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This Health IT Module is 2015 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: 12/08/2017
Product Version: 2.0.0.0
Criteria Certified: 170.315 (a)(1-14); (b)(1,2, 6); (c)(1-3); (d)(1-9); (e)(1-3); (f)(1, 4); (g)(2-9); (h)(1)
Certification ID Number: 15.04.04.2525.iSma.02.00.1.171208
Clinical Quality Measures Certified: 22v5; 65v6; 68v6; 69v5; 122v5; 123v5; 125v5; 128v5; 130v5; 134v5; 138v5; 139v5; 147v6; 149v5; 156v5; 159v5; 161v5; 164v5; 165v5; 166v6
Additional software used: DrFirst Rcopia, phiMail Server

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 requires 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:
(170.315(b)(3) - Electronic prescribing, 170.315(a)(4) - Drug-drug, Drug-allergy interactions checks for CPOE, 170.315(a)(7) - Medication list, 170.315(a)(8) - Medication allergy list, 170.315(a)(10) - Drug-formulary and preferred drug list checks). Clients are not required to enter separate agreement with DrFirst. DrFirst 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 (170.315(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 Clinical 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, Procedures, Care Team Members, Immunizations, Unique Device Identifier(s), Assessment and Plan of Treatment, Goals, Health Concerns; Provider's name and office contact information.
Relevant certification criteria:
(170.315(e)(1) - View, download and transmit to a 3rd party, 170.315(e)(2) - Secure Messaging, 170.315(g)(7) - Application access - patient selection, 170.315(g)(8) - Application access - data category request, 170.315(g)(9) - Application access - all data request). This functionality allows patients to send both regular and Direct-based messages to other users of certified health IT systems. Clients may not be able to communicate with all certified health systems due to any limitations, which may be posed by EMR Direct. EMR Direct is an additional software used in this certified product version.

This certified product version requires one-time setup fee for EMR Direct per practice and ongoing annual fee per provider for transmissions of care summaries. EMR Direct account allows users: - electronically exchange health information in secure and encrypted manners (Direct mail), - electronically send and receive Transition of care or referrals in C-CDA format. Relevant certification criteria: (170.315(h)(1) - Direct Project, 170.315(b)(1) - Transition of Care, 170.315(e)(1) - View, download, and transmit to 3rd party). With Direct account users can receive, transmit transition of care/referral summaries, move patients 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 Clinical 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, Procedures, Care Team Members, Immunizations, Unique Device Identifier(s), Assessment and Plan of Treatment, Goals, Health Concerns; encounter diagnoses, cognitive status, functional status, the reason for referral; and referring provider's name and office contact information. Clients willing to set up EMR Direct account should send a request to administrator of WCH Service Bureau, Inc's and to complete a short version of Direct application form. The form is transmitted to the administrator of EMR Direct to verify the identity of the application signer. Though users who obtained EMR Direct account have capability to send/receive messages to/from any certified HISPs, clients may not be able to communicate with all certified health systems due to any limitations, which may be posed by EMR Direct.

This certified product - version may require one - time setup costs to establish interfaces for reporting to immunization registries and public health agencies (170.315(f)(1) - Transmission to immunization registries, 170.315(f)(4) - Transmission to cancer registries, 170.315(f)(7) - Transmission to public health agencies - health care surveys). 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 (170.315(c)(3) Clinical Quality measures - report) for clients participating in the quality initiatives program. List of certified Clinical Quality measures: 22v5; 65v6; 68v6; 69v5; 122v5; 123v5; 125v5; 128v5; 130v5; 134v5; 138v5; 139v5; 147v6; 149v5; 156v5; 159v5; 161v5; 164v5; 165v5; 166v6.

This certified product version has free online service - Application Programing Interface. The API allows verified users including patients and their authorized representatives to request patient's medical data. Relevant certification criteria: (170.315(g)(7) - Application access - patient selection; 170.315(g)(8) - Application access - data category request; 170.315(g)(9) - Application access - all data request). The API functionality allows users to request and receive patient's medical data in raw computable format (JSON). No special API client application is provided. It means that users having access to make requests to API are not provided with any user-friendly environment to send requests from. To connect to the API server the access to the Internet is required.

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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