connection | Ensures that all communications to the system are encrypted while in transit. | None | See Technical or Practical Limitations above |
170.315(f)(2) | Transmission to public health agencies – syndromic surveillance | This 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. | None | See Technical or Practical Limitations above |
170.315(g)(2) | Automated measure calculation | Enable functionality that supports interoperability | None | See Technical or Practical Limitations above |
170.315(g)(3) | Safety-enhanced design | Enables user-centered design (UCD) during development. | None | See Technical or Practical Limitations above |
170.315(g)(4) | Quality management system | Enables quality identification and management in development, testing, implementation, and maintenance. | None | See Technical or Practical Limitations above |
170.315(g)(5) | Accessibility-centered design | Functionality required to meet accessibility design standards. | None | See Technical or Practical Limitations above |
170.315(g)(6) | Consolidated CDA creation performance | Enables capability to present data using Clinical Data Set definition | None | See 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 | None | See 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 | None | See 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 | None | See Technical or Practical Limitations above |