Certification

Certification 2020-04-22T22:20:47-04:00

iCare EHR

Version 2 Last Modified 04/22/2020

Developer organization name iCare.com, Inc.
Certification Date February 20, 2020
Product name and version iCare EHR version 2
Unique certification number 15.04.04.2617.iCar.02.00.1.200220
Certification criteria to which the product has been certified a.1, a.2, a.3, a.4, a.5, a.6, a.7, a.8, a.9, a.10, a.11, a.12, a.13, a.14, b.1, b.2, b.6, c.1, c.2, c.3, d.1, d.2, d.3, d.4, d.5, d.6, d.7, d.8, d.9, d.10, e.1, e.2, e.3, f.2, f.3, g.2, g.3, g.4, g.5, g.6, g.7, g.8, g.9, h.1
CQMs to which the product has been certified
9 v7 Exclusive Breast Milk Feeding
71 v8 Anticoagulation Therapy for Atrial Fibrillation/Flutter
72 v7 Antithrombotic Therapy By End of Hospital Day 2
104 v7 Discharged on Antithrombotic Therapy
105 v7 Discharged on Statin Medication
108 v7 Venous Thromboembolism Prophylaxis
111 v7 Median Admit Decision Time to ED Departure Time for Admitted Patients
190 v7 Intensive Care Unit Venous Thromboembolism Prophylaxis
Additional software the certified product relied upon to demonstrate its compliance with certification criteria IMO (Intelligent Medical Objects), Elsevier Drug Database, Surescripts

This Complete EHR is 2015 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.

Costs and Limitations

The iCare product has been certified as a Complete EHR that allows an authorized user to securely place orders, electronically prescribe medications, enter, retrieve, view, and incorporate data, as well as generate reports and transmit information to approved 3rd party entities, registries, and providers. This is a web-based product that is offered in pricing packages that include access to the application, product maintenance, and product upgrades. License contracts are generated on a monthly or 1-year or more term based on the client’s requirements and the service options selected. The amount charged is based on the number of users that access the application and can be modified on a monthly basis. Some initial, one-time, and ongoing costs may be required for subscription, implementation, training, and interfaces.

Depending upon the needs and requirements of the client, certain integrations or services will require the use of third party vendors. Services that may be provided by third parties may incur fees, which can be billed by iCare.com or directly by those vendors. Contract agreements and costs between the iCare client and the third party vendors are set between those parties depending upon the products and services selected.

Costs and Limitations of Certified Health IT

Capability

Description of Capability

Costs or Fees

Contractual Limitations

Technical or Practical Limitations

170.315 (a)(1): Computerized Provider Order Entry (CPOE) – Medications

 

Enable a user to record, change, and access medication orders.

 

Included with iCare subscription fee

No contractual limitations

No technical or practical limitations

170.315 (a)(2): CPOE – Laboratory

Enable a user to record, change, and access laboratory orders.

 

Included with iCare subscription fee

No contractual limitations

No technical or practical limitations

170.315 (a)(3): CPOE – Diagnostic Imaging

Enable a user to record, change, and access diagnostic imaging orders.

 

Included with iCare subscription fee

No contractual limitations

No technical or practical limitations

170.315 (a)(4): Drug-Drug, Drug-Allergy Interaction Checks for CPOE

Before a medication order is completed and acted upon during computerized provider order entry (CPOE), interventions automatically indicate to a user drug-drug and drug-allergy contraindications based on a patient’s medication list and medication allergy list.

Included with iCare subscription fee plus separate fee for Elsevier drug database

No contractual limitations

No technical or practical limitations

170.315 (a)(5): Demographics

Enable a user to record, change, and access patient demographic data including race, ethnicity, preferred language, sex, sexual orientation, gender identity, and date of birth.

Included with iCare subscription fee

No contractual limitations

No technical or practical limitations

170.315 (a)(6): Problem List

Enable a user to record, change, and access a patient’s active problem list.

Included with iCare subscription fee plus separate fees for IMO database and AMA database

No contractual limitations

No technical or practical limitations

170.315 (a)(7): Medication List

Enable a user to record, change, and access a patient’s active medication list as well as medication history.

Included with iCare subscription fee plus separate fee for Elsevier drug database

No contractual limitations

No technical or practical limitations

170.315 (a)(8): Medication Allergy List

Enable a user to record, change, and access a patient’s active medication allergy list as well as medication allergy history.

Included with iCare subscription fee

No contractual limitations

No technical or practical limitations

170.315 (a)(9): Clinical Decision Support

Clinical decision support (CDS) interventions are provided to a user when interacting with the system. CDS interventions may be configured by authorized users.

Included with iCare subscription fee plus separate fee for Elsevier drug database

No contractual limitations

No technical or practical limitations

170.315 (a)(10): Drug-Formulary and Preferred Drug List Checks

Automatically check whether a drug formulary exists for a given patient and medication. Automatically check whether a referred drug list exists for a given patient and medication.

Included with iCare subscription fee plus separate fee for Elsevier drug database

No contractual limitations

No technical or practical limitations

170.315 (a)(11): Smoking Status

Enable a user to record, change, and access the smoking status of a patient.

Included with iCare subscription fee

No contractual limitations

No technical or practical limitations

170.315 (a)(12): Family Health History

Enable a user to record, change, and access a patient’s family health history.

Included with iCare subscription fee

No contractual limitations

No technical or practical limitations

170.315 (a)(13): Patient-Specific Education Resources

Identify patient-specific education resources based on data included in the patient’s problem list and medication list.

Included with iCare subscription fee plus separate fee for optional compatible patient education database

No contractual limitations

No technical or practical limitations

170.315 (a)(14): Implantable Device List

Record Unique Device Identifiers associated with a patient’s Implantable Devices. Parse identifiers from a Unique Device Identifier. Obtain and associate attributes with each Unique Device Identifier. Display to a user an implantable device list and access attributes. Enable a user to change the status of a Unique Device Identifier recorded for a patient.

Included with iCare subscription fee

No contractual limitations

No technical or practical limitations

170.315 (a)(15): Social, Psychological, and Behavioral Determinants Data

Enable a user to record, change, and access patient social, psychological, and behavioral data

Included with iCare subscription fee

No contractual limitations

No technical or practical limitations

170.315 (b)(1): Transitions of Care

Send transition of care/referral summaries through edge protocol. Validate conformance and display C-CDA. Enable a user to create a transition of care/referral summary formatted in accordance with standards using the Continuity of Care Document, Referral Note, and Discharge Summary document templates.

Included with iCare subscription fee

No contractual limitations

No technical or practical limitations

170.315 (b)(2): Clinical Information Reconciliation and Incorporation

Clinical information reconciliation and incorporation based on the receipt of a transition of care/referral summary formatted in accordance with standards using the Continuity of Care Document, Referral Note, and Discharge Summary document templates. Enable a user to reconcile the data that represent a patient’s active medication list, medication allergy list, and problem list

Included with iCare subscription fee

No contractual limitations

No technical or practical limitations

170.315 (b)(3): Electronic Prescribing

Enable a user to perform prescription-related electronic transactions in accordance with the applicable standards.

Included with iCare subscription fee plus separate fee for Surescripts

No contractual limitations

No technical or practical limitations

170.315 (b)(4): Common Clinical Data Set Summary Record – Create

Enable a user to create a transition of care/referral summary formatted in accordance with the standard using the Continuity of Care Document, Referral Note, and Discharge Summary document templates.

Included with iCare subscription fee

No contractual limitations

No technical or practical limitations

170.315 (b)(5): Common Clinical Data Set Summary Record – Receive

Enable a user to receive a transition of care/referral summary formatted in accordance with the standard using the Continuity of Care Document, Referral Note, and Discharge Summary document templates.

Included with iCare subscription fee

No contractual limitations

No technical or practical limitations

170.315 (b)(6): Data Export

Enable a user to set configuration options when creating an export summary as well as a set of export summaries for patients whose information is stored in the technology. A user must be able to execute these capabilities at any time the user chooses and without subsequent developer assistance to operate.

Included with iCare subscription fee

No contractual limitations

No technical or practical limitations

170.315 (b)(7): Data Segmentation for Privacy – Send

Enable a user to create a summary record formatted in accordance with the standard that is document-level tagged as restricted and subject to restrictions on re-disclosure according to the standard.

Included with iCare subscription fee

No contractual limitations

No technical or practical limitations

170.315 (b)(8): Data Segmentation for Privacy – Receive

Receive a summary record that is formatted in accordance with the standard that is document-level tagged as restricted and subject to restrictions on re-disclosure according to the standard, sequester the document-level tagged document from other documents received, and view the restricted document without incorporating any of the data from the document.

Included with iCare subscription fee

No contractual limitations

No technical or practical limitations

170.315 (c)(1): Clinical Quality Measures – Record and Export

Record all of the data that would be necessary to calculate each certified CQM. A user is able to export a data file at any time the user chooses and without subsequent developer assistance to operate

Included with iCare subscription fee

No contractual limitations

No technical or practical limitations

170.315 (c)(2): Clinical Quality Measures – Import and Calculate

Enable a user to import a data file in accordance with the standard for one or multiple patients and use such data to calculate each and every clinical quality measure for which it is presented for certification. A user is able to execute this capability at any time the user chooses and without subsequent developer assistance to operate.

Included with iCare subscription fee

No contractual limitations

No technical or practical limitations

170.315 (c)(3): Clinical Quality Measures – Report

Enable a user to electronically create a data file for transmission of clinical quality measurement data.

Included with iCare subscription fee

No contractual limitations

No technical or practical limitations

170.315 (c)(4): Clinical Quality Measures – Filter

Record the data in accordance with the identified standards, where specified, filter CQM results at the patient and aggregate levels, be able to create a data file of the filtered data in accordance with the standard, and display the filtered data results in human readable format.

Included with iCare subscription fee

No contractual limitations

No technical or practical limitations

170.315 (d)(1): Authentication, Access Control, Authorization

Verify against a unique identifier(s) (e.g., username or number) that a user seeking access to electronic health information is the one claimed, establish the type of access to electronic health information a user is permitted based on unique identifier(s), and the actions the user is permitted to perform

Included with iCare subscription fee

No contractual limitations

No technical or practical limitations

170.315 (d)(2): Auditable Events and Tamper-Resistance

Record actions related to electronic health information in an audit log and detect whether the audit log has been altered.

Included with iCare subscription fee

No contractual limitations

No technical or practical limitations

170.315 (d)(3): Audit Report(s)

Enable a user to create an audit report for a specific time period and to sort entries in the audit log according to each of the data specified in the standards.

Included with iCare subscription fee

No contractual limitations

No technical or practical limitations

170.315 (d)(4): Amendments

Enable a user to select the record affected by a patient’s request for amendment and accept or deny the amendment. For an accepted amendment, append the amendment to the affected record or include a link that indicates the amendment’s location. For a denied amendment append the request and denial of the request

Included with iCare subscription fee

No contractual limitations

No technical or practical limitations

170.315 (d)(5): Automatic Access Time-out

Automatically stop user access to health information after a predetermined period of inactivity. Require user authentication in order to resume or regain the access that was stopped.

Included with iCare subscription fee

No contractual limitations

No technical or practical limitations

170.315 (d)(6): Emergency Access

Permit an identified set of users to access electronic health information during an emergency.

Included with iCare subscription fee

No contractual limitations

No technical or practical limitations

170.315 (d)(7): End-User Device Encryption

Technology is designed to prevent electronic health information from being locally stored on end-user devices after use of the technology on those devices stops.

Included with iCare subscription fee

No contractual limitations

No technical or practical limitations

170.315 (d)(8): Integrity

Create a message digest in accordance with the standard and verify in accordance with the standard upon receipt of electronically exchanged health information that such information has not been altered.

Included with iCare subscription fee

No contractual limitations

No technical or practical limitations

170.315 (d)(9): Trusted Connection

Encrypt and integrity protect message contents in accordance with the standards and use a trusted connection in accordance with the standards

Included with iCare subscription fee

No contractual limitations

No technical or practical limitations

170.315 (d)(10): Auditing Actions on Health Information

Record actions related to electronic health information in accordance with the standard and actions recorded related to electronic health information are not be capable of being changed, overwritten, or deleted by the technology.

Included with iCare subscription fee

No contractual limitations

No technical or practical limitations

170.315 (d)(11): Accounting of Disclosures

Record disclosures made for treatment, payment, and health care operations in accordance with the standard

Included with iCare subscription fee

No contractual limitations

No technical or practical limitations

170.315 (e)(1): View, Download, and Transmit to 3rd Party

Patients (and their authorized representatives) are able to use internet-based technology to view, download, and transmit their health information to a 3rd party.

Included with iCare subscription fee

No contractual limitations

No technical or practical limitations

170.315 (e)(2): Secure Messaging

Enable a user to send messages to, and receive messages from, a patient in a secure manner.

Included with iCare subscription fee

No contractual limitations

No technical or practical limitations

170.315 (e)(3): Patient Health Information Capture

Enable a user to identify, record, and access information directly and electronically shared by a patient (or authorized representative), and reference and link to patient health information documents.

Included with iCare subscription fee

No contractual limitations

No technical or practical limitations

170.315 (f)(1): Transmission to Immunization Registries

Create immunization information for electronic transmission.

Included with iCare subscription fee

No contractual limitations

No technical or practical limitations

170.315 (f)(3): Transmission to Public Health Agencies – Reportable Laboratory Tests and Values/Results

Create reportable laboratory tests and values/results for electronic transmission.

Included with iCare subscription fee

No contractual limitations

No technical or practical limitations

170.315 (f)(4): Transmission to Cancer Registries

Create cancer case information for electronic transmission.

Included with iCare subscription fee

No contractual limitations

No technical or practical limitations

170.315 (f)(5): Transmission to Public Health Agencies – Electronic Case Reporting

Consume and maintain a table of trigger codes to determine which encounters may be reportable. Match a patient visit or encounter to the trigger code based on the parameters of the trigger code table. Case report creation. Create a case report for electronic transmission

Included with iCare subscription fee

No contractual limitations

No technical or practical limitations

170.315 (g)(2): Automated Measure Calculation

For each EHR Incentive Programs percentage-based measure that is supported by a capability included in the technology, record the numerator and denominator and create a report including the numerator, denominator, and resulting percentage associated with each applicable measure.

Included with iCare subscription fee

No contractual limitations

No technical or practical limitations

170.315 (g)(3): Safety-Enhanced Design

User-centered design processes are applied to each EHR capability.

Included with iCare subscription fee

No contractual limitations

No technical or practical limitations

170.315 (g)(4): Quality Management System

A Quality Management System (QMS) is used in the development, testing, implementation, and maintenance of each certified capability.

Included with iCare subscription fee

No contractual limitations

No technical or practical limitations

170.315 (g)(5): Accessibility-Centered Design

A health IT accessibility-centered design standard or law is used in the development, testing, implementation and maintenance of each certified capability.

Included with iCare subscription fee

No contractual limitations

No technical or practical limitations

170.315 (g)(6): Consolidated CDA Creation

A consolidated CDA can be created formatted in accordance with the standard that demonstrates the required vocabulary without the omission of any of the data included in the Common Clinical Data Set definition.

Included with iCare subscription fee

No contractual limitations

No technical or practical limitations

170.315 (g)(7): Application Access – Patient Selection

The technology includes an API which is able to receive a request with sufficient information to uniquely identify a patient and return an ID or other token that can be used by an application to subsequently execute requests for that patient’s data. The API includes accompanying documentation.

Included with iCare subscription fee

No contractual limitations

No technical or practical limitations

170.315 (g)(8): Application Access – Data Category Request

The API responds to requests for patient data (based on an ID or other token) for each of the individual data categories specified in the Common Clinical Data Set and returns the full set of data for that data category (according to the specified standards, where applicable) in a computable format. Responds to requests for patient data associated with a specific date as well as requests for patient data within a specified date range.

Included with iCare subscription fee

No contractual limitations

No technical or practical limitations

170.315 (g)(9): Application Access – All Data Request

The API responds to requests for patient data (based on an ID or other token) for all of the data categories specified in the Common Clinical Data Set at one time and returns such data (according to the specified standards, where applicable) in a summary record formatted according to the standard following the CCD document template.

Included with iCare subscription fee

No contractual limitations

No technical or practical limitations

170.315 (h)(1): Direct Project

The system is able to send and receive health information in accordance with the standard formatted as a wrapped message, the standard including support for both limited and full XDS metadata profiles, and both edge protocol methods specified by the standard.

Included with iCare subscription fee

No contractual limitations

No technical or practical limitations