Update on ONC Meaningful Use

jcahn2 wrote on Saturday, May 21, 2011:

https://sourceforge.net/users/?user_id=3395270

The fully certified version of OpenEMR will be an open source software.  It can be downloaded and used for your attestation process for MU without additional licensing.  Users of the current modular certified version and future users of the fully certified version are required only to contribute what their conscience demands.  Contributions include code writing, code testing, features guidance, and of course cold cash.

http://wiki.oemr.org/wiki/Open_SourceMedical_Software_Donations

Jack

jcahn2 wrote on Saturday, May 21, 2011:

user_id=3395270

I neglected to mention, you will encounter fees for the clearinghouse entities who provide a certified interface for e-Rx and patient portal services dependent on your choices there.  No way around that. 

Also, if you want to take full advantage of the software without the perils of self exploration, there are many reasonably priced vendors from whom to choose.

http://wiki.oemr.org/wiki/OpenEMR_Commercial_Help

Jack

rpl121 wrote on Sunday, June 12, 2011:

If and when you need a test site for Allscripts (NationalRx) integration, I am available.  I use Allscripts standalone module for ERx.  I have been using OpenEMR live for three years.  I have the 4.1.X development version set up on a second server. 

Ronald Leemhuis MD

tmccormi wrote on Sunday, June 12, 2011:

Dr Leemhuis,
  Thank you for your offer.  Do you have a contact at Allscripts that can be online at the with us.  The test requires sending the “raw” script generated by the e-rx to the testing authority at the time of the test.  Only AllScripts has access to that script.  If so, it would be a good thing to cert with Nationalerx as an option.
-Tony

rpl121 wrote on Sunday, June 12, 2011:

I just signed up online and have never talked to anybody that I recall.  I’d be glad to do a conference call sometime with you to Allscripts if you can do the tech talk.  I can set up remote access to my OpenEMR 4.1.0 Linux server  through a router with my fixed IP address.  I can also set up remote browser access through an ssh tunnel and vnc or by gotomypc to one of the Windows workstations. 

When I go online through the Allscripts portal, I see there are forums where one can post messages.  One forum is “New Features Request” with subforums “Pharmacy Search”, “Refills”, “Reports and Printing.”

I see a generic “Contact customer support” messaging functionality without specific recipient.

I’ll keep looking.

 

mdsupport wrote on Monday, June 13, 2011:

Tony,
Is it a hard requirement to have Allscripts support on other side?  Since they claim to be certified, can we treat that process step as a black box?
Allscript support responds thru the forums.  Only live bodies talking back are their EHR sales team…

drbowen wrote on Tuesday, June 21, 2011:

Update on Certification.

All of the coding is complete.  Most of these patches are cycling
between code review and bug patches.

CQM is code complete but Brady wants to make some modifications

Patient portal:

ZH Healthcare’s portal works as is but has not been certified
against the NIST standards by ViSolve.

The OpenEMR GPL patient portal has not been committed but
still needs code review.  This is a large module a will take some
time to get incorporated.

CCD -  “All done” a patch needs to be posted and needs modest code review

LOINC code, not much to do

SNOMED – needed for allergies but not necessarily for 2011.

E-prescription  - 4 choices are in process.

NewCrop - coding complete, code review in process and needs few days to complete.
MI-Squared

DrFirst about 10 days out. Ensoftek

H20 – MMF progress is unknown

Relay Health – PhyAura has submitted a patch and the patch is being reviewed.

Sam Bowen, MD

lsalichs wrote on Tuesday, June 21, 2011:

What is the latest status for the remaining OpenEMR certification?  Any estimated completion date for full certification?

drbowen wrote on Tuesday, June 28, 2011:

Certification Effort Update:

CCR/CCD – all NIST test criteria are now passing.  Still need the RXNorm codes for medications to populate the CCR.  We are expecting these codes to be passed from the E-Prescription modules back into OEMR on the Prescription Medication lists.

Timely Access – this is currently working with the ZH-Healthcare Patient Portal and is meeting all NIST test criteria.  The public portal by cassilup and AcuMedSoft has not been tested yet and NIST.

CQM CDR, patient reminders etc is working.  Selvi and ViCare need some instructions from Aaron, Ken, Brady and Ram on how this beast works.  Every thing is finished but they need to understand it better to able to demonstrate the functionality for testing.

Incorporate the lab test results.  Part of the Automatic Measure calculation.  We’re trying to figure out what the instructions are asking for.  It’s amazing how complex the instructions are.  It’s finished except for figuring out what we are supposed to but in the denominator.

E-Prescription
PhyAura – there is a lot of difference between the PhyAura code and the OEMR base code so far their patches have not been working and this is being worked on by PhyAura
Dr.First – Ensoftek has uploading data coded.  Currently they are working on down loading data.  Progress is good.
H20 – No news from MMF.
NewCrop – ZH-Healthcare and MI-Squared are ready to have a “go-live certification” with NewCrop.  They are waiting for NewCrop to set this meeting up.  Private clients of the two companies are hoping to send active patient prescriptions before 06-30-2011.

Tony is trying to schedule another round of testing with ICSA either at the end of this week or sometime next week.  We hope to be testing at the 100% level (maybe with - maybe without e-prescribing, depending on the “go-live certification” with NewCrop).

Sam Bowen, MD

drbowen wrote on Tuesday, June 28, 2011:

Sorry about the pseudo English.  It’s late and it made more before I made the post.  Let me know if I need to clarify anything.

SB

bradymiller wrote on Tuesday, June 28, 2011:

hi,
Please ensure Cassi’s onsite portal is planned to get certified since this is now included and functional in the official codebase (I can say with certainty that it will pass NIST):
http://www.openmedsoftware.org/wiki/Patient_Portal
thanks,
-brady

blankev wrote on Tuesday, June 28, 2011:

I might have an older version, but I miss:

Change of own Demographics by patient from memory, it was included in the zhHealth version?.

It would be a nice feature to have available also the search link that used from inside OEMR.

TNX for all the efforts to make this psoosible, Pimm

lsalichs wrote on Friday, July 01, 2011:

I have one question. Is it required for a physician to use all the features in OpenEMR in order to receive incentive payments?  For instance, a doctor may not want to use e-prescribing or receive lab reports electronically for whatever reason.  Maybe the region where the practice is located does not have any lab or pharmacy ready to connect to an EMR system, or maybe there are local regulations that do not allow such connections yet.  Please advice.

Thanks

jcahn2 wrote on Sunday, July 03, 2011:

Ahoy Isalichs,

You have a complicated question.  The summary statement for getting CMS to pay you money is here:

https://questions.cms.hhs.gov/app/answers/detail/a_id/10084/~/%5Behr-incentive-program%5D-what-is-meaningful-use,-and-how-does-it-apply-to-the

The pdf with the details has 276 pages :>)  A lot of docs are consulting with their regional networks who have federal money to help them accomplish this task.  The certified software is a key element, but only one element.  There are exceptions to the e-Rx requirements, but offhand, I don’t know them.  This would be an excellent topic for its own thread after certification is achieved.

Jack

drbowen wrote on Thursday, July 14, 2011:

The certification process is in the final debugging stages.  Tony McCormick and ViCare / ViSolve are trying schedule time with the certification company ICSA in the next week.

MI-Squared and ZHHealthcare have finished e-prescription certification with NewCrop and are trying to schedule a final check off with SureScripts.

Ensoftek is working on a Solution as noted above.

The PhyAura solution works with their fork and they are trying to get their RelayHealth solution working with the current OpenEMR 4.1 code.  PhyAura also helped provide the RxNorm codes that we needed for Meaningful Use.

Sam Bowen, MD
http://oemr.org

lsalichs wrote on Friday, July 22, 2011:

Please let us know the latest status and keep us informed.

Thanks.

tmccormi wrote on Friday, July 22, 2011:

See the wiki for the latest as always.
http://wiki.oemr.org/wiki/OpenEMR_Certification#Completion_Barometer
-Tony

drbowen wrote on Saturday, July 23, 2011:

Everything is finished.

We are waiting to get scheduled for additional module certification.

The NewCrop e-prescribing is finished but we are waiting on certification through SureScripts and then ICSA.

Sam Bowen, MD
http://www.oemr.org/

arnabnaha wrote on Saturday, July 23, 2011:

Hi…
Just a query…is drug drug interaction checker already implemented in openemr? if yes, where and how to use that?

anonymous wrote on Sunday, July 24, 2011:

Has any practice been able to get paid for Meaningful Use yet? Or does all that have to wait for October?
I installed 3.x but haven’t been able to get the providers to commit so far. That is until they went to a seminar in Chicago where the monetary nature of Meaningful Use has been revealed to them. Now i’m sure the question will come up as to what level of MU OpenEMR has attained and if that has been enough to for anyone to get paid yet. A provider, whose name I don’t have yet, probably sold several subscriptions this weekend with the promise that they were the “Certified” one. That Certification is what will drive this software forward. As not every clinic has a computer guy in the family, I would encourage you guys to market your full service alternative ASAP.
I will be upgrading to 4.x this week