The importance of certified EHR technology

While there are many ways to enhance healthcare quality, compliance, and efficiency, there’s one that works regardless of your practice size or specialty: leveraging a certified electronic health record (EHR). Certified electronic health records have received a federal stamp of approval because of their ability to help your medical practice succeed. 

In this article, we’ll explain why using a certified EHR is so important when selecting the right EHR, and provide implementation strategies for success.

Various regulations preceded what we now recognize as certified EHR technology. Let’s take a moment to review the 20-year timeline and notable regulatory milestones.

2004: The Office of the National Coordinator for Health Information Technology (ONC) was established. ONC’s goal was to stimulate the use of computerized health records across the nation’s healthcare systems. 

2007: The Institute for Healthcare Improvement’s Triple Aim framework laid the foundation for providers to improve patient care quality, reduce healthcare costs, and enhance population health in the United States. EHRs played a large role in these efforts. 

2009: The federal government adopted the Health Information Technology for Economic and Clinical Health (HITECH) Act to promote interoperable health information technology and regulate the secure transmission of health information.

2010: EHR adoption began to ramp up as ONC issued its Standards and Certification Criteria Final Rule for EHR systems. In addition, the Centers for Medicare and Medicaid Services (CMS) finalized its definition of "meaningful use" of EHR technology and began to introduce EHR incentive programs that required the use of certified EHR technology. 

2015: The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) supported the transition from fee-for-service payment models toward value-based care. 

2016: The 21st Century Cures Act focused on improving patient access to electronic health information, promoting information sharing, and establishing anti-information blocking provisions. The act also established the latest criteria for EHR certification — where HealthIT vendors must satisfy the criteria of the 2015 edition and pass testing to become certified electronic health record technology (CEHRT).

2017: Physicians were given clear pathways to participate in CMS’ newly launched Quality Payment Program: the Merit-based Incentive Payment System (MIPS) and the Alternative Payment Model, both of which require certified EHR technology.

2022: The Trusted Exchange Framework and Common Agreement (TEFCA) began to support the nationwide exchange of electronic health information across health information networks. In addition, CMS announced a new reporting option to fulfill MIPS requirements: MIPS Value Pathways (MVPs).

While there's been a federal push for more EHRs to meet certification criteria, not every EHR vendor offers an ONC-certified product. However, partnering with one that does is the best way for your medical practice to ensure compliance with current and future regulations such as HIPAA, information blocking prevention, and price transparency requirements.

A certified EHR also helps your medical practice qualify for incentives and avoid downward payment adjustments under the Quality Payment Program. It provides the technical capabilities you need to collect and report the right data to CMS.

Using a certified EHR system benefits your medical practice in many ways. For example, it:

“Meaningful use” means using certified EHR technology to meet specific objectives to share and exchange health information. The federal government created this definition to ensure providers use EHRs not just for the sake of using EHRs, but to actually improve patient care.

That’s why meaningful use is a requirement to participate in the Quality Payment Program and to receive financial incentives and rewards. Note that the Quality Payment Program is updated annually. Here are the 2024 updates. 

As of 2021, nearly 4 in 5 (78%) provider practices had adopted a certified EHR. These numbers will likely continue to grow as medical practices become more aware of the advantages of certified EHR technology.

As data breaches continue to ramp up, private medical practices are particularly vulnerable, and certified EHRs help ensure data security and patient privacy.

In addition, certified EHRs integrate with other health information technology systems. This can be extremely beneficial for medical practices in accountable care organizations and other arrangements that prioritize interoperability, care coordination, data exchange, and cost reduction.

Non-certified EHR systems may not include the same features, which could leave your medical practice unable to meet strategic goals, remain competitive, or contribute effectively in the larger healthcare ecosystem. 

Tebra's EHR is an ONC-certified all-in-one platform built for independent practices. Learn more.

With that said, small and rural medical practices face unique challenges when it comes to adopting certified EHR technology. Cost is perhaps the most significant barrier. This includes expenses associated with the purchase, implementation, and ongoing maintenance.

The good news is that the federal government offers grant programs and subsidies designed to offset the financial burden for small and rural healthcare providers. 

Regional extension centers may also be able to provide technical assistance and guidance to ensure these medical practices can implement and use certified EHRs. There are also plenty of additional resources that can help medical practices understand costs and establish a budget.

If your medical practice doesn’t currently use a certified EHR, there’s no time like the present to switch. Or if you do — and you want a solution that meets your needs more effectively — consider starting the research process.

Finding the right certified EHR takes time, but it's a necessary step to improve patient care and ensure a secure financial future for your medical practice.