CMS and ONC are encouraging providers to use the provider user guide for the National Institute of Standards and Technology (NIST) EHR Randomizer software, a tool that aims to help providers meet the meaningful use stage 2 transitions of care core objective.
To meet this core objective, providers must satisfy three measures: Measures 1 and 2 require providers to make summary of care records available, which cover patient transitions or referrals.
To meet measure 3, providers are required to conduct at least one successful electronic summary of care exchange with a provider who uses a different vendor’s EHR system. If providers can’t participate in this type of exchange or are unable to document it, they must conduct at least one successful test during the reporting period by exchanging a summary of care with an authorized test EHR. The EHR Randomizer tool satisfies the interoperability requirement of the “authorized test EHR” piece of the meaningful use measure.
The EHR Randomizer’ user guide walks providers through registration as well as instructions on how to complete a successful document exchange with a test EHR. The Randomizer automatically pairs the provider EHR with a different authorized test EHR.
Physicians must send a summary of care record in Consolidated Clinical Document Architecture (C-CDA) format that does not contain real patient information to the test EHR. The test vendor has 24 hours to respond with an email notifying the provider whether the exchange failed or succeeded. If the test is successful, providers can use this email as proof of having met the transitions of care measure 3. In the case of a test failure, the process can be repeated until the test EHR vendor and the provider troubleshoot all errors and meet measure 3 successfully.