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OpenEMR 4.2.0 has just been released!!!

7-22-13 OEMR Logo

New feature list in OpenEMR 4.2.0:

2014 ONC Certified as a Modular EHR
CMS Portal (Patient Portal via a WordPress Module)
E-Sign Patient Forms and Encounters
Templates for Patient Documents
Track Anything Form
PDF output printing; Patient Label, Patient Address Label, Barcode Label
Modules Manager (supports both ZEND and native modules)
Patient Form Searching
Numerous Layout Based Visit Form Improvements
0 Option, read only, Layout Based Visit Form
A Option, age in years in Date field, Layout Based Visit Form
B Option, age in weeks in Date field, Layout Based Visit Form
P Option, default to previous value, Layout Based Visit Form
Field Skipping feature in Layout Based Visit Form
Source attribute in Layout Based Visit Form
Lab Module Improvements
Patient Education Module Improvements
Billing Module Improvements
Direct Messaging Module Improvements
Log Module Improvements
Supported in 26 languages
Support for most recent ICD9 and ICD10 code sets
Numerous Security Fixes and Security Improvements
Numerous Bug Fixes

It can be downloaded here:

Installation instructions can be found here:

Upgrading instructions can be found here:


Technical requirements for coordinating care in an Accountable Care Organization

Andy Oram with O'Reilly Radar

Andy Oram with O’Reilly Radar

Video Interview with Andy Oram of O’Reilly at OSCON 2012 …

Excerpt …
The concept of an Accountable Care Organization (ACO) reflects modern hopes to improve medicine and cut costs in the health system. Tony McCormick, a pioneer in the integration of health care systems, describes what is needed on the ground to get doctors working together.

Read more and watch the Video …

Meaningul Use Flex-IT and Hardship Exemptions

Is case you hadn’t heard ….

Flex-IT Act – For those not familiar with this act, it would change the attestation period for meaningful use stage 2 from 365 days to only 90 days. This act is being backed by some very strong healthcare organizations including a call from the AMA, CHIME, HIMSS, and MGMA to make this change. As is noted by these organizations, very few hospitals have attested to meaningful use stage 2 and only 2 percent of eligible providers have attested to meaningful use stage 2 so far (they do have until the end of February).

If the meaningful use stage 2 numbers continue on this trend, CMS will need to do something or risk having the program be labeled a failure. It’s hard to predict what will happen (or not happen) in Washington, but the pressure to change the meaningful use stage 2 reporting periods to 90 days is growing. Poor meaningful use stage 2 attestation numbers could very well push this issue over the edge.

EHR Penalty Hardship Exemption – In case you missed it, CMS reopened the meaningful use hardship exception period. Originally you had to file for a meaningful use hardship exception by July 1, 2014, but you now have until November 30, 2014 to apply for an exception. This is a big deal for those who likely didn’t know they’d need an exception for meaningful use.

While this exception is related to the EHR certification flexibility (ie. your EHR vendor software isn’t ready for you to implement and attest), many have wondered if we won’t see more ways for organizations to avoid the coming meaningful use penalties. These prognosticators suggest that if meaningful use stage 2 numbers continue to be as awful as what’s described above, it’s possible that the government will provide some relief from the meaningful use penalties. As of now, the meaningful use penalties are coming, so you better be prepared.

Exerpted from:

Are you subject to Meaningful Use adjustments coming in 2015?

Eligible professionals participating in the Medicare EHR Incentive Program may be subject to payment adjustments beginning on January 1, 2015. CMS will be determining payment adjustments based on MU attestation submitted prior to the 2015 calendar year, with a requirement to demonstration prior to 2015 to avoid payment adjustments. If you haven’t taken a look at your posture in terms of meeting the requirements for meaningful use reimbursement, here are a few things to examine. They break down by the year you started and the program mix that you were accepted into.

If the first demonstration of meaningful use began in 2011 or 2012, MU must be demonstrated for a full year in 2013 to avoid the 2015 adjustment. If demonstration of meaningful use began in 2013, you needed to demonstrate meaningful use for a 90-day reporting period to avoid the payment adjustment in 2015.

CMS Guidelines

If meaningful use begins in 2014, to be eligible you must demonstrate MU for a 90-day reporting period to avoid the payment adjustment in 2015. The reporting period must occur in the first 9 months of calendar year 2014, and eligible professionals must attest to meaningful use no later than October 1, 2014.

All of those who attest must continue to demonstrate meaningful use every year to avoid payment adjustments in subsequent years. If you are eligible to participate in both the Medicare and Medicaid EHR Incentive Programs, you MUST demonstrate meaningful use to avoid the payment adjustments, dual program enrollees may demonstrate meaningful use, and if you are only participate in the Medicaid EHR Incentive Program, you are not subject to these payment adjustments.

OEMR reaches first fund raising goal for OpenEMR Stage II MU Certification


The OEMR 501c3 and the community of OpenEMR Developers and Users have been working hard to raise contributions to cover the high cost of testing for Meaningful Use Stage 2 certification.  We are pleased to announce that goal number 1 achieved. We have $25,000 in the bank to pay for the certification testing with margin for retesting if needed or modular certification.

Huge thanks go to the community, the users and the supporting vendors.

Our goal is to be certified by June 2014 or sooner.

–Tony McCormick

OEMR President

Speaking at ACO DataQuest Conference

Phoenix Skyline

Our President and Director of Marketing will be speaking at the ACO DataQuest Conference in Phoenix, Arizona on April 23rd and 24th of 2013

Day One:  Tuesday, April 23rd – 2:45-3:30

Solving the Patient Data and EHR Puzzle

The value of an ACO’s analytics depends significantly on the accuracy of its patient data and the accessibility of information across disparate EHR platforms. In this session, you will learn techniques for validating patient data, preventing lapses in data, and verifying CMS-provided patient information. Strategies for successfully managing varying EHR platforms will also be examined:

  • ·        Direct patient contact for ensured data accuracy

o   Preparing for the challenges of patient data reconciliation with established internal protocol

o   Limiting future data gaps by ensuring the accuracy of all data collected from patients

o   Verifying CMS provided patient data with direct contact

  • ·        Merging data for disparate EHR platforms

o   Incorporating written notes into EMR data

o   Employing a Master Patient Index (MPI) to aggregate large data from various sources

o   Managing various image formats from different EHRs

o   Creating an analytics boilerplate to reduce repetition and purge unusable elements

Day Two:  Wednesday, April 24th – 3:00-3:45

Making the Most of Your EHR: Leveraging Meaningful Use to Enhance Care Management and Reduce Costs

Learn how to make the most of your resources and manage costs by successfully integrating varying EHR platforms and maximizing their potential to prevent gaps in care, monitor patient engagement, and manage clinical workflows. This session will examine strategies for:

  • Integrating differing EHR platforms into a comprehensive, system-wide care management system
  • Using EHRs to track the progress of chronic disease management
  • Monitoring the workflow of your clinical teams through the EHR
  • Staying ahead of reminders, goal-tracking, and patient treatment adherence
  • ·        Employing your EHR to:
    • Identify existing gaps and avoid potential lapses in care
    • Manage costs by reducing unnecessary on-site clinical visits and admissions

Tony McCormick

CTO of Physicians ACO, LLC and MI2

How to register for CMS MU Attestation for OpenEMR 4.1

Official CHPL Product/Certification Numberfor OpenEMR is 110040R00, which is the product number assigned by the certification body. The value, 110040R00, is not the number that should be used when attesting as a Physician to meaningful use.

You need to go to the CMS attestation website, add OpenEMR 4.1 product to your shopping cart along with any other certified products they might be using, and based on that configuration you will be given a unique 15-digit number to use for attestation purposes. Here are some quick directions:

To obtain a CMS EHR Certification ID, follow the steps outlined below

  1. Go to; Http://
  2. Select Ambulatory Practice
  3. Search for ‘OpenEMR’
  4. Add OpenEMR 4.1 to your cart to determine if your product(s) meet 100% of the required criteria
  5. Request a CMS EHR Certification ID for CMS registration or attestation from your cart page