Costs and Limitations2018-10-17T23:03:46+00:00

ONC CEHRT – Costs and Limitations

The Clinigence Value Improvement Platform® (VIP) is certified under the Office of National Coordinator for Health IT (ONC) certified electronic health record technology (CEHRT) program as further detailed below.

Certification Edition 2015
Product/Version Clinigence Value Improvement Platform® Version 4.4
Certification Date TBD
Certification Number TBD
Certification Criteria & Functionality
  • 170.314(c)(1-3): recording, calculating and reporting clinical quality measures (CQMs)
  • 170.314(d)(1-3,5): user authentication, access control, and audit trail.
  • 170.314(g)(4-5): quality management system and accessibility-centered design.
Clinical Quality Measures Certified
  1. CMS136v7 ADHD: Follow-Up Care for Children Prescribed Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
  2. CMS161v6 Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
  3. CMS128v6 Anti-Depressant Medication Management
  4. CMS146v6 Appropriate Testing for Children with Pharyngitis
  5. CMS154v6 Appropriate Treatment for Children with Upper Respiratory Infection (URI)
  6. CMS169v6 Bipolar Disorder and Major Depression: Appraisal for alcohol or chemical substance use
  7. CMS645v1 Bone density evaluation for patients with prostate cancer and receiving ADT
  8. CMS125v6 Breast Cancer Screening
  9. CMS133v6 Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery
  10. CMS132v6 Cataracts: Complications within 30 Days Following Cataract Surgery Requiring Additional Surgical Procedures
  11. CMS124v6 Cervical Cancer Screening
  12. CMS177v6 Child and Adolescent Major Depressive Disorder (MDD): Suicide Risk Assessment
  13. CMS117v6 Childhood Immunization Status
  14. CMS75v6 Children Who Have Dental Decay or Cavities
  15. CMS153v6 Chlamydia Screening for Women
  16. CMS50v6 Closing the Referral Loop: Receipt of Specialist Report
  17. CMS130v6 Colorectal Cancer Screening
  18. CMS165v6 Controlling High Blood Pressure
  19. CMS145v6 Coronary Artery Disease (CAD): Beta-Blocker Therapy-Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <40%)
  20. CMS149v6 Dementia: Cognitive Assessment
  21. CMS159v6 Depression Remission at Twelve Months
  22. CMS160v6 Depression Utilization of the PHQ-9 Tool
  23. CMS131v6 Diabetes: Eye Exam
  24. CMS123v6 Diabetes: Foot Exam
  25. CMS122v6 Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
  26. CMS134v6 Diabetes: Medical Attention for Nephropathy
  27. CMS142v6 Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
  28. CMS167v6 Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy
  29. CMS68v7 Documentation of Current Medications in the Medical Record
  30. CMS139v6 Falls: Screening for Future Fall Risk
  31. CMS56v6 Functional Status Assessment for Total Hip Replacement
  32. CMS66v6 Functional Status Assessment for Total Knee Replacement
  33. CMS90v7 Functional Status Assessments for Congestive Heart Failure
  34. CMS135v6 Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD)
  35. CMS144v6 Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)
  36. CMS52v6 HIV/AIDS: Pneumocystis Jiroveci Pneumonia (PCP) Prophylaxis
  37. CMS65v7 Hypertension: Improvement in Blood Pressure
  38. CMS137v6 Initiation and Engagement of Alcohol and Other Drug Dependence Treatment
  39. CMS164v6 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet
  40. CMS82v5 Maternal Depression Screening
  41. CMS157v6 Oncology: Medical and Radiation – Pain Intensity Quantified
  42. CMS127v6 Pneumococcal Vaccination Status for Older Adults
  43. CMS158v6 Pregnant women that had HBsAg testing
  44. CMS69v6 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
  45. CMS147v7 Preventive Care and Screening: Influenza Immunization
  46. CMS2v7 Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan
  47. CMS22v6 Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
  48. CMS138v6 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
  49. CMS74v7 Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists
  50. CMS143v6 Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
  51. CMS129v7 Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low-Risk Prostate Cancer Patients
  52. CMS347v1 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
  53. CMS156v6 Use of High-Risk Medications in the Elderly
  54. CMS155 Weight Assessment & Counseling for Nutrition and Physical Activity for Children/Adolescents
Additional Software Relied Upon N/A
ONC Disclaimer This Health IT Module is 2015 Edition compliant and has been certified by an ONC-ACB in accordance with the applicable certification criteria adopted by the Secretary of Health and Human Services. This certification does not represent an endorsement by the U.S. Department of Health and Human Services.
Costs & Limitations Clinigence offers clinical quality measure (CQM) analytics, including recording, calculating, and reporting (170.314(c)(1-3)) on an annual software-as-a-service (SaaS) contract. The service allows healthcare providers to aggregate patient data from various sources, including electronic health record (EHR) systems, track performance at the organization, practice and individual provider level in near real-time, and report to different outside agencies. Service costs are based on organization size (e.g. number of providers, patients, etc.) and the number of CQMs and are charged on a periodical basis (annual, monthly, etc.) One-time setup fees may be charged based on the number and type of data sources.

There are no technical or practical limitations associated with this service.

Certification Edition 2014
Product/Version Clinigence Value Improvement Platform® Version 4.4
Certification Date 12/19/2017
Certification Number 14.04.04.2696.Clin.41.01.0.171219
Certification Criteria & Functionality
  • 170.314(c)(2-3): importing, calculating and electronically submitting clinical quality measures (CQMs)
  • 170.314(d)(1,5,6,8): user authentication, access control, auto log-off, emergency access, and data integrity.
  • 170.314(g)(4): quality management system.
Clinical Quality Measures Certified
  1. CMS2: Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan
  2. CMS22: Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
  3. CMS50: Closing the Referral Loop: Receipt of Specialist Report
  4. CMS52: HIV/AIDS: Pneumocystis Jiroveci Pneumonia (PCP) Prophylaxis
  5. CMS56: Functional Status Assessment for Total Hip Replacement
  6. CMS61: Preventive Care and Screening: Cholesterol – Fasting Low-Density Lipoprotein (LDL-C) Test Performed
  7. CMS62: HIV/AIDS: Medical VisitCMS64: Preventive Care and Screening: Risk-Stratified Cholesterol -Fasting Low-Density Lipoprotein (LDLC)
  8. CMS65: Hypertension: Improvement in Blood Pressure
  9. CMS66: Functional Status Assessment for Knee Replacement
  10. CMS68: Documentation of Current Medications in the Medical Record
  11. CMS69: Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
  12. CMS74: Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists
  13. CMS75: Children Who Have Dental Decay or Cavities
  14. CMS77: HIV/AIDS: RNA control for Patients with HIV
  15. CMS82: Maternal Depression Screening
  16. CMS90: Functional Status Assessment for Complex Chronic Conditions
  17. CMS117: Childhood Immunization Status
  18. CMS122: Diabetes: Hemoglobin A1c Poor Control
  19. CMS123: Diabetes: Foot Exam
  20. CMS124: Cervical Cancer Screening
  21. CMS125: Breast Cancer Screening
  22. CMS126: Use of Appropriate Medications for Asthma
  23. CMS127: Pneumonia Vaccination Status for Older Adults
  24. CMS128: Anti-depressant Medication Management
  25. CMS129: Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low-Risk Prostate Cancer Patients
  26. CMS130: Colorectal Cancer Screening
  27. CMS131: Diabetes: Eye Exam
  28. CMS132: Cataracts: Complications within 30 Days Following Cataract Surgery Requiring Additional Surgical Procedures
  29. CMS133: Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery
  30. CMS134: Diabetes: Urine Protein Screening
  31. CMS135: Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD)
  32. CMS136: ADHD: Follow-Up Care for Children Prescribed Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
  33. CMS137: Initiation and Engagement of Alcohol and Other Drug Dependence Treatment
  34. CMS138: Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
  35. CMS139: Falls: Screening for Future Fall Risk
  36. CMS140: Breast Cancer: Hormonal Therapy for Stage IC-IIIC Estrogen Receptor/ Progesterone Receptor (ER/PR)
  37. CMS141: Colon Cancer: Chemotherapy for AJCC Stage III Colon Cancer Patients
  38. CMS142: Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
  39. CMS143: Primary Open Angle Glaucoma (POAG): Optic Nerve Evaluation
  40. CMS144: Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)
  41. CMS145: Coronary Artery Disease (CAD): Beta-Blocker Therapy-Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <40%)
  42. CMS146: Appropriate Testing for Children with Pharyngitis
  43. CMS147: Preventive Care and Screening: Influenza Immunization
  44. CMS148: Hemoglobin A1c Test for Pediatric Patients
  45. CMS149: Dementia: Cognitive Assessment
  46. CMS153: Chlamydia Screening for Women
  47. CMS154: Appropriate Treatment for Children with Upper Respiratory Infection (URI)
  48. CMS155: Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
  49. CMS156: Use of High-Risk Medications in the Elderly
  50. CMS157: Oncology: Medical and Radiation – Pain Intensity Quantified
  51. CMS158: Pregnant women that had HBsAg testing
  52. CMS159: Depression Remission at Twelve Months
  53. CMS160: Depression Utilization of the PHQ-9 Tool
  54. CMS161: Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
  55. CMS163: Diabetes: Low-Density Lipoprotein (LDL) Management
  56. CMS164: Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic
  57. CMS165: Controlling High Blood Pressure
  58. CMS166: Use of Imaging Studies for Low Back Pain
  59. CMS167: Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy
  60. CMS169: Bipolar Disorder and Major Depression: Appraisal for alcohol or chemical substance use
  61. CMS177: Child and Adolescent Major Depressive Disorder (MDD): Suicide Risk Assessment
  62. CMS179: ADE Prevention and Monitoring: Warfarin Time in Therapeutic Range
  63. CMS182: Ischemic Vascular Disease (IVD): Complete Lipid Panel and LDL Control
Additional Software Relied Upon  N/A
 ONC Disclaimer This Health IT Module is 2014 Edition compliant and has been certified by an ONC-ACB in accordance with the applicable certification criteria adopted by the Secretary of Health and Human Services. This certification does not represent an endorsement by the U.S. Department of Health and Human Services.
Costs & Limitations Clinigence offers clinical quality measure (CQM) analytics, including importing, calculating, and reporting (170.314(c)(2-3)) on an annual software-as-a-service (SaaS) contract. The service allows healthcare providers to aggregate patient data from various sources, including electronic health record (EHR) systems, track performance at the organization, practice and individual provider level in near real-time, and report to different outside agencies. Service costs are based on organization size (e.g. number of providers, patients, etc.) and the number of CQMs and are charged on a periodical basis (annual, monthly, etc.) One-time setup fees may be charged based on the number and type of data sources.

There are no technical or practical limitations associated with this service.