Electronic Health Record (EHR) Reporting Program: developer-reported measures: final report prepared for the Office of the National Coordinator for Health information Technology (ONC)
The 21st Century Cures Act (Cures Act)ii directed the US Department of Health and Human Services to establish the Electronic Health Record (EHR) Reporting Program. iii The Office of the National Coordinator for Health Information Technology (ONC) contracted with the Urban Institute, and its subcontractor, HealthTech Solutions, to support development of the program. The EHR Reporting Program was intended to reflect voluntary end users’ and developers’ reporting of comparative information on certified health information technology (IT). The Urban Institute (hereinafter referred to as Urban for brevity) and HealthTech Solutions (herein referred to as HTS for brevity) have published voluntary user measuresiv for the EHR Reporting Program designed to provide publicly available, comparative information on certified health IT products to inform health IT users’ purchasing and implementation decisions. These measures were informed by a 60-day public feedback period and focus on the domains identified under the Cures Act—interoperability, usability and usercentered design, privacy and security, conformance to certification standards—and other categories as appropriate to evaluate the performance of certified health IT. ONC does not plan to implement these voluntary user-reported measures at this time. The EHR Reporting Program also includes measures that developers of certified health IT will be required to report on as a condition and maintenance of certification under the ONC Health IT Certification Program. These developer measures aim to address information gaps in the health IT marketplace and provide insights on how certified health IT is being used. The first set of measures focuses on interoperability, with an emphasis on patient access, public health information exchange, clinical care information exchange, and standards adoption and conformance. This report presents the developer measures and concludes the Urban Institute and HealthTech Solutions’ work to support ONC in the development of this program.
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