Providers (both clinicians and information technology champions) are often asked the specific functionality that they envision to be important for care delivery during a vendor selection process. Commonly, a "wish list" of key functions and capabilities is shared with potential vendors, often in the form of an RFI (request for information) or RFP (request for proposal). The Priority List identifies a set of requirements that may be helpful in vendor selection.
A readily available set of EHR requirements specific to child health offers providers a consistent starter set of basic pediatric EHR functionalities, or a comparison list for use with an existing set of requirements. A practice may wish to add requirements to the initial list based on functionality specifically important to areas of specialty or workflow. At the same time, not all the requirements on the list may be applicable to all clinical settings (e.g., functions that support early and periodic screening, diagnostic, and treatment (EPSDT) in primary care settings, such as Bright Futures) and practices may wish to remove those requirements. In addition, groups such as the AAP or AAFP could annotate this list with details that might be pertinent for an RFP or scripted product demonstration.
A well-defined set of requirements is useful for both vendors and providers and may serve as a basis for discussions, clarifications, and negotiations. However, the 2015 Priority List should be considered an additional set of requirements to support children's health specifically, and does not seek to replace or duplicate requirements stipulated by other entities, such as the CMS EHR Incentive Program.
The Priority List represents items with the highest feasibility and value, and may not reflect every functionality that individual providers may desire, requiring further discussions between providers and/or vendors. The 2013 Children's EHR Format, found on the United States Health Information Knowledgebase (USHIK) Web site, provides many requirements that could be considered by those developing an RFP/RFI, as well as references to standards (such as Bright Futures or CDC charts) that should be specifically included in a pediatric-specific EHR product.
All requirements are relevant.