Certification Commission
                       for Healthcare
                       Information Technology




Open Sour...
Agenda



•Facts about CCHIT
•Discussion of issues and concerns for
 open source developers




                          ...
Mission and Goals

                           Goals:
Mission:
                           • Reduce the risks of
Accelerate ...
History of CCHIT
Sept 2004 Founded by AHIMA, HIMSS, and NAHIT

June 2005 Eight more organizations contribute funding

 Oct...
A Mission-Focused,
                                      Nonprofit 501(c)3 Organization
                   Board of Truste...
Openness and Transparency

• CCHIT Staff must disclose all conflicts of interest and may
  not have a financial relationsh...
Criteria are developed through a
                                     community collaborative model

Inputs:
* Scope Guida...
Inspection Process


• “Open book” model – all criteria and test scripts are
  published in advance for all applicants to ...
Product Attributes and
                   Inspection Methods
                                   Security and
             ...
Juror-Observed
                         Virtual Demonstration
                                       CCHIT Proctor


     ...
LAIKA Open Source
                     Interoperability Testing Tool



Manage Test Cases




                            ...
Vendor Mix (08 Certification)
                 Annual Revenue                                                     Practice...
Ensuring the Flow of Innovation

• Continue to monitor vendor mix
   – Small vs large, new vs established, alternative dep...
Issues and Concerns of
            Open Source Developers
• Certification fees
• Versioning requirements
• Add here...



...
Actions Discussed

• Add here...




                                © 2009 | Slide 15 | April 6, 2009
Discussion and
Q&A

For more information:
www.cchit.org
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CCHIT Open Source Forum at HIMSS 09

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CCHIT Open Source Forum at HIMSS 09

  1. 1. Certification Commission for Healthcare Information Technology Open Source Forum A Dialog on Certification of Open Source EHRs Mark Leavitt, MD, PhD – Chair Alisa Ray – Executive Director Dennis Wilson – Information Technology Director Hyatt Regency McCormick Conference Center, Chicago, IL Room 10d Monday, April 6, 2:00 pm – 3:00 pm CDT Online participation: https://www1.gotomeeting.com/register/429901059 Dial in (877) 313-5342, ID # 91945091
  2. 2. Agenda •Facts about CCHIT •Discussion of issues and concerns for open source developers © 2009 | Slide 2 | April 6, 2009
  3. 3. Mission and Goals Goals: Mission: • Reduce the risks of Accelerate the adoption investing in health IT of robust, interoperable health IT by creating • Facilitate interoperability an efficient, credible of health IT certification process. • Unlock adoption incentives and regulatory relief • Protect the privacy of health information © 2009 | Slide 3 | April 6, 2009
  4. 4. History of CCHIT Sept 2004 Founded by AHIMA, HIMSS, and NAHIT June 2005 Eight more organizations contribute funding Oct 2005 Awarded 3-year $7.5M HHS/ONC contract May 2006 Ambulatory EHR certification launched Oct 2006 Federal recognition as Certifying Body Jan 2007 Becomes independent, nonprofit organization Aug 2007 Inpatient EHR certification launched 08 programs launched (2 updated programs, 4 new July 2008 programs) Oct 2008 HIE certification launched © 2009 | Slide 4 | April 6, 2009
  5. 5. A Mission-Focused, Nonprofit 501(c)3 Organization Board of Trustees Board of Commissioners Executive Director Alisa Ray Administrative Marketing & Communications Certification Development Certification Program Certification Technology Sue Reber, Director Kathy Shea, Director Kari Taylor Atkins, Director Bambi Rose, Director Dennis Wilson, Director John Morrissey Merril Prager Shweta Trivedi Amit Trivedi Vince Van de Coevering Rick Turoczy Jen Degler Soloman Appavu Ben Uphoff Diana Rios Michelle Knighton CO-CHAIRS STRATEGIC LEAD WORK GROUP WORK GROUP STRATEGIC LEAD CO-CHAIRS Ambulatory EHR Cardiovascular Steven Lane Kari Taylor Atkins Meredith Seidel Michael Mirro Eric Rose Michael Paquin Inpatient EHR Child Health Rick Reeves Kari Taylor Atkins Bonnie Cassidy Bobbie Byrne Kathy Scanlon Eugenia Marcus Emergency Dept EHR Interoperability Todd Rothenhaus Kari Taylor Atkins Amit Trivedi David Tao Steven Stewart Alan Zuckerman Network Privacy & Compliance A. John Blair Virginia Riehl Bonnie Cassidy Donald Bechtel Michael Kappel Cassi Brinbaum PHR Security Ted Eytan Jody Pettit Soloman Appavu Khalid Al-Maskari Lory Wood Rick Brady Behavioral Health Memo Keswick Kari Taylor Atkins Zebulon Taintor 22 staff facilitating the work of over 200 volunteers © 2009 | Slide 5 | April 6, 2009
  6. 6. Openness and Transparency • CCHIT Staff must disclose all conflicts of interest and may not have a financial relationship with any vendor • Volunteers must disclose all conflicts of interest • Stakeholder balance on CCHIT boards and volunteer work groups is required and actively monitored. Limits are enforced on percentage from the vendor community, as well as on the number of personnel from any one vendor • Work groups must have two co-chairs from different stakeholder groups • Minutes of all Commission and work group meetings are published on the web • ‘Town Hall’ and ‘Town Call’ community outreach meetings © 2009 | Slide 6 | April 6, 2009
  7. 7. Criteria are developed through a community collaborative model Inputs: * Scope Guidance from Commission Public Comment * Roadmap (from previous year) periods * Future Directions (from previous year) * Environmental Scan: - Use Cases from AHIC - Standards from HITSP, SDOs - Market research - More Refine Criteria Proposed Launch Develop Final Criteria and Develop Final Criteria “09” April Draft Criteria and Test Scripts Draft Test Scripts and Test Scripts Certification 2008 (July 2009) May July Sept Mar Dec 2009 2008 2008 2009 2008 Pilot Test Multi-stakeholder consensus-based process with multiple cycles of public input © 2009 | Slide 7 | April 6, 2009
  8. 8. Inspection Process • “Open book” model – all criteria and test scripts are published in advance for all applicants to use in preparation • Strict conflict of interest policy for staff and jurors: no financial relationship with any vendor is allowed • Cost-efficient – uses web-conferencing and other virtual presence tools to avoid travel expense • Robust retesting and appeal processes © 2009 | Slide 8 | April 6, 2009
  9. 9. Product Attributes and Inspection Methods Security and Functionality Interoperability Privacy Self-attestation (documentation review) Jury-observed demonstration Technical testing = Current methods = Driving direction © 2009 | Slide 9 | April 6, 2009
  10. 10. Juror-Observed Virtual Demonstration CCHIT Proctor Juror A (Practicing physician) Web conferencing Juror B and concurrent (Practicing audio conferencing Nurse Inpatient Products) Vendor personnel follow Test Script to demonstrate system Juror C at the vendor facility Jurors may not have a financial relationship with any vendor © 2009 | Slide 10 | April 6, 2009
  11. 11. LAIKA Open Source Interoperability Testing Tool Manage Test Cases View Results View Test Data © 2009 | Slide 11 | April 6, 2009
  12. 12. Vendor Mix (08 Certification) Annual Revenue Practice Sizes Served of Ambulatory EHR Vendors by Vendors Applying > $100 million N/A 75% 7% 7% < $1 million 25% 50% $21-$100 million 9% 25% $11-$20 million 13% $1-$10 million 37% 1 2-5 6-15 16-50 >50 Number of Physicians in Practice © 2009 | Slide 12 | April 6, 2009 Revenue and Size data from application data of certified Ambulatory EHR 08 vendors as of March 2009; N=77; response rate 100%
  13. 13. Ensuring the Flow of Innovation • Continue to monitor vendor mix – Small vs large, new vs established, alternative deployment models, price points • Ensure EHR certification is accessible to all corners of the market – Commercial – Open-source – Self-developed – Modular © 2009 | Slide 13 | April 6, 2009
  14. 14. Issues and Concerns of Open Source Developers • Certification fees • Versioning requirements • Add here... © 2009 | Slide 14 | April 6, 2009
  15. 15. Actions Discussed • Add here... © 2009 | Slide 15 | April 6, 2009
  16. 16. Discussion and Q&A For more information: www.cchit.org

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