Dr. Mark Leavitt, chairman, CCHIT
HHS EHR Incentive Program & Meaningful-use Highlights
Program Stages
- Stage I – Electronic capture of health information in a coded format; tracking key clinical conditions and communicating outcomes for care coordinating; implementing clinical decision support tools to facilitate disease and medication management; and reporting outcomes for public health purposes.
- Stage II – Encourages the use of health IT to enhance computerized provider order entry; transitions in care; electronic transmission of diagnostic test results; and, research.
Definitions of an EHR
- EHR Module: Any service, component, or combination thereof that can meet the requirements of at least one certification criterion adopted by the Secretary.
- Certified EHR Technology: A Complete EHR or a combination of EHR Modules that meet the requirements included in the definition of a Qualified EHR; and has been tested and certified in accordance with the certification program. The use of EHR Modules may enable an eligible professional or eligible hospital to create a combination of products and services that, taken together, meets the definition of Certified EHR Technology.
SIS Perioperative v5, an EHR Module, is 2011/2012 compliant and has been certified by an ONC-ATCB in accordance with the applicable certification criteria adopted by the Secretary of Health and Human Services. This certification does not represent an endorsement by the U.S. Department of Health and Human Services or guarantee the receipt of incentive payments.
Surgical Information Systems’ SIS Perioperative v5 was certfied on November 19, 2010, Certification ID 11192010-6161-8.
SIS Anesthesia v5.0 is 2011/2012 compliant and has been certified by Drummond Group Inc., an ONC-ATCB, authorized to conduct complete and modular EHR testing and certification in accordance with the applicable certification criteria adopted by the Secretary of Health and Human Services. This certification does not represent an endorsement by the U.S. Department of Health and Human Services or guarantee the receipt of incentive payments.
Surgical Information Systems' SIS Anesthesia v5.0 was certified on October 6, 2011, Certification ID 10062011-6162-6
Stage 1: 2011 Meaningful-Use Criteria Specific to a Perioperative EHR
- Implement drug-drug, drug-allergy, drug-formulary checks*
- Maintain an up-to-date problem list of current and active diagnoses based on ICD-9 or SNOMED
- Maintain an active medication list
- Maintain an active medication allergy list
- Record demographics*
- Record & chart vital signs
- Record smoking status
- Incorporate lab-test results into EHR as structured data
- Generate lists of patients by specific conditions
- Report hospital quality measures to CMS
- Implement 5 clinical decision support rules
- Provide patients with an electronic copy of their health information upon request
- Provide patients with an electronic copy of their discharge instructions and procedures at time of discharge, upon request
- Exchange key clinical information among providers of care and patient authorized entities electronically
- Provide summary care record for each transition of care and referral
- Perform medication reconciliation at relevant encounters and each transition of care
- Protect electronic health information created or maintained by the certified EHR technology
2011-2012 Clinical Quality Measures Required for Electronic Submission by Eligible Hospitals Specific to Surgery
- VTE prophylaxis within 24 hours of arrival
- VTE discharge instructions
- Incidence of potentially preventable VTE: patients diagnosed with confirmed VTE during hospitalization (not present on arrival) who did not receive VTE prophylaxis between hospital admission and the day before the VTE diagnostic testing order date.
- Infection SCIP Inf-2 Prophylactic antibiotics consistent with current recommendations: Surgical patients who received prophylactic antibiotics consistent with current guidelines (specific to each type of surgical procedure).
- Iotrogenic pneumothorax in non-neonates (pediatric up to 17 years of age): Percent of medical and surgical discharges with ICD-9-CM code of iatrogenic pneumothorax in any secondary diagnosis field.
- Foreign body left after procedure, age under 18 years: Discharges with foreign body accidentally left in during procedure per 1,000 discharges
- Infection SCIP Inf-1 Prophylactic antibiotic received within 1 hour prior to surgical incision
- Infection SCIP Inf-3 Prophylactic antibiotics discontinued within 24 hours after surgery end time
Please visit the Interoperability page to look at what SIS has been and continues to do to support interoperability.
Click here to learn more about SIS’ role in interoperability.