Electronic Health Record (EHR) technology is defined by the New Jersey Medicaid EHR Incentive Program as one or more of the following:
- A complete EHR that, if used appropriately, will permit a hospital to comply with all of the objectives and measures of meaningful use.
- An EHR module is defined as any EHR technology that if used appropriately would permit a physician to comply with at least one of the objectives and measures of meaningful use. An e-prescribing application is one example of an EHR module that could meet several of the meaningful use objectives. E-prescribing integrated with other modules (e.g., specific registries and a health data exchange module to provide patients with clinical summaries) might meet all of the criteria of meaningful use.
Note: open-source, home-grown or self-developed software programs are allowable EHR technologies provided they are certified.
The New Jersey Medicaid EHR Incentive Program requires that only certified complete EHRs and EHR modules may be used to qualify a hospital as a meaningful user. The certification process was established in August 2010 and is managed by the ONC. Under the new rules, ONC will accredit "testing and certifying bodies" that certify EHR technology. For a listing of ONC accredited organizations and certified EHR technology, click on the following link for the comprehensive list of Certified HIT Product List (CHPL): http://onc-chpl.force.com/ehrcert.
EHR products on the market for the past few years may not have the "right stuff" for enabling a hospital to meet meaningful use criteria, even if they were certified by the Certification Commission for Health Information Technology (CCHIT) prior to July 2010.
There is no "grandfathering in" of either testing and certification bodies such as CCHIT nor of products certified by them. CMS and ONC maintain a public web site for all products and services that have been successfully tested and certified. The Certified HIT Product List (CHPL) provides the authoritative, comprehensive listing of Complete EHRs and EHR Modules that have been tested and certified.
For more information on Meaningful Use, click on the following link: Meaningful Use Requirements for Eligible Hospitals