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Certification and Accreditation
    for Health IT Systems
       Maurice Dawson1, Jorja Wright2
          1Alabama A&M University

       2Florida Institute of Technology
Abstract

Health information technology (IT) systems are essential to the
healthcare industry. In order to develop, deploy, and maintain these
systems in compliance with the Health Information Exchange (HIE) a
proper certification and accreditation (C&A) process is needed. The
researchers will provide a model for C&A in the state hospital
systems. C&A implementation is needed in order to protect patient
information and uphold the standards of the Health Insurance
Portability and Accountability Act (HIPPA). Executing Health IT
systems can significantly improve healthcare quality, prevent
medical oversights, immensely reduce healthcare costs, improve
administrative competency, and expand healthcare access
exponentially. Creating a national standard for healthcare IT systems
implementation will improve the healthcare system and improve the
process of healthcare delivery.
Health Information Exchange (HIE)

• An association that
  enables organizations to
  electronically share health-
  related information [1].
• Example: HealthyCircles, a
  San Diego-based
  company that shares
  health care information to
  patients, their families and
  members of the patient’s
  health care team [2].
                                 Picture courtesy of HealthCircles [2].
Certification and Accreditation

                                          •   Oct. 4, 2012 –
               U.S. Dept of Health             – ONC institutes the Temporary
              and Human Services
                     (HHS)                       Certification Program (TCP) [3].
                                               – ONC Health Information
                                                 Technology (HIT) Certification
                                                 Program [3].
Office of the National
                                          •   ANSI is a coordinator of the U.S.
 Coordinator (ONC)                            voluntary standardization system
                                              [4].
                                          •   First five Health Information
                                              Technology
                   Permanent                   – Certification Commission for
             Certification Program
             for Health Information              Health Information Technology
                Technology (HIT)                 (CCHIT)
                                               – Drummond Group, Inc.
                                               – ICSA Laboratories, Inc.
                    American National          – InfoGard Laboratories, Inc.
                    Standards Institute        – Orion Register, Inc. [4]
                         (ANSI)
Unclassified DIACAP Controls




                 STUDY CONDUCTED ON MISSION
                   ASSURANCE CATEGORY III
                   UNCLASSIFIED CONTROLS
DIACAP IA Controls
Applicable Frameworks


                DIACAP




 Common
  Criteria
Certification



                         NIST SP-800
                            Series
Health Insurance Portability &
                     Accountability Act (HIPAA) and HIE

• Office for Civil Rights (OCR)
• Nationwide Privacy and Security Framework for Electronic
  Exchange of Individually Identifiable Health Information (Privacy
  and Security Framework) [1].
• Privacy Rule [5].
Benefits of Electronic Health Records
                                              (EHR)

• American Recovery and
  Reinvestment Act of 2009
• Health Information
  Technology for Economic
  and Clinical Health
  (HITECH) Act [1].




                             Courtesy of Health IT [1].
Works Cited

[1]. Health information exchange . (2012). “ONC HIT Certification Program”
      Retrieved from http://www.healthit.gov/providers-professionals/health-
      information-exchange
[2]. Healthy cirlces. (2012). Retrieved from http://www.healthycircles.com/
[3]. Health IT. (2012). “ONC HIT Certification Program.” Retrieved from
      http://www.healthit.gov/policy-researchers-implementers/onc-hit-
      certification-program.
[4]. American National Standards Institute. (2012). “Ansi accredits first five
      health information technology certification bodies.” Retrieved
      fromhttp://www.ansi.org/news_publications/news_story.aspx?menuid=
      7&articleid=3308#.UUfBWRzCaSo
[5]. HHS. (2012). “The HIPAA Privacy Rule and Electronic Health
      Information Exchange in a Networked Environment.”
      http://www.hhs.gov/ocr/privacy/hipaa/understanding/special/healthit/int
      roduction.pdf

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Certification and Accreditation for Health IT Systems

  • 1. Certification and Accreditation for Health IT Systems Maurice Dawson1, Jorja Wright2 1Alabama A&M University 2Florida Institute of Technology
  • 2. Abstract Health information technology (IT) systems are essential to the healthcare industry. In order to develop, deploy, and maintain these systems in compliance with the Health Information Exchange (HIE) a proper certification and accreditation (C&A) process is needed. The researchers will provide a model for C&A in the state hospital systems. C&A implementation is needed in order to protect patient information and uphold the standards of the Health Insurance Portability and Accountability Act (HIPPA). Executing Health IT systems can significantly improve healthcare quality, prevent medical oversights, immensely reduce healthcare costs, improve administrative competency, and expand healthcare access exponentially. Creating a national standard for healthcare IT systems implementation will improve the healthcare system and improve the process of healthcare delivery.
  • 3. Health Information Exchange (HIE) • An association that enables organizations to electronically share health- related information [1]. • Example: HealthyCircles, a San Diego-based company that shares health care information to patients, their families and members of the patient’s health care team [2]. Picture courtesy of HealthCircles [2].
  • 4. Certification and Accreditation • Oct. 4, 2012 – U.S. Dept of Health – ONC institutes the Temporary and Human Services (HHS) Certification Program (TCP) [3]. – ONC Health Information Technology (HIT) Certification Program [3]. Office of the National • ANSI is a coordinator of the U.S. Coordinator (ONC) voluntary standardization system [4]. • First five Health Information Technology Permanent – Certification Commission for Certification Program for Health Information Health Information Technology Technology (HIT) (CCHIT) – Drummond Group, Inc. – ICSA Laboratories, Inc. American National – InfoGard Laboratories, Inc. Standards Institute – Orion Register, Inc. [4] (ANSI)
  • 5. Unclassified DIACAP Controls STUDY CONDUCTED ON MISSION ASSURANCE CATEGORY III UNCLASSIFIED CONTROLS
  • 7. Applicable Frameworks DIACAP Common Criteria Certification NIST SP-800 Series
  • 8. Health Insurance Portability & Accountability Act (HIPAA) and HIE • Office for Civil Rights (OCR) • Nationwide Privacy and Security Framework for Electronic Exchange of Individually Identifiable Health Information (Privacy and Security Framework) [1]. • Privacy Rule [5].
  • 9. Benefits of Electronic Health Records (EHR) • American Recovery and Reinvestment Act of 2009 • Health Information Technology for Economic and Clinical Health (HITECH) Act [1]. Courtesy of Health IT [1].
  • 10. Works Cited [1]. Health information exchange . (2012). “ONC HIT Certification Program” Retrieved from http://www.healthit.gov/providers-professionals/health- information-exchange [2]. Healthy cirlces. (2012). Retrieved from http://www.healthycircles.com/ [3]. Health IT. (2012). “ONC HIT Certification Program.” Retrieved from http://www.healthit.gov/policy-researchers-implementers/onc-hit- certification-program. [4]. American National Standards Institute. (2012). “Ansi accredits first five health information technology certification bodies.” Retrieved fromhttp://www.ansi.org/news_publications/news_story.aspx?menuid= 7&articleid=3308#.UUfBWRzCaSo [5]. HHS. (2012). “The HIPAA Privacy Rule and Electronic Health Information Exchange in a Networked Environment.” http://www.hhs.gov/ocr/privacy/hipaa/understanding/special/healthit/int roduction.pdf

Notas do Editor

  1. Healthy Circles: “provides an enterprise-level connected health solution to empower care teams to deliver better care, to more patients, at a fraction of the cost” [2].“Platform’s interoperability and data integration capabilities for a flexible provide a flexible, bi-directional data exchange with existing electronic medical records (EMRs), clinical practice systems, hospital and lab records, claims and medication history, all centrally stored in a private and secure HIPAA compliant database” [2].
  2. “(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 certify and test Electronic Health Record (EHR) technology” [3].ONC HIT Certification Program – second part of ONC’s two-part process to establish a standardized certification process [3].ANSI: This innovative program is a liaszon for ONC to authorize health care organizations “to test and certify electronic health record (EHR) technology” [3].ANSI seeks to improve the certification processes for HIE nationally by enhancing “comprehensiveness, transparency, reliability, and efficiency” [3].Certification bodies should not only comply with ONC and ANSI, but also:ISO/IEC Guide 65 - General requirements for bodies operating product certification systemsIAF Guidance on the application of ISO/IEC Guide 6545 CFR PART 170 – Health Information Technology Standards, Implementation Specifications, and Certification Criteria and Certification Programs for Health Information Technology [3].
  3. OCR - has published new Health Insurance Portability & Accountability Act of 1996 (HIPAA) Privacy Rule guidance documents as part of a Privacy and Security Toolkit to implement The Nationwide Privacy and Security Framework for Electronic Exchange of Individually Identifiable Health Information (Privacy and Security Framework). HIPAA Security Rule and Health IT: The HIPAA Security Information Series is a group of educational papers, which are designed to give HIPAA-covered entities insight into the Security Rule and assistance with implementation of the security standards.
  4. HITECH: (component of the American Recovery and Reinvestment Act of 2009) nation’s first substantial commitment of Federal resources to support the widespread adoption of EHRs.Benefits of EHRs:Improve quality and convenience of patient careIncrease patient participation in their careImprove accuracy of diagnoses and health outcomesImprove care coordinationIncrease practice efficiencies and cost savings