REAL WORLD TESTING RESULTS REPORT 2022

REAL WORLD TESTING RESULTS REPORT 2022

GENERAL INFORMATION

Plan Report ID Number: 20211011EME

Developer Name :

eMedPractice, LLc
Product Name(s) :

eMedicalPractice
Version Number(s) :

2.0
Certified Health IT:

2015 Edition
Product List (CHPL) ID(s):

15.02.05.2898.EMED.01.01.1.220112
Developer Real World Testing Plan Page URL : https://emedpractice.com/RWTP.html
Developer Real World Testing Results Report Page URL: https://emedpractice.com/RWTP.html

CHANGES TO ORIGINAL PLAN

Summary of Change Reason Impact
170.315(f)(2) No adoption by any customer. No impact.
170.315(f)(4) No adoption by any customer. No impact.
170.315(g)(7) & 170.315(g)(9) No adoption by any customer. No impact.

STANDARDS UPDATES (INCLUDING STANDARDS VERSION ADVANCEMENT PROCESS (SVAP) AND UNITED STATES CORE DATA FOR INTEROPERABILITY (USCDI))

Standard (and version) N/A
Updated certification criteria and associated product  
Health IT Module CHPL ID  
Method used for standard update  
Date of ONC ACB notification  
Date of customer notification (SVAP only)  
Conformance measure  
USCDI updated certification criteria (and USCDI version)  

SUMMARY OF TESTING METHODS AND KEY FINDINGS

Test Plan: The test cases that were included actions by various user types to capture the required data and workflows. In some scenarios, real world patient data was used to confirm compliance with the things such as successful transmission statuses for some certification criteria requirements. Compliance with Required standards were tested via manual inspection and/or with ONC-recommended test tools.

Test Methods: The following test methods were used to complete testing of conformance with the certification criteria requirements.

  • Entry of simulation data
  • Analysis log data & log files
  • Testing with ONC-approved testing tools
  • Real time patient centric scnarios in production environment

Lessons learned: It is always a chalange to deal with real data, most of the time we have discovered data formatting issues. Overall the tools that were used by the customers were really functioning.

Associated Certification Criteria

The following are the list of certification criteria associated with the measure and relied upon software.

Measurement/Metric Description Justification Relied Upon Software

170.315(b)(1) Transitions of care

Demonstration of creation of a C-CDA at the end of an ambulatory encounter with transmission to the referral provider of care via Direct Messaging.
Verify the successful receive of C-CDA transmissions in the referral provider's environment from the referral inbound queue and save it to the EHR.

This is to justify to creation of a C-CDA document from referral at the end of a patient visit with transmission to the referral provider of care via Direct Messaging.
This is to demonstrate the ability to receive a C-CDA via Direct messaging into the email Inbound Documents Queue and process as a clinical document and save it into the EHR.

170.315(b)(2) Clinical information reconciliation and incorporation

Demonstration of incorporating problem list, medication list and allergy medication list reconciliation from discrete problems, medications and medication allergies parsed from a C-CDA in referral providers environment.
Verfity the successful reconciliations of parsed discrete data in the referrall provider's environment into the problem list, medication list and allergy list in the clinical summmary.

This is to demonstrate the ability to reconcile patient clinical data from referral in to discrete problems, medications, allergies, Labs data & notes parsed from a C-CDA into the EHR in a production environment.

170.315(b)(3) Electronic Prescribing

Demonstration of creation and transmission of an electronic prescription, cancel and refill flows on any selected practices.
Verify the successfully transmitted electronic prescriptions in the practice eRx log and Surescripts log.

This to justify providers sending real eRxs to pharamcies, receiving refills from pharmacies and rxchange in real world.

170.315(b)(6) Data export

Demonstration of data export option by creating the patient-list to export of C-CDAs with the ability to save them to a local file system.

This is to justfiy a practice can select a group patients and download C-CCD documents.

170.315(c)(1) Clinical quality measures - record and export

Demonstration of the ability to export patient data recorded in the EHR for a given patient population and import that into the Cypress Test Tool for calculation of specified quality measures that will match the results obtained in the testing for 170.315(c)(2).

This is to justify capturing all data points to calculate quality measures and export to QRDA I files. Same results should be calculated after importing to cypress tool.

170.315(c)(2) Clinical quality measures - import and calculate

Demonstration of the ability to calculate quality measures for the patient data and measures specified in the demonstration for 170.315(c)(1) and match to the quality measure results obtained from the Cypress Test tool.

This is to justify the calculation of quality measures final results with cypress tool.

170.315(c)(3) Clinical quality measures - report

Demonstration of the ability to generate QRDA 1 and QRDA 3 files.

This is to justify if a practice can genereate QRDA files that can be sumitted to CMS quality measurements.

170.315(e)(1) View, download, and transmit to 3rd party

Login to patient portal to view clinical summary, create and make a valid C-CDA available to download or transmit to 3rd party.

This is to justify a patient can login the patient portal, view the clinical summary and download it.

 WinRAR (Version 5)

170.315(f)(1) Transmission to public health agencies-immunization registry

Demonstration of the ability to add an immunization to a patient and generate a VXU message for an administered immunization and transmit it via HL7 2.5.1 to a public health agency successfully(FL SHOTS). Verify the immunization log of successful VXU message transmissions.

This is to justify if a practice can report the information on administered immunizations to a public health agency.

170.315(f)(2) Transmission to public health agencies-syndromic surveillance

Demonstration of the ability to generate a Syndromic Surveillance message for an Urgent care patient and transmit it via HL7 2.5.1 to a public health agency

This is to justify if any urgent care setup can submit information to a public health agency on patient health information.

170.315(f)(4) Transmission to cancer registries

Demonstration of the ability to generate a message for an ambulatory care patient and transmit it via HL7 2.5.1 to a cancer registry

This is to justify if a practice can submit a msg to a cancer registry.

170.315(g)(7) Application access - patient selection

Demonstration of a patient's ability to make a data request through API for one or more data elements from the Common Clinical data Set.

This is to justify that if a patient makes a request for a data category for one or more of the data elements in the Common Clinical data set from an API.

170.315(g)(9) Application access - all data request

Demonstration of a patient's ability to make a data request through API for one or more data elements from the Common Clinical Data Set

This is to justify that if a patient makes a request for complete data elements in the Common Clinical Data set from an API.

170.315(h)(1) Direct Project

This measure will demonstrate the ability to send and receive direct project messages .

This is to justify that a practice can send and receive referras between the practices.

Care Setting(s)

Care Setting Justification

The selected specialty facility settings are representative of all of the settings that are currenly using the eMedicalPractice. The test results are same for all specialties & facilities.

Ambulatory Primary care
  • Primary Care #1
  • Primary Care #2
  • Primary Care # 3
  • Primary Care #4
  • Primary Care #5

Ambulatory Pulmonary
  • Pulmonary # 1

Ambulatory Cardiology
  • Cardiology # 1
  • Cardiology # 2

Execution & Outcomes

Measurement/Metric-Associated Criterion Care Settings Expected Outcomes Relied Upon Software Execution Plan Actual Outcomes Results Evidence Challenges Encountered Time Frame for Key Milestones

170.315(b)(1) Transitions of care

Cardiology # 1
Primary Care # 3
Primary Care #1
Cardiology # 2

Total number of successfully transmitted referrals along with attached CCDA via Direct messaging based on receipt of MDN ACK message status.
Total number of failed transmissions based on receipt of message status.
Total number of received email msgs via inbound Direct messaging, to measure the volume of successful receipts of referrals via Direct Messaging. Error rates will be tracked and trended over time.

 1) Sent 3 direct referral msgs from Primary Care #1 to Cardiology #2 office. Sent 1 direct email from Primcary Care #3 office
2) Received 4 email msgs via inbound Direct messaging to Cardiology # 2 office, to measure the volume of successful receipts of referrals via Direct Messaging.
3)Received 2 email msgs via inbound Direct messaging to Cardiology # 1 from 3rd party.		 4 out of 4 msgs MDN Ack msgs Data formating issues 2nd & 4th Qtrs

170.315(b)(2) Clinical information reconciliation and incorporation

 Cardio #1
Primary care # 3
Primary Care #1
Cardio #2

Total number of problem list reconciled
Total number of medication list reconciled
Total number of medication allergy list reconciled
Total number with all 3 domains reconciled.
Error rates will be tracked and trended over time.

Msgs received via inbound Direct messaging, to the practices and processed those CCDA documents. 7 out of 7 msgs MSGs are in inbox & patient data after reconcilation Data formatting issues 2nd & 4th Qtr

170.315(b)(3) Electronic Prescribing

 Primary Care #1
Cardio # 2
Cardio # 2

Log data will be verified in presciption log.
Total number of new electronic prescriptions successfully transmitted
Total number of changed electronic prescriptions successfully transmitted
Total number of canceled electronic prescriptions successfully transmitted
Total number of refill prescriptions successfully transmitted
Total number of medication history requests sent electronically.
Error rates will be tracked and trended over time.

Reviewed the production logs every months, all transactions are successful 100 out of 100 Log msgs None 1st, 2nd, 3rd & 4th

170.315(b)(6) Data export

 Primary Care #4
Primary Care #5

Total number of patients added to the export list.
Total data exports performed.
Data errors/accuracy will be tracked over the time and trended over the time.

 Practices downloaded daily encounter signed notes 100% Files downloaded to sFTP folder Data formating issues 3rd & 4th Qtrs

170.315(c)(1) Clinical quality measures - record and export

 Pulmonay #1
Cardiology #1

Total number of measures selected by provider.
Total number of defects identified and resolved.
Total number of successful submissions to CMS or exported by provider.
Data errors/accuracy will be tracked over the time and trended over the time.

 Number of Measures Selected:8
Number of Measures Selected :5 		100% Measures are captured Data formatting issues 3rd & 4th Qtrs

170.315(c)(2) Clinical quality measures - import and calculate

 Pulmonay #1
Cardiology #1

Total number of measures selected by provider & imported.
Total number of defects identified and resolved.
Total number of successful submissions to CMS or exported by provider.
Data errors/accuracy will be tracked over the time and trended over the time.

 Number of Measures Selected:8
Number of Measures Selected :5 		100% Dash board with Numerator & Denominator 3rd & 4th Qtrs

170.315(c)(3) Clinical quality measures - report

 Pulmonay #1
Cardiology #1

Total number of measures selected by provider.
Total number of defects identified and resolved to calculate the population dashboard.
Total number of successful submissions QRDA III files to CMS or exported by provider.
Data errors/accuracy will be tracked over the time and trended over the time.

 Number of Measures Selected:8
Number of Measures Selected :5 		100% QRDAIII files are downloaded without errors 3rd & 4th Qtrs

170.315(e)(1) View, download, and transmit to 3rd party

 Primary Care #1
Primary Care #2

Total number of patient registered for patient portal.
Total number of CCDA documents made available to patients via a patient portal.
Error rates will be tracked and trended over time.

 WinRAR (Version 5) Patient sucessful registration for patient portal 10 out of 10 Verified on the report for successful patient registration. Viewed link to download CCDA 1st, 2nd, 3rd & 4th

170.315(f)(1) Transmission to public health agencies-immunization registry

 Primary Care #1
Primary Care #3

Total number of immunization registry HL7 messages transmitted of administered immunizations.
Total number of response message transmissions occured by querying immunization log.
Data errors/accuracy will be tracked over the time and trended over the time.

 Checked log for submitted HL7 files and viewed history on patient immunizations 10 out of 10 Logs msgs and pulled the imminization histroy from registry 1st, 2nd, 3rd & 4th

170.315(f)(2) Transmission to public health agencies-syndromic surveillance.

 No facilites are using this feature

Total number of Syndromic Surveillance HL7 messages transmissions occured.
Data errors/accuracy will be tracked over the time and trended over the time.

 None of the customers are using this feature not measured not measured

170.315(f)(4) Transmission to cancer registries

 No facilites are using this feature

Total number of HL7 messages transmissions occured to Cancer registries.
Data errors/accuracy will be tracked over the time and trended over the time.

 None of the customers are using this feature not measured not measured

170.315(g)(7) Application access - patient selection

 No facilites are using this feature

Total number patient API authentication requests came in.
Total number patient API requests complted by checking in log.
Data errors/accuracy will be tracked over the time and trended over the time.

 None of the customers are using this feature not measured not measured

170.315(g)(9) Application access - all data request

 No facilites are using this feature

Total number patient API authentication requests came in.
Total number of patient API requests complted for all data by checking in log.
Error rates will be tracked and trended over time. 		None of the customers are using this feature not measured not measured

170.315(h)(1) Direct Project

 Cardio #1
Primary Care #2
Primary Care #1
Cardio #1

Expeted to see messages successfully sent and received. Error rates will be tracked and trended over time.

 Checked inbox and outbox msg for b(1) & b(2) in direct email 4 out 4 MDNs Acks & mails in inbox 2nd & 4th Qtr

KEY MILESTONES

Key Milestone Care Setting Date/Timeframe

Identified various ambulatory care settings and start capturing the data & logs

Ambulatory

1st Qtr of 2022

with final data collection, datasets generated and analyzed during the current study.

Ambulatory

1st, 2nd, 3rd & 4th Qtr of 2022

Report the final data to ACB

Ambulatory

01/15/2023

Disclaimer

eMedicalPractice is commited to Real World Testing (RWT) plan as much as possible but execution of this plan is dependent on eMedicalPractice customer participation on the RWT activity throughout calendar year 2022, based on their availability, which is beyond eMedicalPractice's control. eMedicalPractice strives to review the plan on an ongoing basis and may modify the RWT plan steps as and when necessary to fully meet the needs of RWT. There are a few criteria that needs mentioning owing to less adoption by the industry or by customer base.

Use of the following certified criteria has low usage among the customer base. Testing the following transactions for RWT might be difficult and eMedicalPractice reserves the right to test transactions using a simulated environment.

  • 170.315(e)(1) View, download, and transmit to 3rd party-Use of download & transmit.
  • 170.315(f)(2) Transmission to public health agencies-syndromic surveillanc.
  • 170.315(f)(4) Transmission to cancer registries.
  • 170.315(g)(7) & 170.315(g)(9) Application access - patient selection & all data request.

ATTESTATION

This Real World Testing report is complete with all required elements, including measures that address all certification criteria and care settings. All information in this report is up to date and fully addresses the health IT developer's Real World Testing & Reporting requirements.

Authorized Representative Name :

Nandu Dhanekula
Authorized Representative Email :

Nandu@emedpractice.com
Authorized Representative Phone :

561-921-0978
Authorized Representative Signature : Sign
Date :

01/03/2023

REAL WORLD TESTING PLANS & REPROTS

Testing Plan Testing Report

RWTP-2023

  

RWTP-2022

RWTR-2022
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