CCHIT EHR Certification Criteria Problem

Posted on October 16, 2009 I Written By

John Lynn is the Founder of the blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of and John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

I’ve discussed a lot of problems (there are many) with the CCHIT EHR Certification in the past. However, one problem I’d never heard of was something that Lourdes from WebDMEMR said in a comment on my post about EHR certification recommendations:

WebDMEMR’s development schedule has been on par with the Meaningful Use Matrix Tagged for CCHIT Reference. This document lays out a generalized view of the functionality necessary to conform with meaningful use, not CCHIT. I actually took a look at the Preliminary ARRA criteria, can believe that there are some criteria that only apply to client-server EMRs? With no option for web based applications? These test scripts are geared towards client – server based technologies, I found that many of the criterion did not make sense for a web based EMR. For example, I noticed one requirement states that the technology must use Kerberos. This is technology is only primarily available and necessary for client – server based EMRs. Representing a web based company, how are we supposed test ourselves if the test scripts are based on the wrong technology? CCHIT’s answer was: the federal governement imposed that criteria.. we have no say in that.. I highly doubt the federal government would restrict all other emr technologies.. CCHIT is incompenent, and are playing on the EMR communities fears. I definitely will not buy into it.

The problem of having a criteria that only applies to a client server based EMR is a pretty serious problem since so many EMR these days are web based and wouldn’t need or want to use Kerberos. CCHIT should really find a way to deal with this problem. Issues like this could also be a problem for the HHS criteria, so it will be interesting to see if HHS can do a better job than CCHIT has done.