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The EHR: Meaningful Use

EHR incentives: We’ll help you collect the incentives you deserve

Under the Health Information Technology and Economic Clinical Health Act (HITECH) Act, eligible providers and hospitals can earn Medicare and Medicaid incentive payments when they adopt a certified EHR system and meet specific requirements. Providers who began in 2013 can receive up to $39,000 as an incentive

The goal of meaningful use is to establish a framework to support healthcare reform, promoting effective health information exchange, better patient care and the use of electronic health records.

During the HIMSS’ Interoperability Showcase, UMC Chief Technology Officer Matt Wurth demonstrates how cancer data is automatically captured in Team Chart Concept at the time of the patient encounter.

UMC: A Pioneer in Creating Real-Time, EHR-based reporting model for the Cancer Registry

UMC played a huge role in creating the nation’s first “real-time” EHR-based model that successfully reports cancer cases to the Kentucky Cancer Registry (KCR). Our EHR software, TCC, was featured in the Interoperability Showcase at Healthcare Information and Management Systems (HIMSS) Conference.

The exhibit, “Physician EHR Reporting to a Central Cancer Registry,” showed step by step how the clinical data is transmitted from the documentation of the initial patient encounter in TCC to submitting the cancer data to the KCR.

The model was officially put to use in October 2012. Reports for five cancer cases newly diagnosed by Dr. Halden Ford were transmitted from Paducah Dermatology using TCC. Paducah Dermatology continues to use TCC on a regular basis to automate submission of cancer data to the KCR.

“Physicians using TCC can expect to achieve certification under Meaningful Use Sate 2 with the ability to report to their state cancer registry,” said Eric Durbin, director of Cancer Informatics at the KCR. “For providers treating cancer patients, this will reduce their burden to remain in compliance with state laws that require such reporting.”

This breakthrough represents the result of an important collaboration from UMC, Paducah Dermatology, Kentucky Regional Extension Center, KHIE, the KCR, as well as the Centers for Disease Control and Prevention to provide the complete, timely and accurate data needed to combat cancer.

Disclosure and Transparency 2015 Edition


Team Chart Concept (TCC) version 7.1 is compliant with ONC 2015 Edition and has been certified by SLI Compliance, an ONC-ACB, in accordance with the applicable certification criteria adopted by the Secretary of Health and Human Services. This certification does not represent an endorsement by the U.S. Department of Health and Human Services.

Certified EHR Vendor & Production Information:

 Vendor/Developer Name: Ulrich Medical Concepts, Inc.
 Certification Date: 12.26.2019
 Certified EHR Name: Team Chart Concept (TCC)
 Certified EHR Versions: 7.1
 CPHL Product #s:

Clinical Quality Measures:

CMS 2v9, CMS 50v8, CMS 68v9, CMS 69v8, CMS 90v9, CMS 138v8, CMS 156v8, CMS 165v8

Certification Criteria:

§170.315(a)(1) Computerized provider order entry (CPOE) – medications

§170.315(a)(14) Implantable device list

§170.315(d)(6) Emergency access

§170.315(a)(2) Computerized provider order entry (CPOE) – laboratory

§170.315(d)(1) Authentication, access control, authorization

§170.315(d)(7) End-user device encryption

§170.315(a)(3) Computerized provider order entry (CPOE) – diagnostic imaging

§170.315(d)(2) Auditable events and tamper-resistance

§170.315(d)(8) Integrity

§170.315(a)(4) Drug-drug, drug-allergy interaction checks for CPOE (NewCrop)

§170.315(d)(3) Audit report(s)

 §170.315(g)(2) Automated measure calculation

§170.315(a)(5) Demographics

§170.315(d)(4) Amendments

§170.315(g)(3) Safety-enhanced design

§170.315(a)(10) Drug-formulary and preferred drug list checks

§170.315(d)(5) Automatic access time-out

§170.315(g)(4) Quality management system

§170.315(g)(5) Accessibility-centered design


Cost Transparency:

The Team Chart Concept (TCC) 7.1 application requires software license fees, implementation fees for installation/training, and annual maintenance fees post go-live.  Additional costs include NewCrop Core ePrescribing version 13.08, Medfusion Patient Portal version 13.5, and EMR Direct Interoperability Engine 2017.

Additional Software Required:

TCC Meaningful User Configuration: UMC Clients are not charged to upgrade to the latest certified version of TCC.  Clients are billed a one-time setup fee to configure their system for Meaningful Use reporting.

Patient Portal: UMC Clients pay a one-time Patient Portal setup fee and a monthly service fee.

Direct Messaging: UMC clients pay a one-time Direct Messaging setup fee and monthly service fee per address.

Application Access API: UMC clients pay a one-time Application Access API setup fee and a monthly service fee.

NewCrop Core ePrescribing: UMC clients pay a one-time ePrescribing fee and a monthly service fee per prescriber.

Application Access API Additional Information:

API Terms of Use:

Only authorized 3rd party vendors are allowed to access the Interoperability Engine Open API. Each UMC client will be responsible for providing authorization for access to their API by a 3rd party vendor.  Any 3rd party vendor accessing or using the API agrees to the  Interoperability Engine Open API Terms of Use agreement and to any client specific Terms of Use a UMC client may enforce regarding access to their instance of the API.

API Documentation:

Each UMC client will be responsible for providing the URL for their API to authorized 3rd party vendors.  The Interoperability Engine Open API Documentation provides information on how to access Protected Health Information (PHI) using this API including guidance on how to connect, API syntax, function names, required & optional parameters, and other information necessary to interact with the API.

The following table outlines how the optional date range parameters are applied if supplied:

Data Category

Date Range Logic

Patient Lookup/Demographics

Returns the patient's current demographics if the patient has had an encounter between the start date and end date supplied.  If not, then no data is returned.

Smoking Status

Returns the patient's current smoking status if the patient has had an encounter between the start date and end date supplied.  If not, then no data is returned.

Care Team

Returns the patient's current care team members if the patient has had an encounter between the start date and end date supplied.  If not, then no data is returned.


Return all allergies active within the date range.


Return all problems active within the date range.


Return all medications ordered within the date range.


Return all procedures completed within the date range.

Medical Devices/Equipment

Return all procedures completed that include a medical device or equipment within the date range.

Assessment & Plan Goals

Return all care plan assessment and/or plan of treatment records.

Health Concerns

Return all health concern records created within the date range.

Lab Results

Return all lab results received by the client within the date range.


Return all immunization records created within the date range.

Vital Signs

Return all vital signs records created within the date range.

Full CDA Creation

Returns a full CDA including data from the date range supplied if the patient has had an encounter between the start date and end date supplied.  If not, then no data is returned.