• PHR - Patient Health

    To achieve meaningful use and your organization must implement technology that empowers patients to take a more active role in their healthcare...

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  • PMS - Practice Management

    ChoiceOne EHR’s Practice Management System (PMS) Interface Solution completes the payment process, financial and billing solutions were designed to...

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  • ACO - ACO Management

    The task of starting up and managing an ACO is difficult, but ChoiceOne’s ACO Management Software makes the experience simpler...

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ChoiceOne EHR

    Objectives and Standards


    ChoiceOne EHR has designed and developed a system to streamline and eliminate duplication of data entry and minimize time spent performing clerical duties with an emphasis toward a paperless environment.
    • The system was designed to reflect a working environment in which clinical procedures are performed.
    • The system was designed and built NOT to interfere with the current work flow.
    • Our system can be modified and customized to reflect clinical protocol and business models used in the patient care of specific clinical environments.

    ChoiceOne EHR will Increase the efficiency of the service by automation of many manual procedures resulting in significantly improved turnaround times for results and hence improved patient care.
    • Our system will minimize data input and representation errors and simplify data input
    • Our system will minimize CPT and ICD-9 coding error
    • Our system will evidence based medical data appears in context
    • Our system provides templates and context sensitive data for most common situations

    ChoiceOne EHR provides a secure system, which ensures security and confidentiality of all data and prevents inappropriate viewing and modification of information.
    • For security, all data transmissions were carried over encrypted Internet connections such as Secure Sockets Layer (SSL) and Hyper Text Transfer Protocol over SSL (HTTPS).
    • The application verifies the standards related to privacy and confidentiality.

    ChoiceOne EHR supports a high degree of flexibility, which allows configuration changes to be made on-line, and in a timely, user-friendly manner.
    • Our system has flexibility and capability to support required clinical activities
    • Our knowledgeable personnel will assist you in a timely manner
    • Our system is SaaS based EHR system and all the changes can be done on-line

    EHR Services

    ChoiceOne EHR provides a reliable, secure platform to exchange clinical, financial and administrative data while reducing complexity and costs. The digital automation of health information has traditionally focused on the formal implementation of electronic health records. Most of these EHR systems are relational databases that focus on intra-enterprise applications. However, ChoiceOne EHR has designed and developed a fully functional, scalable, distributed system with interoperability. We have identified the design challenges in EHRs and explore the potential of service-oriented architecture in the development of interoperable EHRs.
    • Billing Service

        As a full service billing company, ChoiceOne EHR not only offers EHR services but we also offers comprehensive billing, processing and claims services. We cover all aspects of the billing; processing and claim services that can help reduce your over heads and optimize your bottom line. We facilitate the reimbursement of claims to the fullest extent possible. With years of medical billing experience behind us, we have established our credibility in the field. And more importantly, we are very particular about adhering to HIPAA standards. With many years of experience in medical billing industry, we tried our best to provide our consumers with the ultimate billing solutions in order to make the most of your reimbursement. Here you'll get reliable, accurate and efficient services for any practice. Individual practictioner or administrator can access monthly reports,supplementary services, patient billing statements and many more. Our experienced and professional staff will definitely give you organized personalized assistance. We make sure to give maximum flexibility, consistency and high performance.
    • Data Migration

        ChoiceOne EHR data migration service will provide you with most cost effective way to import data from a source system to our EHR system. The following outline and element shows migration process.
        • Plan

          • Obtain raw data
          • Communicate deployment plan
          • Validate requirement
          • Customize migration procedure
          • Run pre-validation test
          • Perform migration
          • Verify migration completion
        • Migrate

          • Determine Migration Requirement
          • Identify Current Environment
          • Create Migration Plan
          • Develop Design Requirements
          • Create Migration Architecture
          • Develop Test Plan
        • Validate

          • Run post validation test
          • Communicate migrated information
          • Create report on migration statics
          • Close out migration procedure
    • EHR Customization

        One of the challenges many face in using EHR is, compatibility with their current workflows of practice. The ability for an EHR to be customized to your practice’s specific needs is essential for utilizing the system to improve patient care, without creating more work for you and your staff. Customization will allow practices to integrate their EHR into their practice workflow and revenue cycle management functions. Having a fully integrated system will streamline patient management from appointment scheduling to payment processing and allow providers to focus on patient care.
    • Equipment Interfacing

        One of the greatest challenges in effectively implementing EHRs into healthcare practice and settings such as clinics and hospitals has been the need to effectively (and safely) integrate this type of technology with the many other devices and information technologies that exist in healthcare settings.

        ChoiceOne EHR offers medical device integration and validation services to efficiently ensure interoperability between medical devices and EHR. We seek technical cooperation or joint venture agreement with all industry leaders to help our clients to achieve a seamless office environment. The medical equipment company must have an interface program and specifications commonly referred to as an SDK (software development kit).

        Typically the equipment involved needs to be the latest generation that has the potential to interface.We will follow up with the manufacturer to get interoperability information, just send the make and model of your equipment.

    EHR Incentive

    Electronic Health Record (EHR) or Electronic Medical Record (EMR)?

    Sometimes people use the terms "Electronic Medical Record" or "EMR" when talking about Electronic Health Record (EHR) technology. Very often an Electronic Medical Record or EMR is just another way to describe an Electronic Health Record or EHR, and both providers and vendors sometimes use the terms interchangeably. For the purposes of the Medicare and Medicaid Incentive Programs, eligible professionals, eligible hospitals and critical access hospitals (CAHs) must use ¬certified EHR technology. Certified EHR technology gives assurance to purchasers and other users that an EHR system or module offers the necessary technological capability, functionality, and security to help them meet the meaningful use criteria. Certification also helps providers and patients be confident that the electronic health IT products and systems they use are secure, can maintain data confidentially, and can work with other systems to share information.

    The Medicare EHR Incentive Program

    The Medicare EHR Incentive Program will provide incentive payments to eligible professionals, eligible hospitals, and CAHs that demonstrate meaningful use of certified EHR technology.
    • Participation can begin as early as 2011.
    • Eligible professionals can receive up to $44,000 over five years under the Medicare EHR Incentive Program. There's an additional incentive for eligible professionals who provide services in a Health Professional Shortage Area (HSPA).
    • To get the maximum incentive payment, Medicare eligible professionals must begin participation by 2012.
    • Incentive payments for eligible hospitals and CAHs may begin as early as 2011 and are based on a number of factors, beginning with a $2 million base payment.
    • Important! For 2015 and later, Medicare eligible professionals, eligible hospitals, and CAHs that do not successfully demonstrate meaningful use will have a payment adjustment in their Medicare reimbursement.

    The Medicaid EHR Incentive Program

    The Medicaid EHR Incentive Program will provide incentive payments to eligible professionals, eligible hospitals, and CAHs as they adopt, implement, upgrade, or demonstrate meaningful use of certified EHR technology in their first year of participation and demonstrate meaningful use for up to five remaining participation years.
    • The Medicaid EHR Incentive Program is voluntarily offered by individual states and territories and may begin as early as 2011, depending on the state. Check with your State Medicaid Agency for more information.
    • Eligible professionals can receive up to $63,750 over the six years that they choose to participate in the program.
    • Eligible hospital incentive payments may begin as early as 2011, depending on when the state begins its program. The last year a Medicaid eligible hospital may begin the program is 2016. Hospital payments are based on a number of factors, beginning with a $2 million base payment.
    • There are no payment adjustments under the Medicaid EHR Incentive Program.

    EHR Meaningful Use

    The Medicare and Medicaid EHR Incentive Programs provide a financial incentive for the "meaningful use" of certified EHR technology to achieve health and efficiency goals. By putting into action and meaningfully using an EHR system, providers will reap benefits beyond financial incentives–such as reduction in errors, availability of records and data, reminders and alerts, clinical decision support, and e-prescribing/refill automation. Here, you will find resources with more information as well as a CMS EHR Meaningful Use Criteria Summary.
    • What is "Meaningful Use"?

        The American Recovery and Reinvestment Act of 2009 specifies three main components of Meaningful Use:
        • The use of a certified EHR in a meaningful manner, such as e-prescribing.
        • The use of certified EHR technology for electronic exchange of health information to improve quality of health care.
        • The use of certified EHR technology to submit clinical quality and other measures.
        Simply put, "meaningful use" means providers need to show they're using certified EHR technology in ways that can be measured significantly in quality and in quantity.
    • EHR Meaningful Use Criteria Summary

        The criteria for meaningful use will be staged in three steps over the course of the next five years.
        • Stage 1 (2011 and 2012) sets the baseline for electronic data capture and information sharing.
        • Stage 2 (expected to be implemented in 2013) and Stage 3 (expected to be implemented in 2015) will continue to expand on this baseline and be developed through future rule making.
    • How Do I meet Meaningful Use Requirements?

        To qualify for incentive payments, meaningful use requirements must be met in the following ways:
        • Medicare EHR Incentive Program — Eligible professionals must successfully demonstrate meaningful use of certified electronic health record technology every year they participate in the program.
        • Medicaid EHR Incentive Program — Eligible professionals may qualify for incentive payments if they adopt, implement, upgrade or demonstrate meaningful use in their first year of participation. They must successfully demonstrate meaningful use for subsequent participation years.
        • Adopted — Acquired and installed certified EHR technology. (For example, can show evidence of installation.)
        • Implemented — Began using certified EHR technology. (For example, provide staff training or data entry of patient demographic information into EHR.)
        • Upgraded — Expanded existing technology to meet certification requirements. (For example, upgrade to certified EHR technology or add new functionality to meet the definition of certified EHR technology.)
    • What are "Clinical Quality Measures"?

        To demonstrate meaningful use successfully, eligible professionals are required to report clinical quality measures specific to eligible professionals.
        • Eligible professionals must report on 6 total clinical quality measures: 3 required core measures (substituting alternate core measures where necessary) and 3 additional measures (selected from a set of 38 clinical quality measures).

    Disclosure

    This ChoiceOne EHR is ONC 2014 Edition compliant and has been certified by ICSA Labs, 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.
    • ChoiceOne EHR Disclosure information

      • The vendor/health IT developer name: ChoiceOne EHR Inc.

      • Teh date certified: Oct 17 2014

      • The product name and version: ChoiceOne EHR V1.5

      • The unique certification number or other specific product identification: 140312R00

      • The certification criterion or criteria to which each EHR module has been tested and certified

        170.314(a)(1) COMPUTERIZED PROVIDER ORDER ENTRY
        170.314(a)(2) DRUG-DRUG, DRUG-ALLERGY INTERACTION CHECKS
        170.314(a)(3) DEMOGRAPHICS
        170.314(a)(4) VITAL SIGNS, BODY MASS INDEX, AND GROWTH CHARTS
        170.314(a)(5) PROBLEM LIST
        170.314(a)(6) MEDICATION LIST
        170.314(a)(7) MEDICATION ALLERGY LIST
        170.314(a)(8) CLINICAL DECISION SUPPORT
        170.314(a)(9) ELECTRONIC NOTES
        170.314(a)(10) DRUG-FORMULARY CHECKS
        170.314(a)(11) SMOKING STATUS
        170.314(a)(12) IMAGE RESULTS
        170.314(a)(13) FAMILY HEALTH HISTORY
        170.314(a)(14) PATIENT LIST CREATION
        170.314(a)(15) PATIENT-SPECIFIC EDUCATION RESOURCES
        170.314(b)(1) TRANSITIONS OF CARE - RECEIVE, DISPLAY, AND INCORPORATE TRANSITION OF CARE/REFERRAL SUMMARIES
        170.314(b)(2) TRANSITIONS OF CARE - CREATE AND TRANSMIT TRANSITION OF CARE/REFERRAL SUMMARIES
        170.314(b)(3) ELECTRONIC PRESCRIBING
        170.314(b)(4) CLINICAL INFORMATION RECONCILIATION
        170.314(b)(5) INCORPORATE LABORATORY TESTS AND VALUES/RESULTS
        170.314(b)(7) DATA PORTABILITY
        170.314(c)(1) CLINICAL QUALITY MEASURES - CAPTURE AND EXPORT
        170.314(c)(2) CLINICAL QUALITY MEASURES - IMPORT AND CALCULATE
        170.314(c)(3) CLINICAL QUALITY MEASURES - ELECTRONIC SUBMISSION
        170.314(d)(1) AUTHENTICATION, ACCESS CONTROL, AND AUTHORIZATION
        170.314(d)(2) AUDITABLE EVENTS AND TAMPER-RESISTANCE
        170.314(d)(3) AUDIT REPORT(S)
        170.314(d)(4) AMENDMENTS
        170.314(d)(5) AUTOMATIC LOG-OFF
        170.314(d)(6) EMERGENCY ACCESS
        170.314(d)(7) END-USER DEVICE ENCRYPTION
        170.314(d)(8) INTEGRITY
        170.314(e)(1) VIEW, DOWNLOAD, AND TRANSMIT TO 3RD PARTY
        170.314(e)(2) CLINICAL SUMMARY
        170.314(e)(3) SECURE MESSAGING
        170.314(f)(1) IMMUNIZATION INFORMATION
        170.314(f)(2) TRANSMISSION TO IMMUNIZATION REGISTRIES
        170.314(f)(3) TRANSMISSION TO PUBLIC HEALTH AGENCIES - SYNDROMIC SURVEILLANCE
        170.314(g)(2) AUTOMATED MEASURE CALCULATION
        170.314(g)(3) SAFETY-ENHANCED DESIGN
        170.314(g)(4) QUALITY MANAGEMENT SYSTEM

      • The clinical quality measures to which a complete EHR or EHR module has been tested and certified

        CMS50 CLOSING THE REFERRAL LOOP: RECEIPT OF SPECIALIST REPORT
        CMS68 DOCUMENTATION OF CURRENT MEDICATIONS IN THE MEDICAL RECORD
        CMS69 PREVENTIVE CARE AND SCREENING: BODY MASS INDEX (BMI) SCREENING AND FOLLOW-UP
        CMS75 CHILDREN WHO HAVE DENTAL DECAY OR CAVITIES
        CMS90 FUNCTIONAL STATUS ASSESSMENT FOR COMPLEX CHRONIC CONDITIONS
        CMS122 DIABETES: HEMOGLOBIN A1C POOR CONTROL
        CMS123 DIABETES: FOOT EXAM
        CMS127 PNEUMONIA VACCINATION STATUS FOR OLDER ADULTS
        CMS131 DIABETES: EYE EXAM
        CMS134 DIABETES: URINE PROTEIN SCREENING
        CMS138 PREVENTIVE CARE AND SCREENING: TOBACCO USE: SCREENING AND CESSATION INTERVENTION
        CMS147 PREVENTATIVE CARE AND SCREENING: INFLUENZA IMMUNIZATION
        CMS154 APPROPRIATE TREATMENT FOR CHILDREN WITH UPPER RESPIRATORY INFECTION (URI)
        CMS156 USE OF HIGH-RISK MEDICATIONS IN THE ELDERLY
        CMS163 DIABETES: LOW DENSITY LIPOPROTEIN (LDL) MANAGEMENT
        CMS165 CONTROLLING HIGH BLOOD PRESSURE

      • Any additional software the Certified Health IT relied upon to demonstrate its compliance with a certification criterion: Microsoft Outlook (Any version), Silverlight 5

      • Any additional types of costs that a user may be required to pay to implement or use the Certified Health IT's capabilities, whether to meet meaningful use objectives and measures or to achieve any other use within the scope of the health IT's certification: There is no additional types of costs

      • Any limitations (whether by contract or otherwise) that a user may encounter in the course of implementing and using the Certified Health IT’s capabilities, whether to meet meaningful use objectives and measures or to achieve any other use within the scope of the health IT's certification: There is no additional limitations