Iatric Systems Supports the Achievement of Meaningful Use

Iatric Systems Supports the Achievement of Meaningful Use Iatric Systems offers a wide variety of solutions to assist with today s business challenges and support hospitals in providing superior patient care. Our solutions also can be used by hospitals and healthcare systems to help achieve Meaningful Use. The following pages include all 2011/2012 Stage 1 Meaningful Use Criteria for hospitals as identified by the U.S. Department of Health and Human Services Final Rules to support Meaningful Use. The Criteria are grouped by Core and Menu Set s. The right column details how Iatric Systems solutions help support the achievement of each.

Iatric Systems ONC-ATCB certified solutions and products to support Meaningful Use s are listed below: Iatric Systems Meaningful Use s ONC-ATCB Certification Date Product Being Addressed Certification Status and Number Clinical Document Core s 11 & 13 Certified 4 01/27/2011 (Client Server, 6.0) Exchange Electronic copy of health information CC-1112-290560-2 Exchange key clinical information Menu Set 7 03/23/2011 (MAGIC) Provide summary care record CC-1112-290560-7 OrderEase Core s 1, 2, 3, 4 & 10 CPOE for medication orders Certified 8 06/14/2011 Problem list Certified 8 CC-1112-290560-12 Drug/drug/allergy interaction checks In Process Active medication list In Process Implement one clinical decision support rule In Process Menu Set 1 Drug formulary checks In Process Meaningful Use Core 9 Certified 9 06/15/2011 Manager Automated measure calculation CC-1112-290560-13 Clinical Quality Measures (CQM) 09/01/2011 CC-1112-290560-17 Patient Discharge Core 12 Certified 2 02/10/2011 Instructions Electronic copy of discharge instructions CC-1112-290560-6 Menu Set 6 Medication reconciliation PHR Connect Core s 11 & 13 Certified 3 12/22/2010 Electronic copy of health information CC-1112-290560-5 Exchange key clinical information Menu Set 7 Provide summary care record PtAccess (patient portal) Core s 11 & 12 Certified 1 12/10/2010 Electronic copy of health information CC-1112-290560-4 Electronic copy of discharge instructions Public Health Menu Set 8 Certified 6 04/20/2011 (MAGIC) Immunization Submit electronic data to immunization registries CC-1112-290560-8 Interface 08/02/2011 (Client/Server, 6.0) CC-1112-290560-14 Public Health Lab Menu Set 9 Certified 10 06/20/2011 (MAGIC) Reportables Interface Submit electronic lab results to public health agencies CC-1112-290560-11 2 08/31/2011 (Client/Server, 6.0) C-1112-290560-16 Public Health Menu Set 10 Certified 7 05/19/2011 (MAGIC) Syndromic Surveillance Submit electronic data to syndromic CC-1112-290560-10 Interface surveillance registries 08/02/2011 (Client/Server, 6.0) CC-1112-290560-15 Visual Flowsheet Core 7 Certified 5 04/01/2011 Record/chart changes in vital signs CC-1112-290560-9 MDOrder Core s 1, 2, 3, 4 & 10 In Process Projected Certification CPOE for medication orders in Q1 of 2012 Drug/drug/allergy interaction checks Problem list Active medication list Implement one clinical decision support rule Menu Set 1 Drug formulary checks

Core Criteria for Stage 1 1. Use CPOE for medication orders directly entered by any licensed healthcare professional who can enter orders into the medical record per state, local and professional guidelines. 2. Implement drug-drug and drugallergy interaction checks. OrderEase has been certified and MDOrder will be certified to meet this : OrderEase is a web-based inpatient and outpatient CPOE solution. MDOrder is a desktop solution designed by physicians and developed with MAGIC sites in mind. It offers fast implementation and streamlines the medication ordering process to help achieve Meaningful Use in 2011/2012. The following solution will not be certified but can assist hospitals in meeting this : Iatric Systems interfaces can connect ONC-ATCB certified CPOE products with Healthcare Information Systems (HIS). EasyConnect Jaguar interface engine can help solve the challenges of exchanging, sharing and retrieving electronic health records across different systems and eliminating point-to-point interfaces. The following solutions will be certified to meet this : OrderEase and MDOrder will include drug-drug and drug-allergy interaction checks. 3. Maintain an up-to-date problem list of current and active diagnoses. OrderEase has been certified and MDOrder will be certified to meet this : OrderEase and MDOrder include a user-friendly Problem List feature, fully integrated with the ordering process. The following solution will not be certified but can assist hospitals in meeting this : Visual SmartBoard enables hospitals to track and flag whether a Clinical Decision Support (CDS) query was answered in order to monitor compliance with this. 4. Maintain active medication list. The following solutions will be certified to meet this : OrderEase and MDOrder will allow users to electronically record, modify and retrieve a patient s active medication list. The following solution will not be certified but can assist hospitals in meeting this : Iatric Systems interfaces can electronically transmit medications from various Emergency Department Information Systems to MEDITECH s RXM application in order to help hospitals maintain active medication lists. EasyConnect Jaguar interface engine can help transmit the messages that contain medication information from one point to another. 5. Maintain active medication allergy list. The following solution will not be certified but can assist hospitals in meeting this : Iatric Systems interfaces can electronically transmit medication allergies from various Emergency Department Information Systems to MEDITECH s RXM application in order to help hospitals maintain active medication allergy lists. EasyConnect Jaguar interface engine can help the transmit messages that contain medication information from one point to another. 6. Record all the following demographics: (A) Preferred language (B) Gender (C) Race (D) Ethnicity (E) Date of birth (F) Date and preliminary cause of death in the event of mortality in the eligible hospital or Critical Access Hospital (CAH) 3

Core Criteria for Stage 1 continued 7. Record and chart changes in the following vital signs: (A) Height (B) Weight (C) Blood pressure (D) Calculate and display body mass index (BMI) (E) Plot and display growth charts for children 2-20 years, including BMI 8. Record smoking for patients 13 years old or older. The following solution is certified to meet this : Visual Flowsheet displays vital signs, growth charts and BMI graphs. Visual Flowsheet also can calculate and display BMI, as well as plot and display growth charts for children 2-20 years old. The following solution will not be certified but can assist hospitals in meeting this : Clinical Monitor Interface electronically transmits vital signs and vent and pump information into MEDITECH systems. The following solution will not be certified but can assist hospitals in meeting this : Visual SmartBoard enables hospitals to track and flag whether a CDS query was answered in order to monitor compliance with this. 9. Report hospital clinical quality measure to CMS (or in the case of Medicaid eligible hospitals or CAHs, the States) hospital clinical quality measure selected by CMS in the manner specified by CMS (or, in the case of Medicaid eligible hospitals or CAHs, the States). The following solution has been certified to meet this : Meaningful Use Manager is a web-based solution that provides an instant view of your organization s compliance with all 24 Stage 1 2011/2012 Meaningful Use requirements. Easily report progress to your Board and senior management. Clinical Quality Measures provide numerator/denominator values and submission for 15 Meaningful Use quality reports. comply with this Meaningful Use. 10. Implement one clinical decision support rule related to a high priority hospital condition along with the ability to track compliance with that rule. 11. Provide patients with an electronic copy of their health information (including diagnostic test results, problem list, medication lists, medication allergies, discharge summary, procedures), upon request. The following solutions will be certified to meet this : OrderEase and MDOrder will include a custom definable clinical decision support rules dictionary, giving hospitals flexibility in meeting this. The following solutions will not be certified but can assist hospitals in meeting this : Visual Flowsheet presents clinical decision support rule data on one screen for evaluation and care planning. Visual SmartBoard can track compliance with hospital-defined clinical decision support rules. Sites can use alert emails, text messages (SMS messages), sounds, flashing text and pop-up windows with recommendations. Visual SmartBoard also provides audit trails to capture the number of alerts responded to by a user. The following solutions are certified to meet this : PtAccess allows patients to view electronic health information, including discharge instructions and clinical results in a secured web-based interface. Patients can view diagnostic test results, problem lists, medication lists, allergies, discharge summaries and procedures. Additional capabilities include reviewing billing statements, making payments via the Internet, as well as printing and securely emailing their health information. PHR Connect integrates a hospital s electronic medical record (EMR) data with personal health records (PHR) such as Microsoft Health Vault. PHR Connect automatically populates and updates a patient s PHR with the most recent hospital EMR data. This allows patients to access their health information from anywhere and share that information securely with caregivers and family members. Clinical Document Exchange provides the ability to download patient records to a thumb drive/cd and/or provide a hard copy of patient health information. 4

Core Criteria for Stage 1 continued 12. Provide patients with an electronic copy of their discharge instructions at time of discharge, upon request. The following solutions are certified to meet this : PtAccess allows patients to view electronic health information, including discharge instructions, and clinical results in a secured web-based interface. Patients can view diagnostic test results, problem lists, medication lists, allergies, discharge summaries and procedures. Additional capabilities include reviewing billing statements, making payments via the Internet, as well as printing and securely emailing their health information. Patient Discharge Instructions provides hardcopy and electronic discharge instructions and procedures to patients upon request. 13. Capability to exchange key clinical information (for example, problem list, medication list, medication allergies, and diagnostic test results), among providers of care and patient authorized entities electronically. The following solutions are certified to meet this : PHR Connect integrates a hospital s electronic medical record (EMR) data with personal health records (PHR) such as Microsoft HealthVault. PHR Connect automatically populates and updates a patient s PHR with the most recent hospital EMR data. Clinical Document Exchange enables exchange of key clinical information between systems. 14. Protect electronic health information created or maintained by the EHR technology through the implementation of appropriate technical capabilities. Iatric Systems applications provide unique identifiers, session timeouts, encryption and audit logs that track patients Protected Health Information (PHI) disclosure and verify user identities and access privileges. The following solution will not be certified but can assist hospitals in meeting this : Security Audit Manager allows hospital staff to quickly and easily monitor access to patient data by automating manual audit processes. This helps hospitals quickly identify and report patient privacy violations and comply with HITECH patient privacy breach reporting mandates. Additionally, Security Audit Manager reports help educate hospital employees about new, strict federal breach reporting mandates, and they allow the patient to receive a complete list of who has seen his or her record. 5

Menu Criteria for Stage 1 for eligible hospitals or Critical Access Hospitals (CAH): must meet five of the following objectives and associated measures. 1. Implement drug formulary checks. 2. Record advance directives for patients 65 years old or older. The following solutions will be certified to meet this : OrderEase and MDOrder will include drug formulary checks. The following solution will not be certified but can assist hospitals in meeting this : Visual SmartBoard enables hospitals to track and flag whether a CDS query was answered in order to monitor compliance with this. 3. Incorporate clinical lab test results into EHR as structured data. 4. Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities, research, or outreach. 5. Use certified EHR technology to identify patient-specific education resources and provide those resources to the patient if appropriate. 6. The eligible hospital or CAH that receives a patient from another setting of care or provider of care or believes an encounter is relevant should perform medication reconciliation. 7. The eligible hospital or CAH that transitions their patient to another setting of care or provider of care or refers their patient to another provider of care should provide summary care record for each transition of care or referral. 8. Capability to submit electronic data to immunization registries or immunization information systems and actual submission according to applicable law and practice. comply with this Meaningful Use. The following solution will be certified to meet this : Patient Discharge Instructions provides patient-specific hard copy and electronic discharge instructions and procedures to patients upon request. The following solution is certified to meet this : Patient Discharge Instructions enables thorough medication reconciliation across the continuum of care for all patients. Home, transfer and discharge medication lists display on one screen whether your patient is in the Emergency Department, an outpatient clinic, Same Day Care, an inpatient unit or has recurring appointments. This enables clinicians to reconcile medications safely and efficiently. The following solutions are certified to meet this : PHR Connect integrates a hospital s electronic medical record (EMR) data with personal health records (PHR) such as Microsoft HealthVault. PHR Connect automatically populates and updates a patient s PHR with the most recent hospital EMR data. Clinical Document Exchange enables exchange of key clinical information between systems. Iatric Systems Public Health Immunization Interface (MAGIC, Client/Server and 6.0) is certified to meet this. comply with this Meaningful Use. Iatric Systems EasyConnect Jaguar interface engine can help hospitals meet this by eliminating the barriers of data exchange that can impede connection with their regional Health Information Exchange (HIE). 6

Menu Criteria for Stage 1 for eligible hospitals or Critical Access Hospitals (CAH): must meet five of the following objectives and associated measures. continued 9. Capability to submit electronic data on reportable (as required by State or local law) lab results to public health agencies and actual submission according to applicable law and practice. 10. Capability to submit electronic syndromic surveillance data to public health agencies and actual submission according to applicable law and practice. Iatric Systems Public Health Lab Reportables Interface (MAGIC, Client/Server and 6.0) has been certified to meet this. comply with this Meaningful Use. Iatric Systems EasyConnect Jaguar interface engine can help hospitals meet this by eliminating the barriers of data exchange that can impede connection with their regional Health Information Exchange (HIE). Iatric Systems Public Health Syndromic Surveillance Interface (MAGIC, Client/Server and 6.0) is certified to meet this. comply with this Meaningful Use. Iatric Systems EasyConnect Jaguar interface engine can help hospitals meet this by eliminating the barriers of data exchange that can impede connection with their regional Health Information Exchange (HIE). 7

1 2 3 4 5 6 Iatric Systems PtAccess, version 1.0.11, has been certified as an EHR Module, certification number CC-1112-290560-4. This EHR Module is 2011/2012 compliant and has been certified by the Certification Commission for Health Information Technology (CCHIT ), an ONC-ATCB, on December 10, 2010, in accordance with the applicable certification criteria adopted by the Secretary of Health and Human Services. The certification criteria that were met include 170.306(d) Electronic copy of health information, 170.306(e) Electronic copy of discharge instructions, 170.302(o), 170.302(p), 170.302(q), 170.302(r), 170.302(s), 170.302(t), 170.302(u) and 170.302(v). This certification does not represent an endorsement by the U.S. Department of Health and Human Services or guarantee the receipt of incentive payments. Iatric Systems Patient Discharge Instructions application, version 3.0, has been certified as an EHR Module, certification number CC-1112-290560-6. This EHR Module is 2011/2012 compliant and has been certified by the Certification Commission for Health Information Technology (CCHIT ), an ONC-ATCB, on February 10, 2011, in accordance with the applicable certification criteria adopted by the Secretary of Health and Human Services. The certification criteria that were met include 170.306(e) Electronic copy of discharge instructions, 170.302(j) Medication reconciliation, 170.302(o), 170.302(p), 170.302(q), 170.302(r), 170.302(s), 170.302(t), 170.302(u) and 170.302(v). This certification does not represent an endorsement by the U.S. Department of Health and Human Services or guarantee the receipt of incentive payments. Iatric Systems PHR Connect Magic/CS/6.0, version 1.3, has been certified as an EHR Module, certification number CC-1112-290560-5. This EHR Module is 2011/2012 compliant and has been certified by the Certification Commission for Health Information Technology (CCHIT ), an ONC-ATCB, on December 22, 2010, in accordance with the applicable certification criteria adopted by the Secretary of Health and Human Services. The certification criteria that were met include 170.306(d) Electronic copy of health information, 170.306(f) Exchange clinical information and patient summary record, 170.302(o), 170.302(p), 170.302(q), 170.302(r), 170.302(s), 170.302(t), 170.302(u) and 170.302(v). This certification does not represent an endorsement by the U.S. Department of Health and Human Services or guarantee the receipt of incentive payments. Iatric Systems Clinical Document Exchange Client Server CS/6.0, version 1.5.0, has been certified as an EHR Module, certification number CC-1112-290560-2. Additionally, Clinical Document Exchange MAGIC has been certified; certification number CC-1112-290560-7. These EHR Modules are 2011/2012 compliant and have been certified by the Certification Commission for Health Information Technology (CCHIT ), an ONC-ATCB, on January 27, 2011 and March 24, 2011 respectively, in accordance with the applicable certification criteria adopted by the Secretary of Health and Human Services. The certification criteria that were met include 170.306(d) Electronic copy of health information, 170.306(f) Exchange clinical information and patient summary record, 170.302(o), 170.302(p), 170.302(q), 170.302(r), 170.302(s), 170.302(t), 170.302(u) and 170.302(v). These certifications do not represent an endorsement by the U.S. Department of Health and Human Services or guarantee the receipt for incentive payments. Iatric Systems Visual Flowsheet, version 3.0, has been certified as an EHR Module, certification number CC-1112-290560- 9. This EHR Module is 2011/2012 compliant and has been certified by the Certification Commission for Health Information Technology (CCHIT ), an ONC-ATCB, on April 1, 2011, in accordance with the applicable certification criteria adopted by the Secretary of Health and Human Services. The certification criteria that were met include 170.302(f) Record and chart vital signs, 170.302(o), 170.302(p), 170.302(q), 170.302(r), 170.302(s), 170.302(t), 170.302(u) and 170.302(v). This certification does not represent an endorsement by the U.S. Department of Health and Human Services or guarantee the receipt of incentive payments. Iatric Systems Public Health Immunization Interface has been certified as an EHR Module, certification numbers CC-1112-290560-8 (MAGIC, Version 5.2) and CC-1112-290560-14 (Client/Server and 6.0, Version 1.5). This EHR Module is 2011/2012 compliant and has been certified by the Certification Commission for Health Information Technology (CCHIT ), an ONC-ATCB, on April 20, 2011 and August 2, 2011 respectively, in accordance with the applicable certification criteria adopted by the Secretary of Health and Human Services. The certification criteria that were met include 170.302(k) Submission to immunization registries, 170.302(o), 170.302(p), 170.302(q), 170.302(r), 170.302(s), 170.302(t), 170.302(u) and 170.302(v). This certification does not represent an endorsement by the U.S. Department of Health and Human Services or guarantee the receipt of incentive payments. 8

7 8 9 10 Iatric Systems Public Health IIM Syndromic Surveillance Interface, version 1.5, has been certified as an EHR Module, certification numbers CC-1112-290560-10 (MAGIC) and CC-1112-290560-15 (Client/Server and 6.0). This EHR Module is 2011/2012 compliant and has been certified by the Certification Commission for Health Information Technology (CCHIT ), an ONC-ATCB, on May 19, 2011 and August 2, 2011 respectively, in accordance with the applicable certification criteria adopted by the Secretary of Health and Human Services. The certification criteria that were met include 170.302(l) Public health surveillance, 170.302(o), 170.302(p), 170.302(q), 170.302(r), 170.302(s), 170.302(t), 170.302(u) and 170.302(v). This certification does not represent an endorsement by the U.S. Department of Health and Human Services or guarantee the receipt of incentive payments. Iatric Systems IatriCare OrderEase, version 1.0, has been certified as an EHR Module, certification number CC-1112-290560-12. This EHR Module is 2011/2012 compliant and has been certified by the Certification Commission for Health Information Technology (CCHIT ), an ONC-ATCB, on June 14, 2011, in accordance with the applicable certification criteria adopted by the Secretary of Health and Human Services. The certification criteria that were met include 170.306(a) Computerized provider order entry, 170.302(c) Maintain up-to-date problem list, 170.302(o), 170.302(p), 170.302(q), 170.302(r), 170.302(s), 170.302(t), 170.302(u) and 170.302(v). This certification does not represent an endorsement by the U.S. Department of Health and Human Services or guarantee the receipt of incentive payments. Iatric Systems Meaningful Use Manager, version 2.0, was certified as an EHR Module, certification number CC-1112-290560-13. This EHR Module is 2011/2012 compliant and was certified by an ONC-ATCB on June 15, 2011, in accordance with the applicable certification criteria adopted by the Secretary of Health and Human Services. The certification criteria that were met include 170.302(n) Automated measure calculation, 170.302(o), 170.302(p), 170.302(q), 170.302(r), 170.302(s), 170.302(t), 170.302(u) and 170.302(v). Iatric Systems Meaningful Use Manager received an additional certification for its Clinical Quality Measures component on September 1, 2011, certification number CC-1112-290560-17. The criterion that was met includes 170.306(i) Calculate and submit clinical quality measures. This certification does not represent an endorsement by the U.S. Department of Health and Human Services or guarantee the receipt of incentive payments. Iatric Systems IIM Public Health Reportable Lab Results, version 1.5, has been certified as an EHR Module, certification numbers CC-1112-290560-11 (MAGIC) and CC-1112-290560-16 (Client/Server and 6.0). This EHR Module is 2011/2012 compliant and has been certified by the Certification Commission for Health Information Technology (CCHIT ), an ONC-ATCB, on June 20, 2011 and September 1, 2011 respectively, in accordance with the applicable certification criteria adopted by the Secretary of Health and Human Services. The certification criteria that were met include 170.306(g) Reportable lab results, 170.302(o), 170.302(p), 170.302(q), 170.302(r), 170.302(s), 170.302(t), 170.302(u) and 170.302(v). This certification does not represent an endorsement by the U.S. Department of Health and Human Services or guarantee the receipt of incentive payments. Ph: 978.805.4100 Fax: 978.805.4101 info@iatric.com iatric.com 9 (12/11)