HC450 Healthcare Management- Information Technology
Question
Research and understand requirements for EHR products using onc certification criteria.
The Office of the National Coordinator for Health Information Technology (ONC) Health IT Certification Program helps to ensure that health IT conforms to the standards and certification criteria adopted by the Secretary of Health and Human Services. The Office of Health IT Certification was established to develop and oversee national programs for the certification of health information technology by the Health Information Technology for Economic and Clinical Health (HITECH) Act. Health IT certification provides assurance to purchasers and other users that a system meets the technological capability, functionality, and security requirements. Review the ONC Health IT Certification program - http://www.healthit.gov/policy-researchers-implementers/about-onc-health-it-certification-program.
To ensure the requirements are met, ONC Health IT developed a set of functional and conformance testing criteria for certification. Review the ONC Health IT Testing Requirements page - https://www.healthit.gov/policy-researchers-implementers/2015-edition-test-method.
Answer
In the modern times, healthcare information technology has become integral in matters, evaluating efficacy of clinical operations systems including prescribing. The NIST tool is an online downloadable tool that has been specially developed to test standards and the requirements that relate to the message specifications that are expressed within the 2015/2014 Editions of the Standards & Certification Criteria. According to ONC, this tool tests the extent of adherence to the Edge Protocol standards at the time valid communication sessions amid a System Under Test and ETT. These include Data portability, Ambulatories setting only, view, down and then transmit the information or data to the third party and lastly come up with summary care reports or what we can say transitions care.
It is now known that virtually all hospitals in many developed countries have embraced HERs which emphasizes about interoperability. Interoperability is basically using those systems to send as well as receive messages regarding the data with the aim of ensuring that the cost is cut down and that quality is improved.
According the statement by ONC, such tools are helpful in terms of have standards that for messaging best practices in addition to the scoring criteria.
The NIST ePrescribing Test Suite is fundamentally a test tool which helps in the assessment and certification of ONC 2015 Edition Health IT Modules ("NIST 2015 Edition ONC HealthIT Certification Test Tools," 2017). While accessing the capability of the ONC Certification I navigated through to the ONC Certification Test Plan that is located on the Context-based tab. I clicked on the ONC certification Test Plan and then proceeded by clicking on TestCaseGroup: Medication History Tests. The message displayed is as shown above.
Going this criterion, I noticed a number of interesting things. Firstly, to test the medication history, one need to first begin by having to complete the pharmacy Benefit Manager. Basically, this means, one has to have the specific information or terminologies as regards the medical history. Essentially, having a medical history will ensure that the information being sought is specific to the patient in question. Inputting random information will therefore not generate information that is specific to the patient. After the medical history has been input, then a response shows up containing the medical history information for the specific patient. This information may include the date range, the follow-up and the source.
Also, I noted that the kind or type of network that is used affect the certification process. For example, when SureScripts Network is used, then one will be forced not to use it in the test messages that regard ONC Certification Process (NIST, n.d). I also noted one interesting thing that transmission of ONC Certification messages is such that they must be directly channeled to the NIST ePrescribing Test Tool in the event that one chooses to use SureScript Network. In cases one gets black messages as regards the medical history of the patient, and then the query may not have been sent to NIST directly but to SureScript
References
NIST 2015 Edition ONC HealthIT Certification Test Tools. (2017, December 5). Retrieved from https://www.nist.gov/itl/ssd/systems-interoperability-group/nist-2015-edition-onc-healthit-certification-test-tools
NIST. (n.d.). NIST E-prescribing 2015. Retrieved from https://erx-2015.nist.gov/hit-base-tool/
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