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Standards and Certification Final Rule

The Initial Set of Standards, Implementation Specifications, and Certification Criteria for Electronic Health Record Technology Final Rule, published July 28, 2010, is referred to as the Standards and Certification Final Rule. The Office of the National Coordinator for Health Information Technology (ONC) issued this rule to delineate the standards and certification criteria for the certification of EHR technology. The "certified EHR technology" (CEHRT) required for participation in the EHR Incentive Program must meet the standards outlined in this rule. The rule is also referred to as the ONC Final Rule to differentiate from CMS' Final Rule governing the EHR Incentive Program.


EPs and EHs are encouraged to use the Standards and Certification Final Rule to better understand and achieve meaningful use of their certified EHR technology. Through working with vendors and appreciating the parameters of their certified EHR technology, providers can connect the functionality of their EHR technology to the processes and outcomes of meaningful use that it facilitates.


Click below for an organized guide to the Standards and Certification Final Rule with links that interconnect to the individual measure webpages. All references are verbatim from the Code of Federal Regulations, which will have the most updated regulations, and links are also provided. Although these categories are imperfect, the benefit of using these pages to facilitate your review of the rule is the hyperlinked interconnection with the specific measures.


General Sections and Functions

These general sections of the rule include definitions as well as stipulations that apply to the certified EHR technology as a whole.


Measure-Specific Table of Contents

These sections of the rule link to specific measures and provide the opening text for clarification to the specific references on the individual measure webpages. For example, the only Core Measure 2 reference is § 170.302(a), so the opening text of § 170.302 is applicable to everything listed in § 170.302(a).