2023 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 2023 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 | 44,048 | 3,748 | 92 | 8 |
| AR denominator submissions to NHSN | Monthly counts of successful and failed AR denominator submissions to NHSN | 686 | 93 | 88 | 12 |
| AU summary submissions to NHSN | Monthly counts of successful and failed AU summary submissions to NHSN | 2,792 | 389 | 88 | 12 |
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 for locations not mapped as eligible NHSN AUR location types; and attempts to submit the same data multiple times.
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Electronic Case Reporting (eCR) Testing Plan
The objective of 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 count of electronic initial case reports (eICRs) sent to public health agencies and monthly count of the number of Reportability Response (RR) documents, by RR condition, received from those agencies |
Counts of eICRs and RRs demonstrate ongoing interoperability; counts of specific reportability conditions (Reportable, May be Reportable, Not Reportable, No Reporting Rule Met) reflect the quality of data sent for 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
After 2023 eCR data collection began, it was found not to be feasible to get a breakdown of Reportability Responses by condition, as TheraDoc includes condition information only in the eCR files, not in the database. The 2023 eCR Real World Testing metric and methods were therefore revised as follows:
| Metric | Description |
| eCR reporting to public health agencies | Monthly counts of the following:
|
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.