Costs and Limitations

POINT AND CLICK SOLUTIONS INC

Costs and Limitations of Certified Health IT
OpenChart Version 12
 

Capability
ePrescribing , medication list, allergies and drug-drug interactions
170.314(b)(3)
170.314(a)(2), 170.314(a)(6),170.314(a)(7), 170.314(a)(10)
 
Description of Capability
Electronic prescribing. Enables a user to electronically create prescriptions for electronic transmission. Drug-drug, drug-allergy interaction checks before a medication order is completed and acted upon during computerized provider order entry. Medication list. Enables a user to electronically record, change, and access a patient’s active medication list as well as medication history. Medication allergy list. Enables a user to electronically record, change, and access a patient’s active medication allergy list as well as medication allergy history. Drug-formulary checks.
 
Costs or Fees
Will require a one-time setup installation and license cost as well as ongoing monthly costs for maintenance, support and subscription fees. The fees are per prescribing provider. The electronic prescribing of controlled substances is not included in the base service agreement.
 
Contractual Limitations
This functionality does not come bundled with the base price of the certified product-version and requires a separate agreement.
 
Technical or Practical Limitations
Must have an active and functioning broadband internet plan. Must agree to let the certified product-version’s contracted ePrescribe vendor(Surescripts) store, house, handle and transmit patient data.
 

Capability
Gathering information and transmitting this information to registries
170.314(f)(1), 170.314(f)(2), 170.314(f)(3)
 
Description of Capability
Immunization information. Enables a user to electronically record, change, and access immunization information. Transmission to immunization registries. EHR technology must be able to electronically create immunization information for electronic transmission. Transmission to public health agencies syndromic surveillance. EHR technology must be able to electronically create syndrome-based public health surveillance information for electronic transmission.
 
Costs or Fees
Will require one-time or per transaction costs to establish interfaces for reporting to immunization registries and public health agencies may be required and are not part of the base service agreement.  Fees would be required if the registry assesses fees, or if their interface requirements cause Point and Click Solutions to have to significantly alter our existing interfaces to accommodate their specific interface(s).
 
Contractual Limitations
This functionality comes bundled with the base price of the certified product-version. It may be necessary for you to enter into a contract with one or more registries. The requirements of these third party registries are out of the control on Point and Click Solutions (PNC). However, we do not warrant that PNC will be able to establish agreements and required connections with all third-party registries.
 
Technical or Practical Limitations
Must have an active and functioning broadband internet plan. Must agree to let the certified product-version communicate with any third party services. We cannot guarantee the cooperation or prevent fees of any third parties.
 

Capability
Direct Messaging
170.314(e)(1), 170.314(e)(3), 170.314(b)(1), 170.314(e)(2)
 
Description of Capability
View, download, and transmit to 3rd party. EHR technology provides patients (and their authorized representatives) with an online means to view, download, and transmit to a 3rd party. Secure messaging. Enables a user to electronically send secure messages to, and receive messages from a patient. Transitions of care. Receive, display, and incorporate transition of care/referral summaries. Transitions of care. Create and transmit transition of care/referral summaries.
 
Costs or Fees
Monthly, semi-annual or annual fees are required and are not part of the base service agreement. The costs are per provider.
 
Contractual Limitations
This functionality does not come bundled with the base price of the certified product-version and requires a separate agreement.
 
Technical or Practical Limitations
Must have an active and functioning broadband internet plan. Must agree to let the certified product-version communicate with any third party services. We cannot guarantee the cooperation or prevent fees of any third parties. The limit to the number of direct messages that can be sent in a given connection is limited to how many the certified product-version can encrypt and send in 10 minutes.
 

Capability
Clinical Quality Measures
170.314(c)(1), 170.314(c)(2), 170.314(c)(3)
 
Description of Capability
Clinical Quality Measures capture and export. For each and every CQM for which the EHR technology is presented for certification, EHR technology must be able to electronically record all of the data identified. Clinical quality measures import and calculate. EHR technology must be able to electronically calculate each and every clinical quality measure for which it is presented for certification. Clinical quality measures electronic submission. Enables a user to electronically create a data file for transmission of clinical quality measurement data.
 
Costs or Fees
This functionality is included in the base service agreement.
 
Contractual Limitations
No contractual limitations.
 
Technical or Practical Limitations
No technical or practical limitations.
 

Capability
Clinical Summary
170.314(e)(2)
 
Description of Capability
Enables a user to create a clinical summary for a patient in human readable format and formatted according to the standards adopted.
 
Costs or Fees
This functionality is included in the base service agreement.
 
Contractual Limitations
No contractual limitations.
 
Technical or Practical Limitations
No technical or practical limitations.
 

Capability
Problem Lists
170.314(a)(5), 170.314(a)(13)
 
Description of Capability
Enables a user to electronically record, change, and access a patient’s active problem list. Family health history. Enables a user to electronically record, change, and access a patient’s family health history.
 
Costs or Fees
This functionality is included in the base service agreement.
 
Contractual Limitations
No contractual limitations.
 
Technical or Practical Limitations
No technical or practical limitations.
 

Capability
Computerized Provider Order Entry
170.314(a)(1)
 
Description of Capability
Enables a user to electronically record, change, and access the following order types, at a minimum: (i) Medications; (ii) Laboratory; and (iii) Radiology/imaging.
 
Costs or Fees
This functionality is included in the base service agreement. ePrescribe is the certified method of entering medication orders, and that functionality carries an annual fee. Please reference the ePrescribe section for those associated costs and limitations.
 
Contractual Limitations
No contractual limitations except for medication orders. Please reference the ePrescribe section for those associated costs and limitations.
 
Technical or Practical Limitations
No technical or practical limitations except for medication orders. Please reference the ePrescribe section for those associated costs and limitations.
 

Capability
Clinical Decision Support
170.314(a)(8)
 
Description of Capability
Enables a limited set of identified users to select one or more electronic clinical decision support interventions (in addition to drug-drug and drug-allergy contraindication checking) based on each one and at least one combination of data.
 
Costs or Fees
This functionality is included in the base service agreement.
 
Contractual Limitations
No contractual limitations.
 
Technical or Practical Limitations
No technical or practical limitations.
 

Capability
Electronic Notes
170.314(a)(9)
 
Description of Capability
Enables a user to electronically record, change, access, and search electronic notes.
 
Costs or Fees
This functionality is included in the base service agreement.
 
Contractual Limitations
No contractual limitations.
 
Technical or Practical Limitations
No technical or practical limitations.
 

Capability
Smoking Status
170.314(a)(11)
 
Description of Capability
Enables a user to electronically record, change, and access the smoking status of a patient in accordance with the standard specified.
 
Costs or Fees
This functionality is included in the base service agreement.
 
Contractual Limitations
No contractual limitations.
 
Technical or Practical Limitations
No technical or practical limitations.
 

Capability
Image Results
170.314(a)(12)
 
Description of Capability
Electronically indicates to a user the availability of a patient’s images and narrative interpretations (relating to the radiographic or other diagnostic test(s)) and enable electronic access to such images and narrative interpretations.
 
Costs or Fees
This functionality is included in the base service agreement.
 
Contractual Limitations
No contractual limitations.
 
Technical or Practical Limitations
No technical or practical limitations.
 

Capability
Demographics170.314(a)(3)
 
Description of Capability
Enables a user to electronically record, change, and access patient demographic data including preferred language, sex, race, ethnicity, and date of birth.
 
Costs or Fees
This functionality is included in the base service agreement.
 
Contractual Limitations
No contractual limitations.
 
Technical or Practical Limitations
No technical or practical limitations.
 

Capability
Vital Signs, Body Mass Index, and Growth Charts 170.314(a)(14)
 
Description of Capability
Enables a user to electronically record, change, and access, at a minimum, a patient’s height/length, weight, and blood pressure. Automatically calculates and electronically displays body mass index based on a patient’s height and weight. Plots and electronically displays, upon request, growth charts for patients.
 
Costs or Fees
This functionality is included in the base service agreement.
 
Contractual Limitations
No contractual limitations.
 
Technical or Practical Limitations
No technical or practical limitations.
 

Capability
Patient List Creation
170.314(a)(14)
 
Description of Capability
Enables a user to electronically and dynamically select, sort, access, and create patient lists by: date and time; and based on each one and at least one combination of the following data: Problems; Medications; Medication allergies; Demographics; Laboratory tests and values/results; and patient communication preferences.
 
Costs or Fees
This functionality is included in the base service agreement.
 
Contractual Limitations
No contractual limitations.
 
Technical or Practical Limitations
No technical or practical limitations.
 

Capability
Patient-Specific Education Resources
170.314(a)(15)
 
Description of Capability
EHR technology must be able to electronically identify for a user patient-specific education resources based on data included in the patient’s problem list, medication list, and laboratory tests and values/results.
 
Costs or Fees
This functionality is included in the base service agreement.
 
Contractual Limitations
No contractual limitations.
 
Technical or Practical Limitations
No technical or practical limitations.
 

Capability
Clinical Information Reconciliation
 
Description of Capability
Enables a user to electronically reconcile the data that represent a patient’s active medication, problem, and medication allergy list.
 
Costs or Fees
This functionality is included in the base service agreement.
 
Contractual Limitations
No contractual limitations.
 
Technical or Practical Limitations
No technical or practical limitations.
 

Capability
Incorporate Laboratory Tests and Values/Results
170.314(b)(5)
 
Description of Capability
Electronically receives and incorporates clinical laboratory tests and values/results. Electronically displays the tests and values/results received in human readable format.
 
Costs or Fees
This certified product-version will require one-time costs to establish interfaces for incorporating lab tests and values/results. Fees would be required if the laboratory results provider assesses fees, or if their interface requirements cause BMSi, Inc to have to significantly alter our existing interfaces to accommodate their specific interface(s).
 
Contractual Limitations
It may be necessary for you to enter into a contract with one or more laboratory results providers. The requirements of these vendors are out of the control on Point and Click Solutions. However, we do not warrant that Point and Click Solutions will be able to establish agreements and required connections with all laboratory results providers.
 
Technical or Practical Limitations
Must have an active and functioning broadband internet plan.
 

Capability
Data portability
170.314(b)(7)
 
Description of Capability
 Enables a user to electronically create a set of export summaries for all patients in EHR technology.
 
Costs or Fees
This functionality is included in the base service agreement.
 
Contractual Limitations
No contractual limitations.
 
Technical or Practical Limitations
No technical or practical limitations.
 

Capability
Authentication, Access Control, Authorization and Auditing
170.314(d)(1), 170.314(d)(2), 170.314(d)(3)
 
Description of Capability
The certified product-version verifies against a unique identifier(s) (e.g., username or number) that a person seeking access to electronic health information is the one claimed, audit certain actions and enables a user to create an audit report for a specific time period.
 
Costs or Fees
This functionality is included in the base service agreement.
 
Contractual Limitations
No contractual limitations.
 
Technical or Practical Limitations
No technical or practical limitations.
 

Capability
Amendments170.314(d)(4)
 
Description of Capability
Enables a user to electronically select the record affected by a patient’s request for amendment and accept/deny the amendment. In either case, the amendment will be appended to the patient’s record.
 
Costs or Fees
This functionality is included in the base service agreement.
 
Contractual Limitations
No contractual limitations.
 
Technical or Practical Limitations
No technical or practical limitations.
 

Capability
Automatic Log-Off
170.314(d)(5)
 
Description of Capability
Prevents a user from gaining further access to an electronic session after a predetermined time of inactivity.
 
Costs or Fees
This functionality is included in the base service agreement.
 
Contractual Limitations
No contractual limitations.
 
Technical or Practical Limitations
No technical or practical limitations.
 

Capability
Emergency Access
170.314(d)(6)
 
Description of Capability
Permits an identified set of users to access electronic health information during an emergency.
 
Costs or Fees
This functionality is included in the base service agreement.
 
Contractual Limitations
No contractual limitations.
 
Technical or Practical Limitations
No technical or practical limitations.
 

Capability
End-User Device Encryption
170.314(d)(7)
 
Description of Capability
EHR technology is designed to prevent electronic health information from being locally stored on end-user devices after use of EHR technology on those devices stops.
 
Costs or Fees
This functionality is included in the base service agreement.
 
Contractual Limitations
No contractual limitations.
 
Technical or Practical Limitations
No technical or practical limitations.
 

Capability
Integrity
170.314(d)(8)
 
Description of Capability
Verifies upon receipt of electronically exchanged health information that such information has not been altered.
 
Costs or Fees
This functionality is included in the base service agreement.
 
Contractual Limitations
No contractual limitations.
 
Technical or Practical Limitations
No technical or practical limitations.
 

Capability
Automated Measure Calculation
170.314(g)(2)
 
Description of Capability
For each applicable meaningful use objective, the certified product-version electronically records the numerator and denominator and creates a report including the numerator, denominator, and resulting percentage associated with each applicable meaningful use measure.
 
Costs or Fees
This functionality is included in the base service agreement.
 
Contractual Limitations
No contractual limitations.
 
Technical or Practical Limitations
No technical or practical limitations.
 

Capability
Safety-Enhanced Design
170.314(g)(3)
 
Description of Capability
User-centered design processes were applied to each capability the EHR technology for the following criterion:
 
170.314(a)(1) Computerized provider order entry
170.314(a)(2) Drug-drug, drug-allergy interaction checks
170.314(a)(6) Medication list
170.314(a)(7) Medication allergy list
170.314(a)(8) Clinical decision support
170.314(a)(16) Inpatient setting only – electronic medication administration record
170.314(b)(3) Electronic prescribing
170.314(b)(4) Clinical information reconciliation

Costs or Fees
This functionality is included in the base service agreement.
 
Contractual Limitations
No contractual limitations.
 
Technical or Practical Limitations
No technical or practical limitations.
 

Capability
Quality Management System
170.314(g)(4)
 
Description of Capability
For each certification capability, the use of a Quality Management System (QMS) in the development, testing, implementation and maintenance of that capability was identified. This QMS can be standard or home-grown.
 
Costs or Fees
This functionality is included in the base service agreement.
 
Contractual Limitations
No contractual limitations.
 
Technical or Practical Limitations
No technical or practical limitations.

For more information or to schedule a demonstration, please e-mail us at or call us at 781.272.9800.