Presentation on theme: "HITSC Implementation Workgroup Practice Fusion CCDA Experience Presented By: Emily Richmond, MPH Senior Product Advisor July 27, 2014."— Presentation transcript:
HITSC Implementation Workgroup Practice Fusion CCDA Experience Presented By: Emily Richmond, MPH Senior Product Advisor July 27, 2014
Practice Fusion Facts 2 +Certified as a 2014 complete ambulatory EHR since December 17, 2013 +One of 8 EHR vendors with Stage 2 attestations as of last data reported by CMS +Cloud-based technology that is completely free to all healthcare provider customers. <8% of PF customers have sent a CCDA clinical document to another provider 1% of PF customers have both sent and received a CCDA clinical document
CCDA Interoperability Experiences 3 +Current standards and implementation guides still allow a great deal of variability, which results in different interpretations when developed and configured by different organizations. +Greater interoperability would require stricter and more clearly defined standards with less flexibility in implementation. +Interoperability scenarios that are challenging include: Patient matching using CCDAs across different settings Ability to display, parse, and ingest data from CCDAs generated by external systems. Using data from a CCDA for the purposes of quality measure calculations.
CCDA Interoperability Experiences 4 +Meaningful Use CCDA standard areas for improvement: Requires all sections to be present even if there is no data. Minimum code set defined as required but doesn’t allow for updates (RxNorm, SNOMED, etc.) Required metadata or metadata necessary for utilization of the data not strictly defined for all coded data elements. Does not require presence of numeric personal unique identifiers (HIC, SSN) that would facilitate patient matching +Difficulties arise when developing and testing a system for minimum and very defined test case (CCDA samples from authorized testing lab)