Related Links

Health care organizations that developed their own electronic health records systems likely will be able to get them certified as being compliant with the meaningful use requirements of the federal EHR incentive program next year.

The Certification Commission for Health Information Technology next year plans to develop a "site certification" program for hospitals and physician groups that use self-developed EHRs or a mix of commercial and proprietary applications, says Mark Leavitt, M.D., chair of the Chicago-based organization. The effort also will offer certification for those organizations that use an older, commercial clinical system that's been heavily customized, he notes.

Although it has not yet been officially designated as an official EHR certifying body under the incentive program called for in the American Recovery and Reinvestment Act, CCHIT already is developing a new certification program designed to measure whether software is compliant with the yet-to-be-finalized federal "meaningful use" EHR standards. The site certification component will feature sliding-scale pricing to make it affordable to providers of various sizes, Leavitt says.

"Site certification is designed to help the early adopters who were EHR pioneers," Leavitt adds.

The site certification effort won't start until the middle of next year once the final "meaningful use" rules are enacted. CCHIT, however, will begin accepting applications Oct. 7 for its "ARRA 2011 Certification" program for vendors' EHRs. That program is based on the proposed rules the government expects to publish in December.

Government regulators are considering a proposal to authorize multiple EHR certification programs. Leavitt says he's confident the government will designate CCHIT as an official certifier of meaningful use for the Medicare and Medicaid EHR incentive programs. He also says it's "not clear why others would want to launch" certification efforts. He points out that CCHIT is a not-for-profit group and contends that it would be difficult for others to start from scratch and cover their costs, much less make a profit.

CCHIT also is continuing with its longstanding effort to certify vendors' EHRs for meeting a set of criteria much broader than the anticipated "meaningful use" standards. The criteria for the updated "CCHIT Certified 2011" program will become "more rigorous," Leavitt says. For example, vendors will need to prove that the application has been up and running at two sites for at least 45 days. Plus certifiers will, for the first time, assess the "usability" of EHR software for ambulatory care settings.

Leavitt made his comments Oct. 5 at the annual convention of the American Health Information Management Association in Grapevine, Texas.

More information about CCHIT is available at cchit.org.

--Howard Anderson