Certification Programs & Policy

Temporary Certification Program

Overview

The Office of the National Coordinator for Health Information Technology (ONC) established a Temporary Certification Program (TCP) for Health Information Technology (Health IT) to provide a way for organizations to become authorized by the National Coordinator to test and certify Electronic Health Record (EHR) technology.

ONC-Authorized Testing and Certification Bodies (ONC-ATCBs) test and certify EHR technology in the TCP. The Certified Health IT Product List (CHPL) provides the authoritative, comprehensive listing of certified Complete EHRs and EHR Modules. The CHPL is updated as new products are certified by ONC-ATCBs.

Certification assures health care providers that the EHR technology they adopt satisfies the capabilities needed to participate in the Centers for Medicare and Medicaid Services (CMS) EHR Incentive Programs.

Use of Certified EHR Technology (CEHRT) is a core requirement for health care providers to become “meaningful users” and eligible for payment under the CMS EHR Incentive Programs.

The graphic below provides an overview of how the TCP works:

Temporary Certification Program Overview – Organizations

In the Temporary Certification Program, ONC approves and authorizes organizations to serve as ONC-Authorized Testing and Certification Bodies (ONC-ATCBs). ONC-ATCBs perform testing against criteria and certify tested products. In the TCP, developers and vendors create EHR technology, and once the product successfully passes testing and achieves certification through the ONC-ATCB, ONC reviews and posts the certified product to the Certified Health IT List (CHPL)

Temporary Certification Overview: Processes

In the Temporary Certification Program, the developer/vendor submits EHR products to an ONC-ATCB. The ONC-ATCB then provides the vendor/developer with a test report. The vendor/developer then coordinates with the ONC-ATCB to complete an EHR certification application and agreement. Once the product successfully passes testing and achieves certification, the ONC-ATCB reports the certified product information to ONC. ONC then publishes the certified EHR technology to the Certified Health IT Product List (CHPL).

Program Sunset

The TCP began in July 2010, and will sunset in summer 2012 once the Permanent Certification Program (PCP) is fully constituted. Once the PCP is operational, testing and certification activities will be performed by separate entities. Testing will be performed by Accredited Testing Laboratories (ATLs) and certification will be conducted by ONC-Authorized Certification Bodies (ONC-ACBs).

The Temporary Certification Program; Notice of Extension states that the TCP sunset should be tied to the effective date of the Final Rule for Medicare and Medicaid Programs; Electronic Health Record Incentive Program—Stage 2 and Health Information Technology: Standards, Implementation Specifications, and Certification Criteria for Electronic Health Record Technology, 2014 Edition; Revisions to the Permanent Certification Program for Health Information Technology. The release is planned for summer 2012.

Timeline of the Transition from the Temporary Certification Program to the Permanent Certification Program

This box contains a timeline of the ONC Certification Program. The timeline goes from June 2011 to summer 2012. The Temporary Certification Program (TCP) started in June 2010, and will continue until it sunsets in summer 2012. After the Temporary Certification Program sunsets, the ONC-Authorized Testing and Certification Bodies (ONC-ATCBs) have six months to finish testing and certifying the EHR products submitted to them prior to the TCP sunset date. The announcement of the American National Standards Institute (ANSI) as the ONC-Approved Accreditor (ONC-AA) was made by ONC in June 2011. The ONC-ACB announcements and the ATL announcements will be made in summer 2012. The PCP will become fully operational in summer 2012.

Transition to the Permanent Certification Program

Upon sunset of the TCP, ONC-ATCBs are prohibited from accepting new requests to test and certify Complete EHRs or EHR Modules, but are permitted up to six months after the sunset date to complete all testing and certification activities associated with pending or current requests received prior to the sunset date.

In the Permanent Program, Developers and Vendors will work with ATLs to test their products and ONC-ACBs to certify their products.

The CHPL will continue to be the one-stop shop for cross-validating Certified EHR Technology, and the CHPL will continue to be managed by ONC.

EHR product certifications made in the TCP are valid in the PCP.

The major differences and similarities between the Temporary Certification Program and the Permanent Certification Program

There are major differences and similarities between the Temporary Certification Program (TCP) and the Permanent Certification Program (PCP). In the TCP, testing and certified are combined, and are performed by the same entity. ONC approves and authorizes testing and certification bodies to become ONC-Authorized Testing and Certification Bodies (ONC-ATCBs). ONC-ATCBs test and certify Complete EHRs and EHR Module(s) based on applicable certification criteria. In the PCP, testing and certification are separate. However, a single organization can operate as both an Accredited Testing Laboratory (ATL) and an ONC-Authorized Certification Body (ONC-ACB) if there is a firewall between testing and certification activities. Testing laboratories are accredited by NVLAP, and certification bodies are accredited by the ONC-Approved Accreditor (ONC-AA). ONC then authorizes accredited certification bodies to serve as ONC-ACBs. ATLs test Complete EHRs and EHR Module(s) based on applicable certification criteria. ONC-ACBs certify Complete EHRs and EHR Module(s) based on applicable certification criteria. Although there are several differences between the Temporary and Permanent Programs, there are also several similarities. These similarities include: both programs are run by ONC; ONC approves test procedures in both; both programs include testing and certification of Complete EHRs and EHR Module(s); and, certified Complete EHRs and EHR Module(s) are listed on the Certified Health IT Product List (CHPL) for both programs.