Healthcare Management Report: Evaluating EHR Systems and Standards

This report delves into healthcare management, specifically examining the role of Electronic Health Records (EHR) systems and their impact on modern healthcare practices. It explores the use of the NIST tool for testing and evaluating standards related to the 2015/2014 Editions of the Standards & Certification Criteria. The report highlights the importance of interoperability in EHR systems and the significance of ONC certification. The report also discusses the functionality of the ePrescribing Test Suite and how it is used to assess and certify ONC 2015 Edition Health IT Modules. Furthermore, the report touches upon the specific requirements and considerations for medication history testing, including the use of pharmacy benefit managers and the impact of network types like SureScripts. The report also addresses the direct transmission of ONC Certification messages to the NIST ePrescribing Test Tool and the implications of this process.

Running Head: HEALTHCARE MANAGEMENT 1
Healthcare Management
(Student’s Name)
(Institutional Affiliation)

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Healthcare Management
In the modern times, healthcare information technology has become integral in matters,
evaluating efficacy of clinical operations systems including prescribing. The NIST tool is an
online downloadable tool that has been specially developed to test standards and the
requirements that relate to the message specifications that are expressed within the 2015/2014
Editions of the Standards & Certification Criteria. According to ONC, this tool tests the extent of
adherence to the Edge Protocol standards at the time valid communication sessions amid a
System Under Test and ETT. These include Data portability, Ambulatories setting only, view,

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down and then transmit the information or data to the third party and lastly come up with
summary care reports or what we can say transitions care.
It is now known that virtually all hospitals in many developed countries have embraced
HERs which emphasizes about interoperability. Interoperability is basically using those systems
to send as well as receive messages regarding the data with the aim of ensuring that the cost is
cut down and that quality is improved.
According the statement by ONC, such tools are helpful in terms of have standards that
for messaging best practices in addition to the scoring criteria.
The NIST ePrescribing Test Suite is fundamentally a test tool which helps in the
assessment and certification of ONC 2015 Edition Health IT Modules ("NIST 2015 Edition ONC
HealthIT Certification Test Tools," 2017). While accessing the capability of the ONC
Certification I navigated through to the ONC Certification Test Plan that is located on the
Context-based tab. I clicked on the ONC certification Test Plan and then proceeded by clicking
on TestCaseGroup: Medication History Tests. The message displayed is as shown above.
Going this criterion, I noticed a number of interesting things. Firstly, to test the
medication history, one need to first begin by having to complete the pharmacy Benefit Manager.
Basically, this means, one has to have the specific information or terminologies as regards the
medical history. Essentially, having a medical history will ensure that the information being
sought is specific to the patient in question. Inputting random information will therefore not
generate information that is specific to the patient. After the medical history has been input, then
a response shows up containing the medical history information for the specific patient. This
information may include the date range, the follow-up and the source.

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Also, I noted that the kind or type of network that is used affect the certification process. For
example, when SureScripts Network is used, then one will be forced not to use it in the test
messages that regard ONC Certification Process (NIST, n.d). I also noted one interesting thing
that transmission of ONC Certification messages is such that they must be directly channeled to
the NIST ePrescribing Test Tool in the event that one chooses to use SureScript Network. In
cases one gets black messages as regards the medical history of the patient, and then the query
may not have been sent to NIST directly but to SureScript

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References
NIST 2015 Edition ONC HealthIT Certification Test Tools. (2017, December 5). Retrieved
from https://www.nist.gov/itl/ssd/systems-interoperability-group/nist-2015-edition-onc-
healthit-certification-test-tools
NIST. (n.d.). NIST E-prescribing 2015. Retrieved from https://erx-2015.nist.gov/hit-base-tool/