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2024 Testing Plan Summary

Antimicrobial Use and Resistance (AUR) Reporting Test Plan

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 de-duplicated aggregate counts that consider all eligible NHSN-defined locations and acute care settings as specified in the NHSN AUR protocol. De-duplication accounts for submission failures unrelated to document content, such as DirectCDA outages. 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.

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.

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AUR Reporting Testing Results

Results were captured as specified in the 2024 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 63,445 7,746 90 10
AR denominator submissions to NHSN Monthly counts of successful and failed AR denominator submissions to NHSN 1,136 75 94 6
AU summary submissions to NHSN Monthly counts of successful and failed AU summary submissions to NHSN 3,908 655 86 14

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 facilities attempting to submit data before installing the TheraDoc version supporting new NHSN AUR business rules and facilities attempting to submit the same data multiple times.

Click here to view the complete results and details by type and month. pdf of the full plan opens in a new tab


Electronic Case Reporting (eCR) Testing Plan

The objective of ONC certification criterion 170.315(f)(5) is electronic transmission of case reports to public health agencies. Premier will evaluate this objective using the following metric for TheraDoc customers who report eCR data to public health agencies:

Metric Description
eCR reporting to health departments Monthly counts of the following:

  • Total number of unique initial case reports (eICRs) submitted to public health agencies (this excludes any records requiring resubmission due to technical problems with transmission).
  • Total number of records dispositioned by public health agencies with a Reportability Response (RR) of “Reportable” (RRVS1) or “No Rule Met” (RRVS4).
  • Total number of unique patients for whom eICR records were sent for evaluation.
  • Total number of unique facilities using TheraDoc for eICR submission.

NOTE: The Electronic Reporting and Surveillance Distribution (eRSD) system version(s) in effect for each month is also included.

Counts of eICRs and RRs created against specific eRSD versions demonstrate ongoing interoperability as eCR reporting criteria evolve. Counts of “Reportable” and “No Rule Met” reportability conditions reflect the quality of data sent for electronic case reporting. Premier customers can configure TheraDoc to report eCR for select care settings in accordance with their needs. Testing will include all location types that have been configured to report eCR data.

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eCR Testing Results

Results were captured as specified in the 2024 Testing Plan, and the monthly counts averaged to produce the following summary of eICR reports submitted to and dispositioned by public health agencies per specific eRSD versions.

Metric Description  Monthly Average eRSD File in Effect, by Month/Day
Total number of unique initial case reports (eICRs) submitted to public health agencies (this excludes any records requiring resubmission due to technical problems with transmission) 508,001
  • RCTC Version 2023-02-03: Jan 1-May 21, 2024
  • RCTC Version 2024-04-05: May 22-Nov 5, 2024
  • RCTC Version 2024-06-28: Nov 6-Dec 31, 2024
Total number of records dispositioned by public health agencies with a Reportability Response (RR) of “Reportable” (RRVS1) 33,406
Total number of records dispositioned by public health agencies with a Reportability Response (RR) of “No Rule Met” (RRVS4) 474,595
Total number of unique patients for whom eICR records were sent for evaluation 411,658
Total number of unique facilities using TheraDoc for eICR submission 179

The counts of eICRs and RRs created against specific eRSD file versions demonstrate ongoing interoperability as eCR reporting criteria evolve. Counts of “Reportable” and “Not Reportable” reportability conditions reflect the quality of data sent for case reporting and confirm that TheraDoc helps direct healthcare providers to the RRs that require attention.

Click here to view the complete results and details by month. pdf of the full plan opens in a new tab

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