ONC Health IT Certification Program Updates (02/02/2018)

Test Method Updates

Recently Updated Certification Companion Guides (CCGs)

2015 Edition Certification Companion Guides (CCGs)
Criterion Number	Criterion Title	Details
§ 170.315(g)(2)	Automated measure calculation	Added clarification about flexibility for testing this criterion and developer expectations for measures to which the transitive effect applies when the Health IT Module is unable to differentiate actions at the TIN/NPI level.
§ 170.315(g)(3)	Safety-enhanced design	An additional resource has been added to paragraphs (g)(3)(i) and (g)(3)(ii)(A) that health IT developers may choose to review in order to select a UCD process specific for pediatric care settings.
§ 170.315(g)(7)	Application access – patient selection	Made revisions to a prior clarification in (ii)(A)(3) regarding the terms of use. Added a new clarification for paragraph (ii)(A)(3) regarding enforcement of the health IT developer’s terms of use, which is out of scope for this criterion. Additionally, noted CMS’ guidance that providers may not prohibit patients from using the app of the patient’s choice.
§ 170.315(g)(8)	Application access – data category request	Made revisions to a prior clarification in (ii)(A)(3) regarding the terms of use. Added a new clarification for paragraph (ii)(A)(3) regarding enforcement of the health IT developer’s terms of use, which is out of scope for this criterion. Additionally, noted CMS’ guidance that providers may not prohibit patients from using the app of the patient’s choice.
§ 170.315(g)(9)	Application access – all data request	Made revisions to a prior clarification in (ii)(A)(3) regarding the terms of use. Added a new clarification for paragraph (ii)(A)(3) regarding enforcement of the health IT developer’s terms of use, which is out of scope for this criterion. Additionally, noted CMS guidance that providers may not prohibit patients from using the app of the patient’s choice.

Recently Updated Test Procedures (TPs)

2015 Edition Certification Test Procedures (TPs)
Criterion Number	Criterion Title	Details
§ 170.315(g)(1)	Automated numerator recording	Removed 2nd bullet under the ACI Measure English Statement of the Required Test 6 –Patient Generated Health Data section. Removed the wording “of of” before ‘the following’ within the first sentence of the Required Attestation section. Clarified the View, Download Transmit Measure for ACI to describe the action as being taken by the patient or patient authorized representative rather than the Eligible Clinician per the QPP CY 2018 final rule (82 FR 53568).
§ 170.315(g)(2)	Automated measure calculation	Added “Denominator” in front of the second definition under the ACI Measure English Statement for Required Test 6. Clarified the View, Download Transmit Measure for ACI to describe the action as being taken by the patient or patient authorized representative rather than the Eligible Clinician per the QPP CY 2018 final rule (82 FR 53568).

Recently Updated Test Data

2015 Edition Certification Test Procedures (TPs)
Criterion Number	Criterion Title	Details
§ 170.315(g)(1)	Automated numerator recording	Updated the ACI measure in RT 4a, 4b, and 4c to clarify that the action is taken by the patient or patient authorized representative rather than the Eligible Clinician.
§ 170.315(g)(2)	Automated measure calculation	Updated the ACI measure in RT 4a, 4b, and 4c to clarify that the action is taken by the patient or patient authorized representative rather than the Eligible Clinician.

For additional information on the 2015 Edition requirements, please visit the ONC Standards and Certification Regulation webpage.

Questions may be directed to the ONC Health IT Certification Program via email at: ONC.Certification@hhs.gov.