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Certification

GEMMS ONE MUV7.6 - Complete Ambulatory EHR

 

 

This Complete EHR is 2014 Edition compliant and has been certified by an ONC-ACB 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.

Certification Year: 2014

CHPL Product Number:  12122013-1815-6
Product Classification:  Complete EHR  |   Practice Type:  Ambulatory
Additional Software Required:  Alere Analytics™; Updox Direct 2014; NetTime; MedlinePlus Connect; NewCropRx
Product Last Modified:  01/08/2014

This product meets Summary Record Exchange (SRE) Tag  This product meets Summary Record Exchange (SRE) Tag

 

Certification Criteria (170.314)

Checked box * (a)(1) Computerized Provider Order Entry      
Checked box   (a)(2) Drug-Drug, Drug-Allergy Interaction Checks      
Checked box * (a)(3) Demographics      
Checked box   (a)(4) Vital signs, body mass index, and growth charts      
* (a)(5) Problem List      
Checked box * (a)(6) Medication List      
Checked box * (a)(7) Medication Allergy List      
Checked box * (a)(8) Clinical Decision Support      
Checked box   (a)(9) Electronic Notes      
Checked box   (a)(10) Drug-Formulary Checks      
Checked box   (a)(11) Smoking Status      
Checked box   (a)(12) Image Results      
Checked box   (a)(13) Family Health History      
Checked box   (a)(14) Patient List Creation      
Checked box   (a)(15) Patient-Specific Education Resources      
Unchecked box   (a)(16) Electronic Medication Administration Record      
Unchecked box   (a)(17) Advance Directives      
Checked box * (b)(1) Transitions of Care - receive, display, and incorporate transition of care/referral summariesThis criterion is a part of Summary Record Exchange (SRE) Tag      
Checked box * (b)(2) Transitions of Care - create and transmit transition of care/referral summariesThis criterion is a part of Summary Record Exchange (SRE) Tag      
Checked box   (b)(3) Electronic Prescribing      
Checked box   (b)(4) Clinical Information ReconciliationThis criterion is a part of Summary Record Exchange (SRE) Tag      
Checked box   (b)(5) Incorporate Laboratory Tests and Values/Results      
Unchecked box   (b)(6) Transmission of Electronic Laboratory Tests and Values/Results to Ambulatory Providers      
Checked box * (b)(7) Data Portability      
Checked box * (c)(1) Clinical Quality Measures - capture and export      
Checked box * (c)(2) Clinical Quality Measures - import and calculate      
Checked box * (c)(3) Clinical Quality Measures - electronic submission      
Checked box * (d)(1) Authentication, access control, and authorization      
Checked box * (d)(2) Auditable Events and Tamper-Resistance      
Checked box * (d)(3) Audit Report(s)      
Checked box * (d)(4) Amendments      
Checked box * (d)(5) Automatic log-off      
Checked box * (d)(6) Emergency access      
Checked box * (d)(7) End-User Device Encryption      
Checked box * (d)(8) Integrity      
Checked box   (d)(9) Accounting of Disclosures (optional)      
Checked box   (e)(1) View, Download, and Transmit to 3rd Party      
Checked box   (e)(2) Clinical Summary      
Checked box   (e)(3) Secure Messaging      
Checked box   (f)(1) Immunization Information      
Checked box   (f)(2) Transmission to Immunization Registries      
Checked box   (f)(3) Transmission to Public Health Agencies - Syndromic Surveillance      
Unchecked box   (f)(4) Transmission of Reportable Laboratory Tests and Values/Results      
Unchecked box   (f)(5) Cancer Case Information      
Unchecked box   (f)(6) Transmission to Cancer Registries      
Unchecked box   (g)(1) Automated Numerator Recording      
Checked box   (g)(2) Automated Measure Calculation      
Checked box   (g)(3) Safety-Enhanced Design      
Checked box   (g)(4) Quality Management System      

* Required 2014 Edition EHR certification criteria to meet Base EHR definition

 

Ambulatory Clinical Quality Measures

    Measure Version Domain NQF #
Checked box CMS2 Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan v3 Population/Public Health NQF 0418
Checked box   CMS22 Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented v2 Population/Public Health N/A
Checked box CMS50 Closing the referral loop: receipt of specialist report v2 Care Coordination N/A
Checked box   CMS52 HIV/AIDS: Pneumocystis jiroveci pneumonia (PCP) Prophylaxis v2 Clinical Process/Effectiveness NQF 0405
Checked box   CMS56 Functional status assessment for hip replacement v2 Patient & Family Engagement N/A
Unchecked box   CMS61 Preventive Care and Screening: Cholesterol Fasting Low Density Lipoprotein (LDL-C) Test Performed   Clinical Process/Effectiveness  
Checked box   CMS61 Preventive Care and Screening: Cholesterol – Fasting Low Density Lipoprotein (LDL-C) Test Performed v3 Clinical Process/Effectiveness N/A
Checked box   CMS62 HIV/AIDS: Medical Visit v2 Clinical Process/Effectiveness NQF 0403
Unchecked box   CMS64 Preventive Care and Screening: Risk- Stratified Cholesterol Fasting Low Density Lipoprotein (LDL-C)   Clinical Process/Effectiveness  
Checked box   CMS64 Preventive Care and Screening: Risk- Stratified Cholesterol – Fasting Low Density Lipoprotein (LDL-C) v3 Clinical Process/Effectiveness N/A
Checked box   CMS65 Hypertension: Improvement in blood pressure v3 Clinical Process/Effectiveness N/A
Checked box   CMS66 Functional status assessment for knee replacement v2 Patient & Family Engagement N/A
Checked box CMS68 Documentation of Current Medications in the Medical Record v3 Patient Safety NQF 0419
Checked box CMS69 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up v2 Population/Public Health NQF 0421
Checked box   CMS74 Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists v3 Clinical Process/Effectiveness N/A
Checked box CMS75 Children who have dental decay or cavities v2 Clinical Process/Effectiveness N/A
Checked box   CMS77 HIV/AIDS: RNA control for Patients with HIV v2 Clinical Process/Effectiveness N/A
Checked box   CMS82 Maternal depression screening v1 Population/Public Health NQF 1401
Checked box CMS90 Functional status assessment for complex chronic conditions v3 Patient & Family Engagement N/A
Checked box CMS117 Childhood Immunization Status v2 Population/Public Health NQF 0038
Checked box   CMS122 Diabetes: Hemoglobin A1c Poor Control v2 Clinical Process/Effectiveness NQF 0059
Checked box   CMS123 Diabetes: Foot Exam v2 Clinical Process/Effectiveness NQF 0056
Checked box   CMS124 Cervical Cancer Screening v2 Clinical Process/Effectiveness NQF 0032
Checked box   CMS125 Breast Cancer Screening v2 Clinical Process/Effectiveness NQF 0031
Checked box CMS126 Use of Appropriate Medications for Asthma v2 Clinical Process/Effectiveness NQF 0036
Checked box   CMS127 Pneumonia Vaccination Status for Older Adults v2 Clinical Process/Effectiveness NQF 0043
Checked box   CMS128 Anti-depressant Medication Management v2 Clinical Process/Effectiveness NQF 0105
Checked box   CMS129 Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients v3 Efficient Use of Healthcare Resources NQF 0389
Checked box   CMS130 Colorectal Cancer Screening v2 Clinical Process/Effectiveness NQF 0034
Checked box   CMS131 Diabetes: Eye Exam v2 Clinical Process/Effectiveness NQF 0055
Checked box   CMS132 Cataracts: Complications within 30 Days Following Cataract Surgery Requiring Additional Surgical Procedures v2 Patient Safety NQF 0564
Checked box   CMS133 Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery v2 Clinical Process/Effectiveness NQF 0565
Checked box   CMS134 Diabetes: Urine Protein Screening v2 Clinical Process/Effectiveness NQF 0062
Checked box   CMS135 Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD) v2 Clinical Process/Effectiveness NQF 0081
Checked box CMS136 ADHD: Follow-Up Care for Children Prescribed Attention-Deficit/Hyperactivity Disorder (ADHD) Medication v3 Clinical Process/Effectiveness NQF 0108
Checked box   CMS137 Initiation and Engagement of Alcohol and Other Drug Dependence Treatment v2 Clinical Process/Effectiveness NQF 0004
Checked box CMS138 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention v2 Population/Public Health NQF 0028
Checked box   CMS139 Screening for Future Fall Risk v2 Patient Safety NQF 0101
Checked box   CMS140 Breast Cancer: Hormonal Therapy for Stage IC-IIIC Estrogen Receptor/Progesterone Receptor (ER/PR) Positive Breast Cancer v2 Clinical Process/Effectiveness NQF 0387
Checked box   CMS141 Colon Cancer: Chemotherapy for AJCC Stage III Colon Cancer Patients v3 Clinical Process/Effectiveness NQF 0385
Checked box   CMS142 Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care v2 Clinical Process/Effectiveness NQF 0089
Checked box   CMS143 Primary Open Angle Glaucoma (POAG): Optic Nerve Evaluation v2 Clinical Process/Effectiveness NQF 0086
Checked box   CMS144 Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) v2 Clinical Process/Effectiveness NQF 0083
Checked box   CMS145 Coronary Artery Disease (CAD): Beta-Blocker Therapy- Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <40%) v2 Clinical Process/Effectiveness NQF 0070
Checked box CMS146 Appropriate Testing for Children with Pharyngitis v2 Efficient Use of Healthcare Resources NQF 0002
Checked box   CMS147 Preventative Care and Screening: Influenza Immunization v2 Population/Public Health NQF 0041
Checked box   CMS148 Hemoglobin A1c Test for Pediatric Patients v2 Clinical Process/Effectiveness NQF 0060
Checked box   CMS149 Dementia: Cognitive Assessment v2 Clinical Process/Effectiveness N/A
Checked box CMS153 Chlamydia Screening for Women v2 Population/Public Health NQF 0033
Checked box CMS154 Appropriate Treatment for Children with Upper Respiratory Infection (URI) v2 Efficient Use of Healthcare Resources NQF 0069
Checked box CMS155 Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents v2 Population/Public Health NQF 0024
Checked box CMS156 Use of High-Risk Medications in the Elderly v2 Patient Safety NQF 0022
Unchecked box   CMS157 Oncology: Medical and Radiation Pain Intensity Quantified   Patient & Family Engagement NQF 0384
Checked box   CMS157 Oncology: Medical and Radiation – Pain Intensity Quantified v2 Patient & Family Engagement NQF 0384
Checked box   CMS158 Pregnant women that had HBsAg testing v2 Clinical Process/Effectiveness NQF 0608
Checked box   CMS159 Depression Remission at Twelve Months v2 Clinical Process/Effectiveness NQF 0710
Checked box   CMS160 Depression Utilization of the PHQ-9 Tool v2 Clinical Process/Effectiveness NQF 0712
Checked box   CMS161 Major Depressive Disorder (MDD): Suicide Risk Assessment v2 Clinical Process/Effectiveness NQF 0104
Checked box   CMS163 Diabetes: Low Density Lipoprotein (LDL) Management v2 Clinical Process/Effectiveness NQF 0064
Checked box   CMS164 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic v2 Clinical Process/Effectiveness NQF 0068
Checked box CMS165 Controlling High Blood Pressure v2 Clinical Process/Effectiveness NQF 0018
Checked box CMS166 Use of Imaging Studies for Low Back Pain v3 Efficient Use of Healthcare Resources NQF 0052
Checked box   CMS167 Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy v2 Clinical Process/Effectiveness NQF 0088
Checked box   CMS169 Bipolar Disorder and Major Depression: Appraisal for alcohol or chemical substance use v2 Clinical Process/Effectiveness NQF 0110
Checked box   CMS177 Child and Adolescent Major Depressive Disorder: Suicide Risk Assessment v2 Patient Safety NQF 1365
Checked box   CMS179 ADE Prevention and Monitoring: Warfarin Time in Therapeutic Range. v2 Patient Safety N/A
Checked box   CMS182 Ischemic Vascular Disease (IVD): Complete Lipid Panel and LDL Control v3 Clinical Process/Effectiveness NQF 0075

Recommended Adult and Pediatric Core CQMs for EPs

 

Costs and Limitations

Capability Capability Description of Capability Cost or Fees Contractual Limitations Technical or Practical Limitations
eRx and EPCS Services e Prescribing This module allows the physician to e prescribe both non controlled and controlled prescriptions electronically according to Government regulations There are monthly subscription fees for these prescribing services that allow for the physician credentialing , Verizon identity proofing, weekly and monthly updates of approved e prescribing pharmacies and medications. The fees are based on a flat per prescriber fee per month. Fees are paid to GEMMS for these services. Practices will be required to sign agreements with MedInformatix and NewCrop,Inc for e prescribing services. This service requires the practice to have Internet Connectivity capable of handling the eRx Transactions and in the case of ECPS the ability for a second validation code provided by Verizon.
Clinical Decision Support Clinical Decision Support Requirement This module allows patient information to be securely uploaded to a third party for evaluation and for the necessary recommendations and links to qualified research studies to be downloaded to the Physician for review and storage. There is a monthly subscription fee for this service. The fees for this service are based on a flat per Physician Fee Per Month. All fees are paid to GEMMS for these services. Practices will be required to sign agreements with Persivia Analytics for this service. This service requires the practice to have Internet Connectivity capable of handling these CDS Transactions.
Direct Messaging This assists the EP to meet the secure message transmission requirement. This module is again tied to a third party vendor who is a national trust organization and provides Direct Messaging services and holds the certificates needed to engage in Direct Messaging. There is a flat monthly subscription fee for this service. The fees for this service are based on a per Direct Message Provider Per Month Fee. All subscription fees are paid direct to GEMMS for this service. Practice will not be required to sign an Agreement however, GEMMS currently has an Agreement with Updox for this service and the practice will be required to utilize this service to meet the direct messaging requirement. Updox belongs to a National Direct Messaging Trust with a robust directory of Direct Emails trusted and they are adding new ones every day. If a practice needs to exchange with a person or entity that is not part of this trust, Updox will make every effort to certify and to exchange Certificates so that a trusted connection can be achieved in those rare cases Clinical Exchange cannot take place successfully until a trust between parties can be established. This service requires the practice to have Internet Connectivity capable of handling these Direct Messaging Transactions
Patient Portal Allows for 24/7 Accessibility by the Patient to their Patient Health Information This is a web based application that allows the patient to access their medical records and Patient Health Information at any time in a secure manner and allows them to view, download or send that information to others. GEMMS has two approaches to the patient portal. We license the Application and the Customer Manages it or GEMMS will host the Patient Portal for the Customer at its secure datacenter and manage the portal for the practice. The Fees for this service depend on where the Portal is housed. If GEMMS hosts the portal for the Practice Fees are based on a fixed Per Physician Per month charge. If the Practice hosts its own portal it is based on License Fee and Monthly support Fee. All fees are paid direct to GEMMS for portal services. There is a Service Agreement that is required between the practice and GEMMS for this service. For practices who host the Patient Portal they are required to provide the Web Server and Digital Security Certification and they must have Interned capability to handle the patient volume of access to their server. If GEMMS hosts the server, the practice must have the bandwidth capacity to mamage the Internet traffic between the GEMMS data center and the practice GEMMS medical information server.

 There are no additional contractual or technical limitations outside of what is already listed in the table above.

 

GEMMS
10201 N. Illinois Street
Suite 140
Indianapolis, IN 46290
800.773.3111
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