MDVita EHR Costs and
Limitations
MDVita version 20.0 is 2014 Edition compliant and has been certified by an
ONC-ATCB in accordance with the applicable certification criteria adopted by
the Secretary of the U.S. Department of Health and Human Services. Certification
ID 140372R00 received on 12/29/2014. This
certification does not represent an endorsement by the U.S. Department of
Health and Human Services.
MDVita developer: Health Care 2000, Inc.
MDVita ver. 20.0 was certified in the following
criteria:
170.314(a)(1) Computerized
Provider Order Entry
170.314(a)(2) Drug-Drug,
Drug-Allergy Interaction Checks
170.314(a)(3) Demographics
170.314(a)(4) Vital Signs,
Body Mass Index, And Growth Charts
170.314(a)(5) Problem List
170.314(a)(6) Medication List
170.314(a)(7) Medication
Allergy List
170.314(a)(8) Clinical
Decision Support
170.314(a)(9) Electronic Notes
170.314(a)(11) Smoking Status
170.314(a)(12) Image Results
170.314(a)(13) Family Health
History
170.314(a)(14) Patient List
Creation
170.314(a)(15)
Patient-Specific Education Resources
170.314(b)(1) Transitions Of
Care - Receive, Display, And Incorporate
Transition Of Care/Referral Summaries
170.314(b)(2) Transitions Of Care - Create And Transmit
Transition Of
Care/Referral
Summaries
170.314(b)(4) Clinical Information Reconciliation
170.314(b)(5) Incorporate Laboratory Tests And
Values/Results
170.314(b)(7) Data Portability
170.314(c)(1) Clinical Quality Measures - Capture And
Export
170.314(c)(2) Clinical Quality Measures - Import And
Calculate
170.314(c)(3) Clinical Quality Measures - Electronic
Submission
170.314(d)(1) Authentication, Access Control, And
Authorization
170.314(d)(2) Auditable Events And Tamper-Resistance
170.314(d)(3) Audit Report(S)
170.314(d)(4) Amendments
170.314(d)(5) Automatic Log-Off
170.314(d)(6) Emergency Access
170.314(d)(7) End-User Device Encryption
170.314(d)(8) Integrity
170.314(e)(2) Clinical Summary
170.314(e)(3) Secure Messaging
170.314(f)(1) Immunization Information
170.314(f)(2) Transmission To Immunization Registries
170.314(f)(3) Transmission To Public Health Agencies -
Syndromic Surveillance
170.314(g)(2) Automated Measure Calculation
170.314(g)(3) Safety-Enhanced Design
170.314(g)(4) Quality Management System
The additional software MDVita relied upon to
demonstrate compliance, includes: Medi-Span,
EMR Direct phiMail Server, MedlinePlus, PopHealth, Meinberg
NTP.
The additional types of costs that an eligible provider
would pay to implement MDVita ver. 20.0 in order to attempt to meet
meaningful use objectives and measures include:
·
Implementation & Hosting Costs
for:
o
Cloud-based solution: MDVita offers a
Cloud-based solution that includes hosting and implementation fees for a monthly
fee; cost is per provider and/or provider location.
o
Cloud-based solution (RCM model): MDVita offers a Cloud-based solution that
includes hosting and implementation fees for a monthly fee. This fee is a
percentage of the total collected revenue and there could be an additional monthly
fee per FTE (Full Time Equivalent) depending on collected revenue volume.
o
License-based solution: MDVita offers a
license-based solution for a one-time software license fee per provider with
additional fees for implementation. Additionally, there is a supplemental
monthly support & maintenance cost; cost is per FTE. For license-based
solution, hosting can be the responsibility of the customer or MDVita for a
monthly fee per FTE.
On top of the implementation & possible hosting costs,
this certified product-version could require additional costs for:
·
A third-party partner that provides
patient-specific education (170.314(a)(15)
Patient-specific education resources). Costs are a monthly cost per provider
& the costs vary depending on the selected third-party partner.
Additional costs that may be incurred for this certified
product-version:
·
Depending on the customers selected
lab/imaging company & their current transactional volume, this certified
product-version may require one-time or recurring monthly costs to establish
interfaces to electronically exchange results. (170.314(b)(5)(a) Incorporate
laboratory tests & values/results, 170.314(a)(12) Image Results)
·
This certified product-version may
require one-time costs and/or re-occurring costs to establish interfaces for
reporting to immunization public health agencies or any specialized registry.
(170.314(f)(3) Transmission to Public Health Agencies Syndromic
Surveillance)
·
Support & maintenance for
integration of this certified product-version with other ONC certified systems
may require additional one-time and/or re-occurring costs.
·
Depending on the patients preferred
mode of communication, transactional costs may apply per SMS/voice message
sent.
·
Generating and/or transmitting QRDA
(170.314(c)(3) Clinical Quality measures Electronic Submission) or other
format file(s) required for participation in payer quality initiatives/programs
may require one-time costs, ongoing service fees, and/or transaction-based
fees.
·
Connecting to providers on other
HISPs which are part of the Direct Trust Bundle may require ongoing service
fees per provider. This is in regards to criteria 170.314(b)(1) Transitions
of care receive, display and incorporate transition of care/referral
summaries , 170.314(b)(2) Transitions of care create and transmit transition
of care/referral summaries and 170.314(e)(3)
Secure Messaging.
·
Patient Portal. An ONC certified third party Patient Portal is
needed to meet requirement for criteria 170.314(e)(1) and 170.314(g)(1). Microsoft HealthVault may
be used.
·
Depending on the customers needs,
there may be costs for any additional services outside the standard agreement
(such as additional implementation services, business analysis services,
additional training services, etc.).
·
Additional costs can be incurred for
storage in excess of 2GB.
·
Third party yearly fee for CPT Data
File from AMA (American Medical Association) depending on users.
This certified product-version is certified to Data
Portability criteria 170.314(b)(7) and can generate a
set of export summaries for all patients. However, the ability to utilize the
mass export functionality for Data Export is designed to work after hours.
Additional Data layouts other than the CCDA may incur in additional fees.
The EP must sign an MDVita
Software License & Support agreement and the term of the agreement is
typically a One-year term which may
vary depending on the customers needs.
There
may be additional agreements that an EP must enter with a third-party vendor
(such as a clearinghouse company, lab company, etc.) depending on the
customers needs.
With regard to Technical and
Practical Limitations, users will be required to satisfy the following
requirements to use our system effectively:
1) MDVita certified
Clinical Quality Measures (CQMs) :
CMS2:
Preventive Care and Screening: Screening for Clinical Depression and Follow-Up
Plan
CMS22:
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up
Documented
CMS50:
Closing the Referral Loop: Receipt of Specialist Report
CMS68:
Documentation of Current Medications in the Medical Record
CMS69:
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up
Plan
CMS90:
Functional Status Assessment for Complex Chronic Conditions
CMS123:
Diabetes: Foot Exam
CMS124:
Cervical Cancer Screening
CMS125:
Breast Cancer Screening
CMS126:
Use of Appropriate Medications for Asthma
CMS127:
Pneumonia Vaccination Status for Older Adults
CMS130:
Colorectal Cancer Screening
CMS131:
Diabetes: Eye Exam
CMS138:
Preventive Care and Screening: Tobacco Use: Screening and Cessation
Intervention
CMS156:
Use of High-Risk Medications in the Elderly
CMS165:
Controlling High Blood Pressure
CMS166:
Use of Imaging Studies for Low Back Pain
2) Supported Operating Systems:
o
Microsoft Windows 7 or later;
Windows Server 2008 or later
o
Apple/MAC supported through RDP
connection to dedicated MDVita servers
o
iPad, Android and other mobile
devices supported through RDP connection to Dedicated MDVita servers
2)
Processor: 1GHz Pentium processor or
equivalent (minimum); 2GHz Pentium processor or equivalent (recommended)
3) RAM: 2 GB (minimum); 4 GB (recommended)
4) Hard Disk: 32-bits system 600 MB; 64-bits system 1.5GB of free space
5)
Internet Connection: High speed / Broadband connection
highly suggested
6) MS Word 2013 for document capabilities (Office 2013 or higher)
7) Display: 1024 x 768 minimum
8) CD or DVD Drive: Not required