Please consult the Notice of Proposed Rulemaking (NPRM) entitled: 2015 Edition Health Information Technology (Health IT) Certification Criteria, 2015 Edition Base Electronic Health Record (EHR) Definition, and ONC Health IT Certification Program Modifications for a detailed description of the proposed certification criterion with which these testing steps are associated. 1. Required Tests Note: The order in which the test steps are listed reflects the sequence of the certification criterion and does not necessarily prescribe the order in which the test should take place. 1.1 Enable a User to Electronically Verify Medication Administration Evaluate the Health IT Module’s ability to use assistive technology that enables a user to electronically verify the 5 Rights of medication administration, prior to administering a medication to a patient. Item # 1 Technical Outcome Test Lab Verification Test Approach The user is able to verify that the patient to whom the medication is to be administered matches the medication to be administered. The tester verifies that the Health IT Module, using assistive technology (e.g. bar coded items), verified the right patient. Visual inspection and test data. 2 The user is able to verify that the medication to be administered matches the medication ordered for the patient. The tester verifies that the Health IT Module, using assistive technology (e.g. bar coded items), verified the right medication. Visual inspection and test data. 3 The user is able to verify that the dose of the medication to be administered matches the dose of the medication ordered for the patient. The tester verifies that the Health IT Module, using assistive technology (e.g. bar coded items), verified the right dose. Visual inspection and test data. 4 The user is able to verify that the route of medication delivery matches the route specified in the medication order. The tester verifies that the Health IT Module, using assistive technology (e.g. bar coded items), verified the right route. Visual inspection and test data. 1 Item # 5 5 Technical Outcome Test Lab Verification Test Approach The user is able to compare the time that the medication was administered to the time the medication was ordered to be administered, to verify the appropriate administration time. The tester verifies that the Health IT Module, using assistive technology (e.g. bar coded items), verified the right time. The tester verifies the system uses a system clock that has been synchronized following Network Time Protocol Version 3 or Version 4. Network Time Protocol (NTP) Test, visual inspection, and test data. The user is able to verify that the EHR assistive technology alerts the tester about a wrong patient, wrong, medication, wrong dose, wrong route, or wrong time of medication administration. The tester verifies that the Health IT Module indicates when any of the following have occurred: wrong patient, wrong medication, wrong dose, wrong route, and wrong time. Visual inspection and test data. 1.2 Enable a User to Electronically Record Medication Administration for an Inpatient Setting Only Evaluate the Health IT Module’s ability to enable a user to electronically, automatically, and simultaneously record the date, time, and user identification for each administered medication. Item # 1 2 Technical Outcome Test Lab Verification Test Approach The user is able to record the date and time of medication administration. The tester verifies that the Health IT Module records the date and time is correctly recorded. The tester verifies the system uses a system clock that has been synchronized following Network Time Protocol Version 3 or Version 4. Visual inspection and test data. The user is able to record user identification information for the individual who administered each medication. The tester verifies that the Health IT Module enables the user to electronically, automatically, and simultaneously record the date, time and user identification for each administered medication. Visual inspection and test data. 2. Document History Version Number Description of Change Date 1.0 Released for Public Comment March 31, 2015 3. Dependencies For the related and required criteria, please refer to the Master Table of Related and Required Criteria. 2
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