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This Complete EHR is 2014 Edition compliant and has been certified by 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.
Product Name: iSmart EHR
Vendor name: WCH Service Bureau, Inc.
Date Certified: 06/25/2015
Product Version: 1.2.0.0
Criteria Certified: 170.314(a)(1-15), 170.314(b)(1-5, 7), 170.314(c)(1-3), 170.314(d)(1-8), 170.314(e)(1-3), 170.314(f)(1-3), 170.314(g)(2-4)
Certification ID Number: 06252015-0212-5
Clinical Quality Measures Certified: 2v4; 22v3; 50v3; 61v4; 64v4; 65v4; 68v4; 69v3; 74v4; 75v3; 90v4; 122v3; 123v3; 124v3; 125v3; 126v3; 127v3; 128v3; 130v3; 134v3; 135v3; 137v3; 138v3; 139v3; 144v3; 145v3; 147v4; 149v3; 155v3; 156v3; 159v3; 160v3; 161v3; 163v3; 164v3; 165v3; 166v4; 169v3; 179v3; 182v4
Additional software used: DrFirst Rcopia

Pricing:

When purchasing this version of the certified product, a provider is required to sign the Software Licensing Agreement. This product is purchased once and an additional monthly fee still stands. The term of the Agreement is two (2) years with a consecutive one (1) year automatic renewal period. This certified product does not require any installation, it is web based, so Internet access and a web-browser is a necessity.

This certified product-version may require additional costs for:

This certified product - version require one - time setup license fee for DrFirst account (for each participating provider) and ongoing yearly costs to using of DrFirst services. DrFirst account allows users: - electronically create prescriptions and prescription-related information; - electronically record, change and access a patient's active medication list as well as medication history over multiple encounters; - electronically record, change and access a patient's active medication allergy list over multiple encounters; - automatically and electronically check whether a drug formulary (or preferred drug list) exists for a given patient and medication; - automatically and electronically indicate to a user drug-drug and drug-allergy contraindications based on a patient's medication list and medication allergy list before a medication order is completed. Relevant certification criteria: (170.314(b)(3) - Electronic prescribing, 170.314(a)(2) - Drug-drug, Drug-allergy interactions checks, 170.314(a)(6) - Medication list, 170.314(a)(7) - Medication allergy list, 170.314(a)(10) - Drug formulary Check). Clients are not required to enter separate agreement with Dr.First. Dr.First services are licensed per provider on an annual basis but are billed monthly as part of the combined subscription cost. An activation fee (onboarding) is charged to setup and credential each provider. Before being authorized to prescribe drugs and controlled substances, providers must complete the required DEA Identity Verification Process. Providers must use a hard token generator or mobile phone app to perform two factor authentications to prescribe controlled substances. Replacement fees for the hard token can apply to client.

This certified product version may require ongoing monthly costs per provider to support online patient service for (170.314(e)(1) - View, download, and transmit to a 3rd party). Users of this certified product-version may provide patients and their authorized representatives (by creating account to patient portal) with an online means to view, download and transmit to a 3rd party, at a minimum, the following data: - The Common MU Data Set: Patient name, Sex, Date of birth, Race, Ethnicity, Preferred language, Smoking status, Problems, Medications, Medication allergies, Laboratory test(s)/result(s), Vital signs - height, weight, blood pressure, BMI, Care plan field(s), Procedures, Care team member(s); - Provider's name and office contact information. Relevant certification criteria: (170.314(e)(1) - View, download and transmit to a 3rd party, 170.314(d)(4) - Amendments). This functionality allows patients to send and receive only Direct-based messages to/from other users of certified health IT systems. Clients may not be able to communicate with all certified health systems through Direct messaging capability is restricted and users will be unable to exchange messages with users of third-party HISPs with whom the developer does not have a trust agreement.

Should clients wish to establish a new connection with a third-party HISP, clients must lodge a service request identifying the third-party HISP along with contact information for the HISP. We will establish, maintain and support technology to manage the connection. Third-party HISPs must agree to our connection and trust agreement. We will make every effort in good faith to establish such connectivity within a reasonable time frame (no longer than 6 months). However, we do not warrant that we will be able to establish agreements and required connections with all third-party HISPs.

This certified product version may require a one-time setup cost to create and support the Direct mail account for transmissions of care summaries. [170.314(b)(1) Transitions of care - receive, display and incorporate transitions of care referral summaries, 170.314(b)(2) Transitions of care - create and transmit transitions of care referral summaries, Movement of a patient from one setting of care (hospital, ambulatory primary care practice, ambulatory specialty care practice, long-term care, home health, rehabilitation facility) to another. Transition of care summary includes, at a minimum, the Common MU Data Set: Patient name, Sex, Date of birth, Race, Ethnicity, Preferred language, Smoking status, Problems, Medications, Medication allergies, Laboratory test(s)/result(s), Vital signs - height, weight, blood pressure, BMI, Care plan field(s), Procedures, Care team member(s). Clients may not be able to communicate with all certified health systems through Direct messaging capability is restricted and users will be unable to exchange messages with users of third-party HISPs with whom the developer does not have a trust agreement. Should clients wish to establish a new connection with a third-party HISP, clients must lodge a service request identifying the third-party party HISP along with contact information for the HISP. We will establish, maintain and support technology to manage the connection. Third-party HISPs must agree to our connection and trust agreement. We will make every effort in good faith to establish such connectivity within a reasonable time frame (no longer than 6 months). However, we do not warrant that we will be able to establish agreements and required connections with all third-party HISPs

This certified product - version may require one - time setup costs to establish interfaces for reporting to immunization registries and public health agencies (170.314(f)(2) - Transmission to immunization registries, 170.314(f)(3) - Transmission to public health agencies - syndromic surveillance). Clients may not be able to communicate with all registries. There are no limitations while an appropriate interface is integrated within the certified-product. However, it's provider's responsibility to upload/send data to immunization registries and public health agencies in accordance with integrated methodology of submission. No additional support costs are required.

This certified product version may require a one-time set up cost depending on the customer's selected lab/imaging company for creating interface of external laboratory services for (170.314(b)(5)(A) - Incorporate laboratory tests and values result, 170.314(a)(12) - Image Results).

The laboratory typically pays this cost for client as long as the client can substantiate sufficient lab volume. Clients will have to pay this cost if the lab vendor does not cover the cost. There are no limitations while an appropriate interface is integrated within the certified product. No additional support costs are required.

This certified product version may require a one-time set up cost, ongoing service fees and transaction-based fees for transmitting QRDA (170.314(c)(3) Clinical Quality measures - Electronic Submission) for clients participating in the quality initiatives program. List of certified Clinical Quality measures: 2v4; 22v3; 50v3; 61v4; 64v4; 65v4; 68v4; 69v3; 74v4; 75v3; 90v4; 122v3; 123v3; 124v3; 125v3; 126v3; 127v3; 128v3; 130v3; 134v3; 135v3; 137v3; 138v3; 139v3; 144v3; 145v3; 147v4; 149v3; 155v3; 156v3; 159v3; 160v3; 161v3; 163v3; 164v3; 165v3; 166v4; 169v3; 179v3; 182v4.

There are no additional limitations that a client may encounter in the course of implementing and using certified product, whether to meet meaningful use objectives and measures or to achieve any other use within the scope of the health IT's certification.

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