Physical Plant Environment Requirements in Limited Services Clinics

(A) Notwithstanding general access requirements from the Facility Guidelines Institute’s Guidelines for Design and Construction of Health Care Facilities, a limited services clinic located on the premises of another entity is not required to provide separate exterior entrances or designated parking or to provide a patient waiting area or reception area separate from the public area of the host entity. (B) Notwithstanding general space requirements from the Facility Guidelines Institute’s Guidelines for Design and Construction of Health Care Facilities, each limited services clinic shall have a minimum floor area of 56 square feet for each examination room, exclusive of fixed casework. (C) Those provisions of the Facility Guidelines Institute’s Guidelines for Design and Construction of Health Care Facilities that pertain to services a particular limited services clinic does not provide (e.g., venipuncture) shall not apply to the limited services clinic. (D) Each limited services clinic shall provide a hand sanitizer dispenser outside each treatment room. (E) In accordance with 105 CMR 140.203, each limited services clinic must provide consultation, examination, treatment and dressing areas appropriate to the services provided by the clinic. Any limited services clinic intending to substantially alter or expand the scope of services provided at a clinic location must notify the Department and conform with appropriate physical plant requirements prior to implementation of any such change. 105 CMR 140.1100: Electronic Health Records in Community Health Centers (A) Definitions applicable to 105 CMR 140.1100: Centers for Medicare & Medicaid Services (CMS). The agency within the federal Department of Health and Human Services responsible for administering Medicare, Medicaid, and the Children’s Health Insurance Program. Certification Commission for Healthcare Information Technology (CCHIT). The nonprofit organization authorized by the Office of the National Coordinator for Health Information Technology to test and certify EHR technology to the certification criteria specified in 45 CFR Part 170. Certified Electronic Health Record (Certified EHR) Technology. EHR technology tested and certified by CCHIT or another agency or organization approved by ONC-HIT to test and certify EHR technology. CMS Stage 1 Meaningful Use Criteria. The Stage 1 meaningful use objectives and measures specified in 42 CFR Part 495. 140.1100: continued CMS Stage 2 Meaningful Use Criteria. The Stage 2 meaningful use objectives and measures specified in 42 Part 495. Community Health Center (CHC). A federally-qualified health center operating in conformance with federal rules for community health centers under 42 U.S.C. 254b and currentlyparticipating in the Massachusetts Medicaid program, or a community health center with an active provider agreement with MassHealth under 130 CMR 405.000: Community Health Center Services. Computerized Provider Order Entry (CPOE). A system that enables the provider to directly enter medication orders, laboratory orders, and radiology orders from a computer or other electronic device. The order is then documented or captured in a digital, structured, and computable format for use in improving the safety and efficiency of the ordering process. Electronic Health Record (EHR) Technology. Computer technology that records patient health- related information and: (1) includes patient demographic and clinical health information, such as medical history and problem lists; (2) has the capacity to: (a) provide clinical decision support; (b) support provider order entry; (c) capture and query information relevant to health care quality; (d) exchange electronic health information with, and integrate such information from other sources; and (e) protect the confidentiality, integrity and availability of health information stored and exchanged. Eligible Professional. An eligible professional as defined in 42 CFR 495.100 or a Medicaid eligible professional as defined in 42 CFR 495.304. Office of the National Coordinator for Health Information Technology. The agency within the federal Department of Health and Human Services responsible for authorizing organizations to test and certify EHR technology to the certification criteria specified in 45 CFR Part 170. 2011 Edition EHR Certification Criteria. The 2011 EHR certification criteria in 45 CFR Part 170. 2014 Edition EHR Certification Criteria. The 2014 EHR certification criteria specified in 45 CFR Part 170. (B) Implementation of Electronic Health Records. (1) A Community Health Center shall provide documentation to the Department demonstrating the CHC has implemented Certified EHR Technology, its eligible professionals have registered with CMS and attested to compliance with CMS EHR Meaningful Use Criteria, and at it utilizes CPOE, as specified in 105 CMR 140.1100 and in guidelines of the Department. (2) No later than October 1, 2016, a CHC shall: (a) implement Certified EHR Technology, as specified in 45 CFR Part 170 and in guidelines of the Department; (b) attest at least 70% of eligible professionals employed by the CHC have registered with CMS and attested to compliance with CMS Stage 1 meaningful use criteria, as specified in guidelines of the Department; and (c) utilize CPOE, as specified in guidelines of the Department. (3) After October 1, 2016 the Department may require that a higher percentage of eligible professionals employed bythe CHC register with CMS, attest to compliance with CMS EHR Meaningful Use Criteria, and utilize CPOE as specified in guidelines of the Department. (4) Review of Meaningful Use. (a) A CHC shall, upon request of the Department, submit documentation to the Department pertaining to its use of Electronic Health Record Technology and meaningful use by eligible professionals, as specified in guidelines of the Department. 140.1100: continued (b) A CHC shall keep documentation supporting its eligible professionals’ demonstration of meaningful use for six years following the EHR reporting period for each eligible professional, as defined in 42 CFR 495.4.