2022 Testing Plan Summary
The objective of ONC certification criterion 170.315(f)(6) is electronic transmission of Antimicrobial Use and Resistance (AUR) data to NHSN. Premier will evaluate this objective using the following metrics for TheraDoc customers who report AUR data to NHSN:
| Metric | Description |
| AR numerator submissions to NHSN | Monthly counts of successful and failed AR numerator submissions to NHSN |
| AR denominator submissions to NHSN | Monthly counts of successful and failed AR denominator submissions to NHSN |
| AU summary submissions to NHSN | Monthly counts of successful and failed AU summary submissions to NHSN |
Each metric will provide aggregate counts that consider all eligible NHSN-defined locations and acute care settings as specified in the NHSN AUR protocol. It is expected that NHSN will accept all TheraDoc AUR submissions that comply with the AUR protocol in accordance with a facility’s monthly NHSN AUR reporting plan.
Click here is the full plan as a pdf, opens in a new tab. to view the full plan.
NOTE: After the original plan was submitted and before testing began, an adjustment was needed to our metric methodology. To account for submission failures unrelated to document content, such as DirectCDA outages, we are reporting a de-duplicated count of successful and failed submissions for each AUR document type in a monthly reporting period. For example, if a given numerator or denominator record was unsuccessfully submitted 2 times before being accepted, it is counted as 1 successful submission for the relevant reporting period. Similarly, if a given numerator or denominator record was unsuccessfully submitted 2 times and never successfully submitted, it is counted as 1 failed submission for the relevant reporting period.
2022 Testing Results
Results were captured as specified in the 2022 Testing Plan, and the monthly counts averaged to produce the following summary of successful and failed submissions.
| Metric | Description | Avg. Successful Monthly Submissions |
Avg. Failed Monthly Submissions |
Avg. % Successful Monthly Submissions |
Avg. % Failed Monthly Submissions |
|---|---|---|---|---|---|
| AR numerator submissions to NHSN | Monthly counts of successful and failed AR numerator submissions to NHSN | 10,885 | 2,056 | 77.8 | 13.9 |
| AR denominator submissions to NHSN | Monthly counts of successful and failed AR denominator submissions to NHSN | 196 | 41 | 76.4 | 15.2 |
| AU summary submissions to NHSN | Monthly counts of successful and failed AU summary submissions to NHSN | 2,125 | 280 | 81.1 | 10.5 |
Successful submissions demonstrate that TheraDoc is compliant with AUR certification criteria and exchanging EHI in the care settings for which it is marketed for use. Failed submissions likewise demonstrate that TheraDoc AUR data is being exchanged with NHSN and vetted against NHSN business rules. The top reasons for submission failures included AU/AR reporting not being included in a facility’s monthly AUR reporting plan; attempts to report data using an older version of TheraDoc that did not support new NHSN business rules; and attempts to report data for locations not mapped as eligible NHSN AUR location types.
Click here the results as a pdf, opens in a new tab. to view the complete results and details by type and month.