Four Goals of Certification
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1 Mission CCHIT is an independent, nonprofit organization with the mission of accelerating the adoption of robust, interoperable health IT by creating an efficient, credible certification process 2008 Slide 1 1/17/2008
2 Four Goals of Certification Reduce the risks of investing in health IT Facilitate interoperability of EHRs and health information exchange networks Enhance availability of adoption incentives and regulatory relief Ensure that the privacy of personal health information is protected 2008 Slide 2 1/17/2008
3 CCHIT s Role within the Broader Health IT Strategy American Health Information Community and AHIC Workgroups Office of the National Coordinator Standards Harmonization HITSP NHIN Prototype & Implementation Projects Privacy & Security Policies, Laws, Regulations Harmonized Standards Network Architecture Privacy Policies Strategic Direction + Breakthrough Use Cases CCHIT: Certifying Compliance of Health IT Products/Services Certification of EHRs and Networks Governance and Consensus Process Engaging Public and Private Sector Stakeholders Accelerated adoption of robust, interoperable, privacy-enhancing health IT Certification is a voluntary, market-based mechanism to accelerate the adoption of standards and interoperability 2008 Slide 3 1/17/2008
4 Workgroup Organization Specialty Expert Panels Population Care Expert Panels Expert Panels Security Expert Panel Interoperability Expert Panel Privacy & Compliance Expert Panel Experts at Large Cardiovascular Medicine Child Health Sustaining Workgroups Ambulatory EHR Workgroup Inpatient EHR Workgroup Emerg Dept EHR Workgroup EHR Foundation Workgroup Network Workgroup 2008 Slide 4 1/17/2008
5 Development Process Step A: Environmental Scan Step B: Develop Criteria Step C: Develop Test Scripts Use Cases and Standards Element X Priority as seen by stakeholders Availability in the marketplace Practicality of certification Public comment Element Decision Process Criteria for 2008 Requirement X Public comment Roadmap for 2009, 2010 & beyond & beyond Future X Do not certify X Crosswalk Inspection Methods, Clinical Scenarios Step-by-Step Test Scripts Step 1 Step 2 Step 3... Public comment 2008 Slide 5 1/17/2008
6 Development Process Step D: Pilot Test Step E: Finalization Launch Certification Program Public comment Call for Pilot Participation Selection of Participants Conduct Pilot Tests Publish: Proposed Final Criteria Proposed Final Scripts Pilot Results Make necessary refinements Publish: Final Criteria Final Test Scripts Additional Guidance Materials Refine Test Process and Scripts as Needed 2008 Slide 6 1/17/2008
7 Modular Certification Structure Future Specialty Additions Specialty Endorsement Criteria Population Care Criteria Cardiovascular Medicine: Additional Criteria and/or Specialized Case Scenario Child Health Criteria Future Population Additions, e.g. Behavioral Health Future EHR Domains e.g. Long Term Care Domain Criteria Ambulatory EHR Criteria Inpatient EHR Criteria ED EHR Criteria Foundation Criteria EHR Foundation Criteria (Interoperability, Security, Privacy, and Basic Supporting Functionality) Network Foundation Criteria (Interop, Security, Privacy, Basic Functionality) 2008 Slide 7 1/17/2008
8 CCHIT Security Overview Security Categories: Access Control Authentication Audit Technical Services Backup and Recovery Documentation 2008 Slide 8 1/17/2008
9 Security & Reliability Criteria Categories Number of Criteria Total Access Control S1 S2 S3 S4 4 Audit S 5.2 S6 S7 S 8.1 S 8.2 S9 S 11 7 Authentication S12 S13 S14 S15 S16.1 S16.2 S17 S18 S19 S20 S21 S22 12 Technical Services Security Documentation Backup & Recovery Reliability Documentation S24 S25 S26 S27 S28 S29 6 S23 1 R1 R2 R3 3 R5 R6 R7 R9 R10 R11 R12 R13 14 R16 R17 11 Total Slide 9 1/17/2008
10 Criteria to Test Script Mapping Security Final Criteria Mar Test Script Mapping Lin e # Category and Description Specific Criteria Test Scripts Mapped S1 Security: Access Control The system shall enforce the most restrictive set of rights/privileges or accesses needed by users/groups (e.g. System Administration, Clerical, Nurse, Doctor, etc.), or processes acting on behalf of users, for the performance of specified tasks. 5.14, 5.15, 5.21, 5.24 S2 The system shall provide the ability for authorized administrators to assign restrictions or privileges to users/groups Slide 10 1/17/2008
11 Network Work Group 20 members 9 HIEs ONC 3 Vendors 7 Others CDC, lab, state organizations, legal, industry experts 6 at this meeting 25 Full Work Group Calls 5 Subgroups for criteria development 4 Subgroups for testing scenarios and methods Extensive coordination with Security, Privacy, and Interoperability Expert Panels
12 Environmental Scan Published Comments received 1 st Draft of Criteria Status of Network Certification Development Published Comments received on December 22nd Test Scripts Under development Second phase will be formal scripts Alpha Test PilotTest 2007 Slide 12 July 10, 2007
13 Challenges of Network Certification Variability in HIEs Services provided Systems used State of the market Early development Financially constrained In motion Requires testing of operational systems Must accommodate different implementations Must be practical within the HIE environment 2007 Slide 13 July 10, 2007
14 Focus of 2008 Core Criteria Security Transit Non-repudiation Audit logging System authentication Perimeter protection Deactivation of users Break the glass Total Criteria 33 Perimeter protection is not covered in other CCHIT security criteria 2007 Slide 14 July 10, 2007
15 Focus of 2008 Modular Criteria Lab messaging as specified by HITSP Must be capable of sending compliant messages Not all messages must be compliant 6 criteria CCD messaging Must be capable of sending compliant messages 1 criteria Query Must be able to receive a query, retrieve data, and send response 4 criteria 2007 Slide 15 July 10, 2007
16 Network Certification Overview of Changes Certification Structure Core 1 or more transaction Query is an optional module Launch date for Network Certification October 2008
17 Challenges of Testing Operational environment Trade offs of security approach Documentation review Physical testing Use of Laika tool for transaction testing Test script development is still underway
18 Upcoming Network Activities Market survey in January Participation in NHIN Collaborative Work Groups Development of testing methods, scenarios, and scripts
19 CCHIT Contact Slide 19 1/17/2008
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