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CHIME Issues Comments on Temporary Certification Process
Date:4/9/2010

constitutes a self-developed EHR. Current wording in the regulation suggests that any complete EHR or EHR module that’s modified by a healthcare provider or a contractor could require certification.

EHR products often are adapted or adjusted for a variety of reasons, such as facilitating the exchange of data or to fit specific needs of organizations, and routine adaptations of certified systems should not need to be recertified, CHIME said. “A broad interpretation of modification by the agencies charged with enforcing a final regulation on this topic may require more providers to embark on the certification process than is necessary or effective,” the comments said.

CHIME’s comments also recommend that:

 
  • Changes in certification requirements be made only when they are necessary to meet meaningful use evolution or advance interoperability, not just because a certain amount of time has passed.
  • If CMS maintains the “adoption year” approach originally advanced in proposed regulations, providers should not be required to have products certified for capabilities not required in their current adoption year.
  • Individual EHR modules be certified to ensure that they can communicate according to adopted standards, and that the interoperability of those modules as used by providers be deemed as certified.
  • HIT vendors fully disclose functions for which their products are certified and fully disclose known compatibility issues.
  • In the event of a certification body losing its authority to certify products, vendors should have six months to recertify products, and providers should not
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