Costs and Limitations of Certified Health IT

 

Capability Description of CapabilityCosts or Fees Costs or Fees
Types of costs or fees that a user may be required to pay to purchase, license, implement, maintain, upgrade, use, or otherwise enable and support the use of the implementation or use of the capability -OR- in connection with the data generated in the course using the capability
Contractual Limitations
Limitations of a contractual nature (including developer policies and other business practices) that a user may encounter in the implementation or use of the capability -OR- in the connection with the data generated in the course of using the capability
Technical or Practical Limitations
Limitations of a technical or practical nature that a user may encounter that could prevent or impair the successful implementation, configuration, maintenance, support or use of the capability -OR- prevent or limit the use, exchange or portability of any data generated in the course of using the capability
[Identify the capability and associated certification criteria] [Describe, in plain language, the intended and other reasonable uses of the capability as marketed] [Describe, with particularity, the nature, magnitude, and extent of the additional types of costs. The disclosure must describe the factors that impact additional types of costs, including but not limited to geographical considerations, volume and usage, costs associated with necessary interfaces or other licenses or technology, and costs associated with exchange partner technology and characteristics, among other relevant factors. Are the costs per provider or per organization, an ongoing or a one-time fee, volume based or a flat fee, or costs requiring a 3rd party service?] [Describe, with particularity, the nature, magnitude, and extent of the limitations. This description should, if relevant, include an explanation of how the limitations associated with non-certified capabilities may interfere with the use or implementation of any certified capability]

*If there are no contractual limitations associated with this capability, indicate “No contractual limitations”
[Describe, with particularity, the nature, magnitude, and extent of the limitations. This description should, if relevant, include an explanation of how the limitations associated with non-certified capabilities may interfere with the use or implementation of any certified capability]

*If there are no technical or practical limitations associated with this capability, indicate “No technical or practical limitations”
Drug-drug, drug-allergy interaction checks 170.314.a.2 Drug-drug, drug-allergy interaction checks when prescribing None New Crop is used to assist in performing Drug-drug, drug-allergy interaction checks when prescribing. Users do not have to have contract to use New Crop. No technical or practical limitations
Clinical decision support
170.314.a.8
This functionality enables users to receive clinical alerts to augment their clinical care delivery processes. Decision alerts can be passive alerts or protocols or order sets that help clinicians comply with evidence-based guidelines. One-time initial subscription fee New Crop is used to assist in triggering CDS alert for meeting Meaningful Use requirement. Users do not have to have contract to use New Crop. No technical or practical limitations
Drug formulary checks
170.314.a.10
This functionality enables users to perform drug formulary checks during medication prescriptions. This functionality is included in the base subscription and utilizes the eligibility files to determine formulary coverage. One-time initial subscription fee New Crop is used to perform drug formulary checks during medication prescriptions. Users do not have to have contract to use New Crop. No technical or practical limitations
Electronic prescribing
170.314.b.3
This functionality enables users to send prescriptions to pharmacies electronically. One-time initial subscription fee New Crop is used to send electronic prescriptions to pharmacies. Users do not have to have contract to use New Crop. No technical or practical limitations
Clinical information reconciliation
170.314.b.4
This functionality enables users to receive a transition of care document and display and incorporate the document into patients’ charts. This functionality enables users to electronically receive secure Continuity of Care Documents (CCD) and reconcile problems, allergies and medications into the patients’ charts. One-time initial subscription fee, additional fees may be applied if customized accounts are requested New Crop and Data Motion are used to receive and send out data to other providers. Users do not have to have contract to use New Crop or Data Motion. No technical or practical limitations
Transitions of care, receive, display, and transmit transition of care – referral summaries
170.314.b.1
This functionality enables users to receive a transition of care document and display and incorporate the document into patients records. This functionality enables users to electronically receive secure Continuity of Care Documents (CCD). One-time initial subscription fee, additional fees may be applied if customized accounts are requested. Data Motion is used to assist with transition of care documents display and incorporate patients CCD to the records.
Users do not have to have contract to use Data Motion.
No technical or practical limitations
Transitions of care, create and transmit transition of care – referral summaries
170.314.b.2
This functionality enables users to create and send referral summary of care documents electronically to other providers. Direct messaging is a secure message transport mechanism. One-time initial subscription fee, additional fees may be applied if customized accounts are requested. Data Motion is used to create and send messages electronically to other providers. Direct messaging is a secure message transport mechanism. Users do not have to have contract to use Data Motion. No technical or practical limitations
Ambulatory setting only – secure messaging
170.314.e.1
This functionality enables users to create and send messages electronically to other providers. Direct messaging is a secure message transport mechanism. One-time initial subscription fee, additional fees may be applied if customized accounts are requested. Data Motion is used to create and send messages electronically to other providers. Direct messaging is a secure message transport mechanism. Users do not have to have contract to use Data Motion. No technical or practical limitations
Patient list creation
170.314.a.14
This functionality enables users to filter by date/time, range, sorting lists No fees Microsoft Excel is used to assist with filtering by date/time, range, sorting lists No technical or practical limitations
Clinical quality measures import and calculate
170.314.c.2
CQM calculation and generation of QRDA files No fees Pop Health and IRIS Registry are used for CQM calculation No technical or practical limitations
Clinical quality measures and electronic submission
170.314.c.3
CQM calculation and generation with QRDA files and submission No fees Pop Health and IRIS Registry are used for CQM calculation with QRDA files and submission No technical or practical limitations
Data portability
170.314.b.7
This capability will allow extraction of data One-time fee per provider upon request of data extraction None No contractual limitations No technical or practical limitations
PM Interface This capability will allow Practice Management Systems to communicate to the EHR by sending patient demographics to the HER. Also this capability will allow users to export charges to the PM system. Additional fees may apply if the client switches from one PM system to another after initial installation of the EHR. Data merging fees may also apply. HL 7 connection, SFTP, Connector No technical or practical limitations