MU2 Progress

csechrist wrote on Monday, August 31, 2015:

Hi,
I am wondering if there has been any updates with Meaningful Use 2 status? Are we going to meet the deadline? Thanks,
Cam
Sechrist Healthcare Solutions

fsgl wrote on Wednesday, September 02, 2015:

If there are no replies to your 3 posts from management, the presumed answers would be “no”.

See this webpage.

“DROP Dead is Aug 2015”. August has come & gone.

tmccormi wrote on Wednesday, September 02, 2015:

We are continuing to work on it frantically. Just posted a brach for A8 Clinical Descision Support today.

tmccormi wrote on Wednesday, September 02, 2015:

I guess I’m a Zombie now, I dropped dead, but I’m still alive … :slight_smile:

csechrist wrote on Wednesday, September 02, 2015:

Tony,
Where could I find that code? Does it have all parts currently done including not certified?
Thanks,
Cam

tmccormi wrote on Saturday, September 05, 2015:

The code is is varios branches all in the progress of being reviewed, tested and then they will be merged.

The outstanding issues are being discussed and parceled out amongst the developers. Here’s the super short summary of what remains to be done (not including reviews)

All of the items below have some or all of the code done but need to be merged into 4.2

§170.314(b)(1)
Transitions of care – receive, display and incorporate transition of care/referral summaries

  • OpenEMR has direct messaging feature. Currently it supports both sending and receiving the direct messages. We need to implement a UI to display all the received messages and an option to process(incorporate the data into our system) them.
    §170.314(b)(2)
    Transitions of care – create and transmit transition of care/referral summaries
  • Once the e1 is done, b2 can be accomplished in a day or two.
    §170.314(b)(4)
    Clinical information reconciliation
  • As openEMR is using the 2 frames, we can use that to accomplish this certification. AMC rule(s) needs to be updated upon reconciliation.
    §170.314(b)(7)
    Data portability
  • This is dependent on e1, making it to work on more than one patient.
    §170.314(e)(1)
    View, download, and transmit to 3rd party
  • This should be implemented first among the CCDA certifications
    §170.314(e)(2)
    Clinical summary
  • After e1 is implemented, new sections and new UI should be introduced

bradymiller wrote on Saturday, September 05, 2015:

Hi,

Regarding above list of items. Note that according to barometer all these items (except for b4) will already be certified if get ZH Care Coordination Module in the codebase. If needed, we could get a time estimate from ZH when their next revision will be ready(if they address all my issues, then it will likely be ready for commit to official codebase):
http://www.open-emr.org/wiki/index.php/OpenEMR_Certification_Stage_II_Meaningful_Use#Completion_Barometer

Shouldn’t the AMC/CQM stuff be getting pushed ahead now. Still waiting for revision on that.

-brady
OpenEMR

Note, here is link to ongoing Care Coordination Module Code review:
https://sourceforge.net/p/openemr/code-review/243/

tmccormi wrote on Monday, September 07, 2015:

All suggestions/findings on CQM and AMC has been taken care and pushed to git.



According to: Suryadharshan Alle

If we can get all the code from ensoftek then we will not need ZHH externally served code that is not part of our open source offering.

Then ZHH can certify their code as an optional choice for the community, choice is a good thing.

As always, having the full code on the project when it’s possible is better.

–Tony

bradymiller wrote on Tuesday, September 08, 2015:

Hi,

I started an integration branch for amc/cqm here:

If goal is quickest time to certifcation, I would suggest going the opposite route. Use ZH Care Coordination Module first and then bring in Ensoftek’s solutions when these are ready in the future.

I have touched base with ZH, and the next revision for the Care Coordination module should be complete soon.

-brady
OpenEMR

tmccormi wrote on Tuesday, September 08, 2015:

We only have funds to do this once right now. I would take the best route to full and final certification, or choose to modular certify what OpenEMR has in it’s code and let people fill in the gaps with ZHH, assuming they certify their modules.

That’s my opinion.

–Tony

bradymiller wrote on Wednesday, September 09, 2015:

Hi,
We need to shoot for Full certification or else will be penalized with the requirement of supporting Import for the CQM module.
-brady
OpenEMR

zhhealthcare wrote on Friday, September 11, 2015:

ZH Healthcare’s BlueEHS modules are all now certified. Waiting for the
official certificate pending some queries. Care coordination, lab
interface, and patient portals are all part of the certification.

Thanks and regards

“Introducing BleuEHS: HITaaS (Health IT as a Service): Quickly build and
deploy your health IT solution!”

PS: Use this link to choose a convenient time for a chat
http://www.meetme.so/shameemchameed: http://www.meetme.so/shameemchameed


Shameem C Hameed
ZH Healthcare
2010 Corporate Ridge, Suite 700
McLean VA 22102

ph: +1-703-340-8065 Ext: 6666
Direct: 703-340-8027
Fax: +1-703-890-8702

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On Wed, Sep 9, 2015 at 3:59 AM, Brady Miller bradymiller@users.sf.net
wrote:

Hi,
We need to shoot for Full certification or else will be penalized with the
requirement of supporting Import for the CQM module.
-brady
OpenEMR http://www.open-emr.org/

MU2 Progress
https://sourceforge.net/p/openemr/discussion/oemr_501c3/thread/e0c8ffd8/?limit=25#26d9

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teryhill wrote on Friday, September 11, 2015:

Well Congratulations.

But I fail to see what that has to do with promoting OpenEMR which is the design of this project and forum.

Sounds like you are using this forum as an advertizing venue. Which I believe is wrong. This is a technical forum and not a sales outlet.

Just my 2 cents.

Terry

zhhealthcare wrote on Friday, September 11, 2015:

Terry

I was replying to Tony’s comment. Please read the thread above
On Sep 11, 2015 6:08 PM, “Terry Hill” teryhill@users.sf.net wrote:

Well Congratulations.

But I fail to see what that has to do with promoting OpenEMR which is the
design of this project and forum.

Sounds like you are using this forum as an advertizing venue. Which I
believe is wrong. This is a technical forum and not a sales outlet.

Just my 2 cents.

Terry

MU2 Progress
https://sourceforge.net/p/openemr/discussion/oemr_501c3/thread/e0c8ffd8/?limit=25#26d9/acc6/68ab

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fsgl wrote on Saturday, September 12, 2015:

Increasingly it appears that 2014 CEHRT will not be achieved by the Project in time for 2015 attestation.

Hopefully users have applied & have received the Hardship Exception by now. There has been no announcement of an extension to apply for the exception. In 2014 CMS decided in October to provide an extension. Will be on the lookout for this to happen again.

Because “A Special Appeal” is ongoing, there remains an opportunity for more fund raising; albeit much, much diminished given the disappointment resulting from the delays. If we fail again for 2016 attestation, we can safely assume it’s a lost cause.

bradymiller wrote on Sunday, September 13, 2015:

Hi,

The AMC/CQM rules MU2 commit is almost ready for the codebase. Just some sanity testing left before committing it:

Then the next step will be getting in ZH’s Care Coordination module (guessing their next revised commit will be any day now and if it’s ready(which I predict it will be) then should get committed into the codebase by end of the week). See here for ongoing work regarding this module:
https://sourceforge.net/p/openemr/code-review/243/

When the above AMC/CQM and Care Coordination are in the codebase, then in theory all items needed for certfication will be in the codebase.

Here’s an updated barometer:
http://www.open-emr.org/wiki/index.php/OpenEMR_Certification_Stage_II_Meaningful_Use#Completion_Barometer
(note that when AMC/CQM gets into the codebase, there will be no more red items)

-brady
OpenEMR

fsgl wrote on Sunday, September 13, 2015:

Very encouraging, Brady.

To rephrase Cameron’s question, will the purple & red boxes turn to green by Sept. 30th or Dec. 31st?

bradymiller wrote on Sunday, September 13, 2015:

Hi,

My opinion on chances of success for certification are:

  1. 30% chance of success by 9/30/15
  2. 80% chance of success by 12/31/15

I am just guessing (ie. as accurate as a weather report) since not sure regarding testing certification availability.

(note purple is what we are shooting for on the barometer)

-brady
OpenEMR

fsgl wrote on Sunday, September 13, 2015:

If all green, by New Year’s Eve, would be good.

Because we are dealing with governmental agencies; all green, by month’s end, would take nothing short of a miracle.

MU 2 certification has been difficult & dispiriting. Light at the end of the tunnel, at last.

bradymiller wrote on Monday, September 14, 2015:

Hi,

I just committed the AMC/CQM stuff to the codebase. This code was contributed by Ensoftek.

Here’s updated barometer:
http://www.open-emr.org/wiki/index.php/OpenEMR_Certification_Stage_II_Meaningful_Use#Completion_Barometer

For the barometer, note the legend there:
—Green is ready for testing
—Pink has passed testing, but is in the Care Coordination Module which has not yet gotten into OpenEMR codebase.
—Purple has PASSED TESTING and IS IN THE CODEBASE (ie. we want all purple)

-brady
OpenEMR